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Revision 6 months after VSG
Tomo replied to starstevenson's topic in Revision Weight Loss Surgery Forums (NEW!)
I would talk to a bariatric surgeon and have them see how serious your reflux is and if it they believe it warrants a revision, they will tell you. As far as the poor choices and no weight loss, it could be due to having gerd. I didn't get reflux from my sleeve till years later, long after I had lost most of my weight. I saw a few surgeons, and they all said that I have to get a revision to RNY, otherwise I was risking getting esophageal cancer. I also started having difficulties keeping the weight off. I couldn't sleep at all, hence I ate more for energy. Other times, I ate when my stomach hurt just to temporary pacify the gnawing pain... Etc. It's all related. -
Revision 6 months after VSG
Spinoza replied to starstevenson's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm so sorry you're having to consider revision so soon after your original surgery. Do you think it might be useful to think about the weight loss you've managed to achieve with your current surgery, and the reflux you've unfortunately experienced separately? I have had reflux symptoms for years. They always improved when I lost weight, so after a long discussion with my surgeon I decided to go for sleeve gastrectomy as opposed to bypass. In my case the gamble (calculated) paid off. I DID in fact improve as soon as I lost a significant amount of weight again. With regards to losing weight after a VSG that is an issue you might want to address completely separately. If you can eat around a sleeve then you may be able to eat around a bypass. Do you have food addiction issues or other psychological issues that might benefit from discussion with a bariatric therapist? Having had my sleeve 9 months ago I can't imagine how I would have approached it other than how I did - as a tool to help me lose weight if I stuck to certain (hard) rules. I wish you all the best in your journey. There are many many roads to successful long-term weight loss. Seems like you've already taken a big step along one of those roads. -
It still hurts to eat and drink
Jesse Liberty replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
I'm 2 days post gastric sleeve bypass. Eating/drinking hurt so much that I had to stay in the hospital an extra day. Today is better with very small sips, but if I forget and take a "normal" sip it still hurts. I'm assuming this will stop, but you are 12 days and still feeling it. Have you talked with your Dr. about it? -
VSG to ESG Surgery??-Why??
RickM replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Second guessing and some regret is normal when one runs into problems. It is well to realize that whatever road you chose in the past was likely to be bumpy, even if the bumps might have been different. The bypass, in addition to having its own quirks (someone just showed up on today's recent topics column who is having reactive hypoglycemia problems - that's one of those quirks,) that can cause regrets, would not likely have been any better on helping you with your regain (RNY and VSG are very similar in that regard,) and is also more difficult to revise should you have had problems. So, there is (and was) no easy, straight answer. We follow what looks like the best road for us and take what life throws at us over time.. -
My RNY experience
Tomo replied to 15 years post-op's topic in General Weight Loss Surgery Discussions
Thank you for sharing this. I got the bypass a little over a year ago. I am one of those people that if something can go wrong, I'd be in that minority. With the band (slip/erosion), and then the sleeve (esophagitis and severe gerd). Many people have both of those for life, but unfortunately, each time I was forced to revise or live in pain. I am extremely happy with my RNY, and I sure hope I will be able to look back 15 years from now and still be healthy. -
lol what a catch 22! Ummmmm I’d say I’m excited about surgery I’m a revision so there’s a bit of been there done that . I just want to fast forward to when I’m recovering at home. I felt overwhelmed with how much new information is out/products since I had my first surgery in 2010 . I’m naturally a worry wart so I’m going through the motions of overly researching duodenal switch . I know it’s best for me due to my metabolism disorders. I read somewhere you could lose a pound a day ! Like that’s crazy to me lol ! (Also I’m making you my accountability partner lol there will be meltdowns FYI !)
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Revision 6 months after VSG
starstevenson posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I’m looking for others who’ve had a revision WITHIN the first year of their original VSG? My reflux is AWFUL! And my weight has been at a stall since month 4. A lot of that due to food choices. The worst the reflux has gotten, the worse the carbs have gotten. Anyone had a revision so soon and was able to get back on track? My revision is due to reflux. -
VSG to ESG Surgery??-Why??
teedsg replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes, the office I'm going to get the consult at has lot's of experience with DS's. You made some good points. One thing is for sure, they will definitely need to do further testing to see what condition my sleeve is in. I'm just excited about moving forward and finding a good surgeon who will listen, wants to know more about my journey, and where I want to go with this. I need a second chance to get this right because I didn't get to my goal, reflux, and I should have gotten the bypass to begin with. I know I need to fight to make lifestyle changes, but the push of the surgery and having a better relationship with food is going to get me there. -
I was also told no on gum from my surgeon. Found this info online not to chew gum after their weight loss surgery. First, some gums can have a lot of sugar, which contributes unnecessary calories into the diet, making it harder to lose weight. But, even if they opt for a sugar free version, chewing gum can cause problems in bariatric patients. The act of chewing gum allows air to enter into your digestive tract. For people who haven’t had bariatric surgery, this may not cause any problems. But for bariatric patients having air in their digestive tract can lead to gas and abdominal discomfort. In the first few weeks after gastric sleeve, gastric bypass, or lap band surgery, some patients report excess saliva. Chewing gum can also lead to saliva production, potentially compounding their problem. Another problem with gum chewing after bariatric surgery is the potential for any swallowed gum to cause a blockage. After gastric sleeve, gastric bypass, or lap band surgery patients are educated to chew their food thoroughly to a paste like consistency. As much as you chew your piece of gum, it will never be such a consistency. The wad of gum can potentially lead to a blockage if swallowed. Most do not find the risk worth it. A great place
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September surgery buddies!!
lesleyjj04 replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Mine is 9-23. I am having the RNY bypass. -
Hi! I got the Barimelt ones. I’ve been taking them this entire month and so far so good. They’re not too bad, I think all of them have funky tastes based on what people are saying so I’m sticking with these unless my doc says otherwise. I chose the sleeve on the recommendation of my surgeon. I don’t suffer from acid reflux and he thinks I would do well with the sleeve since I did lose weight with my lap-band and proper eating, he thought the restriction was all I need to get back on track. I think he also said the weight loss difference was close with bypass and sleeve, so the less invasive sleeve would be enough
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Hey Kara which vitamins are you purchasing? Due to getting the DS I’ll have to take 4 pills in the am and 4 at pm the brand is barilife . Also another question what made you pick the sleeve as your revision choice?
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New Here! Looking for Friends!
lroever replied to athrash87's topic in PRE-Operation Weight Loss Surgery Q&A
Hi Amanda my name is Lori. I live in Washington Court House Ohio. I am going thru the process, almost to the end. I meet with the surgeon on Monday and should get my surgery date then. At least I'm hoping so. I'm going thru OSU. I'm getting the bypass since I have issues with acid reflux. Sent from my SM-S908U1 using BariatricPal mobile app -
Any August 2022 buddies out there??
tranquil_chaos replied to Connie88's topic in General Weight Loss Surgery Discussions
My RNY was on August 9th! So far (today is post-op day 4), recovery hasn't been easy, but also hasn't been difficult. I don't seem to have any complications yet. It's REALLY difficult to get your water in when you are back home and not connected to the hospital IV 24/7. Pain has been managed with the prescription they gave me to take home; I take it every 6 hours. I did 1 week of OptiFast (I got it from my doctor's office) and it was just shakes for a week. I lost 11 pounds. It wasn't as bad as I thought it would be. There is an August 2022 thread over in the gastric sleeve forum. I've seen both sleeve and bypass patients post there. -
I am two weeks out following Gastric Bypass surgery. I started my journey at 288lbs. and now I am 270lbs. It’s been trying these last two weeks but, the surgery has worked miracles in my life already! For that I am very grateful. I have never been less than 200lbs in my adult life, and I am anxious about that possibility. Yet, my health takes paramount and is the reason why I made the decision to have the surgery done. I have joined BariatricPal for a bit of insight and inspiration. It is my hope that by the end of this, I may inspire someone too.
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VSG to ESG Surgery??-Why??
RickM replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
If the GERD is the result of a hiatal hernia, not an uncommon thing and a common cause of GERD, with or without WLS, then that can be corrected, though some surgeons may not be great at doing that with a sleeve - some can, some can't and will route you direct to a bypass instead. A resleeve might be appropriate if the original sleeve was malformed - that used to be more common 8-10 years ago when most bariatric surgeons were still learning how to do the sleeve (as one prominent surgeon put it, "twenty years of doing bypasses and they think they know how to do a sleeve....") but that is less common more lately, but something still to check out. If you are consulting someone who does the DS (particularly the "traditional" BPD/DS,) that's a good thing as they typically are the most skilled at working with sleeves, and can give a good reading as to what condition yours is in. If one of them tells you that the bypass is the way to go (even though they may normally prefer the DS,) then that's usually sound advice. -
VSG to ESG Surgery??-Why??
teedsg replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm so happy, I am going to a different doctor. I have a consult on Monday 8/15/22 to discuss the sleeve to bypass and the DS. -
Sleeve or Bypass Regrets?
sparkly_keeks replied to maintenanceman's topic in General Weight Loss Surgery Discussions
I had a bypass earlier this year and so far zero regrets. My weight loss, even with bypass, has been slower than average due to a screwed-up metabolism from years and years of dieting. I know if I had gotten a sleeve I may have had slower weight loss and more stalls, so I am happy with my choice to get the bypass. Since the surgery, I have a really strong sensation of restriction, next to no hunger, food aversions (sweet and fried foods) and I can taste things way more intensely. I can eat very small portions of junk foods like ice cream (1 or 2 tablespoons). Anything more than that and I just feel icky so I just avoid them. I lost my sugar cravings, which was the cause of my weight gain in the past. I hope those sugar cravings are gone for good because not having them will help a lot with maintenance. The only struggle so far, however, is dehydration. I have to be so focused every day on meeting my water goals. If I don't, I wake up in the middle of the night with the most awful dry mouth. Other than that, all is good. -
Sleeve or Bypass Regrets?
SleeveToBypass2023 replied to maintenanceman's topic in General Weight Loss Surgery Discussions
Every once in a while I think about how I have to fight for every pound and deal with so many stalls and I think the bypass would have been better. BUT...even though my surgeon was willing to do either one and let me pick, I had to do the sleeve because I have lupus and MS and have pills I have to take (and there's no liquid forms of the pills and they can't be crushed or broken) so I knew sleeve was my only option (no pills with bypass and I have to take them). Some of the things I was told to expect with the sleeve didn't happen for me (hunger hormone gone, food aversion, must chew slow and have small bites or stomach hurts and food feels like it's not going down, restriction, etc...) so there's times it feels like it was a waste of time and effort and money. But I HAVE had success, and I AM making healthier choices with my food. So it's still a win, even if it's a way bigger struggle than I thought it would be. -
Band to Bypass Surgery coming up...SCARED
MaryRN66 replied to MaryRN66's topic in Revision Weight Loss Surgery Forums (NEW!)
The bypass went really well. Less pain than I experienced with the band procedure (weird, I know!) and the weight is coming off at a steady pace. Gotta keep myself in check and not get comfortable and start snacking on the wrong foods or thinking I'm home free. The one big plus...being able to eat FRUIT again! With the band, it never seemed to pass through and I love fruits! I need to increase my veggie intake to be the majority of my meals and summer time being so hot this year, I haven't been cooking the veggies in the oven to keep the house cool. But once it starts to cool down, I intent to go in on baking and air frying a whole bunch of fresh veggies. My surgery was 2/3/22 and I have lost 46 pounds thus far and well on my way to my goal weight. I'm drinking 64-96 ounces of water with crystal light lemonade (yummy) every day and this has been a HUGE help in keeping my appetite in check. I also stop eating by about 5 pm most nights which also has helped. I'm working out with water aerobics and calistenics at home so my body doesn't look like melted wax at the end of my body transformation. The surgery was the easy part though it was the part I was most fearful about. I have a life to live and plans to enjoy my getting older years with my amazing husband. I hope the same for you! -
Surgery date postponed due to my PCP . Heartbroken
St77 replied to lindajlue's topic in General Weight Loss Surgery Discussions
Yes, I got my bypass in May. Fingers cross you'll get through everything required without any roadblocks. Good luck! -
VSG to ESG Surgery??-Why??
Tomo replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
So basically they want to re-sleeve you which doesn't make sense if you have gerd. A few years ago, I originally asked my surgeon who regularly does ESG if I can have that instead of the bypass (I was still worried about getting a bypass back then) and he adamantly said no, and it'll make my gerd worse if they tighten my sleeve. He said the sleeve puts pressure on the lower esophageal sphincter which causes reflux. Once he found out I had a gerd, he pushed for a revision to RNY for a couple of years and I kept trying different PPIs instead but to no avail. It got so bad, I finally had to get the revision to RNY last August. -
VSG to ESG Surgery??-Why??
SleeveToBypass2023 replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Everything I've seen on here about getting a revision from sleeve because of GERD has been to the bypass. I've heard the bypass actually greatly diminishes or even eliminates GERD. And gives additional weight loss (although less than initial surgery, it still gives some). It might take another year, but you should be able to get that last 65 pounds down with the bypass, and have relief from the GERD. I would talk to your doctor again, and if he still won't budge from the ESG, find another doctor. -
VSG to ESG Surgery??-Why??
RickM replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Likewise, I don't see the sense of it The ESG by its nature is more limited in what it can do by virtue of its limited surgical procedure - they just can't do as much endoscopically as they can do by going in laproscopically. And, from what I have seen the ESG doesn't have as good results as the basic VSG, either. A few other random considerations: Revisions of any kind tend to have less performance than a virgin procedure - my simple minded picture is that you have already had your stomach reduced from 32-64 oz capacity down to 2-4 oz and you have learned to eat around that; even if it has stretched out some, cutting it back to 1-2 oz isn't going to do much. The RNY isn't markedly different than the VSG in weight loss or regain performance, so don't expect a lot from that, maybe 20 lb would be typical, mostly from a return to the extreme dieting one has to go through around surgery time. If you have had significant regain, first step is to evaluate the cause and treat that; as noted above, the RNY isn't markedly better than the sleeve, so unless you correct what went wrong in the first place, you will be back here again in a couple of years, but with fewer options (the RNY is a trickier thing to revise once you get it, so consider it to be a one way street.) Are you insured, but not covered for WLS, or not insured at all? if you have a significant GERD problem, then correcting it may/should not be considered WLS. but correcting a threatening health condition, possibly the result of an earlier surgery. Check it out before giving up on that avenue. How severe is your GERD? have you had it evaluated? If it is beyond treatment with meds and lifestyle changes, then surgery may be called for. It might be an RNY type procedure (don't refer to it as an RNY to your insurance as that will guarantee a negative answer if they don't cover WLS; there are a number of procedures that derive from the same procedure that gave rise to the RNY, and they are used for treating multiple problems; but they may go under a different name, so let your chosen surgeon work that out with the insurance company. Again, have your issue evaluated - if surgery is needed, a resleeve may do the job without going to the RNY, or it may not as it depends on what's going on with your sleeve. -
Thank you for the feedback everyone. I wasn’t told there was anything strange about my esophagus when I had my RNY in 2013. No previous hernia repair. I was diagnosed with acid reflux back then, which until recently, was asymptomatic. I haven’t taken a PPI on a daily basis since before my RNY. Just an occasional Tums or something like that if I ate something spicy. Now it’s daily though. Mild pain in the center of my belly, heartburn, and some reflux. I don’t have near the ‘regurgitation’ feeling that I did years ago though, which I suspect is a result of the bypass.
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