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Revision from sleeve to RNY
Tracyringo replied to CandyMel's topic in Revision Weight Loss Surgery Forums (NEW!)
If you are doing this for weight loss it will be harder as far as I am concerned. You also may not have the same kind of restriction that you are use to with the sleeve. I will be 2 months out revision to bypass due to GERD on the 22nd. I lost 12lbs the first month and have not lost anymore weight. I can eat more then I could with the sleeve and have no issues with food other then dumping but I stay away from those things since I know what they are. Good luck. -
What should my daily protein goal be?
Pandemonium replied to Happyfamilyof5's topic in Protein, Vitamins, and Supplements
The program I'm in says 1 gram of protein per kilogram of body weight, which seems kind of on the high side to me, but it worked out well for me pre-op. 9 years ago, the program I was in for my lap band had a goal of 60g of protein, so there was a little bit of whiplash on my expectations when I went pre-op for revision to VSG back in February. I'm 9 days post-op and right now I've been getting 89g of protein a day from the liquid diet I'm on. -
Revision from sleeve to RNY
PlanetHopper replied to CandyMel's topic in Revision Weight Loss Surgery Forums (NEW!)
Did you have success after revision? From my understanding, having the revision is not as effective as the first surgery that was done. Did you experience this? -
I need a little help from others that have been approved with CIGNA. THIS Is the most up to date policy (see below). They actually update their policy on the 15th of July so it was revised and updated today. No changes were really made. Anyways, I do meet the requirements but my question is regarding Cigna coverage. Most plans require a monitored 3, 6 or 12 month diet/nutrition/weight loss management through PCP or somewhere similar. Cigna's policy says NOTHING about this, only that "a statement from a physician other than the surgeon, that the individual has failed previous attempts to achieve and maintain weight loss by medical management" - it gives no other requirements or indicators. I called Cigna and two different reps confirmed that it is not required. Although when I went to my Drs appointment they told me they thought it was six months worth of supervised diet! I think they are confused bc of the “within the last six months” part. SIGH! They said they will look into it more So, for those of you that have been approved in the past few months, do I have to have a letter from my primary that recommends bariatric surgery? Would this be the same letter or separate from the on where they state I have made several attempts and failed? And what did you submit/have your PCP write to say that you had failed previous attempts? Thanks in advance for your help! Sorry I just know Insurance’s are so picky! below is link to coverage https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf
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July 21st , I will be getting a revision to RNY . How different is life after VSG to life after RNY ... ?
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Myotomy and sleeve to bypass revision due to GERD
Foxbins replied to Foxbins's topic in Revision Weight Loss Surgery Forums (NEW!)
Because I was at goal and having the revision because of intractable GERD, the dietary instructions for RNY really don't apply to me. The texture progression does, liquid to pureed to soft to regular food, but the caloric advice doesn't. So I scouted around on the web. Gastrectomy and intestinal rerouting has been done a long time for GI cancers. There is a surgery called a Billroth II that is almost the same as RNY so I have been following dietary guidelines for them--whole milk and full fat yogurt, mashed potatoes with small amounts of butter, basically avoiding low-fat and low-sugar options without taking in so much fat and sugar that I might dump. We'll see how it works, I only weigh myself once a week and there are a few more days to go. Last night I woke up at 2 am and had to pee. When I got back in bed, my abdomen, inside and out, ached and throbbed. I have no idea what happened, maybe I twisted getting out of bed. I tried to deep breathe enough to relax and go back to sleep but couldn't. I ended up taking half an oxycodone (2.5 mg). Tylenol probably would have worked but it was in the bathroom and the oxycodone was in the drawer of the nightstand. First painkiller of any kind I've taken since July 5. -
Anyone had gastric bypass revision?
emma93 posted a topic in General Weight Loss Surgery Discussions
I am thinking of doing an endoscopic gastric bypass revision? Has anyone had a revision? Was the weight loss comparable to the original surgery? Worth it? -
Any surgery twins/buddy's ?
emma93 replied to MyNewLife78's topic in PRE-Operation Weight Loss Surgery Q&A
I had one a few years ago but had weight gain because I had to eat so much for my pregnancy but I am thinking of doing a revision soon! Everything will be great! GO for short walks every day after your surgery twice a day. Helps with gas, pain and healing! dont cheat on the after diet, it will hurt so bad! and take your vitamins and protein ❤️ also always stop eating before your stuffed even after you start being able to eat more -
Food Before and After Photos
fsulady replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Has anyone had a revision following the sleeve? I am 3 years out and back at my pre surgery weight. Having some tests done to see about having another surgery... -
Frustrated with insurance denial
Starwarsandcupcakes replied to Starwarsandcupcakes's topic in Revision Weight Loss Surgery Forums (NEW!)
His words to me were “you need a revision to get rid of the GERD. I’m sending over a request for insurance approval.” This was July 1st. He wanted to have me in for revision before August. My surgeon is definitely a non-nonsense kind of person so I’m positive that he’ll be sending over an appeal as well. -
Frustrated with insurance denial
New&Improved replied to Starwarsandcupcakes's topic in Revision Weight Loss Surgery Forums (NEW!)
The surgeon should stress how serious it is that you need the revision -
Frustrated with insurance denial
Starwarsandcupcakes posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I called my surgeon’s office today because he submitted for a VSG to RYGB and was told it was denied because they want me to do 6months of supervised weight loss. I just had my VSG in December 2019! plus, their reason isn’t even listed under the revision surgery section in the handbook. Since then I’ve developed a new hiatal hernia, GERD to my mid esophagus and esophagitis. Of course I’ll file an appeal but I’m just frustrated. I’m sick of only getting 4-5hrs of sleep a night because the chest pain from the GERD is so bad it wakes me up. Im sick of taking the max allowed PPIs on top of 8-12 tums a day, and Thorazine for the hiccups causes by the GERD. I sent my surgeon a message asking for another prescription because I can’t take it anymore. I'm jus so frustrated. I just don’t want to be in pain anymore. -
August 2020 Surgery Date
PerezL84 replied to sarahredwood's topic in PRE-Operation Weight Loss Surgery Q&A
My office submitted paperwork to my insurance for approval. Now is a waiting game. My doctor said that my surgery will be most likely done mid August or end. This will be a revision since the sleeve only helped me for 2 years a my stomach pouches dilated throughout those years. Now I'm getting the bypass. Best of luck to all. Sent from my SM-N975U using BariatricPal mobile app -
4 yr post-GS =pneumonia, steroids & weight gain
1AnnieOkie posted a topic in POST-Operation Weight Loss Surgery Q&A
Post GS I went from 208 to 125lbs. I bounced between 125 to 128 was rarely hungry, could eat pretty much whatever I wanted. Three months ago I was diagnosed with pneumonia and prescribed prednisone and antibiotics. After 2 weeks was hospitalized for iv antibiotics and iv Solu-medrol followed by 3 more weeks of prednisone. I ballooned up to 147lbs and it’s been about 3 weeks since I stopped steroids. I am now hungry almost all of the time! I have cut down my caloric intake to a fraction of what I ate “pre-steroids.” Currently I weigh 139, it’s been a constant struggle, it’s like preGSV Did the steroids permanently screw up my system? Will I get my “system back” as it was before the steroids; if so how long will it take? Any suggestions? Or should I start saving $$$ for a revision? What scares and confuses me is I am actually eating LESS than I was before getting ill. The steroids slowed my metabolic rate. -
I am so sorry your surgery had complications. I had a sleeve to bypass revision for GERD on 6/29. I was unable to stand up to begin walking without becoming tachycardic and dizzy on 7/1. My hemoglobin was 7.1 and I got 2 units of packed red cells. I felt much better afterward. My drain was left in for 10 days as I continued to produce a lot of blood from the chest. My surgeon suspects I bled from several areas as I had more than one procedure done. I feel much better now. I hope you feel better soon, you have been through a lot.
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Hi All, I am new to this group. I had lap band surgery in 2009, I was lucky and had the realize band. When I started this journey I was up to 280. I had got to 240 on my own and then I had surgery, well it didn't go as planned my port was up high and got infected and I had to have the port removed then put back in several months later. When I finally started getting fills I was 208 and did well for a while. I got down to my lowest 140 but after starting to run was about 165. Now I am dealing with Menopause and having a hard time. In October they decided to drain my fluid due to vomiting and not keeping food down. I had a upper GI no issues so they slowly and I mean slowly started to fill my band. Well COVID hit and I only had 1.5 cc in my band and I was not able to go in for a fill for 5 months. I went in earlier this week and I qualify for revision to a sleeve due to my BMI. The thing is I can't lose 5 lbs or I will no longer be considered. I started doing more protein this week and now I have lost 5lbs. I am kind of scared they wont approve me now. I am excited to be doing this. Honestly I am sick of being poked by people who hardly do this anymore. Anyone else have the band to sleeve after 10 years? Was it successful? I would love to hear your story.
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Sleeve to Bypass due to GERD
Starwarsandcupcakes replied to beaker27's topic in Revision Weight Loss Surgery Forums (NEW!)
My sleeve didn’t cause my GERD, the tearing of a new hiatal hernia did. I had one repaired when I had my sleeve done in December 2019 (264lbs) I ended up developing a new hiatal hernia mid March (232lbs). My surgeon sent me for a barium swallow. So along with the GERD to mid esophagus and the hiatal hernia I also have esophagitis from it. I'm just waiting on insurance approval for my revision. I honestly loved my sleeve but since the hernia happened I have only lost 10lbs in the last 4 months and am currently sitting at 222lbs. Some days I find it hard to eat because I feel so nauseous all the time and developed intractable hiccups because of the GERD. If I could do it again, I’d still have a sleeve. -
Reflux & revision op. after gastric sleeve
catwoman7 replied to Ozzy79's topic in Gastric Sleeve Surgery Forums
no. It has to do with the shape of the sleeve - it causes a high pressure system, or something like that. If you're one of the unfortunate ones this happens to and it's severe, prescription meds may help - or some go for a revision to RNY. -
People around & what I have been reading keep suggesting that reflux and sometimes a revision op is the almost inevitable outcome of gastric sleeve ops. I am terribly anxious about this, is it really the case?
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July 2020 Surgery anyone?
Ozzy79 replied to IWantTheDream's topic in PRE-Operation Weight Loss Surgery Q&A
I have been reading about gastric sleeve and the high probability of reflux in the future, which concerns me a lot. In such a case, a revision op is needed, this is what they say, a more complex operation. Any ideas? -
VSG to MGB?? Was your revision a success?
Camella posted a topic in Mini Gastric Bypass Surgery Forum
Hi Everyone I am scheduled to have a revision from a VSG to a Mini Gastric Bypass in 8 weeks. I have weight regain and issues with reflux. I am extremely nervous about the surgery - way more nervous than when I had my sleeve. I would love to know if anyone else has had this conversion and know if the surgery was a success or if you have any regrets. Thanks 🙂 -
Almost 6 weeks post op revision surgery
New me version 2.0 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Help!!! I'm almost 6 weeks post op. I stalled for about a week and when I weighed this morning, I had gained 3 lbs... is this normal? Also having trouble getting enough calories in. Any food suggestions? I have no protein restrictions now. Thanks! -
That's rough did you have any gerd symptoms before surgery? If it keeps causing you trouble you may need a revision surgery
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Myotomy and sleeve to bypass revision due to GERD
Foxbins replied to Foxbins's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my revision done on 6/29. There were a few little hiccups--after surgery I couldn't pee, so I needed a catheter, and I lost quite a lot of blood and needed 2 units of packed red blood cells transfused, which upped my hemoglobin level enough to where I'm anemic now but not fainting when I stand up. It was a long surgery, as I had three procedures done--a myotomy to fix the esophageal stricture I got from GERD, a hernia repair, and the RNY. I was originally supposed to come home on July 1, but my drain was still bloody and filling quickly, so I stayed until this afternoon, 7/3. I still have the drain, it's supposed to come out Monday. I have had two episodes of "heartburn" but neither were in my new stomach, but in the intestine, because the burning is above my bellybutton but below my rib cage. My stomach is much higher up and has not hurt at all. I cannot tell you how happy I am that I am not regurgitating everything I swallow and that I can sleep through the night without acid crawling up into my mouth. My nurse was quite concerned when I finished an 11 oz. protein shake in fifteen minutes, but the surgeon told her it was fine as long as I could tolerate swallowing things that fast. Because I'm at goal and don't want to lose any more weight, he also said for the next two weeks I could eat anything I could pour, but to be careful of sugar and fat content in case I dump. This brought back memories of a Saturday Night Live sketch called "Bass-O-Matic" (it's on YouTube, it's a hoot) but blending a whole fish is not on the menu. I have not had much pain, mostly gas because he had to operate so high up in the chest he put a lot of gas in. I came out of surgery with both eyes swollen shut because the gas seeped into my face, but it is mostly gone now. Now it looks like I have bags under my eyes. I loved my sleeve and tried everything to keep it but the GERD was just too bad. Hoping I come to love the bypass too. -
Please help me figure out surgeries!
rjan replied to Jessa4140's topic in General Weight Loss Surgery Discussions
Yeah, it's kind of hard to tell since most people never get the chance to compare how the different surgeries feel. For people who get revisions, the fact that they had a 2nd surgery may make how they feel different than someone who just had 1 bypass surgery originally. More scar tissue, less elasticity, lots of things could depend on how many surgeries you've had. Physically, though, sleevers still have their pyloric sphincter working to control when the stomach empties into the intestines, while for bypassers the rate of stomach emptying depends mainly on the size of the bypass outlet. So it at least makes sense that you'd feel full longer with a sleeve. Google found this surgeon who offers a version of DS that preserves the pyloric sphincter. They say they do it to prevent long term regain in bypass patients whose stomach can empty too fast if the outlet gets bigger over time. https://nwhsurgicalweightloss.org/learn-about-your-condition-and-treatment/pyloric-preservation
