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Myotomy and sleeve to bypass revision due to GERD
catwoman7 replied to Foxbins's topic in Revision Weight Loss Surgery Forums (NEW!)
if you're at a normal BMI, you may not lose any more weight. People who are still pretty far from goal typically do with a revision (although not as quickly as with a virgin surgery), but if you're at a normal weight, then you may not. Just follow your surgeon's guidelines and you should be fine.. -
Myotomy and sleeve to bypass revision due to GERD
Foxbins posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had my sleeve done in 2011, reached my goal weight of 138, and have maintained it since. I developed GERD about two years after the sleeve surgery. I've been on omeprazole since, the max dosage the past two years. GERD gave me an esophageal stricture which causes food and liquids to regurgitate back into my mouth after swallowing. It's truly gross to have to repeatedly reswallow the same mouthful of food. Sometimes things get stuck and I have to vomit them up. I've had a couple of endoscopies, a BRAVO study, and esophageal manometry. The manometry shows I have achalasia (impaired swallowing) too, not surprising when you only have a 12.5 mm wide esophagus. It was dilated during an endoscopy, but shrank back down fairly quickly. My surgeon wants to do a Heller myotomy to fix the stricture but a common side effect of myotomy is GERD. So he has to do something about the GERD, too, and that has to be some kind of bypass. Since I'm at goal weight with a BMI of 21, I don't have much spare poundage to lose. Plus I'm 65 and don't want to end up one of those "frail elderly" people who can't carry groceries or walk very far. I am hoping that my surgeon will make the very shortest bypass limb he can. Approval came a week after submission so I'm scheduled for June 29. No preop diet required. It's all happening a little fast and I'm a little freaked out. I think I've forgotten all the food stages :-). Support would be appreciated. -
I am scheduled for a revision from sleeve to rny on 6/23. I had my sleeve 11 years ago, and have had severe reflux since then. Scared about having another surgery, but also afraid not to. My surgeon thinks he can get rid of 90% of my reflux or more. Been sleeping mostly in a recliner for the past 11 hrs due to the reflux (bile). Anyone else scheduled this month?
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My Surgeon gave me a choice to choose my surgery: Sleeve vs. Bypass vs. RNY
Lily66 replied to AchieveGoals's topic in Gastric Sleeve Surgery Forums
Initially I was head set on the Sleeve. When my surgeon asked if I ever have GERD and I replied “yes, once in awhile”, he drew a picture of what happens when GERD takes place with Sleeve (increased pressure in a much smaller pouch, that raises serious discomfort, and risk of potentially serious esophageal damage.) He went on to say if your tests indicate serious reflux issues I WON’T perform Sleeve on you. If they show minor issues, I’ll do Sleeve if you still choose to, but caution you it may result in a revision up the road if GERD persists. I would much rather you go through WLS surgery once and not have to do it twice. He encouraged me to leave him, start the battery of testing and do more research. When I learned that RNY is still considered the Gold Standard of WLS, with the longest history of success, risks very low, slight potential for greater weight loss due to malabsorptive feature, my mind was well on its way to RNY. Three months out and No regrets, not at all. Challenges with both, but to be expected. Many Sleevers are very happy and have done amazing, too! It’s your personal makeup that, along with recommendations from your Dr. that will guide you. Mine is only one story. Good luck! I loved the excitement😃 and anticipation at the stage you’re in—-Enjoy the Journey!💖 -
My Surgeon gave me a choice to choose my surgery: Sleeve vs. Bypass vs. RNY
AchieveGoals posted a topic in Gastric Sleeve Surgery Forums
Have been visiting my Bariatric clinic initially for undergoing the Sleeve procedure, however with my last surgeon visit, he said he recommends that I get the Bypass. With the increase of GERD after Sleeve, and the numerous revisions from Sleeve to Bypass...he says if you'd like to avoid this in the future and save a surgery then it would be better just to do Bypass. WHOAH! Bypass seems to me like the most drastic procedure for the most severe cases (IDK, I get that sensation). My question to Sleevers: If you could do it again, would you choose Bypass? Does GERD really get that bad? -
So I was revised 5/27. I’m feeling great... went to bed and awoke with a horrendous bruise on the left side of my belly button ... incision site. Didn’t have a bruise when I went to bed. It’s hard large and painful. Feels like a baseball underneath. All the others are greenish as it’s been over a week. I called the emergency service for my surgeon and his associate called me back. Just said if no fever it’ll be okay. ER if I want but with COVID unsure I wanna go but I had surgery and everything was impeccably clean. Maybe CITYMD. maybe it needs to be drained? 👩🏼⚕️
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So I was revised 5/27. I’m feeling great... went to bed and awoke with a horrendous bruise on the left side of my belly button ... incision site. Didn’t have a bruise when I went to bed. It’s hard large and painful. Feels like a baseball underneath. All the others are greenish as it’s been over a week. I called the emergency service for my surgeon and his associate called me back. Just said if no fever it’ll be okay. ER if I want but with COVID unsure I wanna go but I had surgery and everything was impeccably clean. Maybe CITYMD. maybe it needs to be drained? 👩🏼⚕️
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Hate bypass
Cheeseburgh replied to DesperateEC's topic in Revision Weight Loss Surgery Forums (NEW!)
Dr. Matthew Weiner has a lot of informational videos on YouTube. He covers a wide range of topics, I’ve learned a lot by watching him. This first video on metabolic thermostat/set point was a lightbulb moment for me. How bariatric surgery changes your hunger, metabolism and even your tastes for certain foods. Metabolic Thermostat This one is titled: Bariatric revisions, Will they help or not? Bariatric revision As always, listen to your own Doctor -
There is: go back to basics, counting calories along with a balanced food intake. Use a calorie counting app if that helps, set your profile to lose 1lb or 2lb per week...it will set calories based on your current weight, height, gender, incidental actiivities...give it a go for at least three to six months. If you are overeating due to emotional eating, look for activity based things to do that can replace the emotional eating. Angry go for a brisk walk or boxing class, stressed a soak in a relaxing bath, lonely or bored visit a friend or family member or even give volunteering a go. Maybe consider counselling if you aren't able to rein in the emotional eating. If it portion creep and your portion sizes have increased a lot, go back to using smaller plates and bowls so as to encourage smaller portions. You could also consider visiting a dietician for some guidance and/or consider a revision weight loss surgery.
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New Member, Revised!
California Guy replied to California Guy's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm from San Diego and live in Houston now. Dr. Ricardo Bonnor first did my VSG in 2013 then my 2020 DS revision. I have great insurance so they covered all my needs. The most I pay out of pocket for all medical bills is $5k each year. -
New Member, Revised!
platti replied to California Guy's topic in Revision Weight Loss Surgery Forums (NEW!)
If you don’t mind me asking, who did your revision and how much was it? Did insurance cover it? I’m looking for a revision surgeon in California as well -
I am 7 days out now from a revision bypass. I am feeling pretty good. Out of shape it seems but I know it’s major surgery. I had a umbilical hernia repair on top of it. Caffeine withdrawal headache was a killer but it has pretty much subsided. My thing is, is my diet protocol the same as the sleeve. Can you recommend a site or a possibly printable friendly list. It seems I have to be more careful this time around. One the hernia heals I think I’ll be doing a lot better. My nutritionist wasn’t this helpful this time around and I go back to the surgeon on Monday and also the 25th. Thanks.
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This may sound nuts but if your problem is that you have no room because too much was removed, how about a bypass ? Everything will slide through except proteins and I haven't gotten to those yet to know but I do know I am 2 weeks post revision from sleeve to bypass and everything just flows right through so far. I have not felt restriction. I am taking in 700 calories 2 weeks out and could take in more without much problem. Just a thought Good luck to you
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Did you see big changes after 3 months?
2Bsmaller18 posted a topic in Plastic & Reconstructive Surgery
I am at 3 months post brachio and revised tummy tuck (skin only not muscle). I had a 3 month follow up and he pointed to a few areas like by my elbows and on one side on my stomach and said it still a little swollen. I know it takes a year to see more of a final result but I kind of assumed that once the initial swelling was gone after 2-3 months any changes after would be very subtle. My waist is measuring 31 inches. I don't feel swollen but has anyone else really seen a big difference this far out. Could I go down a whole inch from here? I think he will need to go back in another 6 months to fix some bagginess and skin laxity still near my armpit and he agreed. I also have 2 areas with a tiny fold or pucker of the skin at the incision line. I asked about my scars that are still red and was given the 1 year answer but I am hopeful that in the next few months it will start to fade some. He wanted me to continue silicone tape or cream or even coconut cream but said to NOT use Bio oil. He said it is not good for post surgical scars. -
Did you see big changes after 3 months?
2Bsmaller18 posted a topic in Plastic & Reconstructive Surgery
I am at 3 months post brachio and revised tummy tuck (skin only not muscle). I had a 3 month follow up and he pointed to a few areas like by my elbows and on one side on my stomach and said it still a little swollen. I know it takes a year to see more of a final result but I kind of assumed that once the initial swelling was gone after 2-3 months any changes after would be very subtle. My waist is measuring 31 inches. I don't feel swollen but has anyone else really seen a big difference this far out. Could I go down a whole inch from here? I think he will need to go back in another 6 months to fix some bagginess and skin laxity still near my armpit and he agreed. I also have 2 areas with a tiny fold or pucker of the skin at the incision line. I asked about my scars that are still red and was given the 1 year answer but I am hopeful that in the next few months it will start to fade some. He wanted me to continue silicone tape or cream or even coconut cream but said to NOT use Bio oil. He said it is not good for post surgical scars. -
Dr. Francisco Gonzalez and/or Oasis of Hope - Any Feedback?
aonthehill replied to NovemberSleever's topic in Mexico & Self-Pay Weight Loss Surgery
Did you have your surgery on 3/27?? I'm scheduled for 6/20... I'm having a revision from the sleeve to the DS... how did things go for you? -
My research suggests that revisions from sleeve tend to be either to DS or to bypass, with a very few being a resleeve done in certain cases, such as if the sleeve was oversized or defective in some way. At your current weight (assuming it is still less than 35 BMI?) I don’t know what the requirements might be unless you have serious Gerd or other issues? I know regain is a legit reason but I don’t know if they make you wait or what. Do you know why you have regained?
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When researching my revision, I remember seeing a 5 year period was required by my carrier between WLS.
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Revision completed
GG926 replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
Why did you have a revision to bypass when you weigh so little, just curious -
You need to get back on the wagon. I honestly don't see how a revision could help anyone lose weight if they aren't following a program to begin with. You can do this please try and go back to clean eating. Have you tried the 5 day reset ?
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About the only way you can get revision is serious GERD. But weight gain that soon after sleeve may indicate to some surgeons you aren't ready to undergo another procedure. Check with your bariatric center and see if what you are eating is contributing to weight gain. (are you back to old habits like soda, fast food, junk food, snacking, grazing, etc,). Also be aware that some medications can cause weight gain. Check any meds you take for weight gain as side effect. You need to figure out what is really going on before considering surgery again. With the restriction gone from sleeve, your weight now depends on you and see what you can do to fix problem. Getting regular exercise? Sent from my SM-T580 using BariatricPal mobile app
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Weight Loss Journey Challenges--HELP
MISTY_CEE035 posted a topic in Tell Your Weight Loss Surgery Story
Hello Group! Today is my first day here onsite. I started my lifestyle change on 3/9/2009 when I had my WLS-Lapband. I went through some immediate results but 6 years later I developed an erosion in the mouth of the stomach that caused my tool to be removed. I experienced a rapid weight gain! On April 19 2016, my surgeon revisited my case and I was approved for a revision. We agreed on the Gastric Bypass. The surgery went well. I take my vitamins, eat right etc. On august 16, 2019 I underwent the Panniculectomy surgery which went very well. The recovery process was about a month. I am very happy with the results. Now, what I am currently experiencing is the UPs and Downs of weight loss and weight gain due to the unprecedented times we are experiencing and the challenges we faces each day. In March 2020, I was required to work from home which was great but the exercising has been limited. OMG how I miss the gym... I visited my nutritionist and she recommended I join this website for some guidance, support or even a fruitful tip that can keep me motivated. I do not wish to go backwards, I want to continue losing and I just seem to have lost sight. HELP -
How can I get a revision gastric sleeve approved? Had my surgery August 2018 started at 248 lowest at 170 and now I’m up at 195. I can’t seem to loose any more weight. But I don’t know how I would be able to get a revision. Any suggestions?
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New Member, Revised!
Circlesis replied to California Guy's topic in Revision Weight Loss Surgery Forums (NEW!)
Congrats on your revision! Looking forward to hearing more as your journey progresses. -
Revision options
Circlesis replied to salasmarlene02@gmail.com's topic in Revision Weight Loss Surgery Forums (NEW!)
My opinion DS, just going by the Numbers and long term weight loss maintenance. Full disclosure I am considering a sleeve to DS revision myself.
