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Stay Safe and Hopefully Well/Healthy Everyone! Hi, I got the Loop Duodenal Switch almost a year ago, done June 2019. Please, if you post, say the surgery without abbreviating it, as I am not familiar with the initials/abbreviations of the surgeries, unless you want to post a list that would be appreciated too. I wanted to know if you ever experienced losing weight too fast. If so, did it ever slow down, or did you gain it back? I have been told that I might have to have revision surgery because I am losing at the same rate as when I first got surgery, which will be a year ago in June. I don't want another surgery, as it was pure hell the days and weeks after surgery, for multiple reasons. I was told that I could go as low as 95 lbs, but I am already at 134 now, supposedly one will slow down weight-loss once they have reached 50% of weight-loss or something to that degree for the Duodenal Switch Loop. I am just curious as to if you wouldn't mind sharing what your weight-loss journey has been like if it has been more than 1 year and especially if it has been more than 2 years. Were there any concerns over losing too fast? If so, what helped without a revision surgery? I have to say at one point weight-loss was fast, I was able to slow it down after I was told that I would need revision surgery after the 1 year mark, mostly by food journaling. This COVID-19 ridiculousness got me off track again of losing slowly even though I went back to journaling. I hate to say this but with my own journey, Although I start off by listening, I find that some of what a nurse/Dr. says sometimes is crap, so I want to make sure that the talk of me needing revision surgery is not more, crAp. What have you done, Help! I know that it may seem like a ridiculous thing to be alarmed about but I really can’t handle another surgery so I would like to know if this has happened to anyone else and what worked for you besides revision surgery. Thanks!

I am looking into Mexico as an option for a revision from band to sleeve. Who did you use? Why did you choose them? Who would you not use, why? How was your experience? How much did you pay? Did they fix any hernia? Lots of questions yes. I have been scouring the boards for all any information. Thank you for any responses and any information on your experience.

Contact your health plan and request a copy of their criteria for revision of bariatric surgery - this is key, because most health plans have different criteria for revision than initial surgery. Hope this helps!

Juniper, I’m in the exact same place. I had severe reflux and had all the fluid taken out of my band. I quickly gained 20 lb over the 40 I had gained back over the last 2 years or so. I am approved for revision to bypass and am hoping to have it near the end of Feb. I had the exact same question . I would get stuck with the band and could either tough it out or eject the stuck item. I often chose eject and am wondering if you can do the same after bypass.

I have developed a hiatal hernia, thought I had some food stuck was pretty scared. Went to the Ed after the most awful tests was Dx w/a hiatal hernia. I did not have this prior to my revision. Has this happened to anyone else? I am going to send an e-mail to Dr. Aceves. Going to see my PCP when I can get an apppointment. Just what I need another surgery!:thumbup1: Dee

So your post sounds just like me...add a few advanced nursing degrees AND the fact that I had RNY done 25 years ago to make me feel like even more of a failure. I'm back going through the process of considering a revision to my original surgery at my highest weight ever. IF insurance will approve. While it would be awesome to get a total do-over with the RNY process (not just the reducing the stomach which is essentially what I'm not a candidate for) I don't regret my decision 25 years ago. I am sad that back then there was little/no follow-up, no real rules on diet/caffeine/timing of water intake/etc --maybe I'd have had better long term success. BUT I did lose just over 100lbs. Felt better than I had in my entire life and did more than I'd ever done - travel, marriage, shoppig in normal size clothing stores, etc. I have been morbidly obese since 6th grade and overweight since I was 7. That surgery got me closer to "normal" than ever. No diet I did before that or since then has been so successful- a year long protein shake diet did result in 70lbs lost but then I regained all + some much faster than after surgery. But, I realize now that I half-assed the process and expected that it would just magically work on its own. I'm sure deep down I probably still sort of think that way. I'm older have a couple kids that wish mom was more active and am restricted from doing things because of my weight and that makes me sad. This time I'm throwing everything at it...sort of feel like it's my last ditch effort. After my mandated psych eval for surgery I opted to continue working with the counselor who specializes in all types of eating disorders and am seeing a bariatrician who will prescribe WL meds. I've long thought until someone fixes the chemicals in my brain WL will never be long term, so I believe in meds. I'm taking the process so slow unlike in the past where I jumped into huge lifestyle shifts that were only sustainable for short-ish periods of time. I didn't even start a legit "diet" until just this week even though I've been going through the pre-cert process since October...and it's not really a diet- just replacing one meal a day with a shake per the changes prescribed by the bariatrician. On the advice of the counselor I've been setting one really small goal each week that is hopefully attainable and I'm able to maintain. Who knows what will happen with the WLS approval process. I'm hopeful the other adjuncts I'm working on will help me be successful for the long term. IF surgery is approved, it's really just another piece of the WL puzzle though a really nice one in terms of the ability to lose weight rapidly. It's up to me to keep it off though.

Any experienced Gastric Sleeve Doctors. in US offering Gastric Plication to regular Gastric Sleeve Revisions?

There are lots of chair based exercises you can do. A quick Google search should turn up quite a few. Arm raises, calf raises, bicep curls, etc. Good for you for wanting to start out with good habits! Lap band 10/2007 revised to RNY 12/22/2017 HW 270 SW 263 CW 253

I am 7 weeks post op and am having difficulty with vomiting after eating meat or fish. I will chew it for at least 60 seconds and even after a bite or two I will throw up everything and it tends to continue for a few hours. I grill my meat or broil it with no oils and I do not understand why I can't keep it down. I can't even do protein shakes as they make me sick so i'm living off of yogurt and i have oatmeal in the morning. My doctor put me on meds but it's making it worse. I'm not losing a ton of weight. I have to add that my surgery was a revision to 2 previous nissen fundoplications so I also had work on my esophagus . Can anyone recommend anything else I can eat to get my protein? Also, any suggestions on incorporating fish or chicken without getting sick. Ren

You know, I don't know WHAT--if anything--my doctor submitted to my insurance for the band removal part of the surgery. He DID submit for the DS and they paid him. His "program fee" (that's out of pocket for me) is $1000 more for revisions...maybe that's where he makes up the difference.

I had lapband to MGB revision in late 2014. It is the best thing you can do, much better than the classic bypass. I am at my ideal weight and lost 112lbs in 16 months.

When you pick a doctor, definately ask about their experiences with patients having acid issues after sleeve. How often does it happen to their patients? What treatments do they pursue? How many of them need surgical revision? Some doctors will have a better handle on this than others. Also ask...how have you modified your technique to avoid acid issues with sleeve? Do you have fewer patients with post surgical acid issues now? Have you done any recent continuing education on patients who experience acid with sleeve? Go to someone who is part of the conversation for the newest ideas in surgery. It's not a guarantee you won't have problems, but it increases your odds for success.

Hello, I'm sorry to hear about the complications you've had following your bypass surgery. Now my curiosity is up concerning the hot flashes after surgery. I am getting hot flashes like crazy, but mostly at night when I'm sleeping. They are so annoying and uncomfortable. I am hot, so I kick the covers off, then I get cold... and it can just continue like that for hours, which is really tough because I'm losing sleep. Makes me feel like poop the next day. Anyway, I had my bypass revision around May 1st of this year. I guess the hot flashes started about 2 months ago. I am starting to wonder if I am perimenopausal, although I don't have any of the usual "symptoms" other than the hot flashes. I am 47 and had a hysterectomy 8 years ago, but my surgeon left my ovaries. Not much help to ya, but wanted to jump in on this topic since I'm experiencing something similar. I might dig around and find some of the posts/conversation on this topic. Wish you the best, get well soon and congratulations on your bypass surgery.

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.

Personality and friendliness aside, where can I details on surgeons such as how many lapbands they have done, percent revisions, etc?

Yay!!! So exciting glad to hear you'll have your sis to take care of you...thats great that she will know what u are going through did she also have a revision

I had a revision from band 2/11...so far I haven't felt hungry. By day 7 with the band I was ravenous!!! (If I get queasy it means i waited too long to eat so basically every 2-3 hours I have a little something so I don't get queasy). I haven't really felt full but after 4-5 bites but just don't feel like eating any more so i am assuming that's full....I lost 14 lbs the 2 weeks pre-op and 10 in the 3 weeks post-op...I'm not blowing the scales up like a lot of folks around here but am steady at 3 pounds a week.... I'll take 3 pounds a week and not starving any day!!! Good luck!!!! (I've also went back to work part time on day 10 post op then full time on day 15....it's been a great recovery other than fatigue) HW 312, pre-op (lap-band) 294, pre-op (RNY) 255, surgery date 2/11/13, goal weight 154, current weight 231.4

ok, i'm about to start the next phase of this journey. I'm hovering around 6 pounds above my original goal (i say that because i would LOVE to lower it, but at the same time PS may bet rid of the rest of what doesn't seem to want to budge!). My PS consult is Thursday 11/12/09. I'm not planning surgery until March of next year. I just want to know what he wants me to do...maintain, lose more... I'm trying to get all the questions i should ask all written down so i don't forget anything! the plan is to have a lift with implants (i'm sure i don't have enough tissue for even a C!) and a tummy tuck. would love some lipo if there is any backfat and above my belly if that isn't pulled flat! here are things i have already.....can anyone add to this? am i at an ok weight or should i lose more should i work at maintaining now, or lose more Belly buttons (i am worried about this one but hear my Dr. does great ones!) implants what kind/size (i've hear of some called gummie. my sister in law had her saline replaced with this type last year because ONE saline busted after 5 years and she was totally lopsided...she's FLAT without the implants. The gummies are silicone, but will not leak if busted. at least from the outside it would still look normal!) mons lift happens with tt? what exactly would that achieve? will my port scar be hidden, if not removed? (my port scar is low, but a little bit higher than my belly button on the left side) port moved/replaced with low profile (my port makes me look like i have some serious abs sticking out! LOL) what does this price include? (compression garments, follow-ups, revisions?) when do i return for a checkup? should i stay in town for a couple of days at a hotel? (would this be better incase of emergencies, comfort, etc) where will my scar be, how far around what is typical healing time how long before taking care of the kids lifting them? unfill (my band reacts to my hormones really bad! i get tight around my period ....really tight if i have really good restriction.) muscle repair (i'm sure 4 kids have done a number there!) pain pump or oral med? exercising I'm getting SOOOO excited! Thanks Josie and Allie for the info i've gotten from both of your journey's!!!

Hi Stars, I too had a revision and can only tell you from my experience the sleeve is way better than the band. I think you will be glad for the change. I am still in the soft food stage but it feels more normal to me than when I was banded as everything seemed to make me either nauseous or get the stuck feeling. Best part of it all is I am down nearly 50# in 4 months - I never achieved that with the band. Good luck to you and if you have any questions feel free to ask

me, I did the removal/revision in one procedure. Mine was smooth sailing in and out in 90 minutes. My doctor has done hundreds of revisions. you want a doctor with experience, because some people end up with adhesions between the band and their organs and you want a doctor who has seen it and and knows how to deal with it. you don't want to be the first. . Yes there are greater risks with a revision depending on how much damage the band has done. the sooner you get it out, the better.

Dr. Bovard from Bariatric Specialties of NC did my SIPS procedure on 12/22/14 and I was down 97 pounds as of September 21, 2015. I originally had a lap band procedure done in April 2008 and lost about 115lbs but gained about 35 back. Last year in October I decided to do a revision and I love it a lot more than the Lap Band.

Ok. I wonder if anyone has had this experience with FEPB. I'm having lap band revision to sleeve or RNY. I call the insurance company on Wednesday of last week and the guy said I was approved. All excited... didn't rush into anything until the next day. I get a call from my doctors office Friday saying that they need more documentation ( 3 month diet plan, psych eval, etc.) I never had to have all this when I had my lap band in 2010 so I was fuming because I already purchased airline tickets for family members to come down to Texas for surgery. I called the insurance and they sent out two letters. One that is approving the procedure for lap band removal. The 2nd letter is coded for the sleeve/rny and it says before they can look at it need the 3 month diet, etc. So, I call... and I told the lady what happened and she had referred it to the person that sent the letters out to look at it. She called me back and I explained to her basically you are approving one surgery and you are pretty much going to force me into doing two surgeries. She was so persistent on the documentation telling me over and over they need that. I asked her do you even look at the cost of two surgeries and does that justify me not having to do the 3 month, diet. etc. She said they do but that they still need the documentation????? Has anyone gotten through this problem without having to jump through hoops?

I had my revision surgery (band to sleeve) on 8/11/2015. It took about 6 weeks before the large incision stopped hurting. A couple of my incisions are a little tender if I press on them, but at this point, they don't hurt. My surgeon sent me home with something called On-Q, which is a local anesthetic pain pump. This thing was GREAT! It kept my abdomen numb for the first several days. I was discharge on Friday. On Sunday, it was time to remove it. Some may be a bit squeamish about it, but it was very simple. I just had to pull the two catheters out and put a Band-Aid on the incision. Even after the removal of On-Q, I stayed numb for about 2 more days. Sorry for the tangent! Best wishes to you on your journey!

I've had both. I was sleeved in 2016 and did very well but then had some personal issues and put back most of the weight. I had the revision to a bypass last November and feel great and am doing well again. I was considering resleeving however I have had GERD for 11 years - it wasn't cured with the sleeve and it didn't get worse, but it didn't go away - and my doctor strongly recommended the bypass to avoid potential severe issues in the future from the GERD. I take the vitamins they recommend to avoid malnutrition and it seems to be working so far. The surgery for the sleeve is quicker than the surgery for the bypass since there's less moving stuff around, so the recovery can theoretically take a little longer, but I was in the hospital for only one night after both surgeries. The bypass was the "gold standard" for many many years and the statistics show that people with the bypass tend to lose SLIGHTLY more weight than those with the sleeve, all else being equal, but only a few percentage points. And you can certainly lose all the weight you need to lose with the sleeve, those are just overall statistics.

I just had a Lapband revision to Gastric Bypass on July 5th. I was not required to do the diet beforehand. At first I thought it was strange but figure it was because I did not regain my Lapband weight loss and have been doing low carb for about 18 months. He said day before surgery, have a very light breakfast, lunch, and only clear liquids after noon. Nothing to eat or drink after midnight.