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I had surgery 2016 too nothing fixed it even treatment for SIBO just when I'm on antibiotics it works but after I stop it come again probiotics doesn't work too, I have a long bypass 200 cm or maybe more that cause sometimes with my gas oil come out [emoji58] Sent from my SM-A705FN using BariatricPal mobile app
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Explain why DS would be done instead of bypass
mrsjo replied to mrsjo's topic in Duodenal Switch Surgery Forum
You all are so helpful. It has been hard to not have anyone close to talk to or bounce questions off of that knows about bypass. Not like local support groups can meet anymore so I appreciate the info. -
Should I be concerned that my doctor told me i will be her biggest patient to have performed surgery on?
Tomo replied to FootballMom92's topic in General Weight Loss Surgery Discussions
Yes, I would be. I interviewed my surgeon on his ability and how comfortable he was in revision surgery. One can never be too careful. Sent from my SM-N986U using BariatricPal mobile app -
Please see a surgeon. Bands fail and are frequently revised to RSG Gastric Bypass. Your chest pain may be an indicator that all is not well with your lap band.
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Explain why DS would be done instead of bypass
Sunnyway replied to mrsjo's topic in Duodenal Switch Surgery Forum
The RNY Gastric Bypass would be more suitable for you. It usually resolves GERD, whereas the Sleeve does not. Sleeves are sometimes revised to RNY because of GERD after the original WLS. -
Dumping for 4 days straight? Need advice.
vikingbeast replied to HajEddie's topic in POST-Operation Weight Loss Surgery Q&A
It could be a number of things. You could have a sensitivity to something in the shakes. Are they dairy? Try non-dairy. Are they non-dairy? Try dairy. It could be GERD. One of the symptoms when I'm having an attack of GERD is my stomach literally feels like someone's rubbing it against itself like they're trying to get a spot out. It makes the most revolting and embarrassing noise, and then I have chorro for a little while. You could take a pill or two (over the counter in the US) of Prilosec and see if it helps. Or you could just be dumping. It does happen for sleevers, just not nearly as much as for bypassers or DSers. -
Need lap band removed revising to Gastric Bypass
MelissaWisconsin replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I got some interesting pictures of my insides today. Reason for Multidisciplinary Case Review: lap adjustable gastric band by Dr. Johnson on 6/6/2011. Had emergent fluid removal from band with dr. Svendsen on 9/10/21. She had been experiencing severe reflux, regurgitation, choking at night, night time cough, vomiting nearly everyday and abdominal pain after eating, Some of the symptoms have resolved after the fluid removal. She continues to have heartburn and epigastric pain. A comprehensive review of imaging and relevant past medical history occurred. Upper GI Series (9/8/2021): Gastric band located below the diaphragm with widening phi angle measuring 66 degrees. The proximal pouch has migrated into the chest consistent with a hiatal hernia. There is dilatation of the distal esophagus and esophageal dysmotility Upper GI Endoscopy (10/6/21): - Tortuous esophagus. - Normal esophageal mucosa. Biopsied. - Z-line irregular, 38 cm from the incisors. - 2 cm hiatal hernia. - Gastric band slipped 2-3 cms distally. - Body and antral gastritis. Biopsied. - Multiple duodenal polyps. Biopsied. biopsy Results (10/7/21): A) DUODENUM, POLYPS, BIOPSY: 1. Gastric (fundic) heterotopia 2. Normal background duodenum; negative for celiac disease 3. Negative for dysplasia and malignancy STOMACH, ANTRUM, BIOPSY: 1. Normal gastric antral mucosa 2. Negative for Helicobacter C) ESOPHAGUS, DISTAL, BIOPSY: 1. Normal esophageal squamous mucosa 2. Negative for reflux changes and eosinophilic esophagitis 3. Negative for columnar mucosa Staff present from ANW, UTD, MCY & Shakopee Weight Management including Surgeons, Advance Practice Clinicians, Bariatric Nurse Clinicians, Registered Dietitians, Psychologists She has completed her preoperative evaluation and has been judged to be a good candidate for surgery. Plan: A Laparoscopic conversion of adjustable gastric band to roux-en-y Gastric Bypass and hiatal hernia repair would be an excellent choice to meet her goals for weight loss and comorbidity resolution. The plan is to proceed with scheduling for surgery. -
Explain why DS would be done instead of bypass
NovaLuna replied to mrsjo's topic in Duodenal Switch Surgery Forum
My surgeon pushes more for the DS or SADI-S/Loop DS if the patient has a BMI of 50+. I was originally wanting the Gastric Bypass but my surgeon told me that statically I wouldn't get under 200 pounds if I chose the Gastric Bypass as I'm disabled and can't exercise much at all so I was really having to rely upon statistics. According to my surgeons statistics the lowest weight I would have gotten to with the statistical average of Gastric Bypass was 206 pounds, while the DS was 184 pounds (which I've surpassed that statistic by 8 pounds). In the end, the decision on what surgery you decide is YOURS. Not your surgeons. YOURS. I chose the SADI-S/Loop DS because my insurance doesn't cover revisions and my ultimate goal was 180 pounds (which I've surpassed by 4 pounds) and I didn't think I'd be able to get there with the Gastric Bypass. The downside to the surgery I chose is more vitamins and more protein, but you get used it. I haven't really had any issues other than that I developed a wheat allergy, but you can develop that with any of the surgeries with malabsorption which INCLUDES the Gastric Bypass (it's only a 3% chance, but my luck is crap). So really, just weigh the pro's and con's and choose whichever surgery that you are most comfortable with. -
Need lap band removed revising to Gastric Bypass
Sunnyway replied to MelissaWisconsin's topic in Revision Weight Loss Surgery Forums (NEW!)
I have not had lap band but I have had two prior bariatric surgeries that failed. I am now going to have RNY Gastric Bypass revision at age 73. I have learned a lot since I started on this path 6 months ago. Good for you for moving forward toward a healthy weight. However, I'm concerned that you have not learned how to eat differently yet. Consider the possibility that you are a sugar/food addict. If you are, Keto is not the answer for you. You need to change your habits entirely. I strongly recommend some reading for you. Choose at least one book from each of these groups. Finally, conclude with Success Habits of Weight Loss Patients. Get started now. Apparently you have already had the surgery, so there is no time to be lost. -
Explain why DS would be done instead of bypass
mrsjo posted a topic in Duodenal Switch Surgery Forum
So I am scheduled for bypass in December. Recently I’ve read several things about the switch. Wondering why one opts for that or what makes you more suited for that vs the bypass. It comes down to the end of the line before final decision from my surgeon and I, but looks like my office isn’t a big pusher of the switch due to more risks and complications. Would just like to hear from real people here who have had it. -
Looking for revision advice
scollins707 replied to DelaneyRoshell's topic in Revision Weight Loss Surgery Forums (NEW!)
My original surgeon was with kaiser, and he wouldn't give me a revision surgery. I changed to PPO and found a surgeon who said he would give me the surgery but didn't think it would help. I eventually found the bariatric institute in Utah, and Dr. Medlin gave me my yes. Getting approved was a BREEZEEEEEE. I guess it depends on your insurance. -
Looking for revision advice
NovaLuna replied to DelaneyRoshell's topic in Revision Weight Loss Surgery Forums (NEW!)
Revision is not that uncommon according to my surgeon. My surgeon's office pushes for patients to choose a surgery that will help them lose the most weight they can because they have people coming back for revisions due to choosing a less aggressive surgery the first time or weight regain because they feel that people don't factor that in. They have no problems with doing revisions, but warn that sometimes you won't lose as much as your first surgery or if you do then you'll lose it a lot slower. And, revision also relies very much upon insurance approval if you can't afford it out of pocket so they always advise people to check what their insurance allows before deciding on a final surgery. Originally, I was looking into Gastric Bypass, but my surgeon pushed for me to have the DS or SADI-S because of me being super morbidly obese with a BMI of over 50. My insurance wouldn't have approved of a revision if I didn't like where my weight settled so I ended up going with my doctor's advice. So when it comes to revision I understand that it very much depends upon the insurance. Some will only approve a revision if you develop complications such as GERD, while others will allow it if you've had significant weight regain and can't lose. So it's really just dependent upon what your insurance allows. If it does allow a revision then it comes down to what you want. A revision to Gastric Bypass or the Duodenal Switch (for reference the first part of the DS is the gastric sleeve. Also, there is the SADI-S version which has a longer intestinal length then the original DS, but you'd have to find a surgeon who even does the DS or SADI-S as not every surgeon does). I hope that your insurance will cover your revision and if it doesn't then I hope you find a place that is affordable for out of pocket costs. Sorry that your surgeon was so unhelpful and I hope you have better luck with the next one! -
Looking for revision advice
Tomo replied to DelaneyRoshell's topic in Revision Weight Loss Surgery Forums (NEW!)
Surgeon approval is generally easy, but insurance approval (at least for me) came with complications such as Gerd/Esophagitis. I would seek a second opinion. There are surgeons that only do sleeve and there are those that are comfortable with revisions, RNY, DS... Etc. Good luck. -
I was just thinking about this thread. I had my revision to RNY due to gerd in August. Sounds like you are doing really well to me. To me, it's not race, especially if you are eating healthy and exercising, making the shift from poor habits to healthy self-caring eating habits (mentally, emotionally and physically). Generally speaking, to lose 4 lbs. a week you would have to have a calorie deficit of 2000 calories a day. Good job so far.
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Looking for revision advice
DelaneyRoshell posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had the gastric sleeve surgery in February of 2018. I lost 100lbs and was feeling wonderful. I got pregnant with my son in June of 2019 and gained about 55lbs and cannot for the life of me lose the weight. I reached out to my surgeon as at the time of my surgery he told me to "get the sleeve because it is more safe if I plan on getting pregnant" and if I wasn't happy with the results after my pregnancy I could "always come back and get bypass". Well I reached out to my surgeon after about a year of me doing multiple failed diets and said I wanted to make an appointment for a revision surgery. My surgeon then responded with "You have the tool you need to work it". That was that, I feel very discouraged however, am looking into a different surgeon in another town. I guess my real question here is: Has anyone else had to deal had a hard time being approved for revision?? Did your surgeons frown upon it? Is it possible they will turn me down for surgery because I previously had the sleeve already? If you made it this far, thank you for reading my rant! -
Revision surgery 9/8/2021
scollins707 replied to scollins707's topic in Revision Weight Loss Surgery Forums (NEW!)
Today is five weeks exactly, and I am down 21 lbs. Last week was weird; for some reason, I gained a few lbs, and then within six days, I started dropping an lb a day. My dietician would like me to stay between 80-100g of carbs, which I was reluctant about reading other revision experiences, but I am happy to say that I am still losing at 80g daily. I can eat many things without issue, but only if I eat them in small portions. Pooping is weird... It smells, often loose, and I have had some oily moments (TMI), but it is definitely diet-related. I have noticed that I have gas early in the morning and have to poop first thing, so that is something to keep in mind if you are considering revising to SADI. -
Online "support group" not very supportive
The Greater Fool replied to ColieCallwell's topic in Gastric Sleeve Surgery Forums
I believe all of us should know the "why" of things WLS. Most people don't want to know why, they just want a list of what to eat when, then get stuck when their life doesn't easily sync with the plan. Knowing "why" let's you understand how to make adjustments that aren't obvious but are still following the plan. Keep it up. I stopped going to (in person) support after the third meeting and left the online portion about the same time. The main topic was how to cheat, and the second was women stuff. Not my cup of tea. I never did protein drinks except when I was binge running and then it was more for the running than my plan. Even on puree I was at my appropriate protein level by about week 3-4. For RNY patients there is always the question of how much protein are we NOT absorbing because of our surgery. So popping in a protein drink can ensure enough is being absorbed. Or, like @catwoman7who have a specific need. My RNY had a small bypass so I don't malabsorb much. My doc was four square against protein drinks, he wanted us learning to eat correctly from the very beginning. My sense, though, is generally they are a meal replacement for the crash diet many surgeon's put their patients on so that they will lose weight faster. Keep on thinking and learning. Tek -
Hello, I just had full bypass on October 6th. I am a week post op and feeling very good, just very hungry at times. I am on clear liquids for 1 more week. I have moments where I'm so hungry my stomach growls. I am pushing through. I wish you all success and hope everyone is well!
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Need Help!! Feeling my weight loss has slowed down...stopped.
TheBusierBee posted a topic in Gastric Bypass Surgery Forums
Hi Peeps, I had my Gastric bypass (RnY) on Aug 17. My stats are as follows. SW: 302 lbs Height: 169 cm. CW: 246 lbs. Total lost: 56 lbs Exercise: Walking 10km daily However, I'm feeling I'm not losing fast enough, my dietitian thinks I should be losing about 4 lbs a week. I'm worried that I'm going to ruin this. Any tips on how to lose faster. Would really appreciate the help. Thank you. -
Hi Peeps, I had my Gastric bypass (RnY) on Aug 17. My stats are as follows. SW: 302 lbs Height: 169 cm. CW: 246 lbs. Total lost: 56 lbs Exercise: Walking 10km daily However, I'm feeling I'm not losing fast enough, my dietitian thinks I should be losing about 4 lbs a week. I'm worried that I'm going to ruin this. Any tips on how to lose faster. Would really appreciate the help. Thank you.
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I am also having my Gastric Bypass on 10/26! Started my Pre Op diet today, but fortunately its not full liquids until 2 days prior to surgery. Its definitely starting to feel real!
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Well I have a date for December set. Hopefully everything goes through with insurance since my nutrition class for December is a little earlier in the month, but otherwise things seem to be on track. Just wondered who else might be a December RNY out there???
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So the way my doctor set my diet up is first week was clear liquids, week two was all liquids, then week 3 I started my soft foods and that’s for 3-6 weeks but I know everyone’s doctors are different and do it differently because I saw someone had a sleeve and they were eating egg whites on the second day (idk if it’s different for sleeve and bypass but still I was shocked to see it) honestly I’ve still been sticking to liquids and probably do soft foods 1/3 meals because I’ll feel like crap after or nauseous
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Hello I’m new on here, I had my gastric bypass surgery on the 13th of September and I just wanted to know how and when people with the same surgery started introducing actual foods (not soft foods) into their diets and how that went for them. I know a lot of doctors have different ways of how they go about the stages and mines told me to stay on soft foods for 3-6 weeks so I just want to know what I would be looking forward to when I do start to eat solid foods in November. Thank you!
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Hi Had my bypass done Wednesday 6th october. Managed a liquid poo on sunday. Sorry about description. But not done any since? My friends are you the same? I guess it's due to no solid food no poop 😃 Big love Grace
