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Hello. I am considering revising my sleeve to Sadi and I’m curious to know how you guys are doing now.

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.

Hey Karen. There are two doctors in that area that are highly recommended in my DS group. Doctors who are skilled enough to do a DS usually also do various complex revisional surgeries. I wouldn't consider yours a revision so much as a repair, as you aren't looking to change surgeries for significant further weight loss. I wouldn't hesitate to see either of these men for an opinion. You are very lucky to live where you do, it is hard to find surgeons with this much skill! https://www.ultimatebariatrics.com/jayroberts Dr. Roberts does revisions and his patients seem to love him! https://weightlosssurgeon.com/drway/ Dr. Ayoola is by all accounts an incredible surgeon and his patients seem to love him too.

Welcome!! I had a friend who had bypass about the same time as you did and it was very different back then!! We have so many more resources available now. And SO many more products!! I remember how much she hated adding protein powders to her food and how stubborn she was about ignoring healthy food. She lost a ton of weight but I often wonder if she regained since she ate such junk post op. Eventually the portions catch up with you! Most advice for losing weight a while after surgery is to go back to basics, watching your portion size, cutting out simple carbs, getting most of your calories from healthy complex carbs, a little fat, and a generous portion of lean protein. Eat your protein portion first, your veggies second, and a few bites of a healthy starch/carb last, if you still have room. Get in whatever good movement you can. Drink at least 64 oz of water and for bypass patients I believe your protein per day should be close to 80 grams. You'd have to ask your doctor about your calories though. Do you still feel your restriction? I know with bypass they can do testing to see what your pouch looks like and hernia surgery is a good time to revise it if it needs a revision. I just had a hernia repair. I'm about 6 months post op from a Duodenal Switch. The healing process after hernia repair has been a lot like bariatric surgery. I can only eat liquids and some purees at the moment and I'm a week out. But I'm so glad I had the repair done!

This sounds miserable. I haven't had bypass so I can't comment on that, but I did just have a hiatal hernia repair due to food getting caught in my esophagus and causing choking and chest pain. Best they can tell it was probably a sliding hernia, so sometimes most food could pass but pills would get stuck, and other days nothing could pass but water at a trickle. It was a really scary feeling and I'm thankful they got me in so quickly! You say you have this pain, but are you having any of the other symptoms of dumping like diarrhea, heart palpitations, dizziness, nausea, etc...? I would consult the revision specialist to see if they have run into something like this before. Right sided pain is so non-specific. I have a ovary that hides and when I ovulate on that side it hurt like HELL. I think it was pinned by my bladder and uterus, because after my hysterectomy the pain is much better (they left my ovaries). But that would only be for a few days every few months. Not as frequent as your pain sounds. I hope you find some answers. I'm sorry you are in such pain!

I just logged into my patient portal and looked at my labs. They ordered the same tests for both my sleeve and my revision to bypass. Here's what they ordered: vitamin d A1c comprehensive metabolic panel tsh vitamin b1 prealbumin iron ferratin folate vitamin b12 cbc with differential lipid panel vitamin a

I feel your pain - literally. I get sharp pains below my rib cage and slightly above that under my rib cage on the right side as well. I've already had both my gallbladder and appendix removed several years back so it's not either. I also have had a full hysterectomy..so not an ovary. Although, like you I thought perhaps they missed a gallstone in my biliary duct...because it feels just like when I had gallbladder pain. I was told "its not possible" yet I have the pain. I should say I have had this pain before my bariatric surgery. I still have no idea what causes it! I hope it goes away with your revision, most likely because of the bariatric surgeons/GI doctor and your documented ongoing pain it will be covered by insurance.. So that's something. Let me know if that takes care of the pain for you...good luck!

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I'm doing gastric bypass revision surgery on May 4. I'm familiar with the prep and post-op routine, so that's not a problem. I'm looking forward to getting back on track!!

Congratulations on your upcoming revision. What exactly is the TORE procedure? That’s another one I haven’t heard of (there are a lot more options than I realized in WLS). I am looking to get a sleeve revised to SADI and I’m wondering if they will do anything to my sleeve since it’s probably not the same and I never felt like it was as small as others described to begin with. . Also, do you have a surgery date? have an appt on the 30th with the surgeon to tell him if I want SADI or bypass and to ask my questions and I’m getting a bit nervous about him setting a date. As much as I want to get this behind me and start my journey I am nervous about making this decision and it being so real if I have a date. It’s weird because I wasn’t nervous at all about the sleeve. But I guess it was much safer than a revision procedure. I am just nervous and there doesn’t seem to be many people to chat with about it. How long has it been since you had your first surgery? Sounds like it was a bypass? Were you happy with it?

Yes, I am pre-op for a revision to my RNY. I am having the TORE procedure done to restore the size of the pouch outlet and the dimensions of the pouch itself.

I had a revision for GERD. began regaining weight at 6 months post revision. I've had issues with rapid gastric emptying after my bypass, I feel limited restriction and have blood sugar issues. Most people only get these issues with sugars or simple carbs ie: dumping. I get it after everything. I started wegovy a week ago and it seems to be helping.

Them tests and being off PPi’s for a week do not sound like fun. Hopefully all that is a means to an end, though and you get scheduled for your revision very soon.

They decided I needed an upper GI and noticed that I had a very small hiatal hernia and that I'm beginning to develop cricopharyngeal hypertrophy. Because of the test results of that, I am now scheduled for a motility study with impedence using manometry and a 24 hour impedence ph study. Can't wait to get these tests over with so I can take my omeprezole again. This GERD is killing me since I can only take Tums right now. Have to be off the ppi medicine for a week. This should help to get my revision scheduled.

Hi, all. I'm new here, but I'm scheduled for an endoscopic gastric bypass revision for early May. Looking forward to hearing from others who have had the procedure. My RNY was in 2001 surgery weight 465, bottom weight 290. I have slowly regained almost half of that amount back over the past 23 years. I never really felt that the pouch or the anastomosis were made small enough. I was one of the very first RNY patients in our area and the technique was in its infancy at that time.

I hope someone will be able to comment on a scenario similar to my own. I underwent a mini gastric bypass procedure several years ago. I have lost 60-70% of my original body weight and now look very emaciated! The mini gastric bypass procedure has proven to be too powerful in its malabsorptive nature. Scans revealed no anomalies to the index procedure or other parts of my anatomy that would contribute to why I am not putting on weight, despite eating like a horse. My only option now is to have a conversion of the mini gastric bypass to RYGB, and the surgeon will be looking at the limb lengths, to help increase my absorption so that I look healthy. Currently, I am not even absorbing nutrients or vitamins to a satisfactory level. My body aches and I have next to no energy. Original weight 130kg. Now 55kg. Does anyone have experience of a revision to RYGB where the desired outcome was to achieve absorption and weight gain? Most revision posts are geared towards achieving weight loss, which is understandable. But there must be cases of MGB or even RYGB whereby it has proven too powerful to the detriment of achieving a good quality of life. My message to all those who are considering MGB/OAGB, please do not be fooled by the “mini” part. This procedure is much more powerful than RYGB. Unless a patient is excessively excessively overweight, the safest bet in my opinion would be to go for RYGB over MGB. I chose MGB because it was a safer procedure over the RYGB and I erred on the side of caution, thinking that I may not lose sufficient weight. I could not have been more wrong.

First, there is no one right way to eat to lose or maintain your weight. There’s just the right way for you. I agree to the suggestion to get in contact with your old dietician or find a new one. I’d also teach for a couple of weeks just to check your calorie & nutrient intake. I’d also get in contact with your surgeon as well to see what other options you have - revision surgery or maybe GLP - 1 meds. You’ve likely reset your body’s set point. The surgery lowered it but returning to larger portions, poor food choices & bad old habits have raised your set point again. So you’re actually fighting your body now. You’re trying to lose weight & your body is doing all it can to hold on to it. Have a look at Dr Matthew Weiner’s Pound of Loss metabolic reset diet (not that I’m an advocate for any ‘diets’.) It may give you some ideas you could try to see if works for you. He’s a great source of information around all things weight loss, bariatric surgery, etc. (He has a website & a you tube channel.) If you like being active, I’d add in some weights. Building muscle will help burn more calories & help counteract any muscle loss you experience while losing. Walking will help with general fitness. Remember though, activity only contributes to about 10% of any weight loss. Oh & don’t listen to your family & friends when they offer advice about your eating, nutrition or weight loss. They mean well but unless they’re qualified nutritionalist, dieticians, bariatric surgeons or medical doctors or had bariatric surgery they really don’t know what they’re talking about. And they’re not you. You know yourself best. You know your psychologically, physiologically & emotionally self best & know how you want to live your life. All the best.

I know here, if your oxygen is 90 or better, they send you home. I don't agree with it, but they don't seem concerned about it. Chest pain could possibly be gas pain from the gas they used during the surgery to inflate your stomach. When I had my first surgery, the pain was in my chest and shoulders. Freaked me out. My revision, all the pain was in my abdominal area. Constipation right out of surgery is also very normal. But the rest? I would go back to the hospital if it gets worse, or if you're feeling uneasy about it.

This situation is a catch 22 because no one knows exactly what the insurance requirements are and no one will tell us. The dieticians job is to help you lose weight, period. Whether that’s in your best interest or not is where it gets tricky. On one hand If you are in a supervised weight loss program (the six month requirement by a lot of insurances) they are trying to see if you can lose the weight on your own before they approve it. So in theory if you lose too much they could deem you not a good candidate for surgery. On the other hand, every pound you lose the heathy way should make you that much more fit for the operation (not if you malnourished though). Plus, if you really can lose it without surgery obviously not putting your body through surgery would be ideal. if the dieticians way is something you have never tried before and when you try it you feel like you can do it, losing weight without surgery is obviously preferred. BUT, just because the insurance company sees progress and decides that you should be able to lose it based on the trend doesn’t mean they are right (they are not doctors and should not be making these decisions IMO). I know myself I have probably lost 1000 pounds in my life but that’s because I have always lost a few and gained them back but never got near a healthy weight. Whether you have tried everything, including the dieticians way, only you know. I had sleeve three years ago and my high weight was 235 and I’m taller than you. So I was lower BMI as well. On surgery day I was 220ish and I was fine but I did not start losing until my pre op diet began. During my 6 month supervised diet I did follow the diet they set out for me to the best of my ability BUT the cheat days basically offset my progress so I didn’t really lose anything. Now I am considering revision and there is not any weight requirements as far as I know but I started at like 245 this time anyways so I’m not as afraid to lose a little. I asked him what I should do and he said to keep my Carbs below 40 for now (I am most likely having the SADI so carbs are gonna be most important post surgery). Well I am losing but less than a pound a week so no one is raising any eyebrows at my loss. Anyways If I was in your position I would reduce my calories by like 100 at a time and see how I felt after a week adjusting to that. (Mayne you can get to 1200 with the dieticians help and maybe you decide that you want to try it once the dieticians way before you decide). On days like you four hour swim I would ask the doctor their opinion because 1200 calories does not seem enough for that level of activity. I think if it was me, I would stick to eating healthy choices for now. Try out new, healthy recipes and get used to the food you will need to eat post surgery. I would try to get to the 1200 because they are the dietician but portion wise I would cut my calories slowly to get there and see how my body reacted at each stage. (Just be honest with yourself about whether you really need or just want the calories) if I was really losing more than ever before and it seemed like something I could sustain, I would then re-evaluate whether I should be jumping into major surgery just yet. But if I decided that i couldn’t do it on my own and for sure wanted surgery i would talk to my doctor about how much they would like to see me lose to be fit for surgery.

I didn't have much pain when I woke up from my sleeve surgery. The pain came after i got home. It was a ROUGH 2 week recovery. HOWEVER....when I had my revision from sleeve to bypass, no pain. I was literally up and moving and walking and doing well while still in the hospital. The recovery was night and day compared to the sleeve. My only regret is that I didn't just do the bypass to begin with. I think you'll be fine. Just breathe through the nerves, remember why you're doing it, and take the leap. I promise, once you're on the other side of the surgery, you'll be so glad you did it.

Mine resembles abdominal "guarding" because the sides pull in and the front protrudes. Went to my PCP about it and she said as long as there's no pain or tenderness or sensitivity then there's nothing to worry about. Gotta be honest, though, I really hate it. I noticed it slightly after my revision last June, but it was REALLY pronounced after my hernia surgery in December. Maybe my abdominal muscles have just had enough of surgeries lol I'm having a total hysterectomy in May (they have to cut me open since the uterine fibroids are so big) so I wonder what my abdomen will look like after that...

Hi! I’m having revision from VSG to RNY in June. I’m 52, and had the sleeve almost 10 years ago. I did well with the sleeve as far as no complications, but I regained almost all of what I lost, so here I am now. I’m older, hopefully wiser, and my reasons are different this time around. Best wishes to you!

I was told about the 30:30 Rule by my team. For all of the reasons stated above. It can cause fullness and washing the food out of the pouch. I am 14 months out, and I will say this is one of the cons of RYGB. I don't like it but I get it. But it is a lifestyle change for life. In February, I had a bottle of water almost 30 minutes after lunch. What happened next was dumping where I didn't eat for the rest of the day. I was still a little shaky the next morning. Luckily for me, I was going to see my primary doc that morning. All in all, it turned out fine. So now I wait at least 45 minutes to an hour before drinking again. It may not be that way for you. But is the risk worth it? Especially, the chance of stretching your pouch? Where you may have to get it revised.