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I chose bypass because of the dumping, I needed that sense of secuity. Also I want my diabetes to go away. And with the malabsorbation period will help me the most.

Hi, pals. The basics first- surgery on August 29 gastric bypass. Two weeks after surgery had partial blockage and went back to beginning. After redoing liquid phase, I have worked up to soft food, which I started a couple days ago. While I did ok on puréed foods- soup, sugar free pudding, etc. but every soft food I have tried has made me very sick. Tuna, turkey, eggs. I throw up violently for about an hour after, then I’m fine. My nutritionist said just to take it slow and we would check in during our 6 week appointment (about a week and a half from now.). Anyone else experience anything like this? Any tips on what you did if you resolved the issue? Thanks, Angela

For my band I had to have a letter of medical necessity, a psych eval, and a nutrition eval. I was just wondering if you had to go through all of this over again in order for you to have your revision.

I think my pouch is way too big, I went from band to bypass Jan 14 th.....I have no restriction now, 2 months tomm, I have only lost 20 lbs, I can eat a lot almost anything right now, very frustrated.......

Several individuals develop a condition called reactive hypoglycemia after gastric bypass surgery. Here are some links: https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass http://www.todaysdietitian.com/newarchives/060415p48tip.shtml https://www.bariatricpal.com/topic/194130-reactive-hypoglycemia/

I am pre op for a gastric bypass but wanted to ask those of you who have had surgery this question. I had my endoscopy today. They found hiatal hernia, irregular line and non-corrosive gastritis in the entire stomach. I know the hiatal hernia can be fixed at the same time I get the gastric bypass, but has anyone had either of the other two problems delay or stop gastric bypass?

I am using Dr. Strain at Englewood Hospital in Englewood, NJ. He is at a Bariatric Center of Excellence. He works with two other surgeons, Dr. Ibrahim and Dr. Morales. Dr. Morales just took out my Lap Band yesterday. She was great and Dr. Strain will be doing my Revision in September, he is great too. They also have a nutritionist right in the office (which is located on Engle St.) Their website is www.bergenlap.com

Thanks Laurigee for the encouragement and Congradulations! :thumbup: I am pretty discouraged because all I see is people that have lost weight but are now having to deal with loose skin. I watched a PS show on The Discovery Channel about this girl that had the bypass and I felt so bad for her because even though she lost all that weight she still felt terrible about herself b/c of the loose skin. She didn't even want her husband to touch her. I just don't want to end up in that boat, I have already spent too much time hating my body and not enjoying life due to my weight...I am glad to hear that there is somebody that lost weight and didn't have to deal with loose skin!

When will I be thin?!?!? I joke, I joke . I guess I'd be most interested in the differences in recovery and post op diet between your sleeve and the RNY. Also any particular complications you are at an increased risk for since you're a revision. How many revisions has he performed? How often does he see strictures? What supplements will you need post-op? What does he expect your weekly weight loss to be? Is this the same surgeon that did your sleeve or are you going with someone new? Good luck!!!! HW 312, pre-op (RNY) 255, current weight 204.2

Hello all! I'm getting my gastric bypass 8/20/13, I was wondering what to expect going in, waking up and the first couple weeks after, any information will be helpful, thanks!

It's really difficult to stretch your pouch to the point that it will make a big difference. Or so I've read. I think the more common reason for weight re-gain is grazing, snacking, and slider foods. Of course do your own research, that's just what I've seen. I chose bypass because its been around longer and because the weight loss is slightly higher than with the sleeve. I also like the idea of possibly dumping. I feel I might need a little more incentive to eat right occasionally... Also because if all goes horribly wrong you still have all your parts floating around, and I assume they can put it back together if needed. Granted it still won't be the same as it was. but it makes me feel better to have all my pieces.

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I posted this on another forum and felt it might be useful for other people to have a read of, if like me, you like your scientific facts. Maybe the below will provide a bit of clarity as to the 'nuts and bolts' of some of the bariatric procedures and their long-term (within the limitations of the data) efficacy. This first academic journal quoted was published in May 2013. So, it doesn't get more 'up to date' with regards to evaluating the comparative effectiveness in the three biggest weight loss procedures. I have only reproduced the abstract and have quoted the source below as the abstract covers the salient information we'd be interested in. The second section is all about the metrics, with a snapshot of all the procedures being evaluated in a tabulated form (the table was removed from the cutting and pasting process, so read left to right) and the risks associated with the operations. The primary and secondary sources are also cited. Better to make decisions based on rigorous scientific research, than hearsay and charasmatic sales pitches, I feel... Hope it helps. Article 1: Abstract: Objective: To evaluate the comparative effectiveness of sleeve gastrectomy (SG), laparoscopic gastric bypass (RYGB), and laparoscopic adjustable gastric banding (LAGB) procedures. Background: Citing limitations of published studies, payers have been reluctant to provide routine coverage for SG for the treatment of morbid obesity. Methods: Using data from an externally audited, statewide clinical registry, we matched 2949 SG patients with equal numbers of RYGB and LAGB patients on 23 baseline characteristics. Outcomes assessed included complications occurring within 30 days, and weight loss, quality of life, and comorbidity remission at 1, 2, and 3 years after bariatric surgery. Results: Matching resulted in cohorts of SG, RYGB, and LAGB patients that were well balanced on baseline characteristics. Overall complication rates among patients undergoing SG (6.3%) were significantly lower than for RYGB (10.0%, P < 0.0001) but higher than for LAGB (2.4%, P < 0.0001). Serious complication rates were similar for SG (2.4%) and RYGB (2.5%, P = 0.736) but higher than for LAGB (1.0%, P < 0.0001). Excess body weight loss at 1 year was 13% lower for SG (60%) than for RYGB (69%, P < 0.0001), but was 77% higher for SG than for LAGB (34%, P < 0.0001). SG was similarly closer to RYGB than LAGB with regard to remission of obesity-related comorbidities. Conclusions: With better weight loss than LAGB and lower complication rates than RYGB, SG is a reasonable choice for the treatment of morbid obesity and should be covered by both public and private payers. SOURCE: Carlin A, Zeni T, Birkmeyer N, et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Annals Of Surgery [serial online]. May 2013;257(5):791-797. Available from: MEDLINE with Full Text, Ipswich, MA. Article 2: September 2012: Morbidity and mortality associated with LRYGB, LSG, and LAGB from the ACS-BSCN dataset LRYGB LSG LAGB 30-d mortality (%) 0.14 0.11 0.05 1-y mortality (%) 0.34 0.21 0.08 30-d morbidity (%) 5.91 5.61 1.44 30-d readmission (%) 6.47 5.40 1.71 30-d reoperation/intervention(%) 5.02 2.97 0.92 SOURCE: Data from Hutter MM, Schirmer BD, Jones DB, et al. First report from the American College of Surgeons Bariatric Surgery Center Network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg 2011;254(3):410–20 [discussion: 420–2], in: Timothy D. J, Matthew M. H. Morbidity and Effectiveness of Laparoscopic Sleeve Gastrectomy, Adjustable Gastric Band, and Gastric Bypass for Morbid Obesity. Advances In Surgery [serial online]. n.d.;46(Advances in Surgery):255-268. Available from: ScienceDirect, Ipswich, MA

When I went in for the first time Dec 2011 the lapband was the newest best thing. I was a lightweight at 206 but had diabetes and a bunch of other stuff. I wish the Dr. would have went over my options more with me because if I knew then what I know now post revision May 6th to the sleeve my journey would have been a lot easier. Best of luck!

I recall on another board when I was scheduled for a revision what I was told. I was told that since I did not want to have my band removed, gain weight, then go for a revision that I was anorexic with body image issues. It was presented to me in a way that I was only allowed one WLS per lifetime and I screwed up the first one so I should be out of luck. I was self pay both times. I did everything right, I followed the diet, I lost 108# the first 10 months with an unfilled/underfilled band. I busted my butt, kept calories low, did everything right. I had band intolerance. I was on liquids at that time with an unfilled band and eating frosting, anything with sugar to maintain my weight. How many anorexics do you know eat frosting to maintain their weight? But I dared to not want to gain weight before a revision so I was anorexic. I was already nervous about surgery, worried that I was making my problems permanent, and feeling horrible about having to switch surgery types and I get that load of crap from a supposed peer. I did learn one thing, the people that were most supportive of me were those at or near goal. Those who were not doing well with their band, not working the band, not following dietary guidelines, not getting fills, not doing what they were supposed to... they were the people that slam dunked me the most. When I read that woman just assuming the OP was doing something wrong something in my head snapped. ;o)

Hi Evelyn thanks for responding. My email is chesscott245@gmail.com and I am happy to have someone to go through this with. How are you doing with sticking to your diet? I have not been doing so good but I keep trying. I am guessing that my surgery will be at the end of August because it is in the final stages of review by the surgeon now. My insurance will take about 3 days to approve it and I will be on my way. I went through all of this 2 years ago when I was going to have the gastric bypass. I was already pre-admitted into the hospital and 2 days away from surgery when I backed out. I have the same insurance and the same bariatric surgeon so I am sure everything will be the same. I feel so much more comfortable with choosing the lap band although I know this journey will be tough in the beginning. On another note, I have been able to accomplish getting 60+ grams of protein in everyday and 64 ounces of fluid. Ok, so I got some protein shake mix from Walmart...(not the red/black ones) but another brand...I will email you later with the name. Anyway, I went on Amazon and ordered this amazing protein shake cookbook from Bariatric Foodie and it is great. I usually make the creamsickle shake in the morning or a raspberry mocha frappachino. I make the raspberry mocha frappachino by mixing 8oz plain lowfat soy milk, 1 Tbs. sugar free raspberry syrup, 2oz Decaf coffee and 1 scoop of Chocolate flavored protein mix....OMG its soooo good. Anyway, sorry for talking you ear off :-)

I feel so similar! After all my research, I just KNEW the sleeve was right for me. Am I a little scared about the acid reflux being worse? Yes I am, but not as scared as the possible side effects from gastric bypass. I may not be your average wls recipient either. I have a high tolerance for pain, my surgeon could not believe what my X-ray looked like of my band that I had been living like that for years. I just thought well, this is how its suppose to be!

I chose the sleeve after doing a lot of research on it. I am a "light weight' im 5'6 and 250lbs and I know a few women who had the bi-pass and did great! but they were 300+lbs before. I know a woman who was about my size when she got the bi-pass and she is now on a feeding tube and her health is very poor, she almost died and she regrets having it done now. That scared me, I don't know if its because she was a "light weight" or if it was something she did wrong, all I know is I did not want that to happen to me!! I also saw women my size with better results from the sleeve, and seems like a lot of people are having revised surgeries from the band to sleeve and bi-pass to sleeve.

Someone else I'll have to newer that's further out then me.. But I don't think dumping is a real problem with the sleeve.. It's more common with gastric bypass..

I am 5 weeks post op revision tomorrow and am suffering the same thing all of a sudden. DId you happen to find out what it was?

My doctors have advised that the sleeve does not encounter the dumping syndrome. They of course want you to stay away from sugars and carbs but it's that's in order to lose weight. I already have other stomach problems and that's one of the reasons I picked the sleeve over the band or the original gastric bypass. Another form of vitamins if you're interested, minor called bariatric Fusion You can look online for those as well. From what my nutritionist said, you can't just take a regular multivitamin. There's other vitamins that you need as well.

1. Doesn't involve putting foreign matter inside me - i am both a cancer survivor and have multiple auto-immune diseases. Titanium staples aside, i want NO foreign matter inside my already overly-inflamed body. 2. Simplest of the available ops that doesn't involve putting foreign matter inside me (ie: no malabsorption or severe dumping, no band with known and significant failure rate including complications that can be v severe) 3. Simplest long term management - no regular drs visits for band fills/unfills, no ongoing Vitamin shots etc 4. Weight loss success better than band and comparable with RNY 5. Fits with my total weight loss requirement (100 lbs) 6. Have significant co-morbidities and need "serious" action with likely success in the short to medium term (ie: was getting to the point where my life was in danger if I didn't act) 7. Am older so reversible solution not essential 8. Can be revised to DS or RNY later, if necessary 9. No difference in cost and no insurance company issues where I live, so I was completely free to make my decision on the basis of all of the above. 10. I soooo wanted to get rid of a large part of stomach and to tame my surging hunger. Hope this helps.

Wow, that is crazy, that must have been very worrisome for you. The only thing my surgeon ever gave me second thoughts on was gastric bypass, he said he recommends it highly but wanted me to consider the sleeve. He did talk about his 0 leaks, 0 strictures, 1 mortality, a couple excess bleeders who needed transfusions. Following surgery I found out one of my friends has a brother who had bypass in June, by my surgeon, anyway I guess he ended up in the ICU for bleeding issues following his surgery. Obviously I didn't expect my surgeon to be like I had another one, but it did make me a little nervous, but I was already post op. It was a relief when I met with my surgeon again pre op after nearly 7 months and everything was still 0 though.

Well I have been working with my Primary Care doctor and a nutritionist for the last year I have went from 269 to 223 but over the last few months I've just hit a plateau and nothing is happening not gaining nor loosing so he suggested the surgery at my doctors visit on the 16th. He wanted me to do bypass but I looked at it and researched it and it's just not for me so I decided on the sleeve. Maybe that is why it didn't take as long to get me in because I had already been working with him and maintained my weight ???? I'm not sure. I just thought it was weird b.c everyone on here is having to wait months and even yrs to get approval.

My nut actually had the gastric bypass herself, and then became a nut after. She was almost to skinny...but I think it helps her to feel more empathy for the patients, because she knows exactly what it is like. Glad you realized what a nut really is, so now you don't think we are all talking about our nuts, and sounding like we are nutty! Lol