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Unexplained Weight gain post revision
GreenTealael replied to starladustangel's topic in Revision Weight Loss Surgery Forums (NEW!)
*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! -
Unexplained Weight gain post revision
starladustangel replied to starladustangel's topic in Revision Weight Loss Surgery Forums (NEW!)
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. -
Unexplained Weight gain post revision
starladustangel posted a topic in Revision Weight Loss Surgery Forums (NEW!)
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. -
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Revision surgery 9/8/2021
chad2rad replied to scollins707's topic in Revision Weight Loss Surgery Forums (NEW!)
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.
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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)
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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.
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Getting very nervous and anxious
Tomo replied to Vanessa Kiro's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
Esophageal dysmotility
Tracybelle replied to sleeveinthecity's topic in Gastric Sleeve Surgery Forums
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 -
Lab Band Removal Experience?
LisaMarrie replied to devotion's topic in PRE-Operation Weight Loss Surgery Q&A
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. -
Revision from sleeve to Rny bc of gerd
Tracyringo replied to Maria Castillo's topic in Revision Weight Loss Surgery Forums (NEW!)
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. -
Tomorrow's the big day
scollins707 replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
Good luck tomorrow! I will have my revision from the sleeve to modified DS on 9/8. I look forward to seeing your progress! -
Removing Band and having MGB Nov 19th
Band07 replied to Jerald180's topic in Mini Gastric Bypass Surgery Forum
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
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Tomorrow's the big day
FrostyFlamingo replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
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! -
What’s your revision story? Was your revision as effective as your first surgery?
JEANMR1 replied to Thisisgonnabegreat!'s topic in Revision Weight Loss Surgery Forums (NEW!)
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. -
Revision for regain
JEANMR1 replied to charley27's topic in Revision Weight Loss Surgery Forums (NEW!)
I had revision due to weight gain a few months ago. I went from a sleeve to bypass. It was covered by my insurance but I still had to go through all the normal hoops to get to it. By the way it’s going very well and I’m happy I’ve done it -
I'm not sure re-sleeved is actually a thing. I've never heard of it. I've heard of having your sleeve revised to an RNY, but not a re-sleeve as in taking your existing sleeve and making it smaller. I honestly can't see that the benefit from that would outweigh the risks involved in the surgery. The original surgeon already cut out what s/he considered the disposable portion of the stomach.
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RNY revision to duodenal switch. I'm a little nervous. I've started this journey in March so I'm ready. I hope to post updates as time goes on. I know God is with me and i feel very positive that this time i will make it to goal weight and keep it off. When i had my original bypass almost 15 yrs. ago, i didn't have as much guidance or knowledge that i do now. Much has changed over the years and I'm so ready. Is anyone else having your revision tomorrow or very soon. I'm here for anyone who wants to chat or vent or contemplating getting a revision done. My best to all of you. God Bless!
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Update for my August revision: I had my revision earlier this month and although it feels the same as VSG physically, it is different in that I am just not hungry at all. After 1 oz of unsweetened applesauce for dinner last night, I just didn't want another bite. Some people got that with their VSG, I never did. It's hard to eat if one has zero appetite. This week my average calories was 296. I have no idea what my goal is for this stage. My surgery water weight gain is finally coming off then I can see where my weight is at but at 296 average a day, I know I lost quite a bit. Luckily, so far, it's been a pretty easy recovery. I do not have any nausea, and have not vomited. I do have off and on diarrhea. I took an Equate equivalent of Imodium, that fixed it. I still have a stitch feeling on the left side though, maybe due to CO2 still in there. I drink with no problem but I still try to sip slowly because if I do drink fast, I just know I will get nauseated. I've slept better than ever because no Gerd. I have good energy due to good sleep. Of course, I'm always worried about future complications though since it is a more serious operation compared to my sleeve.
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Hello everyone! I am in need of some help/guidance! I had gastric sleeve in 2012, out of the country, due to no insurance at the time. Now I feel I need a revision. I have insurance - United HealthyCare Oxford. Does anyone have any experience with these circumstances? Any help/tips would be greatly appreciated. Thank you in advance.
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Stupid BMI requirements/Food funerals!
FutureSylph replied to lizonaplane's topic in PRE-Operation Weight Loss Surgery Q&A
You could have intentionally bad posture that day. If you don't stand up too straight when your height is measured, it will revise your BMI upward. <innocent whistling> -
anyone over 60?
Tomo replied to elizabeth having the sleeve's topic in Gastric Sleeve Surgery Forums
I'll be 61 in October. I just recently got a revision from vsg to RNY. There is gas pain, some stomach pain but never over lvl 6 pain for me. The nurses told me that they thought I'd be one of the ones that needed most help but I never called them in. I stayed one night. There must be some truth to the older the patient is, the better they do in surgery and handling the pain. I think you'll do great. -
RNY revision to Duodenal Switch
ChocoSnowBunny replied to kcoffey60's topic in Revision Weight Loss Surgery Forums (NEW!)
I am so incredibly happy for you. I had Gastric Bypass in 2001. Most weight lost AFTER bypass (279) SW (before surgery) - 345 CW - 315. After enduring stage 4 breast cancer in 2010, I gained most of my weight back. I decided to return to my original doctor and request testing to find out if something went wrong with my original surgery. I was told everything was still in tact and I just need to start from SCRATCH! But I explained that I was able to eat a heck of a lot more. And that I would like options as to what can be done to tighten and/or revise my surgery. I believe my doctor was so eager to NOT have any "revisions" needed that he just sent me away - RUDELY! So I decided to ask around and seek a second opinion (of course - years later- because I believed there was something wrong with me). I followed his advise - but still believed something was wrong. Fast forward. I met a woman in my SAME situation and she referred me to her doctor for help. NOW, I am just waiting for an appointment. I will be researching the duodenal switch. I was never given this as an option. I am so excited for you. -
What’s your revision story? Was your revision as effective as your first surgery?
mae7365 replied to Thisisgonnabegreat!'s topic in Revision Weight Loss Surgery Forums (NEW!)
I posted this on a different thread, but wanted to share. Not sure why the revision has been so successful for me, but I'm loving the results. Here are my stats over my 6 year journey. Highest weight May 2012 - 222 lbs. Gastric sleeve surgery weight November 2014 - 212 lbs. Lowest weight post sleeve May 2015 - 151 post op 6 months (61 lbs. lost) Highest weight prior to revision surgery January 2019 - 205 lbs. (54 lbs. gained) Weight day of revision surgery October 2020 - 185 lbs. Current weight August 2021 (10 months post op) - 128 lbs. (57 lbs. lost) I hope that I never have to add a line that says I've gained weight back again!!!! Good luck on your journey!!!!
