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This last 50 pounds is the bane of my existence!!!
Spinoza replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
So frustrating. It's less than 4 months since your revision though - this could be a long stall as opposed to the end of your losses. I hope you start losing again soon. You've done so well, you're an inspiration. -
I have not (being over here on the "left coast" but he would be high on my list of docs to talk to if I were on the East Coast - his reputation extends this far. His name comes up positively on occasion in our support group of largely DS folks, as he has frequently given talks at the ASMBS conferences on related topics, and I've seen other positive responses online over the years. I like the way he thinks, from what I have seen that he has written. He is also one of the few capable of tackling the complex RNY to DS revision when that is necessary, so he knows his way around a sleeve.
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Revision from Sleeve
Cyncha21 replied to SeattleLady's topic in Revision Weight Loss Surgery Forums (NEW!)
Congratulations! You got this!! Good luck on your 2nd Bariatric journey! I'm in the same boat. I had my sleeve to RNY revision with a hiatal hernia repair on 9/11/23. -
Revision from Sleeve
Cyncha21 replied to SeattleLady's topic in Revision Weight Loss Surgery Forums (NEW!)
Congratulations! You got this!! Good luck on your 2nd Bariatric journey! I'm in the same boat. I had my sleeve to RNY revision with a hiatal hernia repair on 9/11/23. -
Revision Surgery Recommended for Hiatal Hernia?
Cyncha21 replied to Kim 713's topic in Revision Weight Loss Surgery Forums (NEW!)
I posted this on another thread about revision, but I had a hiatal hernia and bad GERD so it applies for this thread too. I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer. -
Sleeve to Bypass revision
Cyncha21 replied to Victorooni's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello there! I want to preface that this is about to be a long message, but it's my journey. Thanks for reading. My 1st Bariatric journey started in 2009 (I was 26 years old). My heaviest weight was 250 lbs. I did a month liquid diet as my preop diet and got down to my surgery weight of 220 lbs. I had a sleeve done in Sep 1, 2009. I got down to around 175 lbs from my surgery weight of 220 lbs. I got down to a size 12. I did regain some weight years later, but that was my doing (not eating the best, not exercising as I should). In addition to gaining some weight back, i developed a 5/6cm hiatal hernia and had really bad heartburn and reflux. I started taking Nexium for years. Finally 14 years later (now 40 years old) in April of 2023 I decided to ask a doctor about taking daily Nexium (after hearing constantly from family that it wasn't good). My surgeon gave me 3 options. 1. Continue taking Nexium daily 2. Fix my hiatal hernia (but he did warn me that hiatal hernias are known to come back) 3. Fix my hiatal hernia and do a revision from Sleeve to RNY. Before any of that to make an informed decision I had to get an upper GI with contrast and an endoscopy with a Bravo study. I had the endoscopy done and the Bravo capsule placed on my esophagus. After the 1st endoscopy my GI doctor said she didn't even need to see the results of the Bravo study...seeing my esophagus alone was enough to see how inflamed my esophagus was and she confirmed the bigger sized hernia. Either way, the Bravo capsule was placed in and I did the 3 day study. The results came back and like my GI doc said...it was bad. The acidity in my stomach and esophagus was ridiculous. I use to take generic Nexium 20mg but my GI doc said that wasnt enough for how bad my esophagus was. I was told to bump it up to 40mg 2x a day. So I did that and it helped to heal the massive amount of inflammation I already had in my esophagus. To confirm that I had a 2nd endoscopy done. The Bravo study, the upper GI scans, the endoscopy was all completed so that I could make an informed decision on how I wanted to proceed. Which of the 3 options discussed did I want to proceed with. I decided option 3 was best (revision from Sleeve to RNY with a hiatal hernia repair). For me my insurance approved the procedure and it was fairly a quick process because I went the general surgical route vs the Bariatric route. I could have had the revision in July but I had a cruise planned in August and I wanted to be able to drink and eat and ENJOY my vacation so I opted to wait and had the revision 2 weeks after I came back from my cruise on September 11th. I was 215 the 1st day of my preop diet. I got down to 206 but then mother nature decided to show up the week of my surgery so as women we gain water weight during our cycle and the day of surgery i weighed in at 209. I was so pissed. I knew it was water weight because of my cycle but still nobody wants to see the number on the scale go up. Surgery went well. I had no complications. My recovery was A LOT smoother. I had BAAAAAD nausea and gas pains after my sleeve becauseof the anesthesia. With the RNY I had 0% nausea. I had a little bit of shoulder pain because of the gas and I did have another pain when I inhaled big because of the hernia repair, but it was all normal and pains of that nature were expected. I was just sooooo glad that I didn't wake up extremely nauseous after the RNY like I did after my sleeve. So now I'm 31 days post op. I've been at 195 since like September 26th. I hope that I've HOPEFULLY lost at least 1 pound now since I've been stalled at the same weight for 2 weeks. Btw I'm 5'4 for reference. My size 14 clothes button again and my 16s are getting a little loose on me now. I'm not swimming in my clothes or nothing but it's a small progress. I was wearing XL shirts and now Large shirts fit me a lot better. I feel less like a sausage in them lol! Oh and tonight I tried on this bra that I know for a fact a couple of weeks ago could not button or even come close and today it fit. So now a 38D will fit. Great non scale victory! I can tolerate all food and as long as I don't take huge bites and I chew my food well and eat slow, I'm good. Otherwise I've already had my 1st reminder of what it feels like to throw up because your food feels stuck. I had that happen after the sleeve sometimes too and it sucks, but it's a process learning how to eat again and reminding myself that I can't inhale my food. I am taking a daily vitamin with iron and then 3 calcium citrate chewable daily. My doctor also still wants me to take 1 Omeprozole daily for 6 months post op to give my esophagus and hernia repair time to truly heal. 1 month down....5 months to go. Then I'll be able to see if I don't have any GERD or heartburn without any medication. The weight loss is a perk and I definitely want to lose more weight and get down to 150 or at least my best sleeve weight of 175, but I always have to remind myself that my goal of this entire revision surgery was to not deal with heartburn and reflux anymore. So yeah...thats my revision story so far. Please let me know if you have any questions. I'll be happy to answer. -
UPDATE - Diagnosis Gastro-jejunostomy stenosis -
SleeveToBypass2023 replied to Chel1's topic in Revision Weight Loss Surgery Forums (NEW!)
Congrats on getting answers and having the problem fixed. I can tell you that I had SO SO many complications that led to a revision. Once there's answers, that's truly half the battle. I had 6 surgeries in 6 months to correct everything, but now I'm 3 1/2 months out from my revision and feel fantastic. I'm happy you're on the other side of everything now. Hopefully it'll be smooth sailing for you from here on out!! -
ALLERGY! Is It the Protein Shake or the Biotin?
CarmenG posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hey, y'all, it's been a while. Back in May, one month before I had my revision from sleeve to bypass, I began using the Premier Protein shakes for my pre-op diet and taking bariatric vitamins (including a multivitamin, calcium, iron, and biotin). It started with a tiny, itchy hive on one side of my neck about the size of my thumbnail. It would go away, though, and I'd forget all about it. As the days went by, I would begin to get the itchies again. I noticed I'd get the hives on the other side of my neck now too. At this point, it looks like a ring around my neck. I read about the Premier Protein shakes being recalled, but that was a while ago. I spoke to my sister who's been an RN for 40+ years, and she thinks it's more likely to be the biotin rather than the shakes. I stopped taking both 2 days ago. The itchies have stopped, but I'm left with textured skin where the hives were. It almost looks like a healing burn. It's weird. I know I need to see a dermatologist about it, I just have to find one that will see me after work. I can't miss any more work. I'm wondering if any of you have had a similar situation with allergic reactions to either shakes or vitamins. I'd appreciate any information or knowledge that you have. TIA.- 6 replies
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- protein shakes
- biotin
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(and 3 more)
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This last 50 pounds is the bane of my existence!!!
Tomo replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Last pounds are difficult and the maintenance isn't really better, if not worse. It is a constant grind and long battle to maintain and not gain 5 lbs that can lead to 20, 30... etc. This is our reality, no matter whether it's the band, the sleeve, the bypass and any of the revisions... And it bites. I was thinking the other day that after all this time, I just want to eat everything I want for a week lol but then, I know if I go that route, I'm feeding my emotions not my body and it would be near impossible to take it off again like in my honeymoon stage. So I put that out of my head since being thin is a priority. So big Hugs, hang in there, you have come such a long way. We have all come a long way. Let us count the blessings that we made it this far and we have major improvements in our lives. [emoji3059] -
Anyone else do a VSG to ESG?
teedsg replied to teedsg's topic in Endoscopic Sleeve Gastroplasty Forum
I can’t believe it’s been over a year since I STILL HAVENT made a decision. I have the money to do the surgery, but now I have added 2 additional surgery options. Now, I can’t decide between 1. Bypass 2. ESG 3. GSRE - gastric sleeve revision surgery 4. SASI - single anstanomis ilietal surgery. I know I’m spelling it wrong. This one is supposed to make you lose 60+ lbs and is one stitch. -
This last 50 pounds is the bane of my existence!!!
Lily2024 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
It looks like you've lost 30 pounds since your revision about 3 months ago. So the scale is moving, just slowly? I feel for you, wish I could give you a hug and tell you to your face what a badass you are. -
Sleeve Revision to Bypass
catwoman7 replied to SarahP1220's topic in PRE-Operation Weight Loss Surgery Q&A
I haven't had that revision, but a lot of people have - mostly because of reflux. I had reflux before I had surgery, so I went with bypass the first time. -
4 weeks post up - acid reflux has returned
catwoman7 replied to Keona1323's topic in Revision Weight Loss Surgery Forums (NEW!)
PS - I just did a quick google search on this. This is NOT a scholarly article, so there's that - but it does mention that bile reflux (as opposed to acid reflux) can occur in about 5% of mini-bypass patients. It goes on to say they see it more in sleeve to mini-bypass revision patients than they do with non-revisions. Again, I don't know what kind of research is behind this because this isn't a scholarly article - they may just be basing this on their specific patients. But again, let your clinic know what's going on. Hopefully it's just some kind of flare-up. https://mexicobariatriccenter.com/bile-reflux-after-mini-gastric-bypass-surgery/ -
4 weeks post up - acid reflux has returned
Keona1323 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi All, I had a sleeve revision to mini bypass 4 weeks ago. I had a brief period of relief from the acid reflux (due to GERD) but now it is back. I am taking a PPI every PM and find I wake in the middle of the night with a burning bile sensation. I chew a few tums. Also during the day, I don’t have much of an appetite (yay) but I find that if I don’t eat every 3 hours or so, the burning returns and I can taste bile. Has anyone had this? I had really hoped this revision would be the end all for this issue and I was so optimistic but now I’m almost worse off than before the surgery……. -
Revision Surgery Recommended for Hiatal Hernia?
RickM replied to Kim 713's topic in Revision Weight Loss Surgery Forums (NEW!)
That's great! But there are surgeons out there whose main solution to any problem is to do an RNY; this is why we need to be careful and get second opinions, particularly on revisions where there are often multiple solutions to consider. Sometimes there isn't much of a choice and the path is clear, other times things aren't so clear and there may not be one "right" call, or only a choice of lesser evils. Surgeons often have a preference based on their experiences, so you can get different choices for the same problem, or they may agree despite preferences. That's why we seek out second opinions as we aren't qualified to make the call, or to fully evaluate a surgeon's proposed solution. -
Sleeve Revision to Bypass
SleeveToBypass2023 replied to SarahP1220's topic in PRE-Operation Weight Loss Surgery Q&A
I had it done, and honestly, the recovery was SO SO SO much easier with the bypass than the sleeve for me. I had a ton of complications and the revision was the best thing possible. My only regret is that I wish I had just done the bypass to begin with. Losing weight with a revision goes A LOT slower, and you don't lose nearly as much as you do with the initial surgery. But you'll feel so much better and be able to get back to living your life. -
Hey everyone, My name is Sarah. I am 34 years old. I had VSG 13 years ago. Going from 335 pounds down to 180 in 18 months, I was considered a success. I have been through 2 pregnancies and as the years passed, the pounds crept back on. I am currently back to 290, and i suffer from SEVERE GERD daily. If I do not take heartburn medication several times a daily, i will be in agony and vomiting stomach acid despite what I choose to eat. I have had an endoscopy and I have a hiatial hernia and a lot of scar tissue. I am going to be converting my sleeve to a full gastric bypass in the upcoming month. During the procedure my hiatial hernia will be repaired and excess scar tissue removed. I am wanting to know if anyone else has had this conversion surgery. How did you feel afterward? How was the recovery and do you feel the conversion was it worth it? Who has gained weight back after sleeve and do you suffer from severe GERD and heartburn daily? Thank you for any input Sarah
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Revision Surgery Recommended for Hiatal Hernia?
swimbikerun replied to Kim 713's topic in Revision Weight Loss Surgery Forums (NEW!)
I am 1 day less than 2 weeks out of a para esophageal sliding hernia repair and Sleeve to RNY revision. My reflux, BAM is gone. I'm not vomiting or feeling like yuck. My surgeon could do a DS and has. I'm not having problems and while it doesn't mean I will or won't later, at least I'm free of the medical issues and the like I had before. I'm also down about 35 pounds in the little over 2 months since I got sick. Really happy as the medical issues were outweighing the weight, especially at the end. -
Revision Surgery Recommended for Hiatal Hernia?
RickM replied to Kim 713's topic in Revision Weight Loss Surgery Forums (NEW!)
There is a good reason to avoid the RNY revision if you can - the reactive hypoglycemia and marginal ulcer (and all of the medical care limitations that stem from it) issues, but it's not the end of the world, either if that's what you need. It's a common procedure that's been done in one form or another for 140 years, so its quirks and features are well known (but I would rather avoid its quirks if I can). I would certainly get a second, and even third, opinion on it, as while the sleeve is a fairly straightforward procedure most to do these days, repairing one that isn't working correctly is not necessarily so. Most bariatric surgeons started out with the bypass, so that is their comfort zone and they often prefer to go back to the familiar when things get a bit complicated, while there are some who have gone deeper into the sleeve and specialized in it and related procedures, such as the DS, and they are more comfortable doing things that others wouldn't do. We sometimes hear on these forums that "you can't do a Nissen (fundoplication) on a sleeve as there isn't any fundus left (well, not much) yet there are some who routinely perform them. Between that and meshing, there are options, and an RNY doesn't necessarily fix the potential recurring problem, as it, too, yield a small stomach pouch that is subject to herniating. If possible, for a second opinion, I would seek out a surgeon who does the DS (duodenal switch) as that is a good proxy for one who is well experienced with dealing with sleeves, and is more comfortable with more complex procedures as well. If they recommend an RNY revision, too, then that's a pretty solid confirmation of what's appropriate for your specific case. -
Had surgery for GERD, need to gain weight... suggestions?
jesscanntoo posted a topic in Revision Weight Loss Surgery Forums (NEW!)
So I had a revision to bypass at a very low weight (120 pounds) due to GERD. I saw three separate doctors for second opinions as I was quite concerned about losing too much weight by having the bypass. I have struggled to keep weight on for years due to the GERD and the vomiting it has caused me to have to deal with... and it was destroying my esophagus and stomach lining. That said, the GERD is gone, so Yay.... but I am still quite concerned about keeping my weight up. I am 4 weeks post surgery and down to 107 pounds. I am getting in all of my protein and liquids as I have been asked to, and this week I am finally allowed to eat more soft food. That said, I want to eat stuff that is more dense calorically - and that would normally not be allowed.... such as pasta...because I think that will help me keep the weight up better. I had some chef boyardee ravioli yesterday an it was definitely soft enough,... and had 8 grams of protein in the 1/4 cup I was able to eat. So, although it had more carbs than is suggested - I liked that - as I am trying to regain what I have lost... Is there ANY reason why I should not be able to eat pasta or bread products (toasted) if I can handle them.... besides them being bad for weight loss? Or is there something that could hurt my new anatomy? I don't want to break rules and injure myself, but I do want to keep my weight up. The nutritionist at Kaiser has been fairly silent when getting back to me... and keeps treating me like all the other patients.... I don't need to lose weight... I need to keep it on. And, yes, I've had to lose weight in the past.... just not since 2016. I know how to eat to keep weight off... just not quite how to eat to put weight on at this point. Thanks all for any help/ideas. -
Revision Surgery Recommended for Hiatal Hernia?
swimbikerun replied to Kim 713's topic in Revision Weight Loss Surgery Forums (NEW!)
I just had a repair and revise. He's correct - I had been given the same thing. You already have a sleeve that is going back and forth, the chances are greater, if you leave it and just do the hernia repair, that it will return. There's already diaphragm weakness. -
Revision Surgery Recommended for Hiatal Hernia?
Kim 713 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had my sleeve done in 2014. I had an endoscopy done last week. Doctor says I have a hiatal hernia, esophagitis and gastritis and recommends the Roux-en-Y procedure to repair and revise. I’m scared for that procedure for some reason. Is it common for the doctor to recommend revision & repair over just repairing the hernia? He said that it could come back larger so that’s why they don’t recommend just the hernia repair. Anyone heard this? I’m trying to make the best decision. Thank you! :) -
On Monday, I had revision from sleeve to bypass. The pain at first was cruel! However, today, it got better. I am excited, relieved, and hopeful! I fought for this tool. Now, it's time to use the tool and self-control for a positive lifetime outcome! Here, I go! Sent from my SM-G996U1 using BariatricPal mobile app
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Acid re-bound effect after stopping omperazole
SleeveToBypass2023 replied to DandelionSun's topic in Gastric Bypass Surgery Forums
When I had my revision from sleeve to bypass, I was on Omeprazole and was slowly weaned off. Just stopping completely can cause that rebound issue, so he had me taking the full dose every day for the first 4 weeks. Then every other day for 2 weeks, then 3x a week for 2 weeks, then I went off them completely. And I had absolutely no issues at all. I had to have the revision because I originally had the sleeve and had MAJOR complications (incredible gerd that required 80mg of Nexium per day, still had break through reflux so Pepcid was added as needed, and then pre-cancerous polyps developed all through my stomach and duodenum, requiring 5 surgeries for remove everything). My surgeon wanted me on the PPI and to do a gradual step down to wean off to protect my stomach and allow it to heal so there wouldn't be any additional issues. I would say maybe try stepping down gradually off the PPI and see if that helps.