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Hi! I was a revision from band to sleeve in June 2017! Trying to get back on the wagon again. Only 16 pounds away from my personal goal. Water is a big one for me... oh and carbs and sugar!

RNY-to-sleeve revisions happen, but it's apparently mostly because of severe reactive hypoglycemia and other really weirdly specific complications. Sleeve-to-RNY is more common in part because the sleeve was eventually conceived as a safer surgery to give people with much higher BMIs, with the intention of converting them to RNY once they lost enough weight that that was a safe option for them. They started doing it as a standalone procedure when many of those patients opted not to come in for the second surgery, being successful with just the sleeve. But sleeve-to-RNY absolutely does happen, still, especially for people who have uncontrolled GERD or who can't lose enough weight with the sleeve alone. In my pre-op testing they found some small lesions in my esophagus, which might have been esophagitis or might have been a small amount of GERD. I went with the sleeve despite that, because I also have arthritis and might need to take ibuprofen and other NSAIDs again, ever, in my life. (Also, I had been taking large amounts of NSAIDs over a long period of time, and they may have been responsible for some of the damage they found.) I can't tell you how that turned out for me, since I'm only a week post-op, but I will say my doctor didn't try to sway me toward RNY at all, and given that I also had a hernia repaired, I'm pretty hopeful that it'll all turn out OK.

I understand, when I was talking with my surgeon about getting my band out and revising, I was leaning towards the sleeve as well. But, I ended up going with the Bypass. My surgeon won't do band to sleeve revisions due to increased rate of staple line failure due to the scar tissue created by the band. She would have sent me to another surgeon in her practice if I *really* wanted it, but she wouldn't do it. She installed my band, and I was really looking forward to having her do my removal and revision because of how skilled she is, so this really set me back. I originally turned my nose up at the bypass, for all the wrong reasons, because I was provided with incorrect or incomplete information when I asked around this site. It wasn't until I started doing my own deep dive into the reality of the surgery that I realized there was more myth and false information spinning around. I can say, that I'm absolutely tickled I decided to go with the bypass. The Ghrelin thing, is another topic that's not fully researched, not everyone loses the hunger sensation, and then, MOST folks regain it down the road. I'm over 6 months post op from the bypass, and my hunger sensation is TOTALLY different than before hand. Will that change? Maybe, but at this point, I've been able to really isolate the "head hunger" vs "real hunger" thing. Not everyone gets GERD issues post sleeve. But, that's one thing that is pretty much NOT going to happen with the bypass, due simply to the new layout. Does each have their pros and cons... clearly. I can only provide you with facts as they are, my experience, my knowledge from my own research and let you take the reigns from there. Sleeve to RNY revision happens a decent amount (I've got a friend of mine, like a IRL friend that had to get his sleeve revised to rny just a few months ago), there are RNY to Sleeve revisions, but those are *VERY* far and few between, you'll see Band over Bypass revisions more than you'll see RNY to Sleeve revision. Either way, research EVERYTHING and make the most informed decision you can based on your situation. Good luck! If you have any questions or follow up or just want to chat, shoot me a PM.

@Screwballski that dinner sounds delicious btw lol... i'm just so torn as i know sleeve is irreversible i'm just wondering what the percentage of sleeve revising to RNY v RNY to sleeve revision percentages are? and i do worry about GERD but also know a lot of people have had the hernia repair while under and been fine ;/ just kind of a catch 22 im hoping it will help mine either way i go

To be fair Matt, it’s 6 of one and half a dozen of the other. Neither is reversible. They become variations of each other when you make the switch to/from. I'm sorry, but the Bypass **IS** reversible. It doesn't happen often, but it certainly does happen. There has been, at least 1 member here in the last, month or so that was approved for RNY reversal. And to be clear, I am fully aware of the process for revisions. I'm specifically stating, that the bypass *CAN* be reversed, under special circumstances, that *HAVE* happened to at least 1 member of this site within the last month or so, whereas the sleeve *CANNOT* be reversed, under any circumstances. And a quick google for "RNY Reversal" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196428/ https://www.soard.org/article/S1550-7289(14)00472-9/abstract Conclusions Reversal of RYGB to normal anatomy is reasonable in patients with severe or refractory complications.

I was a band to Sleeve revision in May. I had slight GERD, even with my band because it had been faulty for over 12 years. My surgeon wanted to do RNY, I really felt strongly that I wanted a sleeve. In the end, we decided to do the sleeve if it was possible when he saw what was going on inside. I woke up to a sleeve. I couldn’t be happier. I took PPI’S for the first 90 days while stomach healed, like most patients. I’ve been off them now for a couple weeks. Not a single issue. I had a jalapeño meatball and a Buffalo glazed rib at a gourmet taster event Saturday. No Tums required. 👍🏻🙂. Your stomach may be quite different.

I'm going to back @GreenTealael on this one, if you've got even the slightest GERD now... the sleeve will more than likely make it worse. Side note that people seem to get wrong (not that you stated this either way, just some information that most folks don't have correct) is that the sleeve is non-reversible under ANY circumstances, You can be revised from Sleeve to RNY, but you cannot be reversed from the sleeve. The bypass... is reversible, it is risky, and it doesn't happen too often, but it DOES happen. Something to think about. Sleeve, 90% of your stomach ends up in the medical waste bin... Bypass, everything is still in there, the stomach is split but just the connections have been adjusted, nothing is actually removed.

My sister-in-law had RNY over 10 years ago and she is still doing really well. Of the two surgeries, RNY is the gold standard and has the best results long term. You never hear of someone going in for a revision from RNY to sleeve, just saying.

I took 2 months with my Band... and with my Revision to Bypass. Post op was easy for each surgery, but my reasoning wasn't just for the potential movement or energy issues, it was more for taking the time to relearn what I can and can't eat. And I'm super glad I did, I had issues with some foods early on that, if I wasn't home... would have been very uncomfortable to deal with at work/in public.

Good thing you are in Georgia instead of Fall River Mass. That would bring us a whole new set of problems Hope your insides smooth down and recover, then if you want to revise, your body will be healed enough to let you..

I see my surgeon in 3 weeks at which point I am hoping he will give me the go ahead for a revision from band to RNY. I am hoping I can still get a date this year as my 25th anniversary is mid Feb and hubby and I are wanting to go on a short trip, preferably somewhere warm with sea and sand. I want to be far enough out from surgery that I can eat "regular" food ( as opposed to still being in the soft or puree stages and also don't want to have any other issues. What are the general recommendations for international travel after bariatric surgery?

I have a band looking to revise to bypass. I know that bandsters don't generally get dumping but I occasionally have a very strange set of symptoms. I will get a pain in my one shoulder blade and a severe headache, feel horribly nauseous and as though I am about to pass out. It is generally caused by drinking some form of white spirits e.g gin or vodka, sweet drinks such as flavoured cider and once it happened when I drank a slushie. Anyone have any idea what this is?

I was sleeved May 17th. I’ve been stalled forever but I’m under goal so no biggie. I’ve lost 70 pounds since the start of the process, 40 of it since the morning of surgery. Since the initial revision consultation in very late Jan 2018, i’ve gone from 209 to 139. My highest weight (8 years ago) was 260. Natch, my husb thinks I’m way too skinny.

I had sleeve 1 year ago and Friday my dr found a large stricture in there and it’s too far down to balloon open and I am now being rushed to have a full RNY... has anyone here had this done??? Or even heard of it

And how are you guys doing now?Have your weight losses been what you hoped they would be? Have any of you since then had to goon and have a further revision to RnY or. DS?

I had my Mgb revision from vsg on 2nd October 2018 does dairy products case flauntence and dihareia after Mgb? Do these symptoms last long or they go away with time?

I took the risk of band to sleeve revision with pre-band history of GERD and it played out well. I’m very thankful. I knew it could have gone either way but I also knew there were options if it didn’t work out. I’m not on a PPI and I have no issues. Its an individual choice that requires a lot of thought. I felt very calm and confident in doing so. My surgeon advised me to have a bypass but left the final decision in my hands.

If you have GERD it is important to have the bypass because in many cases the sleeve will only make this condition worse. Several sleeve patients had to undergo revisions because Gerd became a significant issue. I had high blood pressure prior to surgery and I was taking two types of prescription medicine to control the condition. Within a couple weeks after my gastric bypass surgery, I was off all my high blood pressure meds and I haven't taken any since. I had surgery over 5 years ago. I also had severe acid reflux (GERD). That condition also went into remission after surgery.

Thats what I hear its the gold standard. Just want to clarify I take medication and daily vitamins so it won't be hard for me to continue vitamins. My kids are now 3 years old and all they want to eat are all the bad foods including mac and cheese ,cookies, hotdogs, so I'd actually would love to have some kind of dumping so I could stay away from those foods. I don't drink alcohol I don't even drink soda I drink seltzers, water and coffee but I eat my kids food. My blood pressure has been out of control and Im nervous going down the wrong path thats why I'm taking care of it now. I have read some sleeve people, the ones who didn't stick to the diet, and GERD needed revision to bypass so in my mind let me tackle the most effective in my lifestyle and mind. I don't want to mess around with my health. Thank you all for being there to guide us support each other. I whole heartedly appreciate it.

My revision surgery is October 25

Thanks but my signature wasn’t a mistake calling a revision a decision. I wasn’t referring to ‘revision to bypass’. I was saying ‘I made a decision to bypass’. I have tidied to clarify. As for RNY means bypass - well, I am ok with it. If you look around this site, even the ‘official’ descriptors of the various forum boards regularly say RNY bapass’ - I reckon you’re on a losing campaign fighting that one!

Hi. I am a lap band revision and also 4 days post op for gastric sleeve as well. I also worry about this. I wish you the best! Sent from my SM-G935V using BariatricPal mobile app

6 Week Post Op Doctor visit Results All, I went to visit my doc yesterday. Here are my Stats Prep Op 271 Op day 257 (lost 14lb on my own) 6 weeks out: 238 (33lb lost overall and 19lb since surgery) Here are some high level notes from what I remember: - He was super happy with my results, especially as a revision (10lb in the last month since I last saw him) - I told him I went Vegan, he said GREAT!!! And that that was the healthiest thing I could do (I was expecting him to scold me for not doing an Egg for breakfast, but he loved that I was doing a Green Smoothie instead, and said that I will be able to avoid many deficiencies this way. He said he wished more of his patients will follow this plan but the thought of it would be too off putting for most. - I asked if I needed to see a nutritionist and he said no...you're doing all the right things (woa?) - I asked him if there was a Macro Nutrient limit he wanted me to work with: Calories, Protein, Carb, Fat etc? His answer was NO! Keep doing what you are doing, and live life. Don't worry about tracking each macronutrient or even what you eat, listen to your body, continue eating healthy and don't stress about the numbers. In his words "you're not on a diet, this is just your new eating plan" So essentially he absorbed me of food tracking (so...I ditched my app for now anyways). If I stall for long or have issues, I may track again, but gosh, I've got so much time back in my day from not tracking. To his point too, it's no way to live. I'm about to head out to England for work (in 2 weeks), I would not easily be able to calculate stuff there, I'll have to eyeball and learn to manage it. which brings me to my next point. - I've been cleared to travel, so I'm super SUPER nervous, what if I'm sick trans-atlantic, what if I take ill there and they don't know what to do with me...what if I get sick our naucious in front of clients (today I over did Edamame Pods, and out they came)... To mitigate my fears, I got a Portable Scale on Amazon, and I will travel with it so I can stay honest. - He stressed that a daily dose of 50g B1 was vital (My Bari multi has only 20, so I need to supplement that). - He cleared me for all forms of workouts so yesterday I hit the weights, and I finally did some serious Stomach crunches. Felt good to exercise those muscles nicely! - He patted me on the back and assured me I was doing awesome. And that's about it. Not at ALL how I expected my visit to go! I expected to be scolded on Vegan choice, schooled to do more animal flesh protein, a visit with Nutritionist, him ordering a bunch of tests to check my levels of stuff etc etc. Nothing like that...go figure... Anywho, hopefully this was helpful to you. I love to read about other peoples accounts of their doctors visits.

Everyone is going to have a different experience. But looking at the "averages", it seems a decent number of people develop GERD from the sleeve. And quite a few people don't get any dumping at all. I've had exactly 1 incident of dumping, in over 6 months. And that was with tomato soup. I can eat pretty much anything I want at this point with zero dumping. I do get crampy here and there if I eat something I know I shouldn't, but I don't have any issues with any sweeteners. I went with the band back in 2011... and was revised to RNY this past March. Honestly the best thing I've done. I have a friend that was sleeved and he also had to get revised to the bypass due to complication with the sleeve. Also, the sleeve is 100% non-reversible. The Bypass is reversible under certain conditions, it's a risky reversal, but it does happen, you cannot undo the sleeve since 90% of your stomach ends up in the trash. Also, long term research keeps showing that the bypass out performs the sleeve in all metrics. Patients lose more, keep it off longer, have lower rebounding weight gain. It is 100% your decision, but my 2 cents, go with the bypass.

Hello I have been doing a ton of research on Dr IIIan and have view so many glowing reviews of him and Bariatric Pal Mx. I was wondering if anyone could provide me with any links pertaining to his certifications or affiliates? I would really like to use them for my band revision surgery, but I am having trouble finding anything that states his qualifications from a non biased source. I also researched the ASMBS website search for Doctors in his area of Mexico and could not find him? Maybe I am doing the search wrong. Thanks