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Bypass, I am going through alot of problems due to the sleeve. They are revising me to the bypass due to reflux and the hiatal hernia I got from the sleeve. My SD is October 15th, I just got my clearance from my physician on Friday. Sent from my SM-J337P using BariatricPal mobile app

Thanks for sharing this as I too have gastritis and the hernia. I'm having the revision because I'm not losing any more weight, I'm slowly gaining. I initially lost 99lbs. with my band, and kept the weight off a good two and a half years. My arthritis started acting up, was put on meds, and the rest is history. Sent from my SM-G965U using BariatricPal mobile app

My revision surgery is on the 21st as well. I'm so excited although I'm a bit concerned. I only have to do my pre-OP diet 4 days before surgery. I'm actually wondering if it's because I have a lower BMI....hmmmm[emoji848] Sent from my SM-G965U using BariatricPal mobile app

Think of it this way - before your WLS, your stomach held between a quart and a half gallon or more, depending upon how much one stuffs it. After your VSG and a few years, your capacity is more on the order of 6-8 oz. If you go for a revision, that will be cut back to the 2-ish oz that you had after your initial surgery, so there isn't nearly the difference as there was with your original surgery. The first thing that you need to do is to address the reason for the regain, as that reason will be back again a few years after your revision if you don't do it now (as they say, you can "eat around" any of these procedures.) The WLS is just a tool that you need to learn how to use, and the RNY is not a better or stronger tool for that than the VSG that you have - it's just a little different. One of the characteristics of our WLS (any of them) is that we can eat more at a meal over time than we could originally after surgery, and we need to learn how to adjust to that reality. This doc describes the problem well and offers his solution to it - you may or may not agree with it, but it is food for thought in working out how you can address the problem. From my experience, over the past fifteen years or so watching others in our support group and online, correcting 30 lb of regain is fairly easy - it takes some dedication to correcting whatever has crept back into your diet and giving it a few months but it can be done; 50lb or so seems to be a lot harder. But if you can't get the majority of this off without surgery, It is unlikely that a revision will be a good long term fix for you - you will be back where you are now in a few years. Good luck...

I think that second opinions are always a good idea, particularly when revisions are involved as both the cause, or need for the revision as well as the surgery itself tend to be more complex than the original virgin procedure, and this is where different perspectives are useful. As with AZhiker above, my real question is why was the hernia a surprise? What kind of evaluation was done to determine that you need a revision, and that the RNY is the most appropriate course of action? Any kind of a problem with the sleeve, whether it be GERD or inadequate weight loss or regain - the most common problems - I would expect that an upper GI or EGD, or both, would be done to evaluate the condition of the sleeve and either would have shown the hernia. With lapband revisons, we often see some patients get two-stepped - remove the band and allow time to heal, then do the revision to VSG or RNY, but just as often it is all done in one procedure. Is the difference specific to the individual patients' situation, or the surgeon's experience and skills? I don't know, but it seems analogous to your situation where it may be that your case is particularly complicated and any surgeon would two-step it, or that the hernia repair combined with the revision is beyond the surgeon's comfort zone and someone else could have done it in one shot. What is the reason for your need for a revision? If it was for GERD, the hernia repair may well correct or improve it. Sometimes a simple resleeve can correct it if there are shaping issues with the sleeve (not uncommon with sleeves from early in the decade) though not all surgeons know how to do that. If it is a regain problem, what has been done to address the issue non-surgically (diet or head games) as overall the RNY isn't really any better at controlling regain than the VSG, and if the fundamental problem isn't addressed, it will happen again. A re-sleeving may do as well, or a revision to the duodenal switch would be a stronger response to that problem. Just more things to consider....(why can't things be easy?) Good luck...

btw - just for clarification, I didn't mean by "most people get revisions due to reflux" that most VSG patients end up revising to RNY. I just meant for those who DO revise, it's usually because they have severe reflux.

I"m not speaking from experience since I haven't had a revision, but I've been hanging out on various bariatric boards for the last five years or so. From what I've read, most people don't lose all that much weight after a revision - maybe 20 lbs or so. But I suppose it depends on your starting BMI and how well you stick to your eating plan. Most people get revisions due to reflux.

I don't know why you would consult an attorney or another surgeion unless you think malpractice was done. I think your surgeon did the correct course to fix your henia, then wait to do your revision...... I'm sure you signed your life away before the surgery as well.......

Had sleeve 9/2016 was doing great till 6-8 months ago started regaining weight (30+) yes I have been eating more but nothing drastic and still exercise 1 hour a day. So frustrating! Saw my surgeon says I qualify for RNY I’m considering it but he told me that I won’t loose that much more. Can you tell me what the average would be and how successful people have or have not been with a revision. Having a UGI later this month to rule out reflux (not sure if I have that) thank you!

I went in for gastric bypass surgery last Tuesday... actually a sleeve to bypass revision (had sleeve in 2010). Long story short, once the surgeon had me opened up a very large hiatal hernia was discovered. She determined gastric bypass could not be performed safely at this point due to the extensive repair of my hiatal hernia. She wants me to heal from the HH REPAIR surgery for 90 days, then do the sleeve to bypass revision. Needless to say I'm pretty bummed out GP surgery wasnt done, but also glad the HH was fixed. Has anyone else experienced this? Alot of mixed emotions, whether I should consult a different surgeon, or talk to an attorney.

I keep thinking about this topic and where to discuss it even though it’s not directly related to bariatric surgery at the same time it is in a way connected. I always waffle between trying to think about something and just not being able to think about it until it happens, I guess I’m just a cat ... you know how for cats it’s whatever is in that moment is everything and they don’t really perceive tomorrow. I don’t think I am even worried about it, I won’t know until the day arrives how I will feel. But I do need to at least confront the issue. Right? I guess a brief backstory is in 2010 (age 35) I had a hysterectomy, they took everything except my ovaries. I had fast growing fibroids everywhere including cervix. My uterus was retroflexed (is that the word?) toward my spine and I had a large pedunculated fibroid connected there pressing against my colon and spine area. Also a lot of fibroids, nodules and cysts in the walls of my uterus and cervix. They also removed a fibroid from my left ovary. A few years before this whole situation, a doctor told me I likely had endometriosis, bowel bladder etc. but the only way to diagnose was medical menopause but I refused and that was that. I also have Pcos. My doctor at the time said the only way to not repeatedly have the painful cysts was to have my ovaries removed but she didn’t want to do it so soon. Fast forward to last year I saw a uro/gyn due to issues related to my hysterectomy. I had a mass on my left ovary as well. I had pelvic floor repair procedures and he removed my left ovary since it was covered in endometriosis. But left my right ovary even though there was also endometriosis. He said he didn’t want to put me in menopause. i know menopause doesn’t cure endometriosis. But after my gastric bypass surgery and gallbladder surgery and I ended up in the ER with pneumonia and other problems. They incidentally found a mass on or near my right ovary. I have a lot of pain in that area. Some time later I had a MRI that showed hemorrhagic cysts. I saw my Uro/gyn and we decided it’s time to just do a oophorectomy and remove my last ovary and also check for any visible endometriosis. The problem with endometriosis is that it can be in places they won’t be able to find it. Even lungs and brain. I am hoping he will also revise one of the other procedures giving me trouble. this is hard since this is a very personal issue. But I will be facing menopause now. I’ve had hot flashes and night sweats for years likely due to my body’s inability to regulate temperature. And I know about natural supplements for menopause. But what worries me is it’s impact on my weight loss journey. Especially since hormone replacement therapy doesn’t seem like a good idea since that triggers the endometriosis. I haven’t quite thought about it, except my metabolism is already basically nonexistent. I already have weird body issues both due to how the hysterectomy changed my body shape along with degenerative scoliosis, and body dysmorphia. I know it’s a long message for a simple question that probably doesn’t really have an answer since each persons menopause experience can vary greatly. Im already in a longer than usual stall and my weight backslid after I had a colonoscopy/endoscopy. It just won’t budge. The only thing different is my dr gave me prescription famotidine since the omeprozole contradicts a medication I’m on. And I’m thinking it’s that. I added extra vitamin c since there’s some possibility it can help with constipation. But I’m switching back to a natural heartburn remedy for now too.

I found my med mix in 2010. Had surgery 2012. Lowest weight was 200 lbs. Had weight gain due to loss of control over my environment. I had to move in with my mother to take care of her after an accident and she had goodies. Needless to say I gained due to being unable to ignore food that ws sitting right by my bed. I was staying in her combo livingroom, kitchen, diningroom. Moved out and the weight gain stopped. A year later I got a grip on losing at least a lb a month. Now I am considering revision. bupropion is great. I find it not only combats depression but deals with compulsive behavior I.e. compulsive overeating.

I’m Sleeve to Bypass Revision. Anyone have severe anxiety disorder? I had a panic attack after my last surgery and it was a struggle to get my anxiety meds administered to me.... fast forward to now I have a fear of being hooked up to an IV and I’m worried about not being able to ask for my anxiety meds. Thx.

I’m pre revision surgery to bypass. I have a question about post op. I’m kind of freaking out because I had some problems in the hospital with my sleeve getting my anti depressant meds. There was no extended release but finally they just let me open the capsule and take it. I’m wondering with bypass if I’m going to have more extreme and long term challenges because of absorption?!

Hi and you had a revision?

I’ve asked this before a while back.. and I know there are always new folks on the board so I thought I’d ask it again... if you had the sleeve and diabetes...then revised to bypass did your diabetes improve?

Good afternoon all..... how many of you had sleeve revision after complete success with the band. Banded in 2009. 2009 SW: 232lbs, LW: 135lbs... but my best most consistent weight 143 for 7+ years. Zero trouble till 2017, got the flu and slipped my band. I managed to keep my weight down pretty good and gained 30lbs in the 2.5 years. But no matter what i ate and no matter what i did (crossfit 3-4 x per week) i couldn't lose. Any people revise from Band to sleeve with a low BMI... Cash pay?

I’m staring a closed FB group for those specifically who are looking into or have had Sleeve to Bypass revision surgery. It’s called “Revision Journey.” Feel Free to join!

I love your dress and those shoes are amazing. I'm doing ok. I'm going to be having an EGD because I have an off and on again stomach pain/upset since surgery. I haven't got the date yet until they get the approval. I will let you know what I find out. I'm at 251 and have lost 87 pounds. I feel like I should have lost more, but probably am waiting too much. Last night I ate a whole croissant with no ill feeling. If eat chicken it hurts after a few bites. I try to stick to soft proteins. Yogurt is the easiest on my stomach. I still have tons of restriction, but am finding I can graze a bit. I'm still trying to be very mindful of what I eat. I am at a BMI of 39.9 which is just below morbid obesity. I still have a long way to go. I really hope it get there by 18 months. My dr and I will go over my options at 12 months to see if i need/want a revision to DS. I'm having so much lose skin and would consider doing my arms. I carry my weight in my upper half of my body and have way smaller legs. I guess we all have our problem areas. Mine is my arms, breasts and stomach. You're looking good! How much do you have to lose to goal? I'm at a spot that most people started. But, overall I feel pretty amazing! Take care! Stay in touch. 💗

How long before you were allowed to lift over 10 lbs, after your revision?

I’m scared. I honestly didn’t think that insurance would approve me. I had sleeve in 2017. I was at 275 and my lowest went down to 150. But then I had chronic unexplained migraines daily and I sought out food for comfort. I gained 50 pounds back. My sleeve is completely stretched. Somehow I miraculously was approved for revision to bypass. I still am in shock that insurance approved. The thing is. I feel like a failure. I have bing eating disorder and even though I’m in therapy, it still consumes me. I am scared that I’ll fail at this second chance or that I’ll have complications.

Hello all. It’s been a very long time since I’ve posted in here. I had sleeve in 4/2014. Was doing good, lost 80 lbs (definitely not as much as I needed to or hoped for) and as of 3 years ago I’ve developed server GERD and bad stomach pains. I’ve also had Achilles’ tendon repair surgery and a muscle tear surgery on my left elbow so my mobility has been very very limited. Achilles’ tendon surgery recovery time is exactly 1 year. And I had both done so to say the least, I’ve been home...not being able to do exercises at all, except resistance bands which I do do. So, with my weight gain all 80 plus more regain I’m exactly 22 lbs heavier than I was the day of my VSG surgery. I recently had an UGI and EGD done 2 weeks ago which showed severe GERD, gastritis and I have bleeding in my stomach as well the bariatric doctor said. He wants to do a revision to bypass which I’m very happy about, no more GERD and hopefully to get some weight off also. Question is; I’ve already checked with my insurance company BCBS and they said I was certainly covered for a revision as long as I meet 2 of the 6 comorbities and I meet 3. I had them send me the info on getting the revision and I’ve read it throughly and it says in it that if my doctor suggests that I do the nutrition classes prior to surgery then I have to. I am going to express to my bariatric doctor that this pain is unbearable and can he please do it ASAP. How long did y’all have to wait for your revision from getting your testing/procedure results back? Did your bariatric doctor make you go through all the nutritional classes all over again? I’m really really hoping that he doesn’t make me do these classes because I’ve already met my annual deductible and this whole revision bypass surgery will be fully covered 100% and I will have zero money to pay. Please tell me there’s hope. My next appointment with him is on October 29th so I’m praying he will give me some excellent news. I’m going to stress to him about my insurance as well. TIA for any feedback

32 in Lake Frederick, VA. I'll be having a revision from band to bypass on October 24 with Dr. Oviedo.

Wow, I am so sorry you have had to endure this pain and then regain. I had a revision from a VBG to a RNY 3 weeks ago. I am close to feeling normal again. My first surgery was in October 1998 and I went from 302 to 150 in abut a year and a half. But then about 4 years ago I started gaining weight, until I reached 225. My PCP sent me to the surgeon because I had developed a fistula between my pouch and my stapled off stomach, which made it like I didn't have a pouch at all. Anyway it took about 2 months total from my first appointment to surgery. I am on the road to recovery. I can say it seems that the most popular revision is the RNY. Good luck!

Hi, Revision type, timing and approval is very individual. You need to consult your Surgeon for accurate answers. While you wait perhaps can track your food meticulously and even join us in some of the threads that refocus your lifestyle/habits: You may find that you can reach your goals without revision surgery 💙 Good Luck