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I too would suggest that they look at your abdominal area and see what is going on. 110 since July seems great. However, I have a friend had emergency surgery because something happened with her revision. . Sent from my SM-G965U using BariatricPal mobile app

I know this is not really going to get answers but maybe someone might have some insight. I have lifelong chronic illness and disability. A challenge is being sensitive to medications and side effects and having allergic reactions (my list of antibiotics I am allergic to is growing) It started with Umbilical area pain that radiated upward to the right shoulder blade area like spasms. Admittedly I am also dealing with diverticulitis issues, bleeding and pain I'm not sure the source as well as Interstitial cystitis. My gastric bypass surgery inadvertently revealed a form of neurological dysphagia I have difficulty drinking thin liquids. landing in hospital with aspiration pneumonia a day after I got home, I found out that was why. started before surgery but I didnt know why I was having difficulty drinking water. normally i could chug it no issues. For a while I had trouble with eating which turned out to be stricture. I had history of ulcers prior to my gastric bypass surgery. and they found it afterward as well. I had dilations. and eating got a bit easier I just had to be careful what types of foods I ate. But then some weeks back it got really bad I found myself feeling sick just taking nibbles of my lunch. I always meal plan daily and prepare portion control sizes so I know how much calories and protein I am getting and what my portion is so its never too much for my pouch. But Id get partway through nibbling slowly and at times depending what Im eating Id just have to stop. and then feel the need to throw up but cant at times heaving but only a thick mucus comes up. I saw my general practitioner and had a CT scan and bloodwork. I also made some appointments. She told me to see my Bariatric surgeon. I had to wait until just recently to have a Endoscopy. I am just frustrated. because the CT scan showed Hepatic Steatosis. My one liver level is high it was not high when I was losing weight. Only when it was stable already. I did not have fatty liver prior to surgery. But they want to assume I did and that no one told me. But that's something they check for because its a co-morbidity! Also my gallbladder was checked at the time it had to be removed due to chronic inflammation. People have gastric bypass to get rid of fatty liver ... I have only read of maybe a rare case of liver disease post surgery. Anyway. back in June I had a enteroscopy to check the remnant portion of stomach and dilation. no mention of ulcer then. I have trouble with proton pump inhibitors not working and they just seem to deplete my vitamin levels too much. plus trigger my migraines. Ive had ulcers go away without the PPI and gotten ulcers while on them so they just dont seem effective. Then there is carafate. one side effect is constipation and with diverticulitis I cant afford that especially since the CT also showed inflammation and narrowing of my colon ... and I am trying to get iron and even the supposed non constipating kind in my whole foods based multivitamin is throwing my system off. so I had the Endoscopy this month and it showed Jejunal ulcer so the doctor just prescribes proton pump inhibitor and carafate (my insurance decided to not pay for carafate) but what other options are there besides these? and what could be causing the ulcers if Im not taking motrin or similar meds even though I do need them. Ulcer at the junction between the pouch and small intestine can happen in the first months post op and common treatment is PPI and carafate but not nearly two years out. Hard to believe April will be two years ... my gut keeps telling me its issue with my remnant stomach. perhaps even with the staples used. but I dont know how to get answers. I have seen when these things dont work doctors do a surgical revision of some kind. my surgeon is great but yet he seems to address it as it too simply and its not that simple anymore. Also I cant figure out the fatty liver aka hepatic statosis and the high ALT (liver enzymes) they assumed it was high before but no not really. Also I had blood transfusions in June and the levels went down due to the transfusion but then went back up again. so one would assume if it had to do with the weight loss the levels would have stayed down. I cant sort out what move to take next. I kind of sat on this post a while and didnt post it. I still hesitate. I know its probably not something anyone can answer. I am just getting frustrated. I am also retaining fluid in my abdomen along with a lot of pain.

for some it gets better, but for about 30%, it gets worse. I'm surprised your surgeon is recommending it, to be honest. He may be more comfortable doing that surgery - it's less complicated. But I don't really like his comment about how you can always revise to bypass. Yea, but... I had GERD before surgery. I didn't want to take the risk of it getting worse.

It totally will depend on how your surgeon explains the need for the revision during the insurance submission and if your insurance requires the waiting period matter what. Call your insurance a d ask where you can find the information on Bariatric revision surgery. If possible ask for it in writing. Also find out if that particular revision procedure is covered. Good Luck ❤️

that is so cool you were able to get a REVISION. That is what i am trying to get. I have a phone appointment with my primary dr to give authorization to schedule and appointment with my surgeon. I really hope i get approved for REVISION since i have gained 40 lbs and have really bad Gerd. I have Kaiser. I already had an endoscopy and cat scan. I just really hope my surgeon approves me for REVISION. i had bypass surgery 8 years ago.

OMG !! you are so lucky, i have kaiser insurance. I need a revision. I gained 40 lbs and have terrible Gerd. I am praying i get an authorization today for an appointment with my surgeon. I really hope my surgeon approves me to get a REVSION. I already got all the test needed, endoscopy a cat scan . Everything is in my chart showing i have bad Gerdd. Honestly i just need another shot to try and get this right. I really hope my surgeon approves me for revision. I don't want to gain all my weight back. That would be horrible

I was set to do the bypass but my doctor is really pushing for the sleeve. He said that most of his patients have less reflux after the sleeve and if it does get worse they can do a revision or put a magnetic band around my diaphragm which is something I had never heard of. I do not want to have a revision, especially since I’ll be paying out of pocket, but he was pretty sure the reflux wouldn’t be a problem. The sleeve is definitely a less scary sounding procedure and as I’m 22 I have a lot more time for long-term complications to happen and the sleeve has a much lower risk of those than the bypass. Decisions decisions

My surgery has a sleeved stomach and although I didn't have GERD I DO have EOS which causes acid issues. I have less acid then I did pre-surgery (I'm 1 year out), but my case is also not typical as generally speaking acid tends to get worse with the sleeve. I mean, it may not happen to you, but you also have to take the chance that you may end up having to have a bypass revision somewhere down the line. If you don't mind the risk then go for it. If you don't want to potentially do things all over again then do the bypass. In the end, it's very much your own choice. Just do what makes you happiest.

Looking hot!! And healthy! Great job! What did you revise from? You did amazing!

Hi- I had gastric bypass in 2016. Lost 100lbs. Since then, I’ve gained 60 of that weight. I have an appt in couple of weeks for a revision. From what I’ve looked, they do an endoscopic revision and it’s a 15 min procedure. My question is- do we have to wait the 6 months that we did for the original gastric (per insurance) or will this not be that long of a wait? How much have you lost since the revision? Thanks everyone!

thank you, i have a phone appointment today, to get authorization to schedule appointment with biatric surgeon. I hope my surgeon approves me for revision.

I'm not sure if there's a WLS solution for heartburn in your case since you've already had bypass - that's usually the revision they recommend for sleeve for those sleevers who have severe heartburn (i.e. sleeve to bypass). Although maybe there's some other type of surgery (non-WLS- related) they can do for that?? Not sure. the only "revision" they can do for bypass is tightening the stoma, but I've read mixed reviews of that. And I've heard the same as the above poster - people usually lose about 20 lbs with that. as for insurance coverage, some policies will cover revisions if they're done for medical reasons (GERD is one - but then, you've already had bypass, but again, maybe there's some GERD specific medical treatment out there? Not sure). I don't think many policies, if any, would cover it for weight gain. I'd talk to your PCP or a bariatric surgeon. I don't know what your options are since you've already had bypass. Sorry you're going through this - GERD is awful!!

So, I am thinking of revision too. I think for insurance (overall) you can get it if you get heart burn/ulcer, or had significant weight gain, which I think 40 pounds would cover it. Or if you never got to your goal weight. I wouldn't suggest gaining weight. the most common revision which is just tightening the pouch and stoma, typically people lose like 20 pounds with that. Are you thinking of like a more malabsorption gastric bypass or duodenal switch?

hello there, i had gastric bybass 8 years ago. Now i am struggling on feeling full. I am hungry all the time. I have gained 40 lbs and i have terrible heartburn. I want a revision. Has anyone gotten approved for a REVISION bybass?? that can help .....what is it that i have to do to get a REVISION. I don't want to regain all my weight back

I had my arms and a fleur de lis TT revision about a year ago. The scars on my stomach are fading to a light pink and some spots are almost skin color. My arm scars are still a very dark pink and are wider than the scar on my stomach. I know with time they will fade more but does anyone else have some areas that faded much faster than others? The plastic surgeon did a steroid injection a few weeks ago to an area on my belly because it was raised. It's been 6 weeks and it has helped so I am thinking if I should have more areas on my arms injected. I know we are not supposed to have any steroids after WLS but the plastic surgeon said the dose is less than 1% of what an oral steroid would be. Still, my skin gets really thin from steriod injections so I don't want to do an injection if not necessary. Old scars I have are all faded but they are 10-20 years old so I don't know if my arms will eventually fade as well or if I will be stuck with pink scars long term. Any thoughts or opinions?

I had my surgery the Rouen Y in 2003 I’m doing good but I am getting older and I think that’s why I feel like I’m gaining. Not sure what the revision is all about I was told I may need one but if it’s not something I truly need I’m good the way I am. Thank you for your response

I’m considering a revision but am doing intermittent fasting for a few months and returning to the eat Protein first basics before I decide. Fasting worked well with my sleeve until Covid, antidepressants and menopause did a triple wammy regain-wise. Very frustrating since I’m 10 years out. I plan to use fasting for maintenance regardless, just thinking that greater restriction would be nice to have. Interesting to hear what others are considering.

That I'm not sure of. I paid cash for my sleeve and am paying cash for my revision surgery.

Does insurance cover a revision?? Sent from my SM-N986U using BariatricPal mobile app

Hey, @Tracyringo I was sleeved on 9/11/18. Lost about 120 pounds then got pregnant and started suffering from serve reflux and lost restriction. I am scheduled for a revision to bypass on 3/29/21. I would love to talk to you about your experience with revision. I am now about 70 pounds heavier than my lowest weight and am dead set to make this a success. Any tips or words of wisdom?

313 was my top weight, 307 on my first appt with the Surgeon in Dec 2019 and I was 293 on my surgery day Aug 24th, I'm only 5 ft 3 5" had a Bmi of like 53 and a waist of 59 inches, My waist now (20 weeks later is 41 inches). I chose the R&Y because I wanted the most restrictions and requirements possible, the extra accountability that comes with the stricter reginine of supplements for life, low fat and no sugar. Dumping syndrome is AWFUL!! its nausea, the cold sweats, upset stomach etc like a sudden flu that happens in minutes. It happens if u have too much sugar, Fat or just too much food in your stomach, especially with fluid and then it goes through faster than it should. The 30/30 rule is for real! I also felt in all my research and my surgeon agreed that my GERD (acid Reflux) and my EOE Eociniphilic Esophogitus (Spontaneous regurgitating) would both be better with the R&Y. Gerd can get worse with the sleeve. They were right and my Gerd is gone and I no longer need meds for it either. I'm down 68 lbs since surgery and I'm 100% confident I made the right choice for me. I also Didn't want to go through a revision of sleeve to Bypass if it didn't work well enough for me. I have lost and gained 100 lbs multiple times in my life and I never wanna go through it again. I need the stricter food guidelines for my progress, the accountability and responsibility keeps me on track. Not 1 item with real sugar in it since 2 weeks before surgery. Fruit is my only real sugar and I am careful to eat very small portions of low sugar fruits like berries and some green apple. I put pyure sugar sub on things that need it but thats rare as things do taste sweeter. You really have to make the decision that's best for your individual wants, needs and preferences. I had a lot of pain post op, I did have my Galbladder out too tho so I have 9 incision scars instead of the 5 most ppl have. It took a few hours for the nurses to get my pain under control and I had some pain for first few weeks at home. Then suddenly it was gone. I also rejected no less that 2 dissolving stitches from 5 of my incisions, this has happened to me before with other surgeries. I would do it all over again tho.

I was a revision sleeve to bypass. For the bypass I took 3 weeks off work (though my job is fairly active - aged care).

Hi! I am new to this forum. I got my lapband in 2013. My starting weight was 280lbs and I am about 5'3". In the first year I lost 95 pounds and was down to 185lbs. I never had a fill as my doctor never recommended one. In the last 4 years I have shot back up to 225lb as menopause had set in and I started to lag going to the doctor which was no help. I am now 56 years old and can't seem to budge even a couple of pounds off. I have moved out of the state where I had the procedure years ago and had a consult with the local general/bariatric surgeon about 10 months ago. He agreed to remove the lapband and do a revision to bypass. I met remotely with the bariatric nurse and participated in the orientation zoom meeting. I went for my first weigh in as I was told I would have to start from scratch and in the program and work with a doctor or dietitian for 6 months before they would get approval for the surgery which Iwas more than willing to do. I was turned off by the nurses attitude as she never answered my calls to guide me in the right direction to get started so I gave up on the idea. I feel stuck, depressed and frustrated and I don't know where to turn. My insurance has changed and I can't seem to find a doctor to help me. Thanks for listening. Sent from my SM-A505U using BariatricPal mobile app

When you say you are hungry all the time, do you mean that you don't have restriction? If you eat a protein rich like, say, a chicken breast or a small steak - does that still leave you hungry? Or do you mean you feel head hunger all the time? If you actually feel physically hungry even after eating enough to fill your pouch, then that may be an issue around the restriction. But if it's head hunger, I can certainly relate. The drivers for my eating are rarely actual hunger and often boredom, stress etc. The problem is that this messes up our bodies' ability to recognise the difference between actual hunger and head hunger. I don't know a huge amount about the bypass surgery or any revision surgery, but I think they're unlikely to address the more fundamental issues you might have with food and how you eat.