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Sleeve to RNY at 6 months post-sleeve?
RickM replied to JRL1989's topic in Revision Weight Loss Surgery Forums (NEW!)
It sounds like you may have a stricture in your sleeve (makes it hour glass shaped) - did he mention anything like that, as that would show in the barium swallow test? The drugs that you are taking wouldn't help that as they are just to treat the acid overproduction (the pantoprazole and Dexilant) and the resulting insult to the tissue (the sucrafate). From what I have seen over the years (not an MD, just an interested bystander) the problems with the esophagus are likely a result of the stomach problem (assuming that it is a stricture - I have seen such things sited as a result of lap band damage resulting in such symptoms) Strictures of such severity (if indeed that is what it is) were more common several years ago when the sleeve was new and most US bariatric surgeons were just learning how to do them. The stomach, when sleeved, tends to like to bend or twist in the middle if you don't do it just right - it takes practice. These days, I see it discussed more commonly in countries, like Canada and Australia, that were slower to adopt the sleeve, so as a result, their surgeons, as a group, are at about the same place in the learning curve as the US surgeons were 6-10 years ago. Usually, it is treated by a bypass revision as the surgeon won't know how to repair it (if it can be done.) Often, it can be repaired, or resleeved, to correct the problem, But that needs a surgeon who is much more experienced with the sleeve, so if it is possible in your system to get a second opinion on it (particularly from someone more sleeve savvy) that would be the way to go, if for no other reason than to get concurrence with your surgeon's solution (or hopefully, an alternative approach.) Ideally, you would like to find someone who is experienced with the duodenal switch WLS, as that uses the sleeve as its' basis and those surgeons tend to be much more experienced with them than the average bariatric surgeon, but they tend to be few and far between. The only one that I know of in CA is Michel Gagner, who IIRC works out of Montreal. Likely, the RNY revision is the standard of care within the Canadian system (and much of the US as well,) for this type of problem/ Good luck, -
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cutethickmoma commented on cutethickmoma's gallery image in Before and After Gastric Sleeve Photos
well bigjoe1234 I've gained some back looking to have a revision done. How's it going for you Sweetie? -
Ok Bariatric Pals it's been a long time! I'm back and in need of help had the sleeve done back in 2013 regained some weight current 280 looking to have a revision done. Any suggestions 🤔
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Sleeve to RNY at 6 months post-sleeve?
JRL1989 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Has anyone had an "early" revision? I see most sleeve to RNY's happen at 2+years out from sleeve. I had no GERD at all before I got sleeve on October 15/20. I literally felt the acid as soon as I woke up in recovery. My program has us switch to soft foods at 2 weeks post-op. As soon as I switched from liquid to softs, I felt food rise in my esophagus after eating (regurgitation, but not full on puking - it rises, and then goes down again). At 1 month post-op, surgeon did a barium swallow and noted that I was regurgitating the barium and also that my esophagus was showing dysmotility and tertiary contractions. I've been on 60mg Pantoprazole 2X daily - then switched to 60mg Dexilant 2X daily, in combo with 1g of Sulcrate 4X daily now. I don't feel these meds help the regurgitation at all. I experience regurgitation (the acid reflux movement feeling up and down in my esophagus) after eating solid food. Almost every single food I try. Because of this, I eat very little. Also, I have to wait around 90 minutes after eating to try to drink water, or else the regurgitation is worse. Because of this, I also struggle to get in more then 30oz of water a day. There is a fine balance between food and water for me, and if I go too much on one - the other one suffers. My dietician says she wants me at 1200 calories (seems really high, I'm in Canada and I notice they do things differently here), and at least 64oz of water. I'm at max 500 calories and 30oz water. My low food intake and water intake is now causing me to have internal hemorrhoids and now I bleed every time I have a bowel movement (which to be honest, is once every 4-5 days. It's not often). I've lost over 130lbs and I'm just over 4 months post-op. My surgeon says I need the revision to RNY and wants to do it at around the 6-month mark (so April 2021), but I have not heard of anyone getting a revision this early due to GERD. Has anyone here got a revision from sleeve to RNY due to GERD, less than 1 year out from sleeve? How did it work out for you? -
Calling all fellow Aussies!!
NewMe3 replied to healthy_steph's topic in Gastric Sleeve Surgery Forums
Also a fellow Aussie here from Nsw. I had the sleeve in 2017 but due to GERD and weight regain have had revision to bypass in dec 2020. I have zero regrets about my decision to have the revision, and since December have lost 20kg. (40kg from highest weight in 2017) All the best for your journey ! -
Sleeve revision and DS with Dr. Wilhelmy Mexicali Bariatric
NanaNanner posted a topic in Mexico & Self-Pay Weight Loss Surgery
Hi all-been a long time since I've been on this board. I had my sleeve with Dr. Aceves in 2011 (?). Time has passed and I'm looking for a sleeve revision and DS. I searched Dr. Wilhelmy but couldn't find anything recent. Anyone been to him lately? I really loved my previous experience and decided to stick with them but would love to hear from anyone. -
New here
chrissyJones901 replied to michellelee54's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I’m having revision from sleeve to Bypass schedule for March 20th. @NewMe3 when they filed the insurance claim did it ready gastric bypass? -
I had the sleeve early 2017. Due to GERD and weight regain I also had revision surgery to gastric bypass. My bypass revision was in dec 2020 and since then I’m down 20kg. (44 pounds) so very happy with my revision. Wishing you All the best!
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Hiatus Hernia - Did removal help prevent acid reflux with sleeve surgery?
Blueslily posted a topic in POST-Operation Weight Loss Surgery Q&A
Hello, I'm a newbie. I completed four months of the required weight management for my insurance to approve the surgery. I am scheduled for surgery in early April. I had the EGD a few weeks ago for my surgeon to look to see if there are any issues in my esophagus or stomach before surgery. I had already mentioned to him that one month prior, I had started burping and was worried that I was developing acid reflux. Since that was the only symptom, he said it could be anything and that his practice is to fix any hernias that they see during the same WLS to help prevent acid reflux later. He said that if I have acid reflux, he would be able to see it during the EGD. So, I did the EGD and he said he saw a small hiatus hernia. He said for me not to worry that he would fix it during the sleeve surgery and that will prevent acid reflux. I had asked him should I choose the bypass versus the sleeve due to the possible acid reflux. He said that since he is going to fix the hernia, I can still go with the sleeve if that is my preference. My question is to those who had a sleeve surgery and the hiatus hernia fixed at the time of the sleeve surgery, did that indeed prevent acid reflux for you? I really dont want to have a sleeve surgery now and end up with bad reflux and then need to do a revision. I was very direct with the surgeon about not wanting to have a revision later. Thanks! -
Dr Dolan and positives of weight loss surgery
catwoman7 replied to Annie2021's topic in Weight Loss Surgeons & Hospitals
not many surgeons will place lapbands anymore - too many people have had complications with them years after surgery and had to revise to sleeve or bypass. So I agree revising to something else is a better option for you. -
New here
perfectlyimperfect44 replied to michellelee54's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my sleeve done Dec 2015 and am scheduled to have a bypass revision in. So 2021 my sleeve failed me as well I am nervous excited how about you -
Welcome! I'm sorry you have to have a revision but I wish you a great outcome. At least you've been through this before, so you know the drill (although it's a different procedure, I know).
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Hello I’m new to this app. Going to have my revision March 1..
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SIPS /SADI-, can anyone tell me about your experience.
Linda Pink replied to Cherubchub's topic in Revision Weight Loss Surgery Forums (NEW!)
I am looking into revision from sleeve to SIPS?SADI, if you have a good doctor and a good experience, please share! THank you! -
February 2021 Sleeve Surgery
tabrielle10 replied to LifelongJourney's topic in Gastric Sleeve Surgery Forums
I had the gastric sleeve 9 years ago and now Im having a gastric bypass revision this tuesday feb 23rd. Gerd issues and I gained 65 lbs back throughout the years. -
VSG to RNY still have GERD
Tracyringo replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
So I had same experience. I thought I was cured the fist month or so and then bam !! I think we were so swollen from the surgeries. We didnt feel it until healed, at least that is what I feel happened with me. What was your last EGD like before the revision? I read where the roux limb may be too short in an article online, but I have no idea and none of it makes sense. -
VSG to RNY still have GERD
Tracyringo replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
I would still get the revision because I had erosive esophagitis D. It has gone down to an A, so I shouldnt have to worry about getting cancer. I take 60mg Dexilant everyday plus carafate -
VSG to RNY still have GERD
BabyNewYear replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey All, Interesting thread. I have constant heartburn and had a VSG in 2016. If you had it to do over would you still get the RNY revision? I am wondering if its worth it if you get the heartburn anyway and are still constantly taking the PPI's? -
Sleeve to RNY
dorkyfaerie replied to Plutonium's topic in Revision Weight Loss Surgery Forums (NEW!)
I had revision from sleeve to rny in September 2020 and have had zero GERD symptoms since surgery. I do dump with some sugar substitutes, but so far it seems limited specifically to sugar alcohols (xylitol, erythritol, sorbitol, etc.). Splenda and Stevia have been fine so far. -
VSG to RNY still have GERD
lynmcg replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my revision on Dec 14th. At first I thought it had definitely worked but the past few weeks the reflux is back with a vengeance. I’m at a loss as to why it’s still happening too. 🙄 -
How much weight did you lose the first 90 days ?
mae7365 replied to Tim C's topic in Gastric Sleeve Surgery Forums
I'm a sleeve to bypass revision and I've lost 40 pounds since my bypass surgery on 10/29/20 (17 weeks post-op). Since my surgery was for GERD and not officially bariatric, I didn't have as much to lose to get to my goal weight. But I want to lose a few pounds more just to give myself some "wiggle" room once I'm past the honeymoon period. I know that weight gain is possible, and very likely probable, after the 1st year. I wasn't really prepared for maintenance after my sleeve surgery in 2014 and gained almost 50 lbs. in the 6 years following surgery. I want to be better prepared to maintain a normal weight since I've been given a second chance to truly change my relationship with food! -
5 days post op and feeling scared about the future
catwoman7 replied to pompom83's topic in Gastric Sleeve Surgery Forums
I'd stay away from FB groups - there are a lot of toxic ones out there, from what I hear. I've never bothered with them - there are much better sites for information, like this one. complications aren't all that common. And most people do NOT have revisions (some do because of severe GERD, but they're in the minority. The majority of VSG patients don't develop GERD, and for those who do, a lot of cases can be managed through medication. Leaks and stomach blockages are pretty rare. You're probably hearing about this because people who have complications are more likely to post about them than are people who've never had any. They're looking for support or advice. People who are two or five or ten years out who've never had any issues would have no reason to post about them. -
5 days post op and feeling scared about the future
Arabesque replied to pompom83's topic in Gastric Sleeve Surgery Forums
Congrats on your surgery. I’m glad you’re doing well. I don’t know what it is about FB groups but from what people say they seem to have a lot of negativity, worst case scenarios & not always sensible advice. Such a shame. I’m not quite 2 years out & I had stress & diet induced reflux/gerd before my sleeve surgery but it was pretty mild. Do I have it now? Yes, but it’s different & manageable. I was experiencing burning in my throat at night. My doctor advised not me to eat protein, liquid protein excluded, 2 hours before bed. And it worked. No more burning. Are there people who’ve had revision surgery because of gerd, yes. But there are also people who haven’t. There’s no guarantee how your body will react to your surgery in the short or long term. There’s certainly no guarantee you will need a revision. Just like there’s no certainty you will develop gall stones & need your gall bladder removed, also a possible side effect. It doesn’t happen to everyone either. Honestly, I have a few issues post surgery (low blood pressure, occasional hyperglycaemia) but my three friends who’ve had the surgery too have had no issues at all. As with all things, it’s sensible to be aware of all possibilities but also not to expect they will all happen to you. Good luck in your journey. So happy I did it. -
5 days post op and feeling scared about the future
pompom83 posted a topic in Gastric Sleeve Surgery Forums
Hello everyone, I am now 5 days post op. Thankfully, I have not had any complications and am able to drink liquids with no issues so far. I have been giving things a lot of thoughts and although all is going well now, I fear of complications in the long term. It seems from posts I read on FB groups that almost everyone will have a revision surgery due to acid reflux. I've also read of other complications such as leaks years post op or stomach blockages. I did my research before surgery, but now that I actually went ahead and had surgery, I feel like I'm gonna be on edge knowing that something bad due to VSG can happen down the line. Anyone here years post op with no major issues? I just need some re-assurance all will be ok. 😣 -
I also had a revision from sleeve(early 2017) to bypass (dec 2020) due to GERD and some weight regain. Happy to say that I no longer have GERD. I’m just over 10 weeks post op and I’ve lost 20kg. May be ‘slower’ then some but I’m so so happy with this progress. Slow and steady :)
