Search the Community
Showing results for 'revision bypass'.
Found 17,501 results
-
Sleeve vs Bypass
shedo82773 replied to tasha_kelo's topic in General Weight Loss Surgery Discussions
Just like with everything else everyone has their own reasons for which surgery we decide to do. For myself, I figured that I would get just one chance to have my WLS. I went with the RNY. I figured that I would go BIG or go home!! Another thing that I don't understand is when peeps say "I went with the SLEEVE because it is less invasive" what is taking out 90% of your stomach "NOT INVASIVE". Also, I would never go into my WLS with the idea if it doesn't work I can get revised to another surgery. TRUST ME!! My poor hubby has been thru the ropes!! You DON'T want to think it can be done. He has suffered terribly with few results! Now about my WLS, I did have problems with strictures ( kind of like scar tissue) I ended up having 5 ENDOSCOPES with 4 DILATIONS. I started having problems within my first 4 weeks. It felt like my food set on top of my pouch and then slowly go down. When I went for my check up the PA said we should take a look but of course I told him that it was just me learning about my body. (I had my RNY on July 2, 2013) In NOV of 2013 was my 1st Endoscope w/dilation. Again in DEC 2013, again Jan of 2014, July of 2014 with my last being in Jan of 2015. All has been great since. My Dr told me that no one knows who will have strictures. Now for my STATS: HW 249 (I did weigh 285#'s but managed to lose 36#'s) SW 232 LW 117 CW 125#'s. I got to 117 in 6 months but gained 8#'s but I have maintained my 124#'s for 2 and 1/2 years. Having my WLS is one of the very best things I did for myself. Only you can decide which surgery will work for you. Good Luck in whatever you decide to do. I look forward to following your journey!! -
Your insurance won't cover a new WLS procedure even though you meet the requirements because you had LapBand previously? Are you trying to get another LapBand replaced or want bypass or sleeve or something else? Do you own a home? You can always see if you can get a home equity loan - they look more at appraised value of your house than your credit when giving you that loan.
-
@@kraek9 you will continue to have many many big decisions for example - fish or chicken for dinner LOL i didn't want the bypass for absorption reasons i take two medicines to control my epilepsy couldn't afford it not going through my system completely i don't think malabsorption is a permanent situation, but it lasts a few years PC - not sure bypass "messes" with your insides (organs) PC again - gastric bypass is considered the Gold Standard (something like that) it works great too doc and i had long talk pros and cons were explained, (sleeve or bypass) and discussed i wasn't positive which WLS i wanted to have initially i thought about the lapband PC - i'm not saying anything bad about lapband it works great i was leaning toward the sleeve doc thought sleeve was better for me decision now made PC (politically correct) i always cover my little assss in case i'm wrong i'm almost 5 years PO!!!! sleeve has assisted me in losing weight i am maintaining - few fluctuations very happy! good luck kathy
-
Sleeve vs Bypass
Butterflywarrior replied to tasha_kelo's topic in General Weight Loss Surgery Discussions
I was going to do rny but bc if complex medical issues..chronic pain treated with narcotics and sometimes steroids, psych meds, and so on, my surgeon felt sleeve was better bc I could still properly metabolize meds but rny often messed that up. My psychiatrist even backed that when he told me he has a really hard time adjusting meds in his bypass patients. So consider your health history and potential for future health issues as much as one can predict...lol Sleeve can bring about lots of weight loss too but you have to likely work a bit harder for it then with rny so they both have pros and cons. Rny been around the longest so there is much more data available but sleeve is showing lots of longitudinal positivity!! Good fortune -
MPW09, I too had a sweet tooth and also had type 2 diabetes and on the lap band was able to keep eating sweets as the healthier foods never would go down for me and I would PB. My diabetes worsened with the lap band because of that. I didnt know all the junk food would still go through the band I only thought something like ice cream or sugar drinks would be an issue. I'm much older than you and was at the point where I couldn't even lose weight anymore, forget the keep it off part and due to my health I had the lap band removed and eight months later revised to RNY. I'm fairly new at it and know the effect sugar will have on me now and it's not pleasant. I also don't crave it like I used to (knock on wood)when I was banded and before and am off my diabetic meds completely. I know it's not a "popular" view here at LBT but thought you might as well hear the other side of it from someone also. Good luck to you which ever surgery you choose. Nancy.
-
Thyroid Uptake with Radioactive Tracers
Nnoi posted a topic in General Weight Loss Surgery Discussions
Hello My Friends 💜 I had Gastric Bypass in July. So far I am doing pretty well, feeling great, I have my three month check-up with my surgeon the end of the month! But today I wanted to talk more about something else I am a thyroid cancer survivor, I was diagnosed, had my thyroid removed and did radiation in 2012. Every year my oncologist alternates between doing a chest x-ray or a Thyroid uptake scan to check that the cancer is not back. I am due for a Thyroid uptake scan soon. I WILL be talking with my surgeon at my appointment about it. But was curious if any of you wonderful people were also Thyroid Cancer survivors or have done a thyroid uptake scan post-op. My main concern is that while the dose of radiation you take for an uptake scan is not as high as when you are doing actual radiation I will still be swallowing a radioactive pill, which they request/suggest you take with a full glass of water all at once. I know I can not drink that much water all at once, but I am also concerned that if I am discouraged to consume caffeine for six months post-op (which is what my program suggests I know not all of them do) that consuming actual radioactive materials is probably not advisable either. Anyone here who does Radioactive Thyroid Uptake Scans? Any suggestions on how long you waited post-op? Again I will talk with my doctor's both my Bariatric Surgeon and my Oncologist about my concerns and imagine that I will just be pushing the Uptake scan out at least a year post-op but I am just checking to see what other peoples experiences were...- 1 reply
-
- 1
-
-
It is generally performed according to the usual technique for the laparoscopic sleeve gastrectomy that you first went thru although you should have more fundus from weight regain. So they would remove that again, staple along the suture line just as in the last procedure. I'm not a doctor this is just the very basic of what I have read and it at least alleviates the problems of malabsorption and others that the bypass could bring which I highly discourage. I also discourage this as it brings with it another surgery, more risks and more complications. Please go back to step one and try again! You will thank me later I promise. It's always PROTEIN PROTEIN PROTEIN, and I am the first one to admit that I didn't get all mine in and I'm in a mess now!!!
-
I'm a newbie and so happy to see these responses. I had a mini-bypass on 4/27 with Dr. Illan. I can drink as much as I want, hot or cold and any kind of fluid. I can gulp too. It freaks me out how fast I can drink something so I purposefully take it slow. I easily get in 80oz+ a day in fluid. My incisions and drain have healed nicely. I only have a bit itching and tugging if I twist too fast. I stopped pain meds in the hospital because I don't like taking them and they make me sick. I've been drinking clear proteins and bone broth to get in my recommended 40+ grams this week. I'm only taking in about 300 calories a day though. I gained weight after surgery but have slowly started losing it now. I'm really scared to try full liquids. I'm worried about lactose tolerance because I love the Premier Proteins and I'm terrified of dumping.
-
The main thing is to focus on the pros and cons. The main pro for me dealing with the Lap Band is the fact that if anything went wrong, it could easily be taken out. People who get the full Gastric Bypass are screwed from that point forward. If they feel as if it is not right for them or problems occur.... it can't be taken out. Also, another pro, which came after surgery, are friends of mine who had the Gastric Bypass having problems with hair loss, stomach issues, and constant sickness. I haven't had any of these problems at all. I may be one of the lucky ones, who knows... but i do know that i have not regretted my decision at all, and am very happy I chose the band over the Bypass. In the end, it's your decision. If it were any political topic, you wouldn't be bullied into thinking a different way by friends, so don't let them do it to you with this. Do what YOU want to do. BTW, it seems that your friend is not well informed on the issues about the band, and I have noticed that a lot of people who go Gastric Bypass look down upon those with bands. Not sure why, My guess is that they, once again, can't go back if something goes wrong. Good luck, and do what's best for YOU and YOU only!
-
The way I look at it is some people can't stand to be wrong. They also refuse to accept that their decision might not be the right one for everyone. Kind of the opposite of buyers remorse. Do you even know you are a candidate for bypass? Last year I had a mild stroke at 39 no warning. I was not a candidate for bypass because it is so intrusive and the chance of having a bloodcot was so much higher. I also see this when a fat person starts exercising or dieting. People always want to tell you what you're doing wrong. It's not "Great your going to the gym!" Instead people want to tell you you're doing the wrong exercise or should follow their diet plan.
-
several people have been revised to bypass (from sleeve) - hopefully someone will chime in...
-
I could use a little help, I live in Minnesota and I’m having trouble finding a doctor or clinic that handles revision surgery. I was sleeved about 6 years ago and do to some ne meds I’m gaining weight back. If can make a suggestion on a doctor or clinic would be much appreciated. thank you Paul
-
Band to Sleeve?!?!
Barbwired replied to JenWilks's topic in Revision Weight Loss Surgery Forums (NEW!)
I am getting my revision from band to sleeve on Monday, September 21st. There was no problem with the insurance covering it but I had to go through the whole program again like I did with the band so it took months. Then Covid hit and all surgeries were postponed so it's been a long wait. I got my band in 2010 and loved it and did really well, but a couple of years ago I started getting horrible GERD that was caused by the band. They had to take all the fluid out and since then I've put back on 40 pounds and I'm miserable. The fact that my gym closed and I couldn't go to my usual exercise class everyday didn't help either. I'm pretty sure your insurance will cover it, but it might take awhile if they make you go through the whole program again like they did with me. Good luck! -
I am scheduled for conversion from Band to Bypass with gallbladder removal on 5/21/18. I am very nervous but really want to move forward with the surgery. I'm looking for others who are scheduled around the same time. -Amy
-
I was banded 12/3 and heading out today for surgery again. They are not for sure if its scar tissue or a faulty band until they can get it in and take a look. So best case scenario is port revision, worst case is complete band procedure all over again. Trying to stay positive but I could use some positive thoughts and prayers today. Thanks in advance.
-
HELP!!!! I am going to get a REVISION
Kandi5911 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello, I was banded on April 4, 2007. I was at 285lbs and it is now 2009 and I am only at 263lbs:mad:. I have discussed this with my physician because she do not have a clue of what is going on:huh2:. I go get a fill and in less than a week my restriction is gone.:thumbup: Then I go right back to her and the same thing happens again:frown:. Then she restricted me so much that I could not even get a bottle of Water down. So I went back to get it unfilled. She talked to a DR in KY who told her to have me under fluro, drink barium and look at the band which she did. According to her she do not see any leakage:smile2:, she filled the band again and the same thing happen. I am tired because I have gotten 12 fills in 2 months and this is ridiculous. I have started to see another surgeon, i transfered my medical records to them, and they want me to go through the whole seeing a psychiatrist, and weight loss seminar etc and then he tells me we are going to take a look at the band and see if we can work with it!! I have been working with it for 2yrs. Can anyone give me some feedback of a Dr in Indianapolis who is not going to go through all this and understand what I have been through to help instead of trying to milk my insurance company and my pockets? I know "sorry to hear about my band" lol. Any feedback will be helpful. O and by the way, I work out six times a week for 1 1/2 hrs and my diet is nothing but fresh fruits and vegtables, steamed and baked fish or chicken NO SWEETS AT ALL, NO SODA, NO ICE CREAM none of that, and it is still not working. Can anyone give some advice on a DR. Thanks:lol::smile2: -
So, to be clear, the reason you are staying away from sugar is primarily because it contains empty calories that often lead to cravings for more sweet things. The reason most of us got obese is because we ate too many empty calories through sugar and fat. Yes, for many gastric bypass patients, sugar in significant quantities causes dumping syndrome. Same goes for fats. My understanding is that over years, this effect grows less as your stomach and intestines adapt to be able to manage larger quantities of sugar and fat. Hopefully, by that time you have developed the habits of a healthy lifestyle that do not include low-quality carbs (including most added sugars) and fats.
-
I am going through SW! Dr. Cagle gave the presentation, and while I'm sure she's a great surgeon I want someone whose on board with what I want. I won't consider bypass. I know the procedures have gotten much safer, but I don't want to mess around with stapling the stomach, attaching intestine, etc. I've heard Dr. Jan isn't the warm-and-fuzzy type from a few people! I don't need that in a surgeon - most surgeons aren't that way anyhow - so I think I'm going to request him over the other two. Morelgirl - how are you doing with your band?
-
Hey are you going through PeaceHealth Southwest? I ask because you're describing the exact process I went through and even the WLS coordinator ha the same name! I was banded there by Dr Jan on Feb 1st. He's not very warm and fuzzy (brisk and business-like) but when I told him the band was what I wanted and I wouldn't consider bypass, he didn't try to talk me out of it. If the doctor who did your seminar is difficult, try meeting with Dr Jan instead. I couldn't be happier with my decision! (I was seld pay, btw, so my process was super fast and efficient) Best of luck!!!
-
I'm particularly impressed by your weight loss during your second year! I'm not familiar with the Loop DS procedure, but in my case (gastric bypass), it became very difficult to lose weight after the first year and I had to start watching my food intake pretty carefully--so you are clearly doing something right. I had a 20-pound regain fairly quickly in maintenance (the beginning of the second year). However, I actually lost too much during the first year and needed to gain about 15 pounds so I didn't look so skeletal. (Sorry.) I have found maintenance pretty easy by sticking basically to a high-protein, low-carb, low-fat diet. If you are getting 100 grams of protein a day, that's great! You can definitely eat more that 1300 calories without gaining weight. However, it really can be terrifying after eating so little for so long. As someone mentioned, it really is trial and error. I'm able to eat some sugar, have an occasional glass of wine and high-carb treat without too much trouble. You are clearly very disciplined, and you know your own body better than anyone. You'll figure it out. Good luck!
-
It could also be the old concept of "Misery loves company", you know? She might feel like she made the wrong decision and might want someone else on that journey with her. I think that if you feel the band is right, you should stick with the band. I've had people tell me that I should just "try diet and exercise" and I've had others tell me that I should do the bypass. Everybody has an opinion. As annoying as it is, they all do. I literally had a girl in my office tell me that I would be miserable and hate life. She never had weight loss surgery but that was her feedback. Obviously, she was wrong. Welcome to the wonderful world of people telling you what to do with your body. LOL! You'll do great. Stick to your guns.
-
tell her the truth , alot of bypass patients gain back the weight!
-
Ok well, last night I went to visit my friend. While we were sitting in the kitchen just chit chatting she says "I have a terrible feeling about you getting this lap band." She had gastric bypass in June and has already lost 60 lbs. She continued to tell me how she strongly feels like the band will fail and how it always needs to be replaced every 10 years. She said "You should just go for the gusto, do the right thing and have the bypass." I was so winded by this conversation, I couldn't do anything other than sit there and listen. It went on for like an hour. She wouldn't stop bashing the band! How do I handle this???? I am not sure why she is trying to change my mind...
-
Need VSG to RNY Buddies for Dec. 2
StratusPhr replied to loveoften's topic in Revision Weight Loss Surgery Forums (NEW!)
Had sleeve surgery June 2010. Like you, I lost down to exactly 132. My husband and daughters were alarmed because I could STOP losing. My goal was 150. I started adding higher caloric foods and gained to 145, I like that 5 lb pad. I maintained at or below goal for eight years. I have arthritis in my hips and after we left the Dallas area, I don't have the big malls to go to. I used to go and walk, no power walking, just window shopping, but I did it quite a bit. We also had a 2-story house and I'd purposely go up and down the stairs more than I needed to. Here I am, severe reflux and a hiatial hernia. I have regained a little over 40 lbs. Revision surgery is this Friday. I hope surgery will fix the medical problems and hopefully I'll drop 25 lbs!! Good luck!! -
BCBS Aproval problems- Ayone with any type of BCBS please read
morethan replied to warrior68's topic in POST-Operation Weight Loss Surgery Q&A
Medical Policy Subject:Surgery for Clinically Severe Obesity Policy #: SURG.00024Current Effective Date: 11/18/2010Status:RevisedLast Review Date: 11/18/2010 Description/ScopeClinically severe obesity is a result of persistent and uncontrollable weight gain that constitutes a present or potential threat to life. There are a variety of surgical procedures intended for the treatment of clinically severe obesity. This document addresses those procedures. Position StatementMedically Necessary: Gastric bypass and gastric restrictive procedures with a Roux-en-Y procedure up to 150 cm, laparoscopic adjustable gastric banding (for example, the Lap-Band® System or the REALIZE™ Adjustable Gastric Band), vertical banded gastroplasty, biliopancreatic bypass with duodenal switch, and sleeve gastrectomy (open or laparoscopic) are considered medically necessary for the treatment of clinically severe obesity for selected adults (18 years and older) who meet ALL the following criteria: BMI of 40 or greater, or BMI of 35 or greater with an obesity-related co-morbid condition including, but not limited to:diabetes mellitus; or cardiovascular disease; or hypertension; or life threatening cardio-pulmonary problems, (e.g., severe sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy); AND [*]The individual must have actively participated in non-surgical methods of weight reduction; these efforts must be fully appraised by the physician requesting authorization for surgery; AND[*]The physician requesting authorization for the surgery must confirm the following: The individual's psychiatric profile is such that the candidate is able to understand, tolerate and comply with all phases of care and is committed to long-term follow-up requirements; and The candidate's post-operative expectations have been addressed; and The individual has undergone a preoperative medical consultation and is felt to be an acceptable surgical candidate; and The individual has undergone a preoperative mental health assessment and is felt to be an acceptable candidate; and The individual has received a thorough explanation of the risks, benefits, and uncertainties of the procedure; and The candidate's treatment plan includes pre- and post-operative dietary evaluations and nutritional counseling; and The candidate's treatment plan includes counseling regarding exercise, psychological issues and the availability of supportive resources when needed. <br clear="all">
