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Oops, when I read restriction I thought you had the sleeve done. Sorry but it's my understanding you can get a DS revision following gastric bypass. True You does do both sleeve and gastric bypass revisions.

Oops, when I read restriction I thought you had the sleeve done. Sorry but it's my understanding you can get a DS revision following gastric bypass.

There is a new nonsurgical procedure called endoscopic sleeve gastroplasty. I had the procedure done in June 2020 but not as a revision. Google True You Weight Loss or Dr. Christopher McGowan in Cary, NC for more info. Also, many others have either had revisions to RNY or DS. I think there is a revision forum you can check out.

Surgery 03/2013 280lbs I've managed to gain back all my weight. I do not feel restrictions when I eat anymore. Possibly medication related. Possible bad habits returned. I bit the bullet and called the WL clinic because I don't know what options are available in my area. I've done all kinds of research. Nurse told me they rarely do any revisions and never have done a band over gastric (I was really wanting that) She mentioned possible medical weight loss such as appetite suppressants etc... I would rather have a surgery than to take any weightloss pills with side effects.I am wondering if any of you who had a regain have gotten any medical weightloss options that worked?

Here in the US, the MGB is not a common option, though it has been adopted by bariatric groups in other countries. When my wife and I were first investigating WLS some twenty years ago, the MGB was kicking around the sidelines of the bariatric field trying to find its place, but it never did here, failing to gain acceptance of either the ASBS/ASMBS or the insurance industry. In the meantime, both the DS and VSG have gone mainstream. There may still be a few isolated practices that offer it on a self pay basis, and there are several groups in Mexico that offer it, mainly as a cheaper, but not necessarily better, alternative to the RNY. The main bugaboo that I recall with it has been a greater propensity toward bile reflux, which is easy to understand if you look at its anatomy. As for a revision to counter regain, It doesn't make a lot of sense to me, as its metabolic strength is so similar to the RNY - much the same as switching between the VSG and RNY, or vice versa, for weightloss/gain reasons, doesn't make a lot of sense. To counter a regain problem, one should look to a stronger procedure, which in the current world is the duodenal switch (DS). Unfortunately, that is a very complex revision which only a half dozen or so surgeons around the country are capable of doing. That would be your best shot at losing a major part of your regain, but also the hardest. There is the newer SIPS/SADI/"Loop DS" that is a simpler and more accessible procedure that seems to sit between the RNY/VSG in DS in effectiveness, but it is still working on gaining acceptance from the ASMBS and insurance industry, but it doesn't seem far off now; that would be a compromise worth looking into, but it's not an easy revision, either, as it is sleeve based procedure, so the stomach first needs to be but back together before proceeding with the revision. The RNY, overall, is a difficult configuration to work with if it's not working right. The "simple" regain fixes such as re-doing the pouch, tightening the stoma or putting a band over the pouch don't seem to work all that well - figure on losing maybe 20 lb, on average, mostly from having to go through all of the restrictive diets around surgery time again, but beyond that it is mostly individual effort (which is what one does without surgery.) The other major option may be offered is to change it to a distal RNY (as opposed to the familiar proximal RNY) which dramatically increases the malabsorption component, with the trade off of the expected increase in supplement needs and potential for more significant nutritional problems. It is not usually approved by US insurance as a primary WLS procedure, but sometimes can be justified for special circumstances. Revisions are not a simple thing - research them carefully to fully understand what is involved, and what the potential risks and benefits are. Good luck,

Kempner, TX but working out of the Killeen office with the Texas Bariatric Specialist group. Sleeved December 2018 and had revision to Roux-en-x-y gastric bypass on October 7th, 2020 per GERD/Acid reflux issues causing damage to my vocal chords and creating a cancer risk. Lost 20 more lbs since revision and am happy with results as I was only able to get to 173 with sleeve and now I am 8 bs from goal weight ( Now weighing 153) and finally within reach. I have had no complication and no longer any problems with GERD or reflux and am very happy thus far.

Ugh... I'm so sorry you have to go thru another surgery. I don't think I could deal with that. At this point, the pain isn't that severe, it's just constant and annoying. I don't get a "full" feeling like I did pre-op. Instead, I have to really pay attention when I eat as I get the discomfort every time I eat or drink, and the only way I know I'm full is when the discomfort gets really bad. It's so annoying! Good luck with your revision!

2012 Sleeve 12/02/202 RVISION TO BYPASS Starting 296lbs down to 189LBS MY LOWESET FIRST GO ROUND. Started back drinking Cokes n Nos. Stopped walking and lifting. Over the next 2 years put weight went back up to 240. 2017-2019. 2020 decision was made when I was told about hernia if I had not had hernia like many of you who have chosen to do a revision. I would not have decided for it. Acid reflux was beating me down. so Sleeve to Gastric bypass completed 12/02/2020. starting 236 lbs 12/20/2020 weight 212.8. Any Killeen/ Temple area folks hit me up no matter what year you come across this we are always trying to stay focus. ☮️

Yes, I am losing weight and has a weight loss goal set for both times for the same goal and did use the same doctor as he was already familiar with my body. I have lost a total of 103 lbs and have 8lbs to go to reach my goal. My starting weight in 2018 was 256 and I am currently at 153 and am 5'5. 145 is my goal as I have a large bone frame and look perfect at 145. Previous to my revision I only got down to 173 so I have lost 20 lbs with this revision in all since Oct 7th.

Wow, heck of a year 2020 is for me and countless others. I had move on after truly trying everything last year. After 5 surgeries (only 2 related) and countless testing? I will qualify for my revision sometime in 2021. Maybe it was this knee pain that I am currently feeling [emoji16] I am so scared. I don't know why? I know that is my best way to improve my health and increase longevity. I talked to so many doctors and mental health professionals over the last year. Opinions vary! Can someone tell if they too struggled with this process and then achieved success after being revised! Thanks so much! Heck of a year! Sent from my SM-G965U using BariatricPal mobile app

I had my sleeve to bypass revision Dec 2 2020

I don't know if anyone else is experiencing something really strange happening. But I am experiencing things smelling and tasting really strange. It seems to be shredded cheeses, my yogurt, and my decaf coffee. All these things I ate before having my bypass revision but now they all have this strange smell and taste which is kind of nauseating. When did I mention it was Greek yogurt that has this smell. I also found that I order a salad from Wendy's and the dressing smell the same way and taste the same way. Can explain what the smell or taste is but it's weird that all of these different things have this smell and taste. Has anyone experienced anything like this? Sent from my SM-G781U using BariatricPal mobile app

Had a revision & second hiatal hernia repair done per GERD so bad damaging vocal chords and cancer risk. 10 weeks post op and very happy with results! No GERD , can eat things I wasn’t able to before . Liquid goes down easier than it did with sleeve and I am losing more weight and am now closer to goal weight (8lbs to go) which I never was with sleeve. No complications. No more GERD or acid reflux, so happy and feeling 10xs better!

I have BCBS federal. I am trying to get a revision of gastric bypass originally done in 2004. They denied me because with the original surgery, I lost at least 50% of excess weight. My doctor did a peer to peer but still denied. Has anyone ever had this happen to them

I also went to the doctor anticipating the sleeve, but he suggested the bypass. He was really good about explaining the whys. He asked what my concerns were about the bypass, and I mentioned that I thought it was more invasive. He said that it's a more technically complicated surgery than the sleeve for the doctor, but on the patient side of it, the pre/post op are pretty much the same. When it wasn't done laparoscopically, I'm sure it was much more invasive, but now it's pretty much the same as the sleeve. I've decided to take his advice and go with the sleeve. Also, my insurance made it very clear this one a one time surgery, and I've seen so many people with revisions that I'm just going straight to bypass.

Yes! I had revision from VSG to Gastric Bypass on 12/8/2020

I am cassey new here. I had a revision Sleeve to GB. My Sleeve was in 2010 and my GB was 11/30/2020. I am out of breath alot and went to get checked out in ER today. They said I have no clots and I am happy about that. I cant eat or drink much and so I am not getting all the fluids needed. I really hope this gets better. I am not sure if the fact I lost 19 pounds since surgery has anything to do with my symptoms. I just need some support and need to know that I will feel better soon. And I have experienced dumping I think and that is no fun either, and that sometimes makes me not want to drink or eat.

Hi everyone so my revision from sleeve to GB took place on 11/30/2020. I had my sleeve in 2010. I feel hungry all the time, and feel like there is nothing I can eat. I am on the mushy food stage, I can have tuna, soup, applesauce, warm cereal etc. But I am so week and out of breath, and actually went today to ER to make sure I did not have any blood clots I am all clear thank God. I am also having time getting all my fluids, and maybe the weakness is from the weight loss. I lost 19 pound since surgery on 11/30. And from reading other posts it seem like alot. I just want to get my energy back.

I had the same thing happen. Sleeve Surgery in 2016. 6 weeks out I started having those same issue. Now I’m about to have a revision to bypass because Gerd is a side effect of the sleeve. I’m having to go back through the whole process again...

I haven’t had an a1c since August the week before my revision but when I had my revision surgery I was on 4hr blood sugar checks in the hospital because my post op level sugar level was over 200! It was confusing because I’m not diabetic and all of my a1c draws have been within normal limits.

I agree with talking to your mom about how you feel. It can be frustrating when you feel alone. I’m a year post VSG today and 4months post VSG to RNY revision and there are days where the struggle with texture are very real. I just do the best I can. I rely pretty heavily on protein soups, protein bars, and shakes as animal protein doesn’t sit well most of the time. Sometimes I’ll go the plant based protein route with things like impossible burgers or tofu. Hope you find something that works for you.

I wonder if your memory issues are due to any of the medications you may be on? I take Gabapentin and Topamax for chronic pain and these medications cause me memory issues. I too had a revision from the sleeve to Roux-en-Y gastric bypass due to acid reflux along with a second hiatal hernia repair. It was my 15th surgery. I had previous surgeries to remove gallbladder, appendix, 3 shoulder repairs, foot surgery, and on and on. But I blame my memory issues on the medications that they give me to control pain as I notice when they increase the amount the more issues I have. They don't like to prescribe opioids any longer and these had no issues on memory and now these alternative do and so we just have to live with the side effects and decide if we want to live with the pain or deal with the side effects. I am also on medication for depression and PTSD which contribute to the side effects as well. So, I would say to look at whatever medications you are on and discuss this with your doctor and decide if the side effects are worth it for you. I don't think it is a side effect of the surgery. And you are correct, this surgery and journey are not the easy way out. It takes hard work but it is definitely worth it! This group has been my greatest support and I have always been able to find support for whatever issue may arise. I am especially thankful for this group.

I am only 5 pounds overweight now but may need a revision to bypass for GERD

What kind of revision did you have?

I’m doing lap band to GB on dec. 17. I got my band in 2008 and it slipped in 2016. I originally got down to 190 with the band and up to 255 after it slipped. I had my bad refilled but it never worked the way it originally did and I was soooo hungry all the time, but eating was painful. My original surgeon’s PA whom I normally saw refused to talk about revisions. He said since I was so successful with the band that I could make it work again. Fast forward three years where I’ve gained 50 pounds and spent over $5k on medical weight loss diets, etc. I pleaded for help one more time and a different surgeon in the office agreed to help. I originally wanted the sleeve, but my (new) surgeon said she would only do GB after removing a lap band because of safety issues regarding scar tissue from the original surgery. She said if I got the sleeve she would have to staple through the scar tissue and it could cause leaking. I trust her judgment so I decided with GB. I too was having problem with pain while eating and I had acid reflux issues at night. I had my surgeon take the fill out of my band and feel 100% better, and oh so hungry. Good luck with whatever you choose to do!!