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My clinic's pre-op food plan is low carb/high protein until two days before surgery. Those two days are "clear liquids only". The pre-op diet avoids starchy vegetables, rice, anything made with flour, any fried foods, any processed foods. It also avoids fruit, which is a sticking point with me. Yes, fruit has carbs, but it also has fiber and the body processes it differently from other carbohydrates. I've lost weight while eating fruit, but they cracked down on me, saying I was "non-compliant", so I've had to wean myself off fruit. I still don't have a surgery date for my RNY revision, but it is likely to be in October.

Thank you Devotion. I'm on the mend. Good luck to you on your revision!

-It is not an unreasonable position for her to keep, as the bypass does indeed provide very similar weightloss and regain results to the sleeve but at a somewhat higher cost in potential problems, limitations in future medical care and increased fussiness on supplements. The bypass is overall a very good procedure that is mature technology - it has been around as a WLS for some 40+ years, and its basis dates back some 140 years, so it is a well known quantity, both good and bad. Her concern about ulcers is well founded, and that is something that one lives with, or at least the threat of them, with the bypass as it is intrinsic to it. One may never experience one, and most don't, but everyone is living to avoid them - it is the basis of the "no NSAID" policy that is common in the bariatric world as one needs to avoid any medications that promote stomach irritation and NSAIDs are the most common class of drugs that we encounter (but there are others that one may encounter through life.) Occasionally someone will come through with an ulcer problem that defies resolution, and their main course of action it to reverse the bypass. This is rare, but it happens. Marginal ulcers are to the bypass what GERD is to the sleeve - you can't fool mother nature and there will always be potential consequences to fooling around with her. One needs to balance what one gets from a treatment against what might possibly occur on downside. Iron infusions are also a fairly common need after bypass, as it malabsorbs minerals in particular, and while some can get away with simple oral iron supplements, many can't and need periodic infusions. This is rare with a sleeve as there is no particular malabsorption. Another factor that weighs on some is the "plan B" factor - what does one do if things don't work as expected - complications, inadequate weight loss or regain? While we don't like to think in terms of getting revisions, they are sometimes necessary, and the bypass is difficult to revise if it doesn't work right; as noted above in the case of intransigent ulcers, the usual is to reverse the bypass and put you back where you started from, and likely still needing help in weight control. The sleeve, on the other hand, can readily be revised to the bypass if needed - typically for intransigent GERD problems - or to a duodenal switch for continuing weight problems. Again, not something we like to think about, but the options are there. The bypass also presents some additional limitations in future medical treatment, as it leave one with a blind remnant stomach and upper intestine, which can't easily be scoped endoscopically as with the natural GI system or with a sleeve. Again, something that may never come up, but likely will sometime in your future life. A further note, your surgeon is in good company, as my doc rarely does bypasses as well, though his preference leans toward the duodenal switch as his primary, with VSG as a second choice. He does, however, do a fair amount of business revising problematic bypasses to the duodenal switch, and will do the odd bypass when it is specifically indicated for a patient, but that is fairly rare.

I would seek another surgeon. Her experience is probably lacking in the gastric bypass arena. If I had my choice over again, I'd go bypass instead of sleeve. It would've saved me years of Gerd and sleep issues because of it. That is just my personal experience, of course. Many do not develop Gerd. I had my revision to bypass a little over 3 wks. ago, and I feel so much better now.

KSW22 I am sorry to hear you can not do your revision surgery and am wondering if you have ever looked into keto/low carb? I had the roux en y in dec 2004 and lost 100 lbs, but than got almost back up to my original weight. Two years ago i found keto and Dr. Ken Berry (u tube him). I had success with losing about 70 lbs, but last year when covid hit I got off track and am now getting ready to start over. It is the closest thing to what i should have done after my 1st surgery, if I had only known than what I know now. look into it and if you have questions feel free to ask.

Best of luck to you! I'm sure it was hard staying in the hospital for so long, but glad to hear you are on the mend. I am having a revision surgery (though it is band to bypass). I've also had gallbladder surgery, so wondering just how much scar tissue there will be because of that and the band. I'm sure you will do great. Again, good luck!

Thanks! Actually, I just had my scar revised on my left arm and need to revise my right arm with my next surgery (thighs) so now isn't a good time to take pictures. Plus, I live alone and can't get a good angle at the good parts of my scar but when I get a chance I'll ask someone to take the pictures for me. So far the arms were the most painful for me but was tolerable. I've had very little pain with my current surgery.

Hi all, I had my gastric sleeve in 2013 and went from 270 to 155. I started struggling to keep the weight off less than a year out from surgery. Eight years later, I've gained half of it back, weighing in at 210. My original surgeon doesn't do revisions so I decided to have an endoscopic sleeve gastrectomy to retighten my stomach and get off the regain (performed by a gastroenterologist). Unfortunately private insurance doesn't cover these so I paid >$10,000 out of pocket. Has anyone had success with an ESG post-sleeve? I'm 4 days out, down 9 pounds, feeling hungry and weak, but still motivated. Thanks for your input! https://www.hopkinsmedicine.org/endoscopic-weight-loss-program/services/endoscopic.html

Thursday it will be 2 weeks since my revision surgery on August 12, from RNY to Duodenal Switch. It was a 5 1/2 hour surgery, a little rough but my surgeon was able to do what needed to be done. I was in the hospital for 4 nights. So far since i've been home the only issue i've had with the surgery is one of my incisions started draining quite a bit. I went to the doctor to have that taken care of. It wasn't infected but to be cautious, i'm on antibiotics and gauzed up. I see the doctor again on Thursday. Mostly all pain is gone. I'm now on pureed foods. That is going a little tougher than i thought as far as what to eat. I'm eating slow but this morning i did throw up my breakfast. i don't know if it was just stuck or maybe the puree was too thick so i need to be more careful. I also see my nutritionist on Thursday, i know she will have good advice. I'm getting in my protein pretty good each day and really working in my vitamins now too. I will update after my Thursday appt. Also, does anyone have some puree recipes? Thank you! Karen

Thank you Sunnyway, I am going to check into those books. I totally understand you. When i had my RNY in 2006, nutritional guidance was not that great. I also did research upon having this revision and my nutritionist is excellent. So far i'm doing everything the way i was told in regards to measuring everything. I don't get hungry even though it's not quite 2 weeks since i had my surgery. This is a second chance for me and i'm going to follow everything carefully. God is my strength too!

I'm four years into my surgery this month and here are the things that I've learned. At the beginning most will feel mixed emotions. Euphoric due to rapid weight loss, concern due to stalls and minor setbacks and trepidation due to looking at how others are doing and you feeling you're not doing enough. The one feeling we all have will be a renewed confidence in ourselves due to the fastest weight reduction you might have ever experienced. We attain our goal weight. We then transition into making wise food and lifestyle choices. No longer are we to eat the things that made us obese and unhealthy such as the three C's, Cookies, Cake and Candy. We will get more exercise. Maybe we park further from the building, maybe we join a gym, maybe we walk, run or work out. We are feeling great and we love our new selves. Next we work on maintaining the weight loss and our healthy lifestyle. One thing happens, we decide since we lost so much weight it couldn't hurt to visit our friends the three C's. If only for a short while and only in small amounts. Hey, why park so far? It's really cold/hot, I'll park closer. You're still feeling confident even if you gained only 10lbs of the 100 you lost. Hey, you're still down 90lbs. No problem, I can lose the 10lbs. I've lost far more than that after surgery. Then we realize, we are no longer weight loss super beings. We are just mere mortals who now have to work hard to lose the weight. Our bodies after time (usually after the one year mark) will not give us that rapid weight loss we once depended on. Here is when your determination and or lack of it will affect you for the rest of your life. We will all get back on a diet or healthier eating plan to lose the weight we gained. The majority will not succeed because it is not as easy it was when we first had surgery. Some will become complacent and throw up their hands and surrender. The weight will come back and the thoughts of a revision will come to our heads. Unfortunately, most insurance companies do not allow for a do over. For a few they will overcome and work on shedding those pounds. They will succeed due to a variety of reasons such as a good support group, using the honeymoon period wisely and really making better lifestyle choices or simply losing one pound at a time instead of trying to lose all of it at one time. Since my surgery four years ago I had five friends and family members undergo the surgery. We ALL gained back some of the weight. Some were able to lose it and regain their healthy lifestyle. Some never were able to lose the weight and went back into the habit of eating for gratification. This is what I did. I originally got down on myself. How did I after three years let myself gain 10 lbs. I vowed to get it off. My 1st week I lost 1/2 a pound. I was devastated, how could this be? The next week I gained a pound. Why? I needed help!! My regular group meetings were cancelled due to covid so I lost valuable support there. I decided to call my family and friends who had the surgery. I spent hours talking to everyone, I told them about my struggles and they told me about theirs. We all came away with a few good ideas of what to do. First don't look to lose the WHOLE amount in one shot. It won't happen and it will derail you from succeeding. Set a goal of 1-2lbs per week. Don't worry that some friends or family might be losing more. We aren't in competition with them. Look at the little things. One friend said she stopped putting Crystal light or Mio in her water. She only drank plain ice water. It seemed to help her jump start her weight loss. Another friend said he started taking the stairs instead of the elevator. He climbs seven flights at least once a day. Another told me her husband who did not have the surgery brought snacks home and that she would eat them. She purged her home of the unhealthy snacks as she did right after her surgery. I started to implement these and other ideas and I have lost 5lbs in five weeks. I'm at the half way point to getting back to my goal weight. We are not super humans we need help and we need encouragement in order to succeed. There are a few on here who have done a tremendous job on their own and they are to be commended and emulated. For me, I need and I will take all the help I can get. Everyday is a struggle to be healthy. I told my surgeon that all this is happening after only four years, how do people succeed at maintaining the weight loss? He said sadly, the majority won't.

Yes you are correct, i am currently on liquids and soups. However, my point is it requires more intake to get me satisfied than my first surgery in 2017 when i was sleeved. Having said that, I get it now, I was left with the same size stomach I had before the revision, so it’s Inevitable that I’m going to have the same stomach capacity.

You say you had the surgery just a few weeks ago and already have the same food intake capability that you had before... are you already cleared to eat everything you're eating? Just because you CAN eat a lot doesn't mean you SHOULD. I know that one of the reasons I didn't lose weight while on weight loss medications in the past is that I've eaten when not hungry. I've confused head hunger and GERD for actual hunger. Also, just boredom can cause me to eat, as well as when I'm eating something very tasty, and I just want to keep enjoying it. I'm not sure if with the sleeve to SADI revision you would have to do a liquid, then puree then soft food diet right after surgery, but it seems likely...

I am giving the VSG to SADI - (VSG in 2016) to "finish the job". Yes, I am in the statistic of regained weight. Lost 125, but put 50% back. Malabsorption and a Real Dietary Plan seems to be the missing components for me, so it's homework time. SADI-S Revision seems to have a 75%-85% long-term success rate, and I need a 2nd chance at relieving stress on my joints and organs. Where else can I find relevant information?

Approaching corrective RNY revision, I've gone overboard in research and reading so that I won't make the same mistakes again. I had no nutritional guidance when I had my RNY in 1990. Left to my own devices, I screwed up and regained every ounce. This time around I've been collecting bariatric cookbooks, too. Since this is your second time around, I strongly recommend reading The Success Habits of Weight Loss Surgery Patients, by Colleen Cook, available on Amazon. If you suspect you are a sugar/food addict, I recommend Food Junkies, by Vera Tarman. If you are susceptible to binging, a good book is Never Binge Again, by Glenn Livingston. Food Addiction Books.pdf

Um, SADI is not a mini bypass hun. It's another name for the SIPS/Loop Duodenal Switch surgery. And because the sleeve is, quite literally, the first part of the surgery they probably didn't feel the need to mess with your stomach and just went ahead and did the intestinal bit. They should have at least checked to see if there was any stretching in your original pouch, but if they didn't see anything wrong with it's size then they wouldn't have felt the need to mess with it because that would have been pointless if it wasn't necessary. If your surgeon didn't at least check your pouch then I'd complain, but if they did and didn't feel the need to mess with it then you're fine. Yes, it massively sucks that because they didn't work on your pouch you have your hunger hormone and can eat more than you would right after surgery, so that's bound to be difficult. I, myself, didn't have a revision, but had the full SADI/SIPS/Loop DS surgery 19 months ago right out the gate. It's a powerful tool and malabsorption should work really well for you weight loss as long as you watch your intake. Keep in mind that the protein and vitamin levels necessary are much higher than for the VSG so what you're eating is very important. Also, keep in mind that you're still really early in your revision and there's always that pesky stall that most people get right in the first month of weight loss. Buyers remorse in the beginning is normal. I know I felt it for the first two weeks or so, but I got over it pretty quickly after that and I just wish I'd done it for myself sooner. I hope everything works out for you and I wish you luck on your new journey!

Hello, On 8-12-21, I had a revision from a VSG to a SADI ( mini bypass). My doctor did not adjust my sleeve and now I’m several days postop and I am left with the same hunger and food intake capability that I had before the surgery. I’m just curious, if anyone else had the SADI that didn’t include an adjustment to your stomach, and if so what was that Experience like for you? Were you satisfied with your weight loss? I’m starting to get concerned, did I choose the wrong revision or surgeon.

I had the band for 8 years and then it was removed in emergency surgery after it slipped. It has been about 6 years from that point, and I was recently revised to the sleeve. I'm not sure if you're looking for people who have experience with a direct band to sleeve in a short period of time. But if you have any questions I'd be glad to answer them.

I take Bariatric Fusion Vitamins 2 in the am and 2 in the pm and 1 B12 5000mg on Mondays because of the high dosage. Surgery was in June and I will have my lab work done in September to see if they need to revise it.

Hi all, Well i survived my revision. I was in the hospital for 4 nights. There was scar tissue from when i had my gall bladder removed 35 years ago and working with the gastric bypass i had 15 yrs ago made it a 5 1/2 hr. surgery. I have a slight pain going on yet and still move a little slow. So, i am on the mend, listening to everything my doctor is telling me. I see the doctor and nutritionist august 26. i will finally go on to pureed food on Monday and i can't wait. i'm kind of tired of eating the same stuff on this liquid diet stage. Taking one day at a time. Thank you to all who have thought of me going into this surgery. It was a little rough at first, but each day gets better.

Is the revision a two step process (remove the band, wait a few months for healing, then do the RNY) or all at one time. Some surgeons do them all one way or the other, or depending upon circumstances. what kind of pre-op dieting requirements do they have (some want their patients to lose a certain amount of weight before surgery, while some don't care; some impose a stricter to "shrink the liver" for a couple of weeks or so before surgery, while others don't)? What problems do you frequently encounter with this type of procedure (as the bands often damage the stomach, and that's why many such revisions are done.)

Some of the Facebook groups are odd The strangest response I got was someone questioning why my surgeon would do a revision for GERD when I didn't need to lose more weight. And someone else questioning my dietitian for not having me on moderate carbs instead of keto. She's been my dietitian for 2.5 years since I was pre op VSG. Thank you

Thank you I do still have some pain on my right side which my surgeon's PA said is where the largest incision is and where I had adhesions and scar tissue from my sleeve. She told me it would take longer to heal because they stitched it very tight to prevent abdominal hernias. It is mostly ok but I still get pain bending there so inflammation is possible. Menstrual cycle it's hard to say. I am 40 so could be in perimenopause but I have a Mirena IUD which mostly stops my periods. I drink mostly Gatorade zero, powerade zero and propel because that's what has tasted the best since revision and miralax mixes well. I do ok on hydration getting 40-50 oz a day. My gastroenterologist has me do two caps of miralax to prevent constipation and it is working. I do feel like #4 is what makes most sense. I think I dropped water weight rapidly due to the shock of surgery and bounced back up. As long as I don't keep gaining weight I'm fine here. My weight would fluctuate pre revision between 142-145.

Last year I had 360 lower body lift and brachioplasty. The money for that came from savings account. On Monday I just had breast lift, back lift and scar revision on left arm. In about six months I hope to have a thigh lift and anything else I decide I need. None is covered by insurance. I bought a condo almost 3 yrs ago but never sold my house that I owned because I wanted to wait until the value went up just a little more to make sure I had the money for my surgeries. I sold the house this past April, made lots of money on it, paid off the condo and put the rest in the bank to use for my surgeries. Since my doctors office doesn't take personal checks, I put the entire cost on my bank credit card and got 1% back. I paid off the entire amount as soon as it posted online and got the message "This is more than you usually pay." Yep, it sure is! I also called customer service and informed them I was going to make this charge so they wouldn't lock my account.

I recently looked into this and am at the stage of deciding which surgery I want: Re-Sleeve or Bypass. I'll preface the following by stating you can research many articles on "pubmed.com" to read published papers by physicians. There is a re-sleeve procedure and it's either done by plication or utilizing Overstitch; key difference is that part of your stomach is NOT cut and removed, as is done in the initial sleeve. The stomach is made smaller by suturing to make it smaller. In my case, revision, even if it is to a re-sleeve, would be covered by my insurance. Re-sleeves can be done endoscopically (through the throat, no incisions on the abdomen); this is the approach I am being offered. Bypass would require abdominal incisions as it is performed laparoscopically. Bypass would yield a greater overall weight loss, initially. There's a study that indicated the long term weight loss between those re-sleeved vs. conversion to bypass levels out and is similar. Articles: Re-sleeve Gastrectomy - An Efficient Revisional Bariatric Procedure - 3 Years Results Re-Sleeve Gastrectomy for Failed Primary Laparoscopic Sleeve Gastrectomy Short-term outcomes of revisional surgery after sleeve gastrectomy: a comparative analysis of re-sleeve, Roux en-Y gastric bypass, duodenal switch (Roux en-Y and single-anastomosis) Laparoscopic re-sleeve gastrectomy as a treatment of weight regain after sleeve gastrectomy Weight Regain After Sleeve Gastrectomy: A Look at the Benefits of Re-sleeve Reverse: Laparoscopic revision of Roux-en-Y gastric bypass to sleeve gastrectomy: A ray of hope for failed Roux-en-Y gastric bypass As to which procedure has higher risk, in general, risk increases with every subsequent surgery. In this case, it would depend on the approach your physician would take to re-sleeve; endoscopic or laparoscopic. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: a case-matched study If both options would be performed laparoscopically, then it would be a matter of you deciding which procedure you feel the most comfortable with to achieve the long-term results you are looking for. Endoscopic surgery is performed using a scope, a flexible tube with a camera and light at the tip, allowing the surgeon to see inside and perform procedures without making major incisions, allowing for easier recovery time and less pain and discomfort. Laparoscopic is performed by making several small incisions in the abdomen, which increases risk when compared to the SAME PROCEDURE performed endoscopically (no incisions). The approach with the highest risk is open. Bigger incision. Bigger incision, bigger risk. One type of surgery that has taken off in the last few years is minimally invasive spine surgery. Many spine surgeries can be done laparoscopically versus open -- even fusions. The difference? Patients that have it done laparoscopically can have it done in an ASC (ambulatory surgical center), meaning they leave the same day, no hospital stay or large incisions in the back. And...always remember, whichever surgery you have, it's a TOOL, not a magic pill (those don't exist either). Hope this helps!