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Revision not enough weight loss.
Laura Deleon Reyes posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Im new here , but feel like i need to find a pal to chat with to maybe went through some things like me. Go first gastric bypass 2011 after having heart failure. Went from 550 lbs down to 254 lbs. I was so happy . Became a teacher ect. Then from 2013 to 2018, i ended up needing 3 surgeries. Weight started to come back. Then in 2018 got injured at work, needed two surgeries on my knee. One being total knee replacement. I got revision for i had put weight back on from being down from leg. However, i didnt lose that much from revision and fill like ive lost myself again. Im at 295 and really want to at least loose 40 to 50 more but have plateaued and kind given up . Had my revision done 8 months ago. -
Wow! So sorry you’re having to deal with this pain. When you say revision, did you have the gastric bypass or did they just tighten your sleeve? Also, do you still have your gallbladder? If you had the RNY then you shouldn’t be throwing up. That’s something you need to tell your surgeon about. Also, the shooting pain from your stomach could definitely be your gallbladder or may just be gas. I had gas pain so bad after my surgery that I couldn’t taya deep breath for 2 weeks. My doctor put me on muscle relaxers to help and it did. Heres one last thing I can think of.....you may have some milk intolerance that is causing the gas and pain. I found out I have it bad and the only protein that doesn’t bother me is collagen protein. I hope this helps, but I would definitely call your doctor!
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So, I am nearly 15 years (yes years) postop. I started at 315 and plummeted to 142 within 10 months of surgery. I was super happy but I was also sick. I didn't have energy, I looked sick...but I was SKINNY! For the first time in my adult life, I wore a SMALL! I loved and hated it at the same time. Then I was told to gain weight because due to all the excess skin, I was really underweight and it was NOT healthy for me. Well, long story short...I can eat pretty much anything and not dump. Then my portions started growing and my snacking came back. I gained, I lost, I gained, I lost...you all know how that goes. I got back up to 230 and was miserable again. I started doing VERY well earlier this year and lost nearly 25 pounds of regain, then COVID-19 struck and has me working from home. This led right back to horrible habits and not as much movement (I didn't even have to walk to my car!). The company I work for has wonderful programs to help get motion and nutrition back on track. Well, that is if you are able bodied (I have bad knees and am just trying to keep replacements at bay as long as I can) and can eat like a normal person. The PT and nutritionist had me doing things that just didn't work for me...not once but TWICE. I told them over and over I couldn't exercise on my knees nor could I eat the portions they were assigning to me. Frustrated, I started researching revisions. I found one I was seriously contemplating, regardless of insurance coverage (I was THAT desperate). I was on the verge of calling my GP for a referral when I thought, "What about going back to basics"? So, about two weeks ago, I found some sites (this is one of them!) with bariatric specific meal plans, food, vitamins, gadgets, etc. I took the plunge and ordered protein powders, protein snacks, meal replacements and changed my vitamin routine to the 1 A Day on here. I bought shaker bottles for my shakes, 15 minute increment water bottles to make me drink my water (if you knew me, you would know I HATE water), and I also cleared two shelves in my pantry for JUST ME. It's now been just over a week and I am down 4 pounds. I have so much more energy that my husband was like "who are you and where is my wife"! I have already noticed a difference in some of my clothes - no more dancing routine putting on my yoga pants! It's not easy, but I have to remember where I was and where I want to be once again! Sorry this was so long but I started typing and couldn't stop!
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I had the sleeve done in January 2014. It was successful when you consider why I had it. Which was to be able to get pregnant along with some other health concerns. I didn't lose as much weight as one would think but again it wasn't my intention anyway. I just wanted to get to a healthier weight. My highest was 311 and the lowest I got to post sleeve was 206. I loved the way I felt and looked at that weight. After having a baby and falling into some bad old habits but more importantly suffering from severe acid.reflux and being dependent on antacids I decided to look into revision surgery. On Sept 17th I weighed 286 as of today I weigh 254. Things are for the most part going well and I no longer rely on antacids. That being said I am suffering on a daily basis from pain shooting from abdomen to back. It is below breast bones in center. I am most certain it is gas so I've been taking a lot of gas-x. I suffer from chronic pain from a previous injury so I take pain medication daily. I eat when I am hungry but throw up almost every time which happen the first time while I was training my mind and body until I learned the hard way what not to have. So I've just switched to protein drinks and water. But the pain is almost unbearable and I'm wondering if anyone else had this happen to them?
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Revision completed
Christina760 replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi I had my revision Monday 11/2. 11/3 was horrible. Not as easy as the sleeve was and I’m starving lol I cried, my nurses (2) sucked and I was in a lot of pain! More then before way more but today is day 5 post op and I’m better. My incisions started to get infected bcuz I had a rash from the dermabond so I had to Peep it off and now I’m on a horse pill antibiotic. I’m already dropping weight. I only felt a little acid last night when I had Greek yogurt. My doc gave me a diet plan to follow from day 3-16. -
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I feel like I’m not doing all I can
California Guy replied to Holodisplay's topic in Gastric Sleeve Surgery Forums
No fraud there. You changed your eating habits for the better and lost weight as a result. That's great progress. I started the year at 300 lbs. and had my Revision to DS in May. I talk about the change in nutrition and revision surgery with whoever asks. Getting comments like "You look like a different person" all the time. Remember the surgery didn't take any weight off. Your new nutrition plan did. If you follow the plan long term, you'll reach your goal. I got the sleeve 7 years ago. I didn't plan out my nutrition very well. I relied on protein bars and protein shakes heavily as a long term diet. I've learned since then it is better to base your nutrition on natural sources, not processed foods. Once I finished the puree diet, I stopped consuming protein shakes and protein bars. -
Weigh more after surgery than before?
California Guy replied to SAS11's topic in POST-Operation Weight Loss Surgery Q&A
I gained 23 lbs. in the hospital in 5 days getting my revision to DS surgery. I was on an IV the whole time. I had nothing to eat and almost nothing to drink while in the hospital. It took 5 more days to get back to my pre-surgery weight. -
Severe LPR 3 years after sleeve
Manyloves replied to valiemet's topic in Gastric Sleeve Surgery Forums
I was sleeved in 2016, on 10/22 had a revision to DS with hiatial hernia repair. 9 hours of surgery, wasnt sure it was the right thing but immediately no more GERD, 20 pounds down in 2 weeks, I can sleep. Wont front the revision surgery kicked my ass, but two weeks later i'm thinking it was the right thing to do -
Severe LPR 3 years after sleeve
JessLess replied to valiemet's topic in Gastric Sleeve Surgery Forums
If it were me, I'd look into a hiatal repair and a revision to bypass surgery. But I'm not a doctor! Good luck and feel better. -
Thank you for that S@ssen@ch really helpful for me, banded over 10yrs ago, got lazy and now back to pre band weight and after recent fill using slider foods..... really need to change my mindset. I to have considered having a revision but as you have quite rightly said it is only a tool.... feeling enthusiastic again!!!
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Anyone November 2020
futureshrink replied to mgilbert's topic in PRE-Operation Weight Loss Surgery Q&A
When I had my band, band revision, and eventual band removal I remember the pain in my shoulder. So not looking forward to that again 🥺 -
Beginning BMI 35 or under
niabo replied to 1GardenGirl's topic in General Weight Loss Surgery Discussions
Thanks for the advice. I do have a question though, did you feel like you had to get a revision because, with 50 pounds to go, you had just stopped losing? -
Beginning BMI 35 or under
redhead_che replied to 1GardenGirl's topic in General Weight Loss Surgery Discussions
I had a BMI of 32 with no comorbidities. I had to self pay. First spot was in September and I had surgery in November. This was 2017. I advise addressing any food addiction or other mental health concerns adequately prior to surgery. Or you may end up like me 3 years later and qualifying for surgery yet again and pursuing revision. Dealt with my trauma with food and I had to do therapy before I felt ready to seek revision now. -
Suffering from ulcers and chronic pain, help!
RickM replied to Prayingforbetter's topic in POST-Operation Weight Loss Surgery Q&A
You have been through the wringer on this, so sorry you have had to go through it. I don't have any experience specific to this, but some maybe distantly related. I have seen that when they have an intransigent ulcer problem, classically it's around the anastomosis between the pouch and intestine, they usually just reverse the bypass, though that isn't really an option for you as that would put you back to your sleeve, which implicitly may not have been that well done in the first place. By reputation, I would try to seek a second opinion with Dr. Michel Gagner, who I believe has a presence in Toronto. He was one of the early adopters of the duodenal switch back in New York and has done some fairly complex revisions (such as RNY to DS) so is familiar with more complex problems. As to "done as much as we can" there is more that can be done. The most extreme thing would be a total gastrectomy, which isn't all that far from where you are now with an RNY, and is done in some cases of gastric cancer or gastroparesis. Basically they remove the remainder of the stomach and hook up the esophagus directly to the intestine, where your pouch is now. or close to it. Between surgery and adaptation, they form a new pouch in the intestine. Surgically, it is a bigger deal than it sounds as they don't like attaching the esophagus to anything other than itself (you would likely be on a feeding tube while it heals, but you've already been through that,) but it is a not uncommon configuration that people live well with (similar to your typical RNY lifestyle once everything heals.) Your average bariatric practice may or may not have the experience to do this, and you might have to go to a hospital that has a specialized gastric surgery department and/or cancer center. Simpler than the above, I have seen reference to a few people who were having significant RNY ulcer problems, again in the typical anastomosis region, where they went in and moved the anastomosis down the intestine a bit farther to a fresh spot, so that might be an option depending upon circumstances. Those are a couple of ideas that you can look into and question your docs about, and maybe seek out ones with a somewhat different specialty that may be able to help. Good luck in working through this, -
I’m looking to have a sleeve to bypass revision but I’m not sure what my insurance will cover. Is anyone on BCBSIL PPO 204 plan?
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Yes! I am having my sleeve to bypass revision surgery on the 4th of December. :)
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Sleeve to...? Revision seeker
RickM replied to redhead_che's topic in Revision Weight Loss Surgery Forums (NEW!)
For a regain problem I would not generally go from a sleeve to a bypass, as metabolically the two are too similar and one usually winds up in the same place after a couple of years. Indeed, most revisions don't yield a lot of additional weight loss; those that do mostly seem to be those who really crack the whip and get their dietary and psych acts together for the second try. One will usually lose a few pounds, typically twenty, give or take - mostly what one would expect from having to go through all the diet restrictions associated with going through the surgery again. The simple minded way I like to think of the reasoning for the general poor results is that our stomachs started out being able to hold 32-64 oz before our original WLS, and now, a few years post op, our stomachs, even after some adaptation and stretching, hold 4-6 oz (maybe 8 in some cases), we have gotten used to living with that, so there isn't nearly as much of a difference going through the surgery again. The DS will usually provide better results, particularly in being more regain resistant. As with the others, it is hard to expect as good results as with virgin DS, but it should still work better than the others. When I discussed this matter with our surgeon when I had my VSG - the prospect of using a DS revision as a "plan B" backup to the VSG, he cautioned about the problem of losing that regain; he said that the revision works best if you catch it early, before substantial regain has occurred, as the biggest strength of the DS is its ability to resist regain. You are fortunate in starting with the sleeve, as that has maintained more options for you - revising an RNY to anything else that may work better (like the DS) is a very complex undertaking that few surgeons can do; as the sleeve is the basis of the DS, changing to the DS is more of a "completion" of the DS rather than an outright revision and is a pretty straightforward procedure for any DS qualified surgeon. You seem to be doing the right things, in working out the problems that led to your regain, as that will be a key to your future success. Good luck! -
My original plan was to get a sleeve, but after my endoscopy, my doctor told me that my esophagus had some irritation from gastric reflux and that I have a hiatal hernia. He said that if I got the sleeve, there was a pretty good chance I'd be wanting a revision down the line, so he suggested the bypass and I agreed, in light of my GERD and hernia issues. Good luck to you too! I'll also be checking in often.
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Sleeve to...? Revision seeker
Circlesis replied to redhead_che's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey I revised to DS 4 weeks ago tomorrow. I was 6 years out from sleeve. Insurance paid as it was treated as a new surgery and so I just had to do a regular qualification. No diets or anything, just whatever the insurance required. I think it took about 6 or 7 weeks to get scheduled from my initial consult. Do you know what procedure you are leaning toward? -
Sleeve to DS
Circlesis replied to Happy Go Lucky's topic in Revision Weight Loss Surgery Forums (NEW!)
I am 4 weeks out from revision to DS. For me things in that department got more normal at the 2ish week mark after starting mushy food/ purée. -
@GottaBeBlair and everyone Hello everyone, I am new to this forum. It seems that GottaBeBlair and I had the same surgery about the same time, so I wanted to see if you are having the same symptoms as I am having. I am 1 week post op sleeve revision to sadi/sips/mini ds. I have just started full liquids, protien shake, yogurt +water. I take multi vit from bariatric advantage 2x day. I have been experiencing strong intestinal gurgling with explosive mini diarrhea with little black stool that smells terrible. in addition to the very smelly flatuence the only way I have found to calm everything down is to take liquid pain medicine. have you been experiencing similar side effects? and did your Dr. tell you how long this will last?
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Sleeve to...? Revision seeker
redhead_che posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi all, so glad they added this forum! I was sleeved in 2017 and lost 90lbs. Unfortunately I experienced great loss and trauma in 2019 to recent and find myself meeting the criteria for weight loss surgery again. I’ve done a lot of work on myself since and learned how to cope without using food. I’m starting the approval process for a revision on 11/19/20. Anyone on here get a second surgery due to weight gain? I know they do revisions for GERD and other issues but I want to hear from anyone who had a revision for gain. Did you sleeve to bypass? Resleeve? Sleeve to DS? Bypass to...? Did insurance cover it? Make you do a diet program first? Did it take months? tell me all the things! -
What I found was that my insurance didn’t care one way or the other about the previous surgery. The reason was that it was longer than a year since, so it was not considered to be a revision in their view. I suggest you call them yourself to be sure. Also highly suggest you go for bulky clothing and wear your heavy boots 😂
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Touchy subject.... stinky poo and gas :(
Coexister replied to Pattianne's topic in Gastric Bypass Surgery Forums
I’m glad someone has addressed this issue as I am 3 weeks post op RNY revision and having the worst smelling poo and farts of my life. The smell drifts through out the whole house and is quite embarrassing! Poopori and sprays don’t cover it. This with a liquid diet and now moving into soft purée only foods. Could it be intolerance to the bariatric protein powder I am using? But then it wouldn’t make sense as I didn’t have this problem during pre-op diet and drinking this powder with no fat milk. Gosh, I pray it’s something that passes but now that I read comments I see others suffering 5 & 6 months post op. Going to try digestive enzymes if I can find chewables? I already take probiotics and eat yogurt. Anybody out there with any other ideas? Please help! -
Anyone November 2020
AllThatGlittersIsntGold replied to mgilbert's topic in PRE-Operation Weight Loss Surgery Q&A
sure ! SIPS= Stomach Intestinal Pylorus Sparing It's a modification and similar to the duodenal switch. I will be a revision surgery from a gastric plication
