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My surgery, revision from sleeve to RNY, is on 9/20 and pre-op diet begins 9/6. I’m feeling all sorts of feelings; excitement, anxiety and a little apprehension. Good luck everyone! I look forward to reading about your progress.
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Revision from sleeve to Rny bc of gerd
EllieV replied to Maria Castillo's topic in Revision Weight Loss Surgery Forums (NEW!)
I am going on a year now trying to have a revision done due to GERD. Last August, I saw my old surgeon's nurse practitioner who told me that omeprazole daily was my only option. She ordered a swallow test which she reported looked "normal" and she could see no reason why I had GERD - so, again, continue with omeprazole. This past April, I finally had had enough and decided to advocate for myself a little more and saw a surgeon in another facility. He took one look at my swallow study and said it was far from normal - I have a huge dilated fundus and a hiatal hernia. He, too, tried to push the meds vs. a surgical intervention but I told him that I could not go on like this nor did I want to take yet another medication daily for the rest of my life for an issue that could be fixed with a revision. Fast forward to THIS August, I'm waiting on insurance approval with my fingers crossed. I'm frustrated that I was misdiagnosed, as this could've been taken care of almost a year ago... bottom line, push, advocate for yourself. You know your body best. The only trick is getting insurance to deem the revision medically necessary. Good luck! -
July 2021 Surgery People!
Candace76 replied to Sammys_VSG_Evolution's topic in Gastric Sleeve Surgery Forums
I agree, the full liquid phase seems to be going very slowly. I had my sleeve the same day as your revision. I started full liquids on Thursday (29th) and don't move to soft stage until August 10th. Getting tired of broths & shakes, but knowing this is temporary makes it easier. Sometimes I even feel like I wouldn't want anything to eat anyway, those times makes it easier. Then other times I really want something other than what I can have. I am looking forward to that soft food stage! (No purée stage on my plan) Yesterday, I added Genepro to my Crystal Light and my soup (half serving of genepro in each), that way I only needed 1 protein shake. Do you, or anyone else have anything they did during full liquid that makes it easier or more interesting? We'll be on to a new phase before we know it, we just got to hang in there! Hoping everyone is doing well with their progress. 😊 (Scale isn't moving as much as I thought it would my first week🙄, but it's moving) -
Complications 8 years out and depressed!
SleevedK replied to dexter's topic in Gastric Sleeve Surgery Forums
Ugh, I am sorry that you are dealing with this problem. Rick's advice is solid. I suspect that he is correct that this nasty reflux is probably happening because you ended up developing a hiatal hernia. Hiatal hernias seem to be a VERY common complication of the sleeve long-term sadly, and reflux is the number one symptom they cause. You will very likely be offered a revision to bypass, since that is the "tried and true" way of fixing this kind of problem. However, some people have had good results just repairing the hernia and not doing a whole revision. If it does turn out you have a hernia, check out these recent discussions we have had about the issue: -
July 2021 Surgery People!
lissettmesa replied to Sammys_VSG_Evolution's topic in Gastric Sleeve Surgery Forums
Hi I got my revision on July 26th and been on a liquid diet since. Some days are easy but some days are so hard especially when time is soooo slow and everyone munches around you! -
Revision from sleeve to Rny bc of gerd
Tomo replied to Maria Castillo's topic in Revision Weight Loss Surgery Forums (NEW!)
When I first met up with a doctor for revision, I told him I couldn't sleep at night because food or acid would rush back up, and if I didn't take my PPI (which I've been on for quite a few years), my esophagus burned, and I didn't want to up my PPI and be on it for my entire life. He then said that I needed a revision to bypass to help with Gerd, and maybe it'll help me lose a little bit more weight. -
Complications 8 years out and depressed!
RickM replied to dexter's topic in Gastric Sleeve Surgery Forums
It could be a number of things, most common this far out would be a hiatal hernia that could cause these problems. Is your protonix once a day, or split into two doses, morning and evening? If it is consistent with the labelling, try taking it in the evening, as that is where your biggest problem seems to be, or splitting it morning and evening (if it is two 40mg pills.) Short term to help with the overnight problem, try elevating the head of your bed 3-6", or elevate your head and torso with a wedge pillow, or sleep in a recliner if you have one - anything to get your upper body (not just your head) angled down toward your stomach. Avoid eating anything 2-3 hours before bedtime. These are classic DIY reflux mitigations that the gastro will probably also suggest. You can consider going to the ER and hopefully they can get some of the tests done necessary to diagnose your problem (likely an endoscopy and/or barium swallow imaging. The may also just send you home with a larger dose of protonix or maybe a switch to dexilant and possibly carafate. An urgent care clinic may be able to help, particularly if you have one affiliated with your hospital - they may be able to short cut getting the tests done that you can then take to the bariatric surgeon (who would likely order the tests anyway. Many hospitals run these clinics for just this purpose - not really an emergency, but too urgent to wait a week or two for an appointment. This may save you a couple of weeks. Don't worry about insurance coverage as if a revision is needed, it would not be considered a second WLS (which some insurance limits) but as corrective surgery for you complication. Good luck in getting some resolution soon (er, rather than later) -
Before and After Pics
Butterflyeffect replied to Roserie's topic in POST-Operation Weight Loss Surgery Q&A
So I’m not there yet but today is my 5 month surgiversary!! Starting weight 273, surgery weight 260, today 192. My goal weight is 165 so more to go. I may revise my goal when I get there but I’ve never been that weight as an adult so not sure what I’ll look like when I get there lol. So happy I made the leap and thank you all for the support, tips and sharing. I don’t have a picture just before surgery as I hated photos of myself but here is one that a friend took when I wasn’t aware, at my biggest. The second one was taken yesterday. -
March surgeries
Butterflyeffect replied to Hopefulin2021's topic in POST-Operation Weight Loss Surgery Q&A
It’s my 5 month surgiversary today!! Best decision I have ever made! I have lost 81 pounds in total, 68 post surgery. Not only do I feel so much healthier but there are so many non scale victories too. Only real downside has been losing so much hair but I would still have gone ahead with the surgery. I set my goal weight to 165 pounds because I actually don’t know how I would look at that weight as an adult. I may revise it when I get there, but it feels pretty good to be so much closer to that goal. I really hope you’re all doing well and are happy to have had the surgery. I’d love to hear about your journeys to date, the good and even the not so good 😊. Below is a before picture and one taken yesterday. I hated being in photos so I didn’t take one just before surgery but I now wish I had. -
Revision; VSG to RNY
mae7365 replied to EllieV's topic in Revision Weight Loss Surgery Forums (NEW!)
I had revision from VSG to Bypass October 2020 due to severe gastritis, esophagitis and Reflux. I'd been on PPI medication for GERD since well before my sleeve surgery, but it only got worse after. Drugs no longer had any impact and I couldn't sleep unless I was in a recliner. I saw my surgeon in August of 2020, had all the testing done to verify the diagnosis and my insurance approved within a month. I have Aetna insurance, but when the surgery is "medically necessary", it moves pretty quick. I was "overweight", but not obese at the time of the bypass, so weight gain was not a factor in the insurance approval. But I don't think it would have changed the medical necessity of the surgery. Good news - the surgery was a success, acid reflux is gone, I now sleep in a bed and I've lost almost 60 pounds since surgery. Recovery was rough - I'm a "dumper", so I still have to be careful what I eat, but I am so very happy that I made the decision to have the revision. Good luck with your surgery! -
July 22 surgery date - Revision from VSG to RNY
lavette43 replied to relaxrelaterelease's topic in Revision Weight Loss Surgery Forums (NEW!)
I have about the same problem you have!!Went in at 270 and only lose 70 pds with the sleeve .I'm doing my work on having the revision because of the GERD...it is bad, I didn't have any of this before the surgery. Sent from my SM-G960U using BariatricPal mobile app -
Revision from sleeve to Rny bc of gerd
dexter replied to Maria Castillo's topic in Revision Weight Loss Surgery Forums (NEW!)
Those who’ve had revisions- how did you get your doctor to do something? How did you convey the urgency without sounding like a hypochondriac? It’s gotten so very bad and I’ve been begging someone to listen for two months now. I can’t keep going like this. -
I had my sleeve 8 years ago and have been battling severe GERD for two years and serious weight gain since my hysterectomy just last December. Now, I am miserable and weak. 10-20 tums a day, unable to properly take my medications because I throw them up. Cannot eat because I throw it all up too. Just ordered some syntax iced tea and protein soups. I’m taking 80mg protonix daily and wake up choking on my bile bile at night. My PCP dismissed me. Saw her PA and at no time did she even look down my throat. Got a referral to a GI and they called to have a consult in a month! A consult! Only! Called my old bariatric surgeon and he’s not in my insurance network and I can’t afford him. Called one in town and have an appointment on the 9th. But if it requires a revision, I don’t know if it’s covered on my insurance. I’m losing hope. I feel like everyone else has since I’ve been dismissed at every turn. My brain is fuzzy, my eyes are sunken. Work is hard. I pretend I’m fine and eat at company meetings then go quietly to the bathroom to throw everything up. I’m miserable. I need an answer but no medical professionals seem to be in a hurry.
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I have the same thing going on with me. I am 4 years out 8/9 VSG and 14 months revised RNY. My relationship with food has changed. Its a chore to eat and I am not in the mood most of the time. My weight is starting to drop again. I weighed in at 148.8 this morning. So I made some mac n cheese to go with some leftover meatloaf. I was actually excited to eat, lol. Yeah, so depending on what the food is makes a lot of difference too. I didnt have this issue with VSG and I think its because I still felt normal when I ate and could still eat what I wanted just in smaller portions. My views and relationship with food in maintenance were the same pre surgery as far as what I ate. RNY not the same. I dont have the same sense of fullness as I did before I ever had surgeries or the way it did with VSG. In fact I mostly dont feel anything but if I eat one bite over I am deathly ill and the same thing goes if I eat the wrong foods. So I feel this is why I not interested and I rarely feel hungry so why bother . SIGH
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Before and 7 months post RNY! Post your before and after!
CKmommy posted a topic in Gastric Bypass Surgery Forums
Here is me just shy of my heaviest of 365 lbs. I started my Weight loss journey June 2020. I lost about 35 pre surgery which was January 4, 2021. I also have had to have a revision due to a perforated ulcer mid July. I am now down a total of 120 lbs. it’s amazing the difference I feel. My 5 year old can actually sit in my lap… because I have one now! I can see my feet when I weigh myself. I don’t have to lean against a wall to wipe after using the bathroom, or to clean myself in the shower. I can buckle my seatbelt with out getting out of breath. I now consider myself ‘normal’ fat because I actually blend in with a crowd rather than standing out as the largest in a room! I’m sure I could go on but I am so glad I did this!- 12 replies
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Hello! I am looking to introduce myself and possibly get some advice or insight from others! I had a VSG in October of 2016. Weight DOS was 288, lowest weight I reached was 198 within about 6 months of the procedure. I developed terrible reflux that I managed with OTC medications, and maintained this weight loss almost effortlessly (I did go to the gym 4-5x weekly and ate small portions - stuck to the rules as best as I could) until the end of 2019. But to backtrack a little - I was diagnosed with breast cancer in May of 2018, so by the time I was through with chemo, steroids, horrible lethargy...you get the picture... the weight piled back on within a year of finishing treatment, and by the end of 2019, I had gained 60lbs back. I am in no way trying to play the "cancer card" or blame it on that, I know I am fully responsible for the way my weight journey has turned out, but if I had to pinpoint when it started to go downhill, I'm pretty sure it aligned with that. Presently, I am at 261 and am seeking a revision due to the reflux, a severely dilated fundus that was seen on both a CT and an endoscopy, and the weight regain. I guess I am just looking for others who are also seeking a revision, or others who have recently had one who may have any words of wisdom! Lastly, I have Harvard Pilgrim and my authorization has been submitted by my surgeon and is now in the "pending medical review" stage. Anyone else with HP, roughly how long did it take to hear back? My program coordinator said anywhere from 1 to 2 weeks, but I was just wondering if anyone had any personal experience. Thank you for reading and I'm looking forward to "meeting" more people on here!
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Sleeve to bypass revision with arthritis
Tracyringo replied to Frostyauggie's topic in Revision Weight Loss Surgery Forums (NEW!)
I still have GERD and take a PPI twice daily with the RNY which sucks but my esophagitis when last checked went from a grade D to a grade A which is really good. I also have no problems with keeping my weight stable. The VSG was great but I struggled in maintenance keeping it steady. My weight fluctuated a lot more and the lowest I got was 164.8 for a day, lol. I could usually maintain 175ish but was constantly stressed out. I would say I ate around 1000-1200 calories to stay in that range and under 1000 to stay in high 160s. RNY has been much easier to maintain my weight. I now weigh 154 and my weight fluctuates between 152-155. I have no problems or stress maintaining it !! This makes my daily life much easier because I dont constantly think about it anymore. I would even say I eat more now then what I did with VSG which sounds crazy but its true. I have dumping syndrome which keeps me away from heavy carbs and sugar. I do eat these things in small amounts and usually dont have any problems but I have to be very careful of when and how I am eating those things. I am less interested in food with RNY. Some days its a chore to eat ! I think this comes down to not being able to eat whatever I want when I want so if the food isnt great I really dont want to bother with it. My mind set has become totally different in regards on how I view and look at food. I am 14 months out from my revision and 4 years from my VSG. Good luck to you ! -
July 22 surgery date - Revision from VSG to RNY
2ndChance@Life replied to relaxrelaterelease's topic in Revision Weight Loss Surgery Forums (NEW!)
That’s awesome! I’m having my revision on 8/16…hoping to have the same success you’ve had! Keep us posted. -
Severe Gerd/esophogeal dysmotility. Revision vs nissen or just hernia repair?
starladustangel replied to starladustangel's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes. My insurance covered both my original surgery as well as my revision. -
I'm going in for a revision from sleeve to bypass soon. I can not do RTD protein shakes. They are far far too sweet for me. I do not have a sweet tooth at all. What I've been doing since my sleeve these past few years is just using fruit for flavor, like a few strawberries without sugar or artificial sweetener... Etc. So I feel like I'm a fix because after surgery, I have to go 14 days on liquid diet which includes protein shakes but I don't think I can add fruit even if blended well, right? Any ideas what I can add to my water (or other liquid) and unsweetened protein powder that will work post-op bypass? I know I can add my protein powder to broth but would really like to have some type of protein shake. Can I use PB2 (peanut butter powder) on the 4th day Post-Op? Is there such a thing as fruit flavored powder unsweetened that I can add to it? I don't know. I think I'm nervous and am overthinking things this time around. lol Thanks in advance!
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Anyone experience a extremely slow weight loss?
NovaLuna replied to Ariakias's topic in Gastric Sleeve Surgery Forums
I've heard a few people who had the sleeve saying that they stopped losing weight early on. Sorry that you're going through that! I've had pretty slow weight loss myself when I compare myself to others due to my hypothyroidism and not being able to really exercise due to my back injuries and arthritis, but I was still recently able to get to my goal weight even after multiple really long stalls throughout my journey including the most recent one being 47 days long. If you look into revision, other than gastric bypass, you could also see if your insurance will cover the duodenal switch or loop duodenal switch surgery and if you can find a surgeon who will perform it. The sleeve is literally the first part of the surgery, they just add the intestinal bypass portion and you statistically lose the most weight with the DS. So it's an option to look into. I hope you can either find something that will work to pick your weight loss back up or a revision that'll work for you. I'm so sorry you're struggling and I hope that things work out for you.- 1 reply
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Anyone experience a extremely slow weight loss?
Ariakias posted a topic in Gastric Sleeve Surgery Forums
Hey all, I was sleeved a little over a year ago. alittle about me, surgery day I weighed in at 386. I’m 6’3” and prior to the sleeve I was in the gym 5 days a week most weeks. I’ve been the same weight since 5 months post op, currently weighed in at 315.No matter what I do, more intense workout, sleeve reset, eating more protein, more water, more greens. ( all those were doctor suggestions). Nothing seems to work, kinda like before I even had surgery. Even got to the point where both the surgeons nurse practitioner has said quote “ I don’t have any answers for you”. The surgeon suggest the sleeve reset because he said I had to be over eating. Which I don’t. I eat like a bird most days i got a second opinion 2 months ago and she put me on a 1600 calorie diet, she thought I was under eating and I struggle to eat 1600 calories. my worst fear was when getting the surgery was it wouldn’t be effective and I understand that I’ve lost like 70lbs. That’s all fine and grand I feel better but I’m only 10 lbs from my lowest weight I achieved on my own and that is extremely disappointing to me. I was told by the surgeon prior to surgery that the weight would melt because I was already active quite a bit. I’ve contemplated getting it revised to the bypass but with the slim success of the sleeve I’m quite reluctant to go get another procedure. im really getting to the point of not caring anymore. The doctors all say my labs are good, no thyroid problems or anything like that. im at a loss, this was supposed to be a nice tool to use to change my life and it just seems like it broke early. thanks for reading and letting me vent Matt- 1 reply
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What Led To Revision
relaxrelaterelease replied to dennydenco's topic in Revision Weight Loss Surgery Forums (NEW!)
I was revised from the sleeve to bypass last Thursday due to severe GERD and a hiatal hernia. Within about a month or two of being sleeved, I began developing reflux. It took almost 2 years to consult with a specialist who confirmed that I had developed GERD (and over time the hiatal hernia) due to the sleeve surgery. Please be your best advocate and speak up if you feel something isn't right. I took very potent PPI's for almost 3 years and that led to damage to my esophagus. I feel so much better already, and I am losing weight as well! -
Gastric Bypass & Self Pay: Timeline from Consult to Surgery
Ladidi replied to devotion's topic in General Weight Loss Surgery Discussions
Wow I got my lap band in 2008 also. Just starting the revision process. Am prepared to self pay but hoping my insurance will cover surgery. My weight loss center staff is very good with working with insurance companies. Keeping my fingers crossed and doing a lot of praying. -
WHERE ARE MY AUGUST 2021 PEEPS?
holly9740 replied to phenomenally_me's topic in Gastric Sleeve Surgery Forums
August 5th here - revision from RNY(2003) TO SADI-S.
