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Showing results for 'revision bypass'.
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the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare
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Report Your WINS ..What is your today's win??🥇
ShoppGirl replied to Mspretty86's topic in Rants & Raves
Went to my crochet group again today and I didn’t need a nap afterwards. I’m hoping maybe I’m done with the afternoon nap stage. I plan to wake up earlier tomorrow and really try to power through again so I can hopefully get my sleep cycle back to normal. Day by day I get a little closer to my normal. ooh and yesterday was a follow up for the muscle cramps that I got in my calf which went away with the magnesium they gave me but I kept the appt anyways because i start soft food Monday and I had questions. She said that since my pre op appt I have lost 19 pounds so that’s one month exactly and the expected loss for a revision is between 5-10 pounds month so I’m doing good. -
Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.
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As I am just a few days away from surgery I've come across many stories of revision procedures. For those who have had to do this or know someone who has... I'm curious what some of the reasons were ?
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Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about. -
Should I Consider A Revision?
GreenTealael replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck! -
Should I Consider A Revision?
catwoman7 replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery. -
Do I have a revision
NeonRaven8919 replied to indianlight's topic in Revision Weight Loss Surgery Forums (NEW!)
I think this also depends on what NHS Trust your hospital is in. My Hospital only does Sleeve or Bypass, no GLP-1 or revisions. Other Hospitals will offer Sleeve, Bypass, DS and GLP-1 etc. I think the best bet is to start with your GP. -
New to the forum
ShoppGirl replied to Gypsy_Life's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello and welcome. I am three weeks post sleeve revision to SADI and doing well. I’m sure people will be happy to hear your experiences and will be here to cheer you on during this phase of your journey as well. -
Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make. -
Should I Consider A Revision?
Arabesque replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I agree with @NickelChip, you’re not a failure. Not just from a statistical perspective but also from the perspective that you lost weight & kept it off for a while. That in itself is a success because we know how hard it is to lose any weight at all let alone keep it off for anything more than a week. Yes, there has been some discussion around the long term effectiveness of the sleeve but I think it could be said of any of the surgeries - it may work for some but not all. And what sometimes defines as a success may differ too. Too many external and internal factors can affect how successful you are in the short & long term too. I had my surgery when I was almost 54 because peri menopause & then menopause did a number on me & my weight. Quickly pushed me to my usual high weight then I swear overnight, to my all time high of 91kg, (Hormones are the gift that just keep giving whether you’re producing what you need or your production is decreasing as you near &/or are in menopause.). So yes, being in peri menopause or menopause could mess with your weight. I’d get in touch with your surgeon and ask him about a revision, GLP-1 meds and any other options. The fact you are ready & want to do something is such a positive position to be in. All the best. -
Should I Consider A Revision?
NickelChip replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age. -
Should I Consider A Revision?
GataAnime posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I just had a four year surgiversary yesterday. In the first two years I made it down to 185-187 from 252. I did the calculations, and that was only about 25%-26% of my body weight lost. Doing the research, I've found that anything less than a 50% weight loss in the first two is generally considered failure. I maintained around 185-190 for over a year, and then gained 20 pounds seemingly overnight without changing much--we all have our lapses, but this was not enough to explain a 20-pound weight gain. Also, I am approaching The Change, so maybe this is part of that. All I know is I'm frustrated, and I'm not even sure that my initial surgery was successful. I guess I'm asking what other members of The Order Of The Sleeve who got sleeved at late 40s-early 50s have experienced. I plan to talk to my PCP, but what do you think? Should I consider revision based on the initial results? Would it even be worth doing at this point? -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly. -
I specifically made sure that purée was one of the options @ShoppGirl. I can’t say that the thought of puréed food thrills me but the hospital says that, if you have a bypass, the puréed stage is for 6 weeks (4 weeks for a sleeve) If nothing else, it allows hubby to have a play when he’s prepping meals for me too! I’m reigning in the free fall @Arabesque This is where things can go wrong for me as I’ve experienced many times in the past. It can be a delicate balancing act at times. This is why I feel I will benefit from WLS because it’s difficult to be make good choices all the time when something inconsequential can send me spiralling into unwise food choices. Willpower can get me so far but I know myself. If I was able to be moderate in my choices, portion sizes etc then I wouldn’t be in this position now! Oh, I have an electric heated throw that I use for the sofa plus we have an electric blanket for the bed which we haven’t put back on for the colder months yet. It’s difficult isn’t it, when you feel the cold has seeped through to your bones? I’ve always been a warm person - windows open, fans on all night so feeling cold is a strange experience 🥶
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New to the forum
MrsFitz replied to Gypsy_Life's topic in Revision Weight Loss Surgery Forums (NEW!)
Welcome @Gypsy_Life 👋👋👋 There are lots of lovely people on this forum, all with different experiences and at different stages of their WLS journey. I’m pre-op, waiting for my surgeons appointment next week. I’m in the UK and my NHS Trust is relatively new to offering the mini-bypass. How have you found it so far, with recovery etc? I’m interested in it but haven’t made my mind up until I speak to the surgeon. I hope your new surgery works well for you this time around 🤞 -
Hi! I'm new to this forum but definitely not new to this journey! I'm a mum of three adult kids from Newcastle region in NSW Australia. I'm an RN and have gone back to University for more torture (learning lol) I was sleeved in August 2021 and was successful in losing weight for 6 months before I plateaued and then stopped. After extensive investigations from my surgeon and other surgeries, I was booked for a revision and underwent my mini bypass with single anastomosis on 19th August 2024. I'm recovering well and would love to provide support (but not medical advice) to others who are considering undertaking any kind of weight loss or bariatric type surgery.
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August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Yes. I am 2.5 weeks post SADI revision surgery. The majority of us on this thread have already had our surgeries since we are getting to the end of August. -
Hello, 3 weeks out R N Y gastric bypass and still having abdominal pain/cramping/bloating….. Anyone else???
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How much sugar makes you dump.
ShoppGirl replied to ShoppGirl's topic in Duodenal Switch Surgery Forum
Ooh. I have been on the bariatric multi for a few years since I am a revision Although it is a different brand currently since I needed chewable for a while immediately post surgery plus we do have new allergies post surgery sometimes. I will definitely keep it in mind if it continues to happen. Thanks -
I mean, at this point I give up trying to figure it out...
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
Ok what??? HOW??? I was staying between 177-179 for the last few weeks so I thought I was FINALLY at the place my body was setting at. Apparently not!!! I've even increased how often I eat. But it seems like the more I eat, the more I lose. The less I eat, that's when my weight stays pretty much the same. And that seems pretty messed up to me. So I have to starve myself to STOP losing weight but if I eat well I'll keep going lower??? What??? I don't WANT to go lower. I was supposed to stop at 190!! Make it make sense, cuz the math ain't mathin. Just had blood work done. Other than being anemic (thanks lupus!!) everything was normal, including my thyroid. My nutritionist and I got my calories up to 1600 per day when not working out and 1800 when I am. Protein up to 90g on non work out days and 120g on work out days. Carbs are trickier since I'm super sensitive to them, but we got them up to 35g on non work out days (up from 20-25) and 45g on work out days (up from 35). Healthy fats we upped to 70g on non work out days and 100g on work out days. My fluids are always good. Normally I drink around 80 fl oz on non work out days and 100+ on work out days, which 20 of those being an electrolyte drink like Prime hydration, Propel, or Gatorade zero. Being that I'm 2 years and 4 months removed from my 1st surgery and 1 year and 2 months removed from my revision, she's really surprised that I'm still losing. I said "You and me both, lady. Now how do I make it stop?" She said to just keep doing what I'm doing and hopefully my body will eventually hit it's set point and stop on its own. Um...what?? I'm now 15 pounds below my goal. I understand the whole "bounce back weight gain" or whatever it is, but that can't happen until my body finally picks a weight to settle at. I really don't like how I look at this point, and it's frustrating that nothing fits...again. I know it seems crazy to complain about this kind of thing, and believe me, I never EVER thought I would be the one doing it. But something's gotta give, you know? I'm really starting to look sickly, and in my line of work, that's not a good thing at all. -
Need help with diet after post surgery weight gain!!!!!
ShoppGirl replied to Panda333's topic in Food and Nutrition
I had sleeve 3.5 years ago and I gained all my weight back because I was too embarrassed to ask for help before it was too late. You already taken a big step in reaching out here for help. I would also reccomend that you make an appointment with your team for further support. I thought for sure mine was going to chastise me for messing up but that couldn’t have been further from what happened when i finally did. All they wanted to do is help. I ended up doing a revision but my preop diet was pretty doable and detoxed me from sugar and carbs. Mine was two shakes a day and then low carb dinner of 3oz lean protein with a cup to a cup And a half of lower carb veggies. Something like that may be a Reset of sorts but you shouldn’t do it without consulting a doctor. Anyways, doing that I noticed that each day it got easier and easier as my body stopped cravings the sugar and carbs so I didn’t feel like I was starving myself anymore. For me, that’s the biggest obstacle. If I’m not starving I can make the better choices. You may also reach out to your dietician. Be honest about what you are eating as ask for help to make small changes to get you back on track. Keep posting and let us know your progress of struggles. -
Revision from sleeve to bypass due to GERD (Trigger Warning)
ShoppGirl replied to CrazyDog&CatLady's topic in Revision Weight Loss Surgery Forums (NEW!)
I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!! -
Surgeon Appointment - YAY!
SleeveToBypass2023 replied to MrsFitz's topic in General Weight Loss Surgery Discussions
My questions were: How long are we looking at for the actual surgery time and time in recovery before getting to the actual room? How long is the recovery and what can I expect during it? How long will I be in the hospital and how soon after the surgery will I be up and walking? Should I use a stomach binder the first 2 weeks to help with the pain after the surgery? What is the recommended time for each stage of eating post surgery, how many calories and carbs should I be getting in, and what are my fluid and protein goals at each stage? When will I be getting follow up blood work (I personally had it at 2 months, 6 months, and 1 year post op)? Is there a list of acceptable exercises to do at each stage of healing until I get my final complete clearance, and at what stage will I get that? What pain meds will I be given and how long will I be able/expected to take them? What, specifically, is dumping and what has been known to trigger it and how do we get through it if it happens? What hormonal changes are to be expected as the weight drops off, especially during the first 3 months? Please tell me EVERYTHING you can about stalls, in as much detail as possible. What medications are affected by the malabsorption that comes with bypass (typically it's extended release, but there could be others). That's all I can remember that I asked, but I hope this at least gives you a good start!!! -
I may have to get padded bra to just feel like a woman, Its all in my head. My body has changed so much that I can't lie I am kinda freaking out lol I am muscular, a size 4, small top, my butt is flatter and its taking an act of God with workouts to just make it look like there is something there and my boobs are just gone. So I am not feeling super sexy. I have to wait a year and honestly I am only waiting a year because my surgeon highly encouraged it. I would've gotten my boobs done like yesterday. Then got a revision a few years down the road if needed.
