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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!

*Not a doctor, just personal experience plus asking doctors a lot of questions* Not everything is food related after surgery, especially if you are diligently tracking and seeing a dietitian. The temporary weight loss/gain could be: 1. Dehydration causing water retention (noticed reduced urination? May need electrolyte supplementation) 2. Disruption of normal lymphatic activities because of surgery (excess fluid still in circulation, puffy or swollen anywhere?) 3. Slight level of constipation (still have waste that has not vacated despite amount of trips to the bathroom) 4. Inflammation after surgery (edema of the abdomen because of the laparoscopic procedure-usually immediate and not super common) 4. Return to your maintenance weight after temporary drop (happened to me in the first 2 months- 2 weeks post revision I hit 10-12 lbs lower than my maintenance weight then went back to normal) 5. Hormonal response (menses/menopause - I ALWAYS gain before my cycle ) 6. Incorrect scale/discrepancy of scales used (I always weighed different amounts on doctor’s scales vs mine) 8. A combination of things Please let us know what the surgeon says!

I am not working out. I can't due to other health issues. I walk on a regular basis but that's it. This isn't muscle. I average 50 oz of fluid a day. I already saw my dietitian. This is not diet related as I was successfully maintaining pre revision while eating more. I absolutely cannot physically eat enough calories to be gaining weight. I am also vomiting up much of what I eat. My maintenance TDEE is 1548 calories to maintain 140 pounds. I am tracking my calories and averaging 800 in my fitness pal daily. I measure everything. Even if I was off at all I am not eating double that amount of calories. It's literally impossible. Again I was successfully maintaining while eating more. This is completely unexplained weight gain and not diet related. I am so tired of suggestions to see my dietitian when I just saw her. I have a diet plan from her that I am following. I have a follow up with my surgeon next week.

I had a revision for GERD/hiatal hernia repair/esophageal dysmotility 7/13. The goal with my revision was to continue maintaining my weight. I had been in maintenance for 7 months the day of my revision. I was 144 pounds the day of my revision. At two weeks post op my weight was down to 133. I met with my dietitian who gave me a goal of 600-800 calories a day initially and to work towards getting back to 1200. She gave me meal plans for puree and soft foods Week 3 I had gained back to 137. I was alarmed but thought maybe the initial weight loss was just water weight and it would even out. However it didn't stop. Week 4 I was back up to 139 and this week (week 5) 141. My fear is that if this continues i will be heavier than the day of my revision. I am not constipated and am having regular bowel movements thanks to miralax. I asked in a revision "support" group on Facebook but got mostly blame filled posts telling me to go back to my dietitian and that I must be eating too much or ridiculous suggestions to ask my doctor for phentermine. I am diligent about weighing and measuring food and tracking what I eat. I was successfully maintaining my weight post sleeve so it is infuriating to be gaining weight while eating less. I am still struggling with esophageal dysmotility and vomiting due to that. I can't get over 800 calories a day because of it and am weak and tired. I did see my gastroenterologist this week and was told I need a esophageal manometry done but we have to wait until I am fully healed from the bypass. I am still eating soft foods. I have a follow up with my surgeon next week. I want to add that I am not interested in losing more weight. I can't physically eat more and I do not buy into the idea that eating too little would cause weight gain. I just want to maintain my weight. I am really trying to eat as much as my dietitian has suggested but it's hard.

I just had my revision to DS last month. Sleeved in 2012

Hello everyone! Next month, I am having revision surgery from VSG to DS, and this forum has given me so much valuable information. Any VSG to DS patients next month? I want to follow your progress.

I agree with what GreenTealael said. For really severe cases that can't be managed otherwise, they'll sometimes suggest a revision to bypass (which often improves - if not outright cures - GERD)

It can be done, but the feasibility really depends upon what is wrong with your sleeve and how experienced your surgeon is with sleeves (most these days are reasonably capable of making decent sleeves - at least in the US - but quite variable on repairing or revising them.) Many prefer to just revise to an RNY as it's easier for them if their sleeve skills are sketchy. What is the reason for your interest in a re-sleeve? Poor original weight loss or regain, or are there complications possibly resulting from shape problems with your sleeve? I would usually expect a resleeve to be more expensive than the original sleeve, as is the case with most revisions owing to it usually involving more surgical time; a higher skill or more specialized surgeon is also likely more costly, but much of that depends on location and local rates. One of the surgeons I am associated with usually just does them as part of a conversion to a DS, and sometimes it involves doing an open procedure rather than laparoscopic one, so that influences the cost as well. In short, yes, it can be done, (though maybe not by just anyone,) is unlikely to be cheaper, but all really depends on the reason and what is involved in your particular case.

I relate with you. I just went through a revision almost 2 weeks ago. The things that ran around my head! Oh man. I don't know what surgery you are gearing up for but we all go through that. I said to my husband the night before "Not worried about making it through surgery, nor the temporary pain afterwards but I sure hope I'm not making a huge mistake that I can't retract later in life." For me, so far (yes, I am still worried about problems down the road as we all are.) everything has been great and I feel like now, I'd do it over and over again. Life isn't really different except that I'm feeling better, sleeping better and am enjoying the additional weight loss. And it is not like many of the things I've heard on YouTube or forums that frightened me. Hugs to you and keep us posted.

I had a Sleeve Gastrectomy in 2017, I am now on my third revision operation and have been suffering over the last 2 years with horrendous GORD. is anyone on here from Scotland and had surgery with Prof Bruce and experienced any issues with this surgery at all. Looking like I will need further revision and now full Gastric Bypass, it’s not looking good 🥲 just wondered if anyone on here from Aberdeen, Scotland with similar situation

Had mine done outpatient. Insurance covered it as part of WLS revision. Pain was minimal but my stomach felt heavy when walking for about 3 weeks.

I had this same issue and was revised 15 months ago. My esophagitis is and A from a D now, but I STILL have GERD and am on the same PPI (dexilant 60mg) daily. I am an oddball as it seems.

Good luck tomorrow! I will have my revision from the sleeve to modified DS on 9/8. I look forward to seeing your progress!

I was banded for over 6 years, I lost all the weight but I was miserable and always stuck and in pain. The reflux was terrible. I had it removed and was supposed to revise to sleeve but I feel like my surgeon went very conservative because I weighed around 165-170 when I had surgery. 2 years after that and an additional 20lbs later, I revised to MGB and that was in April of 2015. The MGB was a huge difference for me from the band. I do still occasionally have foods get stuck or come back up but not often. The biggest issue with MGB for me is everything I eat goes through pretty quickly and as I'm sure you've read the stories, BMs can be a horrid experience. I was afraid to leave the house the first year but now it's a lot more routine (though I still have emergencies from time to time). I use IF and I work out 6 days a week to keep the weight off and I've had no problem staying within 10lbs of my goal .

Are there many people that have had revisions? I have a sleeve, and it's being revised to a bypass, at the same time as hernia repair, on August 26th. Very nervous! Two surgeons and up to 7 hours for surgery. Sent from my KB2007 using BariatricPal mobile app

Hey there! I’m scheduled for a revision to a DS on August 23, so not too much later than you. I wish you lots of good luck and hopes for a speedy recovery!

So far I have had good luck in revision due to weight gain. starting weight for sleeve 254 3 months out 204.5 weight loss of 50.5 ——————————— starting weight for bypass 245.5 3 months out I weigh 199 today (wooo!) weight loss 46.5 So the weight loss has been about the same but it has felt easier. I’m very glad I did the second surgery.