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Elless, have you considered a revision? My story is the same as yours (lap band didn't help me lose weight at all, only lost 20 pounds in 6 months, regained it quickly and then gained extra weight) except I resorted to slider foods after I realized the lap band wasn't helping at all. I revised to RNY and I've lost 43 pounds in less than 2 months. It's a total game changer and I'd recommend it to anyone. Skinny3, if you have 100 or more pounds to lose I'd definitely look into gastric bypass!!! It's not what it used to me. About a decade ago (and before) it was an open surgery with more risks but now it's done laproscopically. Definitely recommend it.

I understand what you are saying. I always called my VSG my sleeve or stomach, not pouch. I can kind of understand the pouch idea with the gastric bypass because things get stuck in our "pouch", which is the size of an egg, and not our stomach. Thank you for your response. I only threw up once with my VSG in many years. Then again, I had a very conservative surgeon who made it 10 ounces instead of the 3 - 5 ounces. I wish I could say the same thing that I never foamed or threw up about my revision to RNY. 😆

Thank you all for responding!! That is one less thing for me to stress about. All this time I kept thinking something was wrong with my new revision because my stomach actually "turned" twice. One person I know in real life scared me and told me that she couldn't throw up no matter what since she had her gastric bypass and something must be connected wrong inside me 😅. I think she had her surgery back in the 90s. Not sure if the procedure changed.

I just wanted to say, "never stop fighting for your life." I'm truly on the road to revision after over two years. I have completed 1 of 3 months of dietary counseling. I am scheduled for an exam on 9/17 to check my sleeve and throat. I have two other medical appointments (psychiatric and cardiac). Funny thing, I am still not excited. I haven't changed my mind. I am just a little scared! I plan to share my journey because it helped me to read other's stories. Its one day at a time! Sent from my SM-G965U using BariatricPal mobile app

No. Before I even met with the bariatric clinic to inquire about revision I did a two-week liquid diet just to see if I could do it. (It turns out that my clinic doesn't use that technique for liver reduction.) Liquid protein shakes and powders are very filling. They are not like the old "Slender" shakes in a can. I would drink them and ask "Where is the rest ov my lunch?" No, I'm quite satisfied drinking protein shakes, supplemented with broth, sugar-free Jello and sugar-free Popsicles. I won't say it was totally easy, but it was not as hard as I expected and I lost over 10 pounds during those two weeks. Do a practice run. Try it now for about four days just to see how it goes for you.

I've come to realize that I am also a sugar/food addict. I've read a ton of books, some of which I will share with you. OA, a 12-step program, is an excellent support group. I haven't joined OA but I know its out there and available to me. I had WLS in 1990, received no nutrition guidance, and was pretty much left to my own devices. I lost weight during the post-op honeymoon, but as time passed I could eat more...and I did! I regained every pound I had lost and returned to my original set point, where it stayed for the next 25 years despite a variety of weight loss program. I could never keep lost weight off. I only recently learned that my RNY can be revised. I wasted a lot of time, but I'm going to give it another shot. This time I have lots more information at my fingertips. Pre-operatively I have sworn off sugar, flour, wheat, rice, starchy vegetables, and processed foods. The first couple of weeks were hard but now I rarely get cravings or head hunger. I've lost 43 lbs. since the first of April. I know that abstention is the only way to prevail over addiction. I intend to continue with this post-operatively also. Since you already know you are a food addict, I recommend the following: Food Junkies: Recovery from Food Addiction, by Vera Talman Weight Loss Surgery Does Not Treat Food Addiction, by Connie Stapleton Why Diets Fail (because youʼre addicted to sugar), by Nicole Avena & John Talbott Baratric Surgery & Food Addiction, by Philip Werdell (written for the clinician, but I found it valuable} You might find Kay Sheppard's books relevant, since she advocates 12-step programs: Food Addiction: The Body Knows and From The First Bite: A Complete Guide to Recovery One more book that I highly recommend is The Success Habits of Weight Loss Surgery Patients, by Colleen Cook. I've also discovered that there a plethora of Bariatric Cookbooks now. My favorite is The Bariatric Guide and Cookbook, by Matthew Weiner.

Forget snacks entirely unless they are protein or vegetable. They grease the slippery slope to regaining what you have lost. I speak from experience. I am approaching RNY revision and I will not make the same mistakes again. The pre-op food plan and the (clear/full liquid/puree) stages post op while we are not getting hungry give us the opportunity to establish a new way of eating. If we seek sugar-free or keto snacks we are merely making some substitutes for the OLD way of eating. It's too easy to find ourselves eating sugared and carbohydrate snacks and food when we don't happen to have the "-free" type. Just because substitute snack foods are sold on bariatric sites does not mean they are good for us. If we are wise we will ignore those products. Eat whole foods, fresh or frozen vegetables and fruits, quality poultry and meat products. Avoid sugar, sugar substitutes, wheat/flour products, and processed foods. We can get plenty of tasty food to eat with these choices. I encourage you to obtain and read these two books by Dr. Matthew Weiner: A Pound of Cure and The Bariatric Guide and Cookbook. There are lots of other bariatric cookbooks available, too, including some for Air Fryers, InstaPots, and CrockPots. These will help you learn your new way of eating.

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.