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I am a sleeve patient and don’t have any answers for you. I am wondering why would a person choose ds over bypass revision? I don’t know much about ds but I may soon be facing the decision to revise myself. So I am curious what the benefits may be with ds over bypass?

I’m sorry for the long rant but I want you to see the full picture: sleeve vs. sleeve + behavior modification/commitment. You’re 2 weeks out. Don’t be so hard on yourself or doubt your decision. What is done is done. No regrets. This could be the beginning of an amazing healthy future. No looking back now — only ahead... Here we go: I am 7 years post sleeve and I’ve regained all of my weight back and some. Highest weight before sleeve was 210, Surgery day weight was 193 (done in Mexico). I got down to 147 and maintained that for about 2 years and then started regaining. I’m 214 now. According to my current U.S. surgeon (Dr. Stanley Klein), my Mexico surgeon (Dr. Ariel Ortiz) completely blotched my sleeve in 30 minutes (surgery report information) making it look like an hourglass instead of a banana. BUT, I regained not because of my “bad” sleeve but because I changed my eating habits. I have A LOT of restriction still, more than a friend who’s 4 years out. I also became very anemic which caused me to pass out and get into an accident in 2014. I’m terrible about taking my Vitamins, so that’s also not my sleeve’s fault. I then received multiple infusions over the years, had my esophagus dilated twice because I wasn’t eating enough (mostly GERD pain related) and developed a grazing eating style (probably the biggest contributor to why I regained). Having GERD since day 1 (couldn’t keep any liquids down/stayed on IV till I was literally kicked out - started putting my stuff outside - to get room ready for next patient), a hiatal hernia and two ulcers, I am now revising to the RNY (surgery date TBD 8/1/19). My malabsorption/malnutrition is because I don’t take any vitamins. I’ve become “nutritionally crippled” as my surgeon put it which makes my body crave carbs for immediate conversion to energy. It’s literally biologically driven at this point and he told me not to blame myself for the regain — he’s so nice but I do blame myself because I got myself here! Due to the malnutrition, I’ve developed some metabolically induced issues: thyroid problem, autoimmune problem, multiple infections that antibiotics do nothing for (or maybe I’ve become prone to the antibiotics) and lately, small Fiber neuropathy (worst feet tingling and burning ever). I’ve now started going to CBT and support groups that are super informative and fun. Last time they had a practical activity for us at the end where we pretended to be at a restaurant, were given real menus and we discussed why some choices are good and why some are not so good — keywords to lookout for, etc. I’m considering pushing my surgery date as far out as possible to be better prepared through these new resources. I realize the problem is not my sleeve. The problem is my head — my food abuse issues, my food addiction issues, my head hunger, my emotional eating... The list of “synonyms” goes on! But in essence, all of us are here because we have these issues plus obesity/genetically related comorbidities or else, we would have not resorted to surgically modifying our anatomy. We need to fix our relationship with food if our surgeries are ever going to help us, and that’s why I’m trying to work on that more than anything this time especially because I didn’t have any pre or post care before. I’d love to get rid of my GERD and the other problems but I’d really hate to fail at losing weight, again. Not out of vanity but just to prove to myself that I can triumph over years of using food to feed disease instead of health. Summary and awesome thing to keep in mind: “You get out of it what you put into it.” Thank you @Macy6! I love that... Great motto! Take this opportunity to change your relationship with food. You are in the “honeymoon phase” where your body is not ready to accept food (it’s all head hunger), so use this time wisely to identify your emotions and cravings, knowing you can’t act on them now with your healing stomach. Later, this will really help you... when you can map your behaviors to their origin in thought (triggers) and stop the unwanted behavior right in its tracks! You’re in control! Your taste buds may also change so what you’ve liked before, you may no longer want to eat, so this is also a great opportunity to try new healthy things and learn to like those instead of our old ways that hurt us in the end. I really wish this was helpful. I’m being as transparent as possible to give you vision into what the sleeve is and what it’s not, because I went into this initially thinking the sleeve will stop me from overeating and I’ll always have an accountability buddy, but you can drink and eat your way around any WLS out there and gain weight, not to discount the RNY for the additional malabsorption component... You can do this!! You can use your sleeve to change and become a new person INSIDE (head/habits) out (health/body). I wish you complete healing and all the best for your future.

I saw a highly recommended surgeon and he talked at me, making many assumptions about me without asking questions. He automatically said sleeve was the only option. For the fact that I have metabolic disorders, and cannot use exercise to burn calories to compensate for extremely slow metabolism I felt like pursuing surgery was not an option without RNY benefits of absorbing less calories. I was there for a surgical consult for my gallbladder as well and he also assumed my gallbladder was not inflamed. (My gallbladder was low functioning with severe symptoms) I didn’t feel comfortable and decided I was not going to pursue it with that doctor. It was crushing, I was getting exhausted trying to fight my weight alone, my own fight with low carb low calories wasn’t getting me anywhere. it wasn’t until I saw a endocrinologist and discussed my metabolic disorders and the fact that I couldn’t take the medications and that despite my efforts my weight kept climbing, that I got referral to Cleveland clinic. the doctor there knew right away based on my history of severe GERD/acid reflux that the best option was RNY. And I also had ulcers but that was not a factor for the doctor. If you have any kind of acid reflux the sleeve can make it worse. Many people get sleeve and then end up revising to RNY due to GERD. for me the possibility of dumping wasn’t an issue. One being that the gallbladder surgery also had similar dumping syndrome risk and I didn’t think It would be a big issue since I avoid the causes ie. Eat as little sugar as possible. And I’ve dealt with worse in my life. It was just something id deal with if it happened and not really think about. im glad I went with Cleveland clinic, they made the process much easier. And since I had record for months (actually longer) of my diet efforts. It was approved quickly. Also it turned out that I had chronic gallbladder inflammation despite what the highly acclaimed doctor had said to me ... but that’s just my personal experience. Some people do very well with sleeve.

I just posted this below on another post discussing VSG revisions and thought it was appropriate here as well. I am a VSG to RnY revision but not because my VSG failed me, because of GERD. I didn’t hit my weight goal but I lost 47% of my excessive weight and maintained until my revision. I do know I learned a lot between surgery 1 & 2 and my biggest take away is my surgery didn’t fail me but I definitely failed my surgery. Your tool, or whatever you call it, doesn’t decide what you eat or when you eat. It doesn’t choose to drink while eating or to graze. You get out of it what you put into it. I know people that have the VSG and have been wildly successful, I know people with the VSG who have lost and gained. I know people with the RnY who have been wildly successful and I know people with RnY who have lost and gained.

I am a VSG to RnY revision but not because my VSG failed me, because of GERD. I didn’t hit my weight goal but I lost 47% of my excessive weight and maintained until my revision. I do know I learned a lot between surgery 1 & 2 and my biggest take away is my surgery didn’t fail me but I definitely failed my surgery. Your tool, or whatever you call it, doesn’t decide what you eat or when you eat. It doesn’t choose to drink while eating or to graze. You get out of it what you put into it.

I didn’t realise that you were having a revision. Good luck, hope it all goes well and that it solves the reflux issue

When things are questionable, second opinions are a useful thing. But, I can understand the surgeon's concerns from a couple of different perspectives. One is that the bypass is predisposed to ulcers (typically marginal ulcers which would be of a different cause of what you have,) so as with the VSG which is predisposed to GERD and they often shy away from doing them with patients that already have GERD, I can see the reason to be apprehensive about doing a bypass on you. The second is that the bypass leaves the bulk of your stomach in a blind limb that can't easily be inspected by endoscopy, and as ulcers can be a pre-cancerous condition if left unchecked, it is something that you want to monitor; waiting until obvious symptoms such as pain or bleeding occur is seriously bad news. The marginal ulcers that are common with the RNY are typically at the anastomosis between the pouch and intestine, so is in a place that can be monitored; anything happening within the remnant stomach that has been bypassed is out of reach. As others have noted, not all bypass patients dump (maybe 30% or so?) so according to Murphy's Law (if something can go wrong, it will....) those who are looking for dumping as a form of aversion therapy will be amongst those who don't dump. As FluffyChix, the bypass is something of a one shot deal - it is difficult to revise to something else if it doesn't work for you, either on weightloss or regain or due to medical problems (such as your ulcer problem) and even a reversal is no walk in the park (we have seen a couple go through here the past few months due to intransigent ulcers) while the sleeve is more readily revised if necessary. So there is some additional "margin of safety" or "plan B" available with the sleeve when things are questionable. Overall, the results of the bypass and sleeve are very similar - whatever difference there may be in the intrinsic "strength" of each procedure is overshadowed by the initiative and habits of the patient - there are many successes with the sleeve (8+ years out here) just as there are those who fail to do well with the bypass, including going back to junk foods because they never dumped. There is plenty of work on your part whichever procedure you get. good luck....

Hey Krestel, Have you had surgery yet? I'm having RNY revision surgery on July 16th and can't wait for it to be done. My reflux is so much worse than it was before I had sleeve surgery on October 25th 2016 . Hopefully you are doing great. Have an awesome day. Allie in SC (South Carolina)

Alex, Omg seems like you have been to hell and back!! So sorry you have had so many problems. Why on earth would they leave the open incision? Did they think they were going to have to go back to Operating room?? Have you had complications from this surgery? I am having RNY revision surgery on July 16th from my sleeve surgery 0ct 25th 2016.I have to have it because my GERD has gotten so much worse than it was before the sleeve surgery. I didn't know you could have the bypass reversed. Good luck with your new journey and you don't look like you need help with weight loss anymore. Allie in SC

Your assumptions (and the surgeon's) are incorrect. But that's the good news! Do your full research. You may be surprised. Alternately if sleeve does not work for you, then there are other options about revisions. Whereas, unless you go in with the take-no-prisoners philosophy for RNY where you have 1 chance and 1 chance only...the chances of revisions and second surgeries carry a huge risk/reward scenario and are very limited in scope. Also, welcome and please fill out your profile so we can actually speak to you intelligently. We don't know how much you weigh, your age, how tall you are, your goal, etc. Makes it a lot easier.

I have met a few people that have gotten revisions but most people i've met that got the sleeve are happy with it (but so are pretty much most of the people that have gotten the bypass too).

Look up the studies. The rate of conversion is fairly low. It might just look high here because more people who post are looking for support with problems than are here chatting years later about having a smooth experience. Here's one from patients in New York. https://www.ncbi.nlm.nih.gov/pubmed/29496440 Rate of revision/conversion was 26.0% for band, 9.8% for sleeve, and 4.9% for bypass.

Hello ladies and the one other guy, I don't think is even still with us....I haven't checked in in a bit. Just wanted to stop by and say all is well, feeling great.....or I was until today. I finally went and got a Black Card membership at PF and went today. Managed 3 miles on the treadmill, walking mostly but I was able to do a couple of intermittent jogs. Did some leg presses and then some ab killers....5 sets of 30 Russian Twists with a 10 lb medicine ball. My abs were on FIRE and I thought that would be the one I would regret but as it turns out, the leg presses were a bit too much, I can barely walk now and almost fell on my face a little while ago trying to go down the stairs. My legs are like jello. LMAO As much as I am hurting, I still feel awesome that I went and was able to do as well as I did. Other victories....Before surgery I was in a tight 46' jeans, I can now get into 40s but they're a bit tight so I'll stay in the loose 42s another week or so. Guy at the gym gave me a 3xl that I asked for but then he threw me a Large and said there's an extra one for you to set yourself a goal. Hell yeah!! Started on soft foods yesterday. I can tell it's going to be hard to get in the protein goals with just food so I guess i will keep some shakes handy. It wasn't so bad with the sleeve but with this revision, a spoonful of food fills me up. It's crazy. I make a bowl of scrambled eggs, mix in some unjury unflavored protein and just eat a bite every 10-15 minutes. Hope everyone is doing well. Best Wishes.

💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚💚 🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂🎂 20 MONTHS POST OP & MY BIRTHDAY IS IN JULY 🎊🎊🎊🎊🎊🎊🎊🎊🎊🎊🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉🎉 💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜 ❤❤❤❤❤❤❤❤157 lbs BMI 27❤❤❤❤❤❤❤❤ WELL WELL WELL WELL WELL WELL WELL WELL updates: I need to be revised to RNY for GERD, etc. Through extensive testing my issue was found to be *mechanical* in nature. Without disclosing too much personal medical information all I will say is would need to continue with mutiple invasive treatments over an extended period of time plus meds w/ a surgical procedure for an aux related issue or fix it all at one time with one procedure. Y'all know what I'm gonna choose, right? Yeah... Other than that it's a burden lifted to have relief within my grasp. Surgery is scheduled for 7/15 barring any complications/surprises I'm already approved by insurance and I'm really shocked/dismayed because it took them just 2 lousy days... I was hoping my case wasn't that serious and I was just being dramatic/hypochondriac. But that approval coming back so fast really has opened my eyes. I should have gone in for this consult sooner maybe? Saved my summer? Whatevs. Already in the dreaded 2 week preop diet. No. Words. Dante's unexplained layer of hell. Reserved for people who met goal but still need to shrink their livers 😂😂😂😂😂😂😂😂😂😂😂 but enough whining. Here are lifestyle pics and pics of what I enjoyed while I could... Because liquids for quite a while *disclaimer: + I NEVER eat sauce + I 💚 Kale (fight me) +All Starbucks cups are homemade teas/protein shakes +I do smile more often but not usually without cause because I'm conscious of preventing wrinkles 😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝😝

Yeah my surgeon knew I had reflux but said he thought sleeve surgery was the best thing for me. Ummm no, he could not of been more wrong. But I know that anyone else who has it should never choose sleeve surgery because what I have discovered is that the acids have nowhere to go but back up. With the RNY revision surgery they bypass the small intestine so the acids and foods can't go back up. Im only 8 days from the surgery now. I will post after my surgery. Good luck Allie Sent from my SM-G960U using BariatricPal mobile app

I'm going to have RNY revision surgery from the sleeve surgery (three years ago October 25th due to severe reflux disease getting worse) on July 16th. Hopefully this will be successful. Allie in SC Sent from my SM-G960U using BariatricPal mobile app

You're doing great... I was sleeved almost 3 yrs ago in October 25th. But am having RNY revision surgery from the reflux being so much worse. I can eat way more than I probably should but still vomiting if I push it. I was sick on the 4th so every time I ate I thre it up. Anyway good luck with your journey and keep posting your success. Allie in SC Sent from my SM-G960U using BariatricPal mobile app

Congratulations that's awesome news. Hopefully you can give us some helpful tips that you have used during your journey. I had sleeve Oct 25th will be 3 years but am going on July 16th for RNY revision surgery due to severe reflux disease getting worse. I lost 87 with the sleeve the first year. Up and down ever since. I want to loose about 80 more pounds. Please message me your tips or text me 803 665 0931.I live in SC Allie Sent from my SM-G960U using BariatricPal mobile app

Gastric bypass revision from VBG on Surgery April 2, 2019 Starting weight 290 in 2006 Before Revision weight 233 4/1/19 (was on liquid diet) Post op weight 195 7/4/19

I guess i've never heard of a bypass being revised to a sleeve.

Hello, I'm Tracy age 45 mom of 7, ages 30 to 1½. I'm originally from southern California and now reside in Alabama. I had the Roux en Y procedure 12/26/2001 almost 18 years ago in Whittier California at age 28, my weight skyrocketed to 407lbs at 5'2"..! Luckily with no other conditions i.e. diabetes, high blood pressure etc so I was a great candidate. My lowest weight was 148. I maintained for many years until 2006 after my 5th child and a nasty divorce and with that came my depression & over eating. In 2007, I moved to Alabama and weighed 189, got remarried in 08' and had 2 more children. After having my 6th child in 2011 my weight got up to 203 & there it stayed until January 2018, after giving birth to (my 7th baby) our precious full term daughter who sadly was stillborn at 41 weeks, and 10 months later in October, I lost my best friend/my momma to liver cancer at age 66. After the devastation, I no longer cared about anything, I didn't even care if I lived or died. I turned to eating and was on a lot of medication for anxiety, depression and a mood stabilizer which added another 57 lbs. After going to therapy, getting off all my meds, returning to my faith/church I decided 2019 would be my year!! I made that promise to my momma on her death bed! I went ahead and had my oral surgeries, another back surgery, another mammo/biopsy (I also lost ¾ of my left breast last Aug) saw my cardiologist, changed my diet to all Keto. But the 19 lbs I lost in 5 months came right back. So on June 7th I met with a local Bariatric Dr, June 27th did my pre-op tests and just 6 days ago July 2, I had my revision done to a gastric sleeve. I was 251 day of surgery and I'm at 142 lbs as of yesterday. I had zero pain except for the horrific gas pain in my upper chest, shoulders & back because once they got in there, they discovered a huge hernia behind my liver & fixed that. My first gastric bypass I was cut open 16" so having it done by laparoscope was amazing just 9 little incisions. I feel great and I'm excited for my new life & 2nd chance! Thank you for reading and God bless! Sent from my DL7006 using BariatricPal mobile app

Welcome....what did you have it revised to?

Thank you LosingIt2018 for responding, I'm kinda laughing at myself because now I have to chose which forum to post my intro, you see I've had the Roux en y procedure 18 years ago and had my revision 6 days ago lol maybe I'll post in both. And thank you also for welcoming me, I appreciate you.

Lapband surgery has the lowest success of all the WLS so dont beat yourself up too much. In fact many have to have revision surgery because of it. In Sweden, they are doing revisions all the time due to the complications from lapband. (Sweden has tons of research on WLS surgery which is used around the wolrd. Since it's covered by universal healthcare the (anonymous) information is used for studies all the time. Patients also have the chance to participate in studies.) So, I think DS will help you greatly. So chip up and go for it!