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Hello I am not sure if the revision to a mini gastric bypass will work but I am 100% committed to making it work. I got cocky after slimming down and got off track. Regretful to say the least. I found out that the procedure does not call for a reduction of the stomach because the sleeve already did that. Doing research now to look deeper into the physiological effects of the MGB and the difference between my GSS. If anyone can share their experience with the same surgery path I'd appreciate it. Thank you MJ
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I had no specific blood tests pre-op but have the ones other people have mentioned post-op. I think a lot of centres lump sleevers in with bypass patients although they are such different procedures. I have followed my programme stipulations religiously so far with supplements but honestly at 9 months out from a sleeve I am eating so much proper food that I will probably give up on supplements soon, if only to see what my blood levels are like without them!
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I am Irish and I'm afraid alcohol is baked into my culture. I have drunk some wine most weekends since 6 weeks after I had my sleeve last November when my (Irish!) surgeon and nutritionist permitted it. Yes I do get a hit much quicker than I used to, especially if I haven't eaten much beforehand, and yes, it wears off much quicker too. I do count the calories and I only do it at weekends. It has probably slowed my weight loss but I'm accepting that. I totally get that mightn't be acceptable to other people. But IMO it hasn't held me back *that* much.
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With a sleeve, your really don't need much of anything as it doesn't have a great impact on our vitamin/mineral absorption. B12 is good to do because many programs suggest supplementing that because that's what they do for their bypass patients, who do tend to malabsorb it. But occasionally a sleeve patient winds up being short, too, because they naturally are short on it. Several years before I had my VSG, our doc added vitamin D to their pre op screen because of the amount of deficiency they were finding post op (they primarily do the DS which malabsorbs D along with others, so that was expected,) but they didn't really know how prevalent it was pre op, and they wanted to get a better handle on how much of the post op deficiency they were seeing was existing pre op, and how much was a result of the surgery. This to lead into better tailoring their supplement recommendation. The only other thing would be the iron levels, which I expect are part of your annual draw.
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New here - Gastric Sleeve Bypass & Pre-surgical weight loss
ShoppGirl replied to schla73's topic in General Weight Loss Surgery Discussions
As catwoman said the mini gastric bypass is not super common in the US but seems to be a popular option in other countries. If you do a search for that name you should find threads about it and people who have had it. -
Acid reflux at nightime
catwoman7 replied to skinny44's topic in PRE-Operation Weight Loss Surgery Q&A
most surgeons will recommend that patients who have reflux issues go the bypass route rather than the sleeve route. Bypass usually improves if not outright cures reflux. Sleeve can make it worse. It doesn't happen to everyone - in fact, some sleevers have said theirs improved, but for about 30%, it does get worse. Those odds were too high for me, so i went with bypass (like you, I had issues with it before surgery). Many cases can be controlled medically (by taking PPI's), but some people end up revising to bypass. regardless of which surgery you get, a lot surgeons automatically put their patients on PPI's for the first 3-6 months post surgery just so any potential acid issues don't affect the healing. If yours doesn't, and if you start having issues, ask. They'll probably put you on one. -
I am having the bypass on 10-4-22. I am excited and scared all at the same time.
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Acid reflux at nightime
ShoppGirl replied to skinny44's topic in PRE-Operation Weight Loss Surgery Q&A
I would definitely be certain to tell my surgeon about this prior to the surgery day. They may want to consider bypass instead. Sometimes they go ahead with sleeve but a lot of times they choose bypass. I am not sure how they determine medically but they are the ones to trust to help make the decision. As for the mean time try sleeping propped up on a bunch of pillows or a bed wedge. They sell them at medical supply but they also have them on Amazon. Staying in a more upright position should help. -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
catwoman7 replied to schla73's topic in General Weight Loss Surgery Discussions
I don't think the mini gastric bypass is very common in the US, but as I recall, there are several people on here from Europe who've had it. -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
SpartanMaker replied to schla73's topic in General Weight Loss Surgery Discussions
Here's a list of the ASMBS approved surgeries. https://asmbs.org/patients/bariatric-surgery-procedures If you're planning to have something done that's not on this list, I'd recommend asking your surgeon why they want to do this different surgery. Keep in mind too that insurance companies likely won't pay for it. They want proven techniques. FYI, if you scroll all the way down to the bottom of the list of forums, there is one for "Mini Gastric Bypass". -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
LookingForward22 replied to schla73's topic in General Weight Loss Surgery Discussions
I have hard others talk about a mini-gastric bypass, not as often as sleeve or RNY, but I do recall reading posts on here. The best advice I can offer for the weight loss is to try to break your over all goal into mini-goals. For me those have been more “achievable”. 18.2 pounds is a great start, your almost 1/2 way to your goal! Start practicing the things you will need to do once you have the surgery… smaller bites, chewing more thoroughly, measured /weighed servings, portions on your plate, hitting your water goals, not eating or drinking 30 min before or after eating. Also remember to add in some exercise. I do simple weight bands and walking (alternating days). Those things helped me loose some extra pounds as I’m working through my pre-op. Before you know it you will be at your goal. My surgery is the 16th, I start my pre-op liquid diet tomorrow. I noticed that I feel fuller quicker and can’t eat as much just from implementing those things … and I’m gradually loosing weight as I go. Good luck! -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
schla73 replied to schla73's topic in General Weight Loss Surgery Discussions
No I’m not. It’s being performed as a standard surgery with Novant Health in North Carolina. I would provide a web link but I thought I read those weren’t allowed here. So you can google Novant Health and look at the surgeries that they do or simply read below. From their website: “A sleeve gastric bypass procedure limits both the amount of food you can eat as well as how much food your body can absorb. It’s also called a mini-gastric bypass, This minimally invasive procedure divides the stomach into a long narrow tube and a second larger section. The smaller section is reattached approximately six feet further down the small intestine. The larger stomach is left sealed an unattached.” -
Acid reflux at nightime
summerseeker replied to skinny44's topic in PRE-Operation Weight Loss Surgery Q&A
Hello and welcome to the forum. People who already have reflux prior to surgery are usually channelled towards a Gastric Bypass instead of Gastric sleeve. Is this the case for you ? -
Sleeve to bypass hopefully
Dogmom68 replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey! I have BCBS. I was fortunate when I called my insurance company to get a representative who had just recently had gastric bypass surgery so she was incredibly helpful! She said it was not uncommon to be denied initially and that my doctor could either do a peer-to-peer call with one of their doctors or my doctors office could order some other tests to document the hiatal hernia further. Once that was done they could re-file and most likely I would be approved. So I haven’t given up hope yet! 😁 -
VSG to DS - Scared to Lose Too Much
Bumblebii replied to Bumblebii's topic in Revision Weight Loss Surgery Forums (NEW!)
Oh wow that’s incredible! So you lost the 112 pounds after the bypass? 3 stone would actually be perfect for me to lose even if that was the maximum amount, so even that is great news. Did you find the recovery was easier or harder than the sleeve? -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
Bari_KS replied to schla73's topic in General Weight Loss Surgery Discussions
I think she is talking about Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S). -
Revision after only a year of Gastric Sleeve
Ninabnina77 replied to nidvia's topic in Revision Weight Loss Surgery Forums (NEW!)
How has your recovery been going after your revision from sleeve to the bypass? Are you happy with the outcome? Have you experienced any complications ? Sent from my SM-N950U using BariatricPal mobile app -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
Tufflaw replied to schla73's topic in General Weight Loss Surgery Discussions
Yeah I also never heard of a Gastric Sleeve Bypass - I've heard of a Gastric Sleeve and a Gastric Bypass and in fact I've had both of those procedures myself about 5 years apart! -
Sleeve to bypass hopefully
mrs.melmcc replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I am 8 years out from my sleeve and have had GERD since. It has progressively gotten worse. They found a fairly large hiatal hernia. Initially my doc was recommending the bypass conversion but he was concerned it would cause more problems for me since I really don’t have that much more to lose. I had a hernia repair surgery on 7/26 and was told I actually had two! They fixed the hernias, stitched the diaphragm where the esophagus passes, and placed a dissolvable mesh wrap. I am on full liquids until my follow up on 8/10. Overall, I think I did better post op with the sleeve as physically it’s been pretty rough. I was told to quit taking my PPIs and haven’t needed them so I’m hopeful that this will work. He said we can keep the bypass as a last resort but my BMI is down to 26.3 so I don’t think it’s truly an option. I also think if I had known what the past 8 years would be like I may have just opted for bypass from the beginning. -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
KevinS62 replied to schla73's topic in General Weight Loss Surgery Discussions
Hi @schla73. I'm not an expert, but I haven't heard of a Gasteric Sleeve Bypass. Is that like the Duodenal Switch (DS)? Many have had to lose weight prior to surgery. In my case, it was my insurance company that required me to have 3 visits to the surgeon, each at least 1 month apart, and I had to show them I was taking this seriously by losing weight before each appointment. Then there's the pre-op diets that many have to do which shrinks the liver and makes the surgery easier for the surgeon. I lost 28 pounds in the 3 1/2 months prior to surgery. -
Revision from VSG to RNY with hernia repair
lolarose13 replied to shriner37's topic in Revision Weight Loss Surgery Forums (NEW!)
I’m so glad this is working for you. I also have Aetna. I have GERD, but the EGD only showed a hietal hernia. I looked at the guidelines and they changed the requirements if get a revision to bypass only for GERD. I’m hoping the hernia repair will be enough to get approval. anyone knows more about this? -
Revision after only a year of Gastric Sleeve
lolarose13 replied to nidvia's topic in Revision Weight Loss Surgery Forums (NEW!)
hey! how was your surgery, how are you feeling? I’m on the same boat trying to get the surgery. Same thing, GERD after sleeve, EGD showed an hernia and I want to get revision to bypass. My BMI is 31 and my fear is that my insurance won’t cover it 😢 -
Revision without a high enough bmi now
lolarose13 replied to Nanajoy's topic in Revision Weight Loss Surgery Forums (NEW!)
I’m on the same boat. I already started the process to get a revision to bypass with a BMI of 31. I had very bad GERD but the EGD only showed up a hietal hernia, and I guess Aetna guidelines says esophagitis. I’m terrified they would not approve me because of this 😭 -
New Member/Revisions
lolarose13 replied to CDMC1972's topic in PRE-Operation Weight Loss Surgery Q&A
Anyone here got the revision from sleeve to bypass with a lower BMI? Long story short, I got a revision from band to sleeve on 2016, reached my goal weight, and started to have lots of reflux and life and my current BMI is now 31. I started the process to get a revision, and the EDG only showed a 4cm hietal hernia but nothing related to esophagitis. I have to go back to the doctor next week, but I’m fearful my insurance will deny me because they would need more proof of my GERD. I read the guidelines for Aetna, and it says esophagitis 😭 -
New here - Gastric Sleeve Bypass & Pre-surgical weight loss
schla73 posted a topic in General Weight Loss Surgery Discussions
Hey everyone! I’m new here. I am in the process of having all my appointments for the Gastric Sleeve Bypass. I don’t see a lot of people talking about this particular surgery and wondered if anyone else has had it. It’s supposed to have the same outcomes as the RNY with less complications. This has been a long journey for me. I started the process several years ago and when I changed jobs my new insurance didn’t cover the surgery. That was devastating but now I’m with a much better surgical center and couldn’t be happier with the process. My biggest frustration is that the surgeon is requiring I lower my BMI before surgery. This amounts to about 40 pounds. It feels overwhelming. I keep thinking, if basic weight loss hasn’t worked for me before how am I ever going to accomplish this task! I’ve lost 18.2 pounds thus far. I know it’s good weight loss but I keep getting hung up on the final result and how far out of reach it seems. That’s all I can think of to share for now. I look forward to reading the journey of others.
