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Endoscopy and Sleeve?
catwoman7 replied to lunadreams's topic in PRE-Operation Weight Loss Surgery Q&A
I wouldn't do the lapband at all, and I'm surprised your surgeon still does them. Few surgeons do those anymore and lots of people have had theirs removed because of complications. if you have GERD, just know that it gets worse for about 30% of sleeve patients. You may be OK with that amount of risk - I was not, so I went with bypass. Bypass usually (but not always) improves if not outright cures GERD. Having GERD won't prohibit you from getting the sleeve, though - but just know your risk if you do have it and you decide to proceed with the sleeve. Sometimes it can be medically managed, but we do see a fair amount of revisions to bypass on here if the GERD gets really severe (and again, that doesn't happen to most people - but it does happen to some..) P.S. Malabsorption issues aren't common with bypass AS LONG AS people are consistent about taking their vitamins. There are some people who can't absorb iron very well from oral supplements, so they need to go in for occasional infusions, but most of us absorb iron from pills just fine. As far as other nutrients, again, as long as you keep on top of your vitamin regimen, problems are rare. -
My story started in 2012 my moms doctor told me if I lost weight we could work on me being her living donor. So I went to my doctor said I need this to save her life help me. We got me set up for the sleeve. At almost 300 pounds I would have done anything to help her. I had the sleeve done March 2014 and after getting to 190 her doctor told me I couldn't be her donor she wouldn't survive the surgery. So fast forward to 2019 I have major heart burn so bad even water gives me heart burn. By 2020 i was over the heart burn and the miserable life I met with my new doctor he informed me due to my sleeve it will be constant and just get worse so we did a revision and basically went to the bypass. Its been a very long and exhausting road. I wouldn't change it for anything but I would reconsider the original surgery.
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those must be your particular surgeon's requirements, because I don't think that's universal - except maybe in the early weeks or months. I have a virgin RNY (not a revision), but I didn't have any restrictions at all once I get a ways out. I don't drink a lot (maybe three or four times a year), but I eat tacos every time we go to a Mexican restaurant. There's literally nothing I can't eat (although I watch my portion size)
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Nsaids , Clomid and testosterone replacement therapy post op after gastric bypass surgery
RickM replied to LarrySm88's topic in The Guys’ Room
A couple of comments to fill things in here. It's not really a matter of steroids vs. non-steroids, but rather what a drug or class of drugs does to the stomach as a side effect, NSAIDs are merely the most common that are sited as being problematic for bypass patients. The issue is that the part of the intestine where where the stomach pouch is connected is not resistant to the stomach acid, so that anastomosis there is quite vulnerable to ulcers, so any med that can cause some stomach distress is generally to be avoided. Some of the osteoporosis drugs are avoided for this reason, too. This presumably applies to the MGB as well, as it uses a similar connection. The duodenum, the part of intestine immediately downstream of the stomach and is resistant to the acid, is bypassed along with the remnant stomach. These various meds can sometimes be used in limited times under certain circumstances under medical supervision, but it's a risk/reward trade off between doctor and patient. The sleeve based procedures are generally more tolerant as they don't have that marginal ulcer issue, but many docs still restrict them owing to their bypass experience, (and the sleeve is probably less tolerant than a normal person, while being more tolerant than a bypasser.) Your bypass can be reversed, (that is sometimes one of its "selling points" but it's not commonly done as it's a pretty complex job; not all surgeons will do it. It is usually reserved for times when there is no other option in treating some problem, rather than just buyers remorse. I have seen it done a couple of times in cases of intransigent ulcers, where no other treatment worked. It can also be revised to a duodenal switch, but that's even more complex than a reversal (they have to reverse it first, then sleeve it, and redo the intestinal rerouting. It is usually done when weight loss was inadequate or with excessive regain, or for other RNY complications such as the intransigent ulcers or bile reflux. You weren't offered the MGB as it doesn't fit the "standard of care" for WLS in the US - insurance doesn't normally cover it and the ASMBS hasn't approved it, though it has been further developed and used more commonly elsewhere. The next procedure that's likely to gain approval here is the SIPS/SADI/Loop DS -
Hi! I am in the same boat as you! I had surgery in August 2014, got to goal (8 pounds below at 142) and maintained 150-160 for 5 years. Then a neck injury, cancer diagnosis, and the year 2020 hit and I’m up to 188 at this point. It’s so damn depressing having to buy new clothes because nothing fits anymore. My doctor has put me on a BED medication called Vyvanse for the time being, and it’s really helped suppress my appetite. I’m back to exercising at least 3 days a week, and tracking what I eat. Trying to keep it protein and fiber rich foods. We will see. I feel like I’m back on the diet roller coaster/fat brain thinking from before. Seriously thinking about a revision to bypass since I have reflux anyway, but have been through so much medical crap, I don’t know if I want to deal with another surgery again. You’re not alone, friend!
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For those of you sleeved, then revised to by-pass, did you feel depressed at all? Like with the sleeve, I could eat or drink what I wanted. I'm only a week post op, but the thought of not having hot spiced wine or a mojito ever again is depressing. I'm DREAMING of a taco. With the sleeve, I couldn't eat a whole one, but a tortilla with guac, beef, pico, and cheese!! The fear of never being able to eat or drink normally again just keeps flooding my mind. Tell me I'm not alone please, lol
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Hello, Just wanted someone’s input on my situation. I was banded back in 2014. I lost about 85 lbs and was doing great. Until all of a sudden it caused me grief. A lot of pain, throwing up and reflux. After6+ years I’ve since gained about 40lbs and with all the problems I’ve incurred over the years my doc and I decided on a revision to the sleeve. Well, my insurance company, BCBSIL approved removal only. So, my doc is submitting a request for the revision to the sleeve. Has anyone had this happened to them? What are the odds of them not approving the sleeve? My worry is that I do not meet the BMI requirements to get the sleeve. If anyone can shed some light on this, it will be greatly appreciated. Thanks!
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I "snuck" having WLS
BayougirlMrsS replied to chiquitatummy's topic in POST-Operation Weight Loss Surgery Q&A
Well I have been on both sides of this fence. In 2009 when I had the lapband placed at 232lbs (5'2") I told my (now) x husband (we were married 26 years), my two sons, daughter in law and a couple of co workers that i thought i could trust. Well my x went and told a few friends after they made comments that "chris's looking good". He said and i quote.... Well she's only losing weight because she had SX.....then, of course, others started to ask and I would say from diet and exercise... Which was true. But when i found out what he said and turns out the co works were saying the same things..... I had a person say.... Well i heard you had WLS.... So after that i was open about it. I found some support and a lot of judgment. Grant you it was back with WLS wasn't as well accepted as it is now. Awful comments from my x, x-friends, x-co workers.... and people in general...... Too skinny, i looked sick, i was lazy for having WLS, i thought i was better than them cuz i was skinny now, how people died from WLS, that i would lose all my hair....i could go on and on. So in 2017 my band slipped and was removed. I went on FB and told everyone. Six months later I moved out of state to where no one knew me except my husband and four of his co workers. When i moved here i was 143lbs.... over the next 2.5 years i put on 30lbs. So i decided to do a revision.......It was not covered by insurance. I was going to crossfit 4 days a week and trying to lose for pending wedding in Sept, 2019. So i laid the groundwork....... Told my co workers i had a hernia (true, Hiatal) and it needed to be fixed (still truth). The weight loss started and they just thought it was from dieting for the wedding (still true). I went in on Wednesday and was back at work on Monday. Still, the only person that knows is my husband. Didn't tell sons, family, friends (not even best), or co workers....... THIS IS 100% BETTER. No comments, no snarky looks, no having to explain anything. Now i'm 120lbs and you know NOT ONE PERSON has said.... You look sick, you are too thin, you are lazy, .... etc. Not one person said i would die from hernia sx..... I'm 100% team.... keep your mouth shut....... Even if you tell just one "friend".... it will get out, especially if its a girl. Us bi*ches like to gossip. -
I had the stomach stapling in 1984. It was the Vertically Banded Gastroplasty. On the 15th of February I had it revised to a Gastric Bypass and I am doing splendidly. I never had any symptoms like you describe but I did gain my weight back after the 1984 proceedure. The good thing about the Bypass is it is harder to gain weight back. My surgeon was Dr. Stephen Boyce in Knoxville TN. He was the only surgeon in the state I could find who would tackle my revision. No one else wanted to touch me. I highly recommend him. I'm sure you could fine someone to do a revision for you but for some reason the old surgeries seem to cause most surgeons to shy away. Good luck.
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I had lower body lift and both arms done last Aug 25. It was tough for the first few days, The arms were painful but the lower part not so much...I had a nerve block for that. I only used one dose of narcotic once I got home. The combo of gabapentin and robaxin on a round the clock schedule is being used more and more post op for pain control and has been effective for me after my RNY, my hip replacement and now plastic surgery. I was in surgery for 12 hrs for all 3 procedures and spent 2 nights in the hospital. I recovered at home alone except for my brother would come over every day at lunch time and bring me food and change my arm dressings. The first 2 weeks I didn't do much except sit in my recliner with my arms elevated. After that, recovery became much easier. I had 4 drains for my LBL and I managed them myself and even was able to wrap my own arms and then get into my compression garments once I got them. My brother drove me to my first post op appointment but after that I drove myself to my weekly appointments. I have now scheduled my next surgery, breast lift and back lift and scar revision on left arm, for Aug 2. I'd love to do it sooner but that's when I could get enough time off from work. My third surgery will be a thigh lift and scar revision on right arm, hopefully in January (depends on work schedule). I wouldn't change anything other than wishing I had done it all sooner! My arms are 10 inches smaller and my hips are 33 inches! I wear a size 2P and will probably be a size 0P after I get my thighs done. I never dreamed I'd have this kind of success when I was at my highest weight a few years ago! Good luck with whatever decision you make and you can do it alone with a lot of planning and determination!
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Revision from sleeve to Bypass
Tracyringo replied to nessie's topic in Revision Weight Loss Surgery Forums (NEW!)
The pain and all that comes with this revision will pass and you are going to feel great ! It just takes awhile. -
I had a revision October 29th last year and started at 185. The first month I lost just about 8 pounds, since it took a week and a half to loose the 10 pounds I gained in the hospital. After that, I started to see a steady drop, but like catwoman7, revision weight loss is definitely slower than the original sleeve. Don't be discouraged, it will level out and the weight will drop. As someone on social media posted - "weight loss surgery is all about making better decisions" - about what we eat, how we exercise and how we view our health!
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weight loss after revision is almost always slower than it is after a "virgin" surgery, and on top of that, you're starting off at a much lower weight than most of us, which also means slow weight loss. And...you're about three weeks out. Just in time for the infamous "three week stall" to boot.
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I'm 68 and had revision from a 1984 surgery, VBG, to R&Y on February 15th this year. I've lost 55 pounds. Food doesn't taste right but many say that will improve with time. Right now it helps with the weight loss because I only eat for nourishment. I've had no complications other than food tasting different but that's pretty much par for the course.
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I'm sorry to hear you're struggling. I had THE SAME issue with water. Found that I love Fiji water. Its expensive but it tastes like something. I was told with the revision (coming up TUESDAY) loss would be slower than the first time around. Kind of like... our body is onto us. Try sugar free Popsicles and jello to get more liquids in. You got this!
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Question about Lapband to sleeve in Mexico
turtle11 replied to princessaktmc's topic in Revision Weight Loss Surgery Forums (NEW!)
I had band to sleeve revision 9 months ago with Go Light Bariatric. Love them and I’m down from 212 to 137. -
I had my revision surgery on 2/24. My weight was 181. Since then I am only at 173 (it bounces a couple of pounds). It has not moved (mostly) since 3/5. Getting water in is brutal. The taste is awful to me and no matter what I try it just doesn't work. I've started going on walks (when the weather permits) and also hop on the exercise bike when I can. I am hitting protein goals. I keep going back and forth between saying "it's just a stall" and "that's it - you did this for a measly 8 pounds". My original surgery was the sleeve and I was always stalling. I am just a little down in the dumps and needed to vent.
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I joined this forum in 2012, but wasn't really active. One friend who I connected with on here and she vanished, so I just never really came back. I just had a revision from sleeve that was done Nov. 2012, to bypass on Tuesday. I had some GERD, but not severe, but full weight gain. I also was 30 pounds from goal weight at my lowest. I knew the sleeve wouldn't work for me, because it's not about how much I eat, but what I eat when I feel like eating. You guys, this is HARD. Before sleeve, I didn't eat much, even less after. Now, I'm freaking dying to eat. Really, I just want coffee with my creamer and I'll be good. I've always said, I could drink coffee all day and be fine. I can't get comfortable. I handle surgery really well, like shopping the day after hysterectomy, appendectomy, etc, but this?! I'm still on pain meds & anti nausea. I could really use some encouragement, cuz I'm miserable. I need to know there's light even in a week. I'm really struggling. For those who have done this, any words of encouragement?
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For anyone who hates when someone is feeling down on themselves, then leave this post now lol. I don't have anyone who I can discuss this with in my everyday life, so I'm talking about it here. But I'm just feeling so defeated. I went ahead and made an appointment with my original surgeon to talk to him about revision from band to sleeve. My band has some sort of leak or disconnection in it and will no longer hold fluid. It's useless. Now, him doing the surgery is not the problem, I'm sure he'll do it. The problem is money. I work for the state of SC but they don't cover anything bariatric (BCBS Peba). I've applied to 4 or 5 different loan companies to see what rates they'd give me for loans and the first two said they'd give me a loan, but they won't give me the amount I need to cover the procedure. Then Care Credit and Prosper gave me a flat-out "no". I'm now in the headspace where I feel like calling up my doctor's office and saying forget it and I shouldn't even bother taking the trip to see him if I can't even finance the surgery. This just sucks. I feel like I've hit a wall and it's so disheartening because up until now I have been feeling so positive about taking the steps to get revised and now it seems like even though I want this so badly that it's not going to happen. If anyone else has had issues with finding financing but found a solution, please let me know.
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Is there anyone here that's post op 7+ years having health struggles, what are they?
SleevedK replied to Lookin4answerspostop11+years's topic in Gastric Bypass Surgery Forums
Why did you have to have the revision? I hope it helps you feel better. -
Good luck to all fixing to have surgery!!! That’s awesome! And the ones who have had the revision already I would love to hear how things are going! You don’t hear much from people on revisions and how they are doing!
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Hi! I am in your same boat. My original bypass was 11 years ago, and I am having a revision on Tuesday. It is a much more risky surgery because less is known about modifying a previous bypass. My doc is making a smaller stomach pouch and POSSIBLY distallizing (moving the anastamosis between stomach and intestine) further down the line. He tells me that after this process I will likely lose 10-20% of the excess weight. We shall see! Surgery 11am Tuesday. I should add that I see a bariatric team and they are very particular about candidates for revision; I'm not sure I would trust a surgeon who is not specifically doing WLS to make a revision recommendation. The science/data is just not out there yet. So! Good luck! See a doc who knows what they're doing! Let me know if you have questions - I'm happy to update along the way.
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Hi I had gastric bypass 16 years ago and the last few years I started to regain my weight back . I am 5’9 with 275 pounds now🥲 Going for a revision on the 22 but I have no idea if I can do it again or if there is something else the doctor can to help me loose the weight again. gastric by pass to another gastric bypass is possible? Anyone here did that?
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@Tina Leo I am having a revision on March 16 also. I had lap-band then removal 6 years later. Sleeve 2 years ago and now to DS due to Bile reflux, GERD, gastritis and need hernia repair and adhesions removed. I am so nervous! I hope your hanging in there, the count down is on for us. 😁
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Revision from sleeve to bypass 8 days post op
Coexister replied to funky's topic in Revision Weight Loss Surgery Forums (NEW!)
I am a little over 4 months out from my revision and close to goal. At first I was scared that the revision wasn't going to work because it didn't feel like I had the same restrictions as I did with the sleeve and I am able to eat things I couldn't with the sleeve> With the sleeve I felt more restriction but as I heal more I feel it more and things have been moving along great and I am pleased with my weight loss. It is slower as I am so close to goal (only about 4 more to go) and I had my revision per reflux. So happy to have the reflux and GERD cured and am having no problems whatsoever in that area. I am happy with my revision and growing to love it more every day! I still walk 30 minutes and log my food daily. I focus on maintaining water and protein levels as I notice this is what makes the scale move for me! Good luck! You are going to do great!
