Sunnyway

contact your surgeon in the morning. It's possible this could be a stricture, and if so, you'll need to get that fixed (I had two - at four weeks out and again at eight weeks out. Easy fix and I felt 100% btter immediately.
if it's not that, you could be intolerant to eggs and lactose - that is not uncommon, and it's usually temporary. But I would for sure call my clinic in case it's the former reason.

I'm surprised he advocates fruit juice. Most surgeons say NO fruit juice because high carbs and calories.

Never accept the first denial from insurance companies. If they deny you, appeal. It is a heck of a lot faster and cheaper for them to deny coverage than to cover something, so they do…gambling on the fact most people either don’t know they can appeal, or don’t actually do it.

Oh yes, I agree. What a relief! If I understand it correctly, polyps that are left there potentially can turn cancerous. For anyone reading this, they recently lowered the age for when colonoscopies should start. It's now 45. This is because colon cancer is on the rise, especially in younger people. I guess I'm a little spooked because I had three (they were removed and sent in for testing). That seems like a lot. I also had a rare form of thyroid cancer years ago so maybe I have a little PTSD from that. Less importantly, I'm also bummed because yes, I realize that I will need colonoscopies more frequently than someone who doesn't have polyps. Not what I wanted to hear after that kind of miserable prep process.
Glad to know that it's a possibility that they can remove/repair the hernia during the sleeve surgery and not something that would no longer make me a candidate.
Thanks for replying, Arabesque and Future Sky Diver. I appreciate it.

Aren’t you glad they found theses things now before they became worse & caused pain or more severe health problems.
Finding hernias (& gall stones) isn’t unusual during the pre surgical tests & most are repaired (or removed) during your surgery. Ask your surgeon if your’s will be repaired too.
They usually remove any polyps they find when they do the colonoscopy. Did they remove yours? You will probably need to have regular colonoscopies in the future now they’ve found these.

Hernia shouldn’t affect your ability to have the surgery. My surgeon said it was very common and they will fix during procedure.

I should preface this by saying I haven't had a revision - just a "virgin" RNY - so this may or may not apply to your situation. But here goes:

if your profile is up to date, you're very close to a normal BMI. It's REALLY tough to lose weight when you get down to that point. That last 10-20 lbs was a bear for me to lose - I really worked at it yet still lost about two lbs a month. But...I eventually got there. You may be in a stall, in which case, I'd give it another week or two (my stalls got longer the further out I got - and there were many times when I thought "this is it...", but then my weight loss would start up again). But if it doesn't eventually start up again, then you're probably in maintenance. If so, and if you want to lose more weight, you'll have to either increase your activity or decrease your calories (or both).
also, from everything I've read, most people don't lose that much weight after a revision. Twenty to thirty pounds is pretty common. Granted, there are people who lose more than that, but 20-30 lbs is a pretty common loss after revision. You've already gone above and beyond that...

I’m home, only stayed at hospital overnight. The surgery was long (4+ hours) due to scarring and adhesions from previous surgeries. Since the surgery started 2 hours late and went over 4 hours, I didn’t get on the floor until 8pm. The surgery went well, hiatal hernia was repaired, pouches size resized to 2 ounces and revision from sleeve to RNY completed.
I’ll be on full liquids for the next 2 weeks, which is good bc my throat is very sore and it’s hard to swallow right now (had multiple EGD’s during surgery).
I am so happy that I’ve had the revision surgery bc I haven’t had any episodes of GERD! Hopefully I will lose some weight as well.

I hope everyone is doing well and have great results!!

So I’m here at the hospital on my surgery Day! I’m an prepped and as soon as my surgeon comes in, I’ll then be taken to the OR for anesthesia and for surgery to begin. I can’t wait to be reflux free and pray this revision will be the key.
Wish me luck!
FYI: I only did the pre-op liquid diet for 7 days and lost 6lbs. For my records I am posting my weights:
HW- 250-252
10/18 VSG - 242
LW - 202
7/21 RNY - 218

It has been a long time since I posted on this forum. I was sleeved in October 2018 and immediately began suffering from reflux/GERD (which I did not have prior to sleeve). Fast-forward 2 1/2 years later, loads of PPI's, EGD's, barium swallows, scans, scopes and referrals, I was finally advised by a surgeon that my best option is to have revision of the sleeve to the bypass. I have a mid grade hiatal hernia and severe GERD. It's gratifying to finally get some answers and while I am looking forward to some relief, I am a bit anxious about the surgery.
I relocated from Houston to Dallas, TX in May. I consulted with a new bariatric surgeon on May 26th. Once the ball got rolling, everything went pretty quickly. After thoroughly reviewing my previous surgery and medical records along with additional testing, she determined that in addition to the hernia and GERD, my original pouch from the VSG wasn't as small as it should have been! That explains why I had such slow and minimal weight loss. I lost about 40lbs total, and have regained 20lbs back since COVID.
Has anyone had revision from VSG to RNY with hiatal hernia repair due to GERD? If so, has your GERD improved and how has the weight loss been?

If your surgeon has said 2 weeks liquid then you do 2 weeks liquid. They are the one that is responsible for keeping you alive , following the instructions they have given you should be a no brainer

I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.
For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.
I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.
I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.
I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

I am having this revision soon. My surgeon calls it a long limb gastric bypass, but it’s the same as distal as they are bypassing more of the small intestine to allow greater malabsorption. I just found out on Friday, that he wants to take my gall bladder out now due to a stone. He said he’d rather do it now than after the revision to prevent gall bladder issues down the line.

Also to add I had to pay for sleeve out of my pocket but the insurance covered my bypass because of the acid reflux issues and it was a “medical need”.

I have had both Gastric sleeve 10/25/2018 and then later converted to a Roux-en-Y-Gastric Bypass with a hiatal hernia repair on 10/07/2020 per acid reflux issues so bad that it was damaging my throat My highest weight was 270 and with the sleeve I only managed to get down to 170. With the bypass I am currently at 150lbs. I feel so much better! The bypass took care of all the reflux issues and I have no issues with eating anything. I have less issues with food now then I did with the sleeve and I feel so much healthier. I have no dumping issues and can drink with no problems. I felt more restrictions honestly with the sleeve as everything hurt more. The extra weight loss is just a bonus!

I had GERD before my VSG surgery in 2014, and it only got worse over the next six years. Nothing helped, including PPI's. Fast forward to 2020. After a bunch of diagnostic tests to verify my GERD/Gastritis/Esophagitis, I had bypass surgery October 2020. I haven't had GERD since. I'm off all acid reflux medications. I've lost 56 lbs. since surgery and feel better than I felt in my 40's (I'm 64). I've got a ton of energy, walk 5 miles five days/week and do aquatic fitness classes 5 day/week. I'm loving my new, healthier self and so glad I made the decision to get the surgery. Yes, it is a life-long decision and I've forever changed how I can eat and process food, but so worth it!
Needless to say, I would recommend the revision to anyone with severe GERD.

They certainly do perform RNY gastric bypasses now. It's still the gold standard. Some doctors talk their patients into the sleeve because it's easier for the surgeon, not necessarily better for the patient.
I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.
For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.
I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.
I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.
I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evalutation.

I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.
For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.
I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.
I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.
I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evaluation.

I am approaching revision to RNY performed in 1990. At that time the pouch was not cut away from the stomach, just stapled. The staple line failed, leaving a fistula between pouch and stomach. I eventually regained all I had lost. I didn't know that a revision was even possible until recently. I'm going to go for it!

I don't recall having severe dumping syndrome, but I did have my gallbladder removed at the same time as the gastric bypass, so that may have made a difference. I had more trouble with chest pressure from overeating, which led to upchucking for relief. It still happens once in a while with certain foods despite the faulty pouch.
I have already sworn off sugar and flour. After three months of abstinence, I don't get cravings often. I've accepted that I'm a food addict and any food containing sugar or flour is triggering. This is going to be a lifetime project because I don't want to regain what I will able to lose after having the revision. After I get past the post-surgery liquid/puree/soft food stage, I am also going to quit all sugar substitutes. They trigger me as badly as real sugar.

only about 30% of RNYers dump, so the majority do not. However, yes - there are some people who consider dumping an advantage to help them control their sugar intake. Some are disappointed when it turns out they're one of the 70% who DON'T dump.
P.S. I've never dumped - although there have been times when I wish I did...

I'm pre-op (for revision). I'd probably gain weight at 1500 calories. Over the past three months, my calorie count has dropped from 1200 to even under 1000 per day. I'm OK with it. I swore off sugar and flour 3 when I started the pre-op dieting. I don't get the cravings I once had although the first month was a b***h.
Protein Shakes are a game-changer. They weren't around when I had my gastric bypass 30 years ago. I usually substitute 1 meal per day with a Protein Shake.
I've discovered that there are vast differences among the brands. I prefer the taste of the plant-based Protein to the whey-based.

You may lose hair after a bypass but it will grow back. I’ve been using a biotic Shampoo and taking biotic supplements. It couldn’t hurt!

Yes, I take magnesium citrate to avoid muscle cramps.

Thanks for asking. Things are getting better. It was really a stricture, I had to have it stretched twice and my surgeon told me I will need another endoscopy within a month to strech it again. I still have some ups and downs because my surgeon told me to stick to a pureed diet until everything is solved. So I will keep eating pureed foods for a long time and it is tiring to eat the same things with the same consistency.

They certainly do perform RNY gastric bypasses now. It's still the gold standard. Some doctors talk their patients into the sleeve because it's easier for the surgeon, not necessarily better for the patient.
I had RNY in 1990. Back then RNY surgery involved stapling between pouch and stomach, not separation. It was open surgery and I was in the hospital for 7 days. I had no pre-op or post-op nutritional guidance. I was handed a 1-page low-cal diet and told not to throw up. Two follow visits post-surgery were to check the incision and I was then left to my own devices. I learned on my own to take Vitamin and mineral supplements; no one told me. I lost about 75 lbs from a high weight of 319, stopped losing after about six months, but kept the weight off for about five years before starting to gain it all back again.
For the past 20 years, I've yoyo-ed with countless diets and food plans but always return to that same high setpoint. I'm now 73 years old and am going to give it another shot. My knees and hips are shot, I've got a pacemaker, and I figure I'll die within a few years if I can't lose all this excess weight.
I first learned about revision surgery about a year ago, just before COVID hit. This spring I followed up with a hospital bariatric clinic about 2 hours from my home. I've been on a liver-reducing diet for three months. I had a barium swallow a couple of weeks ago that revealed that the staples had given way and there was a fistula between the pouch and stomach, which explains why I stopped losing weight from the RNY. I had an endoscopy today and had a conversation with the surgeon who told me that the leak occurred because of peristalsis of my stomach, not (as I thought) because I ruined it due to up-chucking too often. The new surgical methods are much improved and there is extensive pre-op and post-op guidance and follow-up.
I will have my psych evaluation in two weeks. I'm within 2 pounds of my prescribed pre-op diet, but don't have a surgery date yet for the revision.
I do not want to fail again, so I will probably seek therapy for food addiction even if it is not recommended during the psych evalutation.