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Showing results for 'revision bypass'.
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Your stomach is cut like a small banana and the bit what makes you crave food is removed I had it done in 2010 but didn't lose that much so I opted for the bypass Aug 2021 wish I had done this first they gave me a booklet on about the surgery when I had the sleeve and it stated the bypass is second option if the sleeve doesn't work for you but they don't tell you that it's only because I read about it
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I chose the "mini" gastric bypass (aka omega loop) basically because of the better stats in the studies (weight loss + chance of keeping it off). That it's easy to revise or reverse is an added bonus for sure, but I would've gone with RNY had this not been an option.
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April 2022 Surgery Buddies
newsam1154 replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
Hi!!! I'm from PA! and I'm getting revision to bypass due to GERD. Thank you so much! I'm PENDED to get a surgery date today!!!! -
How often does a sleeve need to be converted to bypass?
catwoman7 replied to Pabc's topic in Gastric Sleeve Surgery Forums
from what I've read, about 30% of sleevers have or develop reflux, but it usually can be managed medically (e.g., with PPI's such as omeprazole). There are some who have it so severely that they end up revising to bypass - I don't know the percentage, but I don't think it's huge. It may appear that there are more people who revise than actually do, because people post about it. Those who don't have issues aren't as likely to post about it. Your surgeon may know the stats, though... -
How often does a sleeve need to be converted to bypass?
Pabc posted a topic in Gastric Sleeve Surgery Forums
I had sleeve placed last week. Sleeve was chosen because I had pre-existing pancreatic insufficiency resulting in a lot of loose stools requiring use of pancreatic enzymes. My GI doc and surgeon thought sleeve would cause less problem with malabsorption and further diarrhea. As I read, I’m seeing a large number of sleeve patients develop severe reflux/gastritis and new hiatal hernias. Can anyone comment on how often this happens or ways to prevent it? Thank you! -
How do you get your doctor to support revision?
shriner37 replied to QueenWiki's topic in Revision Weight Loss Surgery Forums (NEW!)
I'd also tell him about the hernia for sure. I went back to my surgeon 7 years after my sleeve with severe hiatal hernia symptoms. He did an EGD, and as soon as I woke up told me he saw the hernia and had scheduled my revision surgery for the following week. Hernia and GERD are two very good reasons to revise to bypass as it should help with both. As others have said though, don't expect as much weight loss with the revision as with the original surgery. One other thought, I had great luck using my sleeve with a combination of time restricted feeding and keto. I only ate between noon and 6pm (lunch at noon, dinner by 6pm, no snacking) and generally followed keto guidelines. This is the insulin control diet regimen recommended by Dr. Jason Fung. I dropped 20 pounds in a couple months and found it was easy as since my sleeve I didn't have a great deal of hunger. -
It's a tough, personal decision. Both WLS's are good options. I was going to choose the bypass but two of my other doctors suggested sleeve as "less radical" so I did that instead. It worked. It resolved all of my comorbidities: sleep apnea, migraines, GERD, acid reflux. I have had no problem absorbing vitamins from food without supplements. But bypass is good too, I'm not trying to influence your decision. I was about a 42 BMI as well pre-WLS.
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February 2022 Surgery Buddies
Toggletrue replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
I’m wondering if there is a fee for any form of Revision Bariatric surgery? And if so do most insurances cover? -
Hey everyone! I'm just coming on here to see if anyone has experienced similar issues or see if this is normal. My nurse is suppose to call me back tomorrow so I am still waiting. I'm 8 days post op from gastric bypass. While the surgical pain has subsided I have been experiencing tachycardia, extreme constipation (haven't had a full bowel movement in 9 days, just little bits here and there), I'm nauseous from pain in my intestines and today when I was able to go a little bit, my stool was red and I haven't had anything to cause that as well as extremely foul smelling. I had a family member who's a physician check me out casually and ask me some questions. They suggested that there might be some internal bleeding but to keep monitoring it and to rest and not move around too much or put stress on my body. I'm reading about things like leaks and I'm so nervous now. I want to know if anyone experienced this post op, like a week out. Should I go to the ER? Sent from my SM-G975U using BariatricPal mobile app
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@lizonaplane & @catwoman Responded to most of your questions already so I will just add a comment to your question about absorbing vitamins. In bypass the malabsorption rate of everything you ingest both food and supplements is approximately 11%. So the reason we take vitamins is to supplement the vitamins and minerals that the bypass doesn't aborb. You don't have malabsorption with the sleeve. It's strictly a restrictive surgery whereas the bypass is both restrictive and malabsorptive. Hope this helps with your decision! Best wishes!
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the stats are slightly better for bypass (for losing and maintaining weight), but they're not particularly significant. You'll find people on here who've been very successful with both surgeries (and unfortunately, you'll also find some who didn't do so well..). Honestly, your success is far more dependent on how closely you follow your program than it is on which surgery you choose. If you're willing to work hard and follow your clinic's rules, you'll do well with either surgery. you'll have to take vitamins with either surgery, too. There are greater consequences if you slack off on vitamin-taking with the bypass, but that shouldn't be an issue if you keep on top of those. And again, you'll have to take them with either surgery (there's one person on here who doesn't have to take them anymore because her labs are always really good (she had sleeve), but that's kind of unusual...most of us have to take them for life, even sleevers) there are some medical conditions that make one surgery more appropriate for your situation than the other. For example, if you have acid reflux issues, bypass is the better option, since there's a risk that sleeve could make that worse (whereas bypass usually improves if not outright cures it). But if you don't have any medical conditions that would make one surgery a better option, then it really comes down to personal preference. They're both good surgeries. with either surgery you probably won't be able to drink fluids as quickly as you do now (it's more like sip - sip - sip), but for most of us, that is temporary. I don't think I drink any slower now than I did before I had surgery.
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I had sleeve, and I'm only 5 months out, so I can't speak to maintaining yet. You will most likely have to take vitamins with either surgery (depending on your surgeon) but there is more risk of vitamin deficiency with bypass. I looked into whether sleeve or bypass patients were more likely to lose more weight or keep it off longer, and it's really hard to tell because while OVERALL people with bypass may do a bit better, there is so much variation in either surgery with how much you lose and how much you keep off. I would not recommend doing the sleeve and then later getting the bypass, unless it's for something like GERD. You rarely lose a significant amount with a revision. Yes, you can drink 3L of water after bypass or sleeve; you just can't drink it all in one gulp. At first you will have to take tiny tiny sips, but over a few months it will get better. For me, I can drink a few gulps at once but can no longer drink a whole bottle of water by guzzling it all at once. It's something you have to get used to for either sleeve or bypass.
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Hi I'm new here , I will be having wls this year , I'm still undecided if I'm going to have the sleeve or bypass, my bmi is 42 I carry most of my weight on my tummy , I've seen alot of people who have had the sleeve then go and have further surgery for the bypass , I know it's a tool but do people tend to keep the weight off more with the bypass ? It states with the bypass you struggle to absorb vitamins so you have to take vitamins for the rest of your life , does this work ? As I don't understand how you can't absorb vitamins from food but they give you tablets? Sorry for all the questions I'm really stuck and don't know which surgery to choose ! It also worries me with drinking liquids as I drink 3lr water a day can i do this with the bypass ?any people have success stories with the sleeve that has kept their weight off for 3+ years ?
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February 2022 Surgery Buddies
SumayyaLight replied to MeganMyers's topic in PRE-Operation Weight Loss Surgery Q&A
Im on my day 6 after gastric bypass. I can only drink 15ml on evry 5mins. I still have abit pain on my left side. Other than that i’m all good. -
I'm six months out from bypass surgery, and I can now take normal bites. It's essential to eat slowly and chew thoroughly, however. It did take me a long time to be able to get to a "normal" way of eating. I had a good four months of only being able to eat 1/4 cup maximum twice a day, and taking the tiniest of bites. It took time, however. It's a long road that does settle into something more regular, but you have to ride out the early weeks and months.
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Normal Bites?
heddenturner replied to heddenturner's topic in POST-Operation Weight Loss Surgery Q&A
When I went I first met to discuss surgery my BMI was 35.5. My family has a history of diabetes and high cholesterol. Heart complications from the diabetes have been an issue and it all seems to start about age 50. I’m 47. After much discussion with my nutritionist and my doctor - with a million times trying to lose weight my entire life - we decided on surgery to ensure these genetic issues would not be an issue. I had a vertebral artery dissection (spontaneous - had been is great health) at the age of 40. After the stroke I gained weight AGAIN and never could lose it. No matter what I did. Bypass because after an endoscopy it was discovered I have A typical reflux - I had NO idea! I felt nothing and my esophagus was burned badly. I also found out I had a hiatal hernia. So long long story short - there you go - :) -
As anyone had bad wind after the bypass I'm nearly 6 months out and got real bad wind and stomach ache I wasn't like this before any help appreciated
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Normal Bites?
DaisyAndSunshine replied to heddenturner's topic in POST-Operation Weight Loss Surgery Q&A
I think I have been able to do normal sized bites. It'll be 3 months end of this month, so I am sure you'll be able to as well with time. I am surprised with your BMI though, 31 and yet they managed to do bypass on you? Do you mind sharing your reasoning behind the surgery and why you chose bypass? Is it a revision one for you or first time? -
Hi I am 8 weeks post bypass and I am wondering which soft drinks I can have when I go out to a pub/bar/out for a meal (I live in the UK). I literally can’t think of anything that isn’t fizzy or full of sugar apart from water. Any ideas would be appreciated 😊
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How do you get your doctor to support revision?
lizonaplane replied to QueenWiki's topic in Revision Weight Loss Surgery Forums (NEW!)
I think if you frame the reason you want a revision as "weight loss" it's likely you will not have much support, because weight loss from revision is often not much. Your best bet is probably to work with a therapist who specializes in eating disorders and bariatric issues. Especially since you developed pica after your first surgery. While it makes sense to get a revision if you have GERD (not sure about the hernia!), you should keep in mind that you may not lose very much. Also, you can try some other remedies for GERD, like not eating 3-4 hours before lying down, sleeping with the head of your bed elevated, etc. Good luck, and mega-congrats on losing 225lb!! -
How do you get your doctor to support revision?
QueenWiki posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I'm new! I had a sleeve in 2008 and it gave me GERD. I ended up gaining more weight than I lost due to severe anemia and pica. Then I did keto and lost 225lbs but it still isn't enough. I also have a hernia but it isn't really impactful. I told my doctor that I want revision surgery (but i didn't mention gerd or the hernia, just weight loss) and he is like, "see a dietitian." Also I do not have the same doctor or even live in the same area as I did in 2008. Literally any advice or comments are appreciated here. -
I agree with everyone who says that the difference in the "statistical" weight loss averages isn't much, compared to the huge variation among patients with either surgery. Either way, it's up to you to do the work. If you have significant GERD, probably bypass is best. If you think you won't be good at taking your vitamins, sleeve MIGHT be better, as you are less likely with sleeve to have vitamin deficiencies and may need more supplements.
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That's odd that they would call out the sleeve as a concern, rather than the bypass, which actually bypasses some of your intestines. A sleeve just reduces the size of the stomach, and is not mal-absorptive. Most people will report constipation after surgery, but some/many have periods of diarrhea, perhaps caused by constipation remedies? I don't know much about UC, but I think I would get a second opinion from a GI doc, and ask the bariatric surgeon about your concerns. I calculate your BMI as 36, which is only qualifying for a WLS if you have other co-morbidities like diabetes, apnea, etc. While you can have WLS at a lower BMI if you pay out of pocket, I would warn you that you may not lose as much weight as you think, and the risks for you are almost certainly higher than for people who aren't in your situation.
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Best of luck to you! My tip is to ask A LOT of questions. I was afraid to at first, and I regret that. Now I'm suffering horrible GERD and looking to revision from sleeve to bypass as a self-pay patient. 😪 In the end, you will know what is right for you!!! I look forward to your journey!!!
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7 yrs post sleeve---now revising to RNY due to GERD
newsam1154 replied to gabbykittyvsg's topic in Revision Weight Loss Surgery Forums (NEW!)
I hope you are doing well! I am also getting revision due to GERD. I have found ZERO relief. Life is miserable.
