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I have mild reflux but im not sure if its significant. I take nexium in two week intervals when I feel it coming on strong. usually about every 3- 4 months I take a two week dose and it goes away for a long while. I have actually heard that a revision or a resleeve can make the reflux worse but I suppose it depends on whats wrong in the first place. I am hoping to get a doctor that notices the first surgery wasnt done properly and I get resleeved. Yes it is a revision but kaiser didnt have to pay for it the first time and this second time would to repair. But if the doctor doesnt find anything wrong with me then there may be no hope for insurance to cover it. emme.vee - I would live to take your info from the Santa Ana doctor as soon as I can figure out how to message you.. , Thanks so much

A fan of The Walking Dead, perhaps? Glad you caught that Katy W- Louisburg, NC Lapband revision to VSG with DS HW- 297 Weight at Surgery-279 CW- will update at two week appt

These are my two. Daryl and Carol. My mutant fattie, Carol (the grey one) eats just about anything. I like to play this game called, "What will Carol eat?" Katy W- Louisburg, NC Lapband revision to VSG with DS HW- 297 Weight at Surgery-279 CW- will update at two week appt

Julie, you went on vacation and still managed to lose, that is awesome! I hope your new plan for the gym goes well. I can barely get myself out of bed in the morning to go to work, let alone work out. Fortunately for me though, I am home by 5:30 so have plenty of time to exercise, fix dinner, help kids with homework and hang out with the family. I had no idea about my port. My first fill went great, he was able to get right in with no problems. On my second, nothing would happen and that is when we learned it had flipped. So, off to surgery tomorrow for a revision. I am anticipating everything will go well. And, he is going to give me a fill during the surgery too, which I am really looking forward to because I need one bad!

I was just banded on tuesday, and I took just over 3 weeks off, not because I think I'll need it, but because I can. I've got 400 hours of sick time and figured I may as well use a bit of it because it can only be accessed for major illness, surgery, etc. I'm actually thinking of seeing if I can revise my request and just take the whole month of october off. I'm a sleep tech and don't do much lifting, but I'm on my feet for the first couple hours of the night till we get all the patients put to bed, and I just don't want to try to get thru a 12 hour shift if I don't have enough energy to do it.

For a "classic" BPD/DS, I'm not aware of any surgeons in the Boston area that do them - the closest would be in the NY/NJ/PA area where there are several good ones to choose from (Roslin, Greenbaum, Pomp, Herron, Bonnani that I can think of). The SIPS is a newer and simpler procedure so more surgeons are capable of doing it, but experience and technique with it is a big variable with those who have started to offer it, so you need to take a good look at how their post-ops are doing. Unfortunately, being a fairly new procedure, there aren't the number of people around who have had it for a few years as there are with the BPD/DS which has been around for some thirty years or so. Good luck in your revision!

I personally think that while the leak rate MIGHT be 1%, I think the overall complication rate is higher... I think I saw a study that suggested around 2-3% since leak isn't the only complication. I was a band to sleeve revision and the surgeon told me that our risks were probably "about double" that of a virgin sleeve. Scared the crud out of me, but I was in a pretty bad way at 308 pounds, 52 BMI so finally decided I was going to die of obesity if i didn't take the risk. I thank God on a regular basis how well this has gone, no complications so far, and that while I am not at goal I am a normal sized person and my life has changed for the wonderful! It is so scary to read about the complications, but it makes me so happy to read the "happy endings" when people get over it and get back to the business of losing weight and being healthy!

I am having the sleeve and weigh 199 but I have high blood pressure, diabetes and a veterbral disc degeneration. Mine isn't a revision. I am a big girl because I'm a only 5'1" ...

I am two years post op but revision from gastric banding to sleeve. I started at 265. I'm 5'1" and I've lost down to 147, size 4/6. I live in Longview, TX. I'm not sure what your questions are and I didn't start out in the exact same place as you but shoot away if you have questions. I can try to give you my best point of view.

My tummy tuck held up AMAZINGLY well and, so far, the fat grafting to my butt seems pretty well intact. I haven't been losing the fat there on my way back down. The main issue I've had is that my left breast implant has become malpositioned with the weight gain and re-loss. Like as I gained the weight, the real fat tissue expanded and pushed the implant out of position and now that I am losing that fat again, the malpositioning is obvious. I will have to have a revision to fix it. I've had a consult with a local surgeon and I've had some talks with my original surgeon back in Mexico. I haven't completely decided what and when I am going to do about it. I've decided to sort of take a "wait and see" approach, since I still want to lose about 25 more pounds. I think I'd rather wait until I'm at goal and maintaining for a bit before addressing it.

Mine is below my right breast and about two inches down. Right now, the darn thing is flipped and I have to go for port revision, but this surgery is still worth it!

HI - I'm also a new band/sleeve revision hopeful. Nice to meet you! My surgeon is submitting my paperwork right now and in 2-3 weeks I should be able to schedule my revision date. I may be the oddity around here. I've never hated my band - I've lost 90 lbs and have kept it off for the past 4+ years. I guess I just learned to live with the food restrictions and PB episodes. Now that I'm unfilled eating so so much easier (to easy says the 3 lbs I've put on). I started having severe reflux 6 months ago and finally went in for an Upper GI - my pouch was dilated all the way around. My doc wanted it out but I didn't until I came home and researched......I fully believe that since I've had this issue I will have more in the future so that is why I have decided on a revision...that and no more PB, stuck first bite, watching people eat while I drool and try not to throw up. It will be nice to have a "normal" relationship with food. Good luck!

yes, my insurance covered the revision at 100%. i didn't pay a single cent. all my doctor did was submit my clinicals with a recomendation that the band be removed and the sleeve done. approval only took 2 days.

Hi Wheetsin, I'm so sorry to hear you're going through all this. I hope you get your revision soon and that it all goes smoothly for you.

Surgery twins now that I have a New Surgery Date!! 🙏🏼😀 Well I went to my follow 2 week Post Op today..it was suppose to be a revision but could only remove the Lapband due to scar tissue... I walked in the office today and the Surgeon says he was “so sorry he couldn’t do both surgeries at same time.” “How does April 7th sound for your gastric bypass?” YES! Hell YES! Let’s get this done already😂

Hi @veisor, Sure........I've went back and forth and for the most part was Pro-sleeve..Back in April of 2019 my surgeon recommended bypass but said sleeve would be okay and my PCP said sleeve....The sleeve seemed easier, less complications. sure there was the increased acid relux risk with sleeve but I've never had that so not a risk for me. But for me, someone who is overweight not from overeating but from pcos and other things, somone who diets and can't lose a pound, i needed the true metabolic change that the bypass brings. Also....in the pre op stuff they did discover i had acid reflux, although it never presented itself to me. additionally, my bmi is 50...so I want the proven long term results that the bypass brings. If you know of anyone or follow these boards, for some reason many people gettting the sleeve gain the weight back or have to have a revision. Not everyone, mind you..but a lot. My pre-op psychologist said it best. Whatever surgery you decide on, you have to believe it's the one for you or it won't work. She said don't get the sleeve with any doubts in your mind. Don't get the bypass with any doubts in your mind.

The DS as a virgin procedure is more challenging to perform than a VSG or RNY, which is why relatively few bariatric surgeons offer it, despite its' demonstrably better performance (the RNY is "good enough" for most patients...) That's your first challenge - finding a reliable DS surgeon. Converting a VSG to a DS is straightforward for any DS surgeon, as the DS uses the VSG as its basis, so it's mainly a matter of adding the "switch" part - the malabsorptive part - to the VSG. Revising an RNY to a DS is another, much more complicated matter, and surgeons who can do that are few and far between. It used to be, a few years ago, that there was maybe a half dozen surgeons in the US that reliably did them, and I have seen references to a few more have joined the ranks in recent years. Rabkin and Keshishian in CA have both done them for many years, as has Roslin in NYC. I've heard that someone in Salt Lake has done some, along with some docs at Duke University in NC, possibly Kemmeter in MI. Some surgeons who don't do the DS will offer to revise to a distal RNY instead - that is a "long limb" RNY that has malabsorption more akin to the DS. However, it does not have a great reputation, and is usually not approved by US insurance as a primary procedure (but often will as a revision under the right circumstances.) My take on why it seems to be more problematic than the DS is that it is rarely done, and the surgeons and their practices aren't all that in tune with its' long term requirements. A DS, and by association the distal RNY, has a quite different nutritional and supplement requirement to the standard proximal RNY, which is well known to those in the DS world, but not all that well appreciated by those in the RNY world. Like with the RNY, and much more important with the DS, is to commit to having annual labs and follow ups for life - with the altered absorption and nutrition/supplement requirements, things can go askew in sometimes if you don't stay on top of them. Those who do stay on top of things typically have minimal long term problems. I would not go to MX for a procedure like this, as you really don't know what you will end up with. Historically, there has only been one reliable DS surgeon in MX - Gilberto Ungston - who, if not retired, is heading that way. He has trained a couple of others to do the DS, but I haven't heard of him doing the RNY to DS revision. There are, of course, the various horror stories of MX surgeries gone wrong, and in particular of those seeking a DS and getting "something else" (who knows what.) There are great, reputable surgeons down there for the VSG and RNY, but I wouldn't go there for something more complicated like a DS, unless it was someone well vetted in that procedure (such as Ungston,) - the differing legal systems leave one with no recourse is something doesn't go right (and the chances of that happening with something as complex and an RNY/DS revision are high there.) Good luck - it is a long search for what you need, and be prepared to travel. Being in CA myself, and my wife is a Rabkin DS, we have seen several successful revisions like this from both Rabkin and Keshishian, so it is viable when done by someone experienced with it. It, also, is not a simple outpatient procedure, and Rabkin's standard practice for travelling patients is to remain in town until at least the 10 day post op follow up. Most everything else can be done remotely (and they are set up for doing so.) Keshishian is similar in this regard.

Hello, I am trying to find a DS surgeon here in northern KY who can perform my surgery. The doctors I have found so far do the RnY but not the DS. Does anybody have any suggestion? Thanks.

My doc requires his revision patients to go thru the same program as first timers. Psych Eval, Nutrition classes etc. Sent from my iPhone using the BariatricPal App

Dec. 2nd here! - although mine is a revision. The revision board seems to be kinda dead so thought I'd pipe in here. I hope everyone is uber successful!

I had gastric bypass 12 yrs ago and I'm looking for more restriction as I have gained some weight back. Not many surgeons do revisions like this, but Dr. Acevedos in Mexicali, MX can perform the band over bypass surgery. Has anyone has this done and if so, are you happy with the results? Good luck to all new bandsters... hope to get on the bandwagon with y'all soon! Michele

I have Anthem BCBS and was approved for a band to GBP revision last month. They did make me get another psych eval but that was all.

It was a pretty easy surgery. I didn't stay at the hospital for my original surgery nor did I stay for the revision surgery. I was admitted at 7:30am and then released around 11am. It went well. It was a much easier recovery than the original surgery and I could have gone back to work within 2 days, but I took 1 week of for a full recovery.

Good morning......panda, so sorry for the ice cream disaster last night. Today is a new day and hopefully will be a good one for you. I know you said that you don't have a Meijer's by you, but you probably can still order the Pure Protein shakes on line from somewhere. Honestly, they are pretty descent. As for my weight loss, please remember that I started with a band and then had it revised to the sleeve. With that being said, my so-called pre-op weight will be a little less than most. Pre-op for me was 205 lbs. Post op day #9 is 197 Total weight loss is 8 lbs Just curious what you and GeeeWhy consider a "meal" versus a "snack" versus "regular Fluid intake". Talk to ulu later!

I didn't have one for my band but I did for my band to sleeve revision. They pulled it out the morning I went home. It was a pain and they had to pin it up to my gown so I could do my walking in the hallways or it was banging on my knees. That incision is still the sore one 2 weeks later.