Search the Community

Heellloooo *cough* ummm I'm baaaack too. I dunno why I stopped posting but I kinda took a social media break. Good luck with the revision surgery @GreenTealael and soz to hear about ur hernia dramas @Fluffychix

Hello Valerie - my surgeon did not suggest this but I also do not know how much was bypassed originally so this may not have been needed in my case. I went to a revision specialist so I think had he suggested I may have asked for research (I still did this with my current surgery) and then discuss with the surgeon, my Primary and my family. I am still only a week out but I am so happy . For me, the recovery is so much easier second time around.

Well, I am July 31 - RNY and Pouch revision or "tune up", as I like to call it. I was worried that I would be too late for the July group, so I was also going to follow with the August group. My pre op appointment is July 29th where the Internist will review my test results before giving the final go-ahead for the 31st. I am doing well on the pre-op diet, and have lost about 10 pounds in the past month total. My tests show a fatty liver so I am really following the protocol closely. So if it is not too late, Please include me. I have met all the requirements for surgery already, in terms of test results so I am pretty sure it will be a go ahead. I really would like to be involved in the post surgery followup, to see how you are all doing!

I am heading there 8/2 for my revision from sleeve to mini-bypass. Was it worth it? I’m starting to second guess my decision.

I’m so nervous for my revision surgery! It’s scheduled in just a couple weeks. If you’ve done this- how much different is the post-op experience? I have terrible GERD, and have had only a small amount of weight loss.

I live 30 miles east of Springfield and am seeing Dr Matt Simpson through Cox. Mine will be a revision of a VBG to a bypass. Good luck!

I weight every day, first thing after going to the bathroom. I write it down. I'm almost six years post-VSG. Alas, in the past 2 years, I HAVE gained 25 pounds back and I am NOT happy about it. I never wanted to see 200 pounds again, but I am ~ 205. I am also having a very hard time getting back on track. So, advice: stay on track. I'm actually contemplating a revision because I do not want to get too far gone. Ghrelin is back and it is winning, at present. I had 5.5 great, happy years. The VSG was the BEST thing I ever did for myself.

I am still Post Op week 1 in my revision surgery so I wanted to show you some extra support. I think this is great! I know my biggest challenge for me will also be getting in exercise I think I am allergic to it like I am shellfish I need to find the cure to that ASAP! Sending positive vibes and prayers for loads of menus.

I am going, on July 1, for my RNY revision surgery. My surgeon is going to examine the pouch and stoma, and make smaller if possible. What concerns me is that he is also going to increase the amount of intestine that is bypassed. My original RNY, done in 2000, what a short length. I am worried just because I have not read about anyone else having this done. I may just ask him that, if the pouch and stoma just appear stretched..... make that smaller and not do the bypass work. This will be a situation where I will be on my own after surgery. I mean, they are very responsive over phone and with emails, but there is no follow up appointments. My GP will work with me on monitoring my Iron, Calcium etc. Did any of your surgeons suggest this approach?

You are very knowledgeable! This is why I chose the vsg, if needed I can revise, which I prefer not, but we will see what the future holds. My Dr wanted me to do the DS, but I refused, for now.

In Canada, for these more complex jobs, one doc to look into is Michel Gagner, who I think is in Montreal. I don't know how that works for you on location or on insurance coverage, but he was in on some of the early DS work and does a lot of complex revisions and procedures, so is worth checking out.

Are you getting the sleeve, bypass or a revision or would you like to talk about anything else? I'm understanding, my friend is getting a revision on the 24th and we've been focusing on other topics for now. These group can be the support you need...

Thank you all for the question and responses, I was thinking the same thing. I did the liver shrinking diet prior to lapband removal, I have lost and at a 40 BMI. I do have co-morbidities as well. I was wondering as well the what if. I still have 4 more visits w/dietitian. How long after removal of lapband did anyone have the revision to GBP? I was told 3 mths and my doctor has said 6mths. I was hoping to have it done before the year is up d/t paying a very very high co-payment for lap-band removal.

This is a tricky one, as the bypass is difficult to revise. The most common things that are done are basically minor tweaks to your existing bypass - either putting a lapband over the pouch, or tightening up the stoma to try to restore some restriction. Neither seems to have a very good record of success. The most successful thing that I have seen is to revise it to a duodenal switch, but that is a very complex procedure, and there are only a handful of surgeons (maybe half a dozen) around the country who can do it. The other thing that is sometimes done, as the DS is too complex for most, is to convert to a distal RNY, which basically moves the pouch much further down the intestinal tract increasing the malabsorption, but that seems to be more trouble prone than the other alternatives.

Has anyone had previously had a rny and gotten a revision? In the last 2 years o got pregnant and have since put back on the weight even if I'm watching what I'm eating. I feel my absorption is back to normal. Sent from my SM-G960W using BariatricPal mobile app

I will be having revision in Summerville in September. Good luck!!!!

Most any surgery that you can contemplate, in addition to the basic risks associated with surgery, hospitals and anesthesia, will have some risk of side effects that may be less than desirable, however we take those risks in order to correct a problem that we have created by injury, disease or genetics, with the intent that the result will be much better than what we started with. The various bariatric procedures have different predispositions to consider - conditions that happen more commonly than in the general population. The VSG is predisposed to GERD as the stomach volume is reduced much more than its' acid producing potential, and while usually the body adjusts and corrects the problem, sometimes it doesn't completely. Similarly, the RNY is predisposed to marginal ulcers (typically around the anastomosis) because the part of intestine to which the stomach pouch is attached is not resistant to the stomach acid like the duodenum is (the part of intestine immediately below the stomach outlet, which is bypassed along with the remnant stomach.) Likewise, it is also predisposed to dumping and reactive hypoglycemia owing to more rapid stomach emptying due to the lack of pyloric valve. Usually, these problems don't hit most patients, or don't persist if they do, but sometimes they are long term problems. These are things to consider ahead of time, particularly if one has any relevant pre-existing condition. Another consideration is that the VSG is fairly easy to revise if it does run into a problem that can't be resolved otherwise, while the RNY is difficult to revise or reverse. Another point to consider is that while the sleeve leaves behind a relatively "normal" anatomy, the bypass leaves a blind stomach and upper intestine which is more difficult to examine endoscopically, so some problems may not be diagnosed until they are more advanced and symptomatic. For instance, if one is subject to stomach polyps, that is a pre-cancerous condition that should be monitored, but is difficult to do after a bypass. An pre-op endoscopy is a good idea to understand what is happening inside you, even if your program doesn't require one. On the diabetes front, they both do well, typically seeing 75-85% remission rates (remission is what it is, rather than a "cure" - it can come back, particularly with some weight regain) though the bypass is generally considered to be marginally better. The best results come from the Duodenal Switch which typically shows remission rates in the 98-99% range, but that is a more complex procedure that few surgeons offer. However, if the diabetes fails to go into remission, or comes back, after a VSG, a revision to the DS is straightforward (as the DS uses the VSG as its basis) while revising an RNY to a DS is very complicated, which only a handful of surgeons are able to perform. So, while the VSG may not be quite as good as the RNY in that respect, it has a much more viable "plan B".

Welcome back, though I’ve been gone a while and only just found out you had a surgery! Did something happen to prompt the revision?

the second part of this isn't true - bypass usually improves or even cures GERD. In fact, many sleevers who develop severe GERD (and certainly not all will - but a significant minority) revise to bypass for that reason.

I had my revision sleeve done 7/3 and I’m in a stand still for weight loss right now. I haven’t lost a pound since I started the purée stage. Anyone else have the problem of a stall? Mine is a week now with no weight loss

Alright so, I'm a 29 year old female, I suffer from High Blood Pressure at this age (so upsetting), Diabetes. I have gone through the 6 month program at my clinic and I'm approved for surgery. My A1c is above 8 right now, so I'm just working on getting that lowered to ~8 at my next blood test, and I'm good to go to get sleeved. Now call me an idiot or a coward, but I am scared to get GERD after the surgery. I know, it sounds so stupid, for Christ's sake I have high blood pressure and Diabetes already, but I feel like if I go through something so drastic as to cut out 70% of my stomach, I just don't want to accumulate other diseases like GERD and still be bound to take medications everyday for other diseases acquired - does that make sense to anyone? I want to get this procedure done (And let me tell you, I am soo scared still to do it, but I know it is the best option for me considering my health status), I just feel like let's say I do get GERD, there is all this talk about sleevers down the line getting revisions, I don't wanna be a non-normal person getting surgeries and other procedures done all the time to feel normal. What advice can anyone give me to relieve my nerves? As of right now, I do sometimes get heart burn if I eat something spicy - i don't take any medications for it. I would say it happens 2-3 times a month. Is there a possibility I will get chronic GERD after surgery and I will need a revision done later on in life? Any advice would help me out!!! I'm a confused mess right now....

I scoured the forum for tips from people and came up with a revised list of things to try. I'll be adding to this and updating as time goes on but this is a lot to go on and gives me hope as I start my Pureed diet phase this weekend. Enjoy ! 1. Eggface Ricotta Bake (google it) 2. Green bean casserole (bariatric style) with canned chicken 3. Tuna casserole (bariatric style) with green Beans instead of peas 4. Mexican beef with cheese or beans with cheese (too carby for me--made me hungry too soon after eating) 5. Broccoli, spinach or cauliflower pureed with light cream cheese, lemon juice, s/p/g (steam the crap out of it first) 6. Smashed cauliflower with bacon and green onions (put in a food processor) 7. Any Soup or chili made bariatric style 8. Fish in foil pouches with lemon and spices/herbs. 9. zucchini sauteed with onion, tomatoes and herbs and pureed--can add any kind of lean meat.< /span> 10. yogurt/cottage cheese blends with berries. 11. Pureed black Beans with a bit of cheese 12. Yellow Split Pea Soup puree 13. Buffalo chicken Dip puree 14. Broccoli cheese Soup puree 15. Pureed Chicken Salad 16. 4 Cheese mashed cauliflower 17. Hummus - Roasted Red Pepper by Sabra 18. Eggface Cottage Cheese Bake (sub out cottage cheese for ricotta + parmesan + ps mozza shreds + low carb marinara) 19. Cottage cheese flavored with taco seasoning 20. Progresso chicken enchilada soup with mashed cauliflower & ground chicken pureed 21. Scrambled egg with a little milk and topped with a teaspoon of salsa 22. Pureed Italian sausage with a little green and red pepper with Spagetti sauce 23. Applesause (unsweetened) with a sprinkle of cinnamon 24. Pureed Lentil soup with shredded cheese 25. Shiitake mushroom pizza with ground chicken and pizza sauce and cheese on top - all put in blender. Sounds weird but really good https://www.cookinglight.com/recipes/loaded-cauliflower-soup https://www.food.com/recipe/shellys-baked-ricotta-324036

I scoured the forum for tips from people and came up with a revised list of things to try. I'll be adding to this and updating as time goes on but this is a lot to go on and gives me hope as I start my Pureed diet phase this weekend. Enjoy ! 1. Eggface Ricotta Bake (google it) 2. Green bean casserole (bariatric style) with canned chicken 3. Tuna casserole (bariatric style) with green Beans instead of peas 4. Mexican beef with cheese or beans with cheese (too carby for me--made me hungry too soon after eating) 5. Broccoli, spinach or cauliflower pureed with light cream cheese, lemon juice, s/p/g (steam the crap out of it first) 6. Smashed cauliflower with bacon and green onions (put in a food processor) 7. Any Soup or chili made bariatric style 8. Fish in foil pouches with lemon and spices/herbs. 9. zucchini sauteed with onion, tomatoes and herbs and pureed--can add any kind of lean meat.< /span> 10. yogurt/cottage cheese blends with berries. 11. Pureed black Beans with a bit of cheese 12. Yellow Split Pea Soup puree 13. Buffalo chicken Dip puree 14. Broccoli cheese Soup puree 15. Pureed Chicken Salad 16. 4 Cheese mashed cauliflower 17. Hummus - Roasted Red Pepper by Sabra 18. Eggface Cottage Cheese Bake (sub out cottage cheese for ricotta + parmesan + ps mozza shreds + low carb marinara) 19. Cottage cheese flavored with taco seasoning 20. Progresso chicken enchilada soup with mashed cauliflower & ground chicken pureed 21. Scrambled egg with a little milk and topped with a teaspoon of salsa 22. Pureed Italian sausage with a little green and red pepper with Spagetti sauce 23. Applesause (unsweetened) with a sprinkle of cinnamon 24. Pureed Lentil soup with shredded cheese 25. Shiitake mushroom pizza with ground chicken and pizza sauce and cheese on top - all put in blender. Sounds weird but really good https://www.cookinglight.com/recipes/loaded-cauliflower-soup https://www.food.com/recipe/shellys-baked-ricotta-324036

Forgot to update... I think 😁 Post revision to RNY, back home doing great & feeling good

Hi! I posted this in the revision board but that board is a ghost town :) haha. Am en route to have my lapband revised to the RNY (most likely- not sold on the sleeve...) and I am trying to figure out how much time off from work I need. When I had the lapband surgery, I spent a day in the hospital with gas pains and just a little sore. If I had the job I have now back then (middle school teacher- so I can be fairly sedentary if needed) I think I would’ve been able to go back to work within a few days. I mean, I just had a baby with no drugs, had to be stitched and I was going on long walks the day after. I also had ankle reconstruction and went back to work in 4 days (including a weekend). Not saying that I am super tough, just a seasoned surgery patient- there are way more that I could list :) Those who have had both surgeries, how do you think the recovery time and pain compares? Thanks! Amanda