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AFTER my sleeve i was starving then i had a revision to the mini bypass which is 1000 times better for me, I am not hungry and food tastes gross anyway so im losing super fast

Hopefully some of those folks will see this thread. I am really desperate to hear stories about this revision.

HI I had a weight regain and I have seen doctors with all kinds of suggestions for revision surgery. Has anyone heard of RNY to Single anastomosis duodenal switch. Or had this? I know revision after gastric bypass is unusual. Just looking for information.

Prior to my VSG 2 years ago, my acid reflux was minimal, not everyday. I had experienced reflux when I gained weight. I was a yo-yo dieter for years getting low as 130lb to high of 310. At my pre op testing for surgery, my surgeon says I have mild gerd. He had recommended gastric bypass. I didn't want bypass and told him if I lose the weight the reflux should go away like it has done in previous years. I was reflux free for 1 1/2 years post VSG. By then, i was 100 pounds lighter. By Dec of last year, I started having reflux here and there but not everyday. The ppi medicine was working but fast forward to this year. I was still experiencing mild acid in my esophagus after eating even with taking a ppi using with nutrition dense foods. My surgeon again recommended gastric bypass to get rid of the acid reflux or stay on ppi forever. I was leaning towards staying on ppi medication and losing more weight. However, I am still reading those with gerd/VSG and have reached a healthy BMI under 25 still experienced gerd. I will be moving forward with revision surgery from VSG to Gastric Bypass on the 19th of Sept.

A couple of things. 1st check your policy. If what you are waiting on is an approval for the revision, most insurance companies stipulate a time frame. Generally about 14 days. One thing to remember is that they work on a business day schedule not a calendar day. So it’s about a 3 week time span. 2nd If you’ve already been submitted, it was denied and an appeal has been submitted, there should still be documentation in the policy regarding the maximum amount of time they have to let you know of their decision. 3rd. It may take a phone call to get all of the information from your insurance company. My revision was listed as a covered procedure, but it wasn’t plainly listed in my policy. I had to call and get them to email it to me. Best of luck!

Pretty sure the only revisions from sleeve are either RNY or DS @Dr-Patient

Did you suffer from GERD as well? Was that part of your revision decision? Hope to hear you are doing well...

Why do u need a revision?

I'm at the start over part of this revision process. My first appointment with a new doctor will be on Monday. I was told that it will last 2 hours. The clinic also told me to be "open." I know what is needed for my health. I have one of the top doctors (that is what I am told). I feel happy and scared. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

I've done all my requirements for the bypass revision, due to hiatal hernia and problems with reflux my dr. says I need to get revised from the sleeve to bypass. Anyone else having trouble with insurance company getting this approved.? I'm really suffering over here and they just tell me my appeal is pending. Anyone know how I can push this forward? Help! Sent from my SM-J337P using BariatricPal mobile app

I know everyone is different, but I had very little pain with my RNY (I'm not a revision, though). I thought plastic surgery was MUCH more painful.

I had the sleeve surgery in 2015 i lost about 70lbs, then my Gerd came back with a vengence plus i had a hiatal hernia. I gained all my weight back and i decided to give it another try and revise my sleeve to gastric bypass. I'm so glad i did. My surgery was 7/25/19 and after my surgery my doctor told my sister that this surgery was necessary because once he got in there he had to do major repair from the sleeve surgery that was done as well as repair the hernia. He told her he understood why the sleeve was not successful. even though this is a weight loss surgery, for me it was more medical and i will still get the pleasure of losing the excess weight. So far I've lost 30lbs. I have no regrets. Sent from my SM-G965U using BariatricPal mobile app

Why are you scared of RNY? I read this from lots of people and I don’t understand it. Yes it is major surgery but that just means that you need an experienced surgeon. It is regarded as the gold standard of WLS and technically it is reversible ( although this is usually only done under extreme circumstances). No part of your insides are removed, everything is still there. It is the most effective option for resolving GERD although there are a few people that still suffer with it. Taking daily vitamins is not a problem. If you have had a band you will find the variety of foods that you can eat with a bypass a lot better, you feel full in the stomach not that horrible feeling in the chest. You can go out to eat without spending the night chucking in the bathroom because your first bite went down the wrong way. I can’t comment on what having a sleeve is like because I have never had one but I do see a lot of people that are revising because of GERD. I also personally know a lot of people that have not achieved much success when going from band to sleeve or in some cases as Virgin sleevers .

So a little bit about me, I was lap banded when I was 17 years old, got it taken out when I was 22 because of pouch enlargement. Now I am thinking of getting sleeve done. But the GERD part scares me, it's like exchanging disease states for one to the other. It helps get rid of Diabetes, but you acquire GERD, so severe to the point that people need revisions to another sleeve or another bariatric procedure. I would be scared to get an RNY or a Bypass, I am happy getting a Sleeve (and this was a decision I thought a lot over to even get to it), so the thought of so many revisions due to GERD scares me to even get this done in the first place. It makes me wonder if I will be one of those who undergoes this too, I don't have current GERD right now, sometimes I do get heartburn maybe three times a month, but I'm not taking anything for it chronically. Anyone have any thoughts? Thank you so much!

I was band to bypass revision. Done because the band was no longer working, because studies show that over the long term the band causes a lot of damage and also reflux.

I'm finally come to a peaceful mindset about my conversion surgery from Sleeve to Bypass. My surgery date is set for Sept 19th. I have met with my surgeon's assistant and the hospital pharmacist to go over my current meds and meds post op. My surgeon's assistant informed me about changes to recovery meds. My surgeon office no longer prescribes the pca pump or heavy narcotics. I don't know what to make of this. I'm a little worried about pain after surgery. I had plastic surgery last Sept and I was only given 7 days of opioid meds. The first 7 days were trouble. Nothing like my recovery from VSG. I'm praying my recovery from Bypass will be similar to VSG. I will be prescribed gabapentin and tramadol. In addition, some other meds while in the hospital. My surgeon office calls it ERAS protocol. I will see my surgeon again on the day before my surgery. I'll be sure to ask him about this new recovery pain meds protocol.

Sleeved on 6/28 and now have horrible GERD. Looking to have revision surgery next spring. Not happy to have to go through surgery again, but glad there is an option to get rid of the reflux.

To the OP--Achieve Goals--why are you considering a sleeve revision? Just curious. Thanks.

Good Luck 💜 What are you revising to?

Hey guys, just wanted to hear some of your stories. Especially people who are needing to undergo a SLEEVE revision to an RNY or Bypass. Could you guys tell regarding the reason for your revision? Was it because of GERD? or Sleeve stretching etc? Thanks

I know this is old post, but it was brought back up by EdenDesired's reply. I thought I'd reply just in case someone else runs across this and has the same questions. I have bipolar type II. I've been diagnosed for over 20 years and have tried pretty much all drugs that was for BP/Depression or even thought to have a benefit for BP's. There was some cocktails that worked and would work for a good while. Other cocktails would make things worse. But such is the life of BP. I've had two bariatric surgeries. RNY in 2001. I lost 200 pounds and was stable for about 15 years. I gained it back due to what ever reason, divorce, having to take over the complete care of my father, depression/stress from work, etc... ya know Life. I had revision surgery on June 28th, 2019 from RNY to DS. I was able to go forward with this new surgery only because I had a Pdoc that knew about new drugs that are working now and was willing to work with me to adjust things till we got to the right recipe. There is one main new med, and then re-adding some oldie but goodies that i have tried in the past, but are working better with the one new med. It stabilized me more than usual. Didn't stop being depressed/manic, but it limited the cycles in a major way. As to what my Surgeon and Pdoc thought. Pdoc thought I was stable on the meds and had been for a year, so it was a good idea, but told me I should expect to adjust everything as I shrink. Surgeon didn't have an issue as long as I passed the Psych eval. As to the surgery and the meds, I took all my meds all the way up to the morning of the surgery. I was off of some of them while in the hospital, but as soon as I could swallow pills, I was released from the hospital and I was to continue my meds as normal. 1st surgery, they gave me liquid versions of the medication when I went home for a time. The liquid versions don't taste good. When I was having issues and the cocktail wasn't adjusted well, I looked into ECT and a bunch of other things. ECT was one of my choices if other things didn't work out. Have you considered Ketamine Treatments? It is being used for Resistant Depression and you don't need hospital stay for it. Its doing wonders for many. https://www.health.harvard.edu/blog/ketamine-for-major-depression-new-tool-new-questions-2019052216673 Be mindful though when finding a Doctor that provides the treatment. Several clinics are setup by non-psychiatric physicians. _kimga_ I hope you're doing well and you are able to move forward with the surgery. Any questions, feel free to ask.

Who did your rny to ds revision?

I was recently revised from VSG to RNY at my goal weight. So when the surgeon said I needed to do a pre op diet I was pretty resistant and questioned why constantly. He said they place everyone on the preop. The reason he gave was to shrink the liver by ridding it from excess fat making it easier to mobilize and more pliable so it doesn't crack/tear/break. I was confused: how do you break a liver? He likened a fatty live to a marblized piece of beef and the fat makes it stiff/vunerable during retraction. It will be handled alot during surgery. I begrudgingly followed my 2 week diet (except 1 day) because i didn't want any extra issues Good Luck with the rest of your preop 💜

I'm not a revision so some of this I can't really answer, but as far as what you can eat, I can eat pretty much anything at four years out. I can't eat a ton of fat or sugar at one sitting, though, or I'll feel like crap -- but then again, we're not supposed to be eating that way *anyway*, so... btw - I went through UW as well

I'm very newly revised so im curious to hear others experiences as well Good Luck 💜