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I never lost my hunger when I had my sleeve. It really sucked. Ironically, when I had the revision to the bypass, I lost hunger. I'm now 1 week shy of being 3 months post op from the revision and I still don't have much in the way of hunger. Try having the unflavored protein shakes, since the flavored is too sweet. Have mostly broths and anything else you can that has protein in it. Right now, that's the most important thing. Definitely get your fluids and protein in.

I'm sorry you regained, that is so frustrating! 80 lbs in 3 months is a lot, I'd talk to your doctor about checking your thyroid and your fasting glucose level... Most of us gained weight during Covid due to less physical activity, comfort eating, and more time and accessibility to snacks. Snacking is notorious for gaining weight back after surgery. The hard thing is we don't feel like we've changed anything big in our eating habits but unless you are tracking literally everything you put in your mouth you really won't notice how much extra you are eating. Changing drinks from water to other things is a big culprit too and easier when we are at home next to the fridge. And tasting things/snacking while cooking. There is no shame in regain IMO, life happens in unpredictable ways. Covid was a huge hit for most of us and caused a lot of changes in living habits just to get through! I haven't had surgery yet but I gained about 50 lbs in the years around Covid, I'm immune compromised so was on strict lockdown for forever. Converting to a DS can help with more weight loss and maintaining weight loss better, it has the highest statistics for total excess weight loss and weight maintenance. However since it is a conversion for you (not a virgin surgery) the weight loss will be slower than it was with the initial sleeve surgery. You will still lose weight with it if you are diligent, you can still get the weight off if you got it off before, but in order to do that you need to figure out what is causing you to gain weight so you can correct it and help the surgery work. Revisions can be game changers for some, but they aren't miracle workers, they still require hard work and effectively using your tool.

Echoing RickM, bile reflux is different than acid reflux. Make sure you are dealing with a doctor who understands the difference, it matters a lot because best treatment and best course for revision are different between the two. I believe they should have you on something like cholestyramine for the bile reflux, it absorbs the excess bile. And yes, if bile reflux is the main issue, a traditional DS would be a useful revision because it cures it... So I'd research that and talk it over with your surgeon!

Bypass is pretty amazing for GERD sufferers. There are a fair number of those that have had revisions from sleeve to bypass on this site. That said, my surgeon says there is a way to make a sleeve that is less likely to cause GERD if they already know you have issues with it. Something about the top being a bit wider? I'm most likely going with the DS which causes much more malabsorption than the bypass. The way I see it though, I'd rather trade my meds and chronic illnesses for daily vitamins and stable weight maintenance. It is important to remember that each person has a surgery that is right for them. I have gone over the medication malabsorption issue with my psych several times. But she says that in the end it comes down to the individual. Sometimes even sleevers need med adjustments after surgery. And sometimes bypass and DS people do fine with no adjustments. It all depends on the person and their individual system. Things can be adjusted, there are always options. I'm lucky that my ADHD meds are a disintegrating tablet because its most often given to children. And I have always chewed my benzos so they kick in faster (I only take them in emergencies). My biggest worry is my anti-depressant but we'll cross that bridge when we get there. DSers tend to absorb tablet vitamins well so I'm hoping the tablet anti-depressant will do equally well!

I would want to look closely at this, verifying the bile reflux and determining if there is any acid reflux component to this before getting into long term treatment options as the treatment can differ widely depending upon that diagnosis. If it is bile, then I wouldn't expect Pepcid or other anti acid meds to do much as the are treating acid and not bile, a base. I'm not sure what meds they do use but likely different ones. Bile is used to neutralize the acid coming out of the stomach along with the digested food into the intestines. Is your surgeon in the loop on these findings (I assume so, but check if you haven't heard from them yet,) as that may change his prescriptions. If it is strictly a bile problem, then a bypass will probably correct it, but not guaranteed as it moves the stomach/pouch outlet downstream into the natural path of bile secretions; the key, according to one surgeon I discussed this with, is the length of the roux limb, as that is the one that connects the pouch with the mainstream intestine and how far any bile would have to travel to reflux into the stomach. This doc noted that at 80cm or greater (IIRC) he didn't run into any bile reflux problems. The basic RNY procedure has been around for some 140 years for gastric cancer and gastroparesis (it is usually termed just a partial gastrectomy, or likely some other fancy latin names as well,) and it that use, bile reflux is a not uncommon complication. My non-MD take on it is that in those cases, they tend to keep the limbs short to minimize malabsorption and weight loss (last thing a cancer patient usually needs is more weight loss!) So, the longer limb makes sense here. Discuss this and make sure that your surgeon is up on this aspect of it. The other option if it is basically a bile problem is the DS, duodenal switch, which is pretty much a guaranteed cure for any bile problems owing to the very long path between the bile ducts and the stomach, but relatively few bariatric surgeons offer it owing to its greater complexity. Note this only applies to the "traditional" or Hess DS and not the newer SIPS/SADI/"loop" or simplified DS, which like its mini-bypass cousin has bile reflux as one of its common complications. The DS will not help any acid reflux problem as it uses the existing sleeve (though may resleeve it if it was malformed causing GERD rather than just overproduction of acid,) while adding the intestinal rerouting for malabsorption. The DS is a better choice over the RNY revision if slow or inadequate weightloss is an issue, too, as it is a stronger metabolic tool. Good luck on this - bile is surely a much less common problem with the sleeve than acid reflux, so the industry isn't quite as settled on solutions for it.

I had my VS in 2012, lost 150 lbs and maintained that loss almost effortlessly for 8 years, then Covid hit and in a matter of 3 months I gained 80 lbs back WITHOUT CHANGING MY EATING HABITS!!! I feel like I’ve been robbed. By no fault of my own, the weight came back and stayed. I still can only consume 4 or 5 bites to eat and I’m full. I just don’t understand why this happened and if I do a revision to a DS will that help?

You can use whatever protein shakes you want. I used ready made the first 2 weeks, then I bought protein powder from Arbonne and made my own. You can take liquid vitamins as long as they have the same amount of vitamins as bariatric vitamins do. I wasn't told not to take capsules or any kind of pills with the sleeve when I had it, but I WAS told that when I had my revision to bypass. It took a little bit but I'm able to take all my normal pills and supplements like normal now.

With my sleeve, I had major pain for almost 2 weeks. With my revision to bypass, I had very little pain. Mostly, it was uncomfortable for about 4 days. Wish I had just done the bypass to begin with.

Well, this was me in August. I had to fight again. My revision is set on 09/25/23. Wow, I have undergone a heck of a fight. Can't wait to be free from pain [emoji18] Sent from my SM-G996U1 using BariatricPal mobile app

Revision weight loss is definitely slower than the original weight loss. I'm almost 11 weeks out from my revision and I've only lost 23 pounds. But at this time when I had my original surgery, I had lost 70 pounds. It's just the nature of things. I had my revision because of complications, not for additional weight loss.

For both (vsg and revision), I was down for no more than a day or two. I slept the first day I got home, up on the 2nd day at the computer but took a nap, but by 3rd, I was good for desk work, general household chores.I can't do codeine but regular Tylenol handled any incision pain. There is a lot of general fatigue though in the first month or so. I was allowed coffee from the beginning and that helped my fatigue a lot. I don't think you will have any problem getting two weeks approved.

I went for my EGD last week due to all the GERD I have been experiencing for over 5 months which has got worse and no OTC or RX medication is touching it. Results of EGD: - Localized mild inflammation characterized by erythema and linear erosions was found in the prepyloric region of the stomach. Moderate bile reflux into sleeve. Chronic Gastritis. Doctor has me on RX Pepcid and I see him in 6 weeks to discuss revision to Bypass. Personally I wish I would have went with the bypass instead of the sleeve when I had my WLS. How was everyone's experience who had the revision to bypass that experience GERD. Was it gone after?

With my sleeve, I took 2 weeks off and needed every bit of it. With my revision to bypass, I was up and doing things after 4 days. Only took a week off, but honestly didn't need it. Still took it, though lol

From what I understand, weight loss post revision is always slower than the rate at which you lost with your original surgery. Plus you’re losing from a lower weight (if I read correctly) so that will result in a slower rate. What does your team say? Are they concerned? When losing I only had one snack a day: a high protein yoghurt or yoghurt drink, or I had some fresh fruit. Check with your dietician for what’s best for you & your needs. I never exercised but I lost all my weight & more. Exercising only contributes to about 10% of the weight you have to lose. So in your case if you want to lose those 45lbs, exercising will only result in about 4.5lbs. Of course many other benefits to exercising especially for your family history. Maybe start with walking. You don’t have to go to a gym. All I do now is stretching & use resistance bands. Do about 4 sessions of 5-10 minutes of various activities. Mainly for my back & to remain limber. All the best.

Hi everyone! I hope this post finds you well wherever you are in your weight loss journey. I had gastric bypass revision on June 12, 2023. My original bypass was done in April 2002 so it’s been 21 years. Original weight loss was 123 lbs. However, I only maintained that loss for about 8 years. Then slowly I started eating poorly and Bedouin knew it I had gained back 45 lbs. I’m 71 years old. I did the revision for my health because there’s so many heart problems in my family. As of Sunday, September 3rd I’m only down 20 lbs. I’m discouraged but I know some of it has to do with not exercising. Can you share some of the things you snack on? I’m good with my meals but not sure if I should be making other choices for snacks. Thank you.

S/p 4 days and it has been the worst surgical experience I have had in my life! Worst than giving birth to both my children! I had to stay in the hospital for 4 days! Just getting home today! Contemplated my entire life. The Paine was unbearable and no on wanted to give me pain medication. They were horrible! My best friend had a hiatal hernia repair and revision done the next day and had the same exact thing happened to her only a different hospital! God awful! Made me regret my decision

Revision to mini bypass sept 5! Bye bye GERD!!!!

Revision to mini bypass sept 5! Bye bye GERD!!!!

So as you all know, I had A LOT of complications with my sleeve. I ended up with gastritis, esophagitis, horrible gerd, and precancerous polyps all though my stomach and duodenum. I had 4 endoscopies to have them all removed. Then I had a colonoscopy and found 3 cancerous polyps (stage 1) and they were removed and I'm ok. Wouldn't have found ANY of that had I not had the complications from the sleeve. During that time, I also had a ct scan to see what was happening, and 2 large fibroids were found in my uterus. Well, now that everything else was taken care of and I had my revision from sleeve to bypass, I decided to deal with the fibroids (they are causing my stomach to be large, my uterus is HUGE, they cause discomfort, very heavy bleeding, etc) One is 12cm (roughly the size of a grapefruit) and one is 6.5 cm (the size of an egg). I also had an endometrial biopsy (those SUCK) and was diagnosed with endometrial hyperplasia, which is precancerous. So now I have an appt to see what to do about all of this. Again, never ever would have found this if I hadn't had complications that led to all the testing to figure out what was wrong. Sometimes the fear of the unknown, the long road ahead, and the daunting testing and procedures to diagnose and correct complications can make surgery seem like a no-go. But potential complications shouldn't necessarily be seen as a deal breaker. I had several precancerous and cancerous conditions I knew absolutely NOTHING about, and I wouldn't have known about them until it was too late, had it not been for the complications from the sleeve. Trying to find out what happened inadvertently led to correcting not only the initial sleeve complication but also the silent and secret health issues that definitely would have creeped up on me and taken me out had it all not be found when they were. I'm a firm believer that everything happens for a reason. Maybe hitting every speed bump on the way sucks and feels overwhelming, but at least now it's done. I'm already healthier than I have ever been, and I'm only getting healthier. I'm following dreams I previously let go, and being 45, I'm at the age where health risks start to increase anyway. Now I'm having it all taken care of and I can just do my thing and live my life. I said all of this to say.... don't talk yourself out of a life changing and life SAVING surgery because there's the potential for complications. Yes, they're scary. Yes, they suck. But YES finding and treating them early on (especially if you never would have known about them otherwise) is a blessing. We are doing these surgeries to get our lives back. And if that means finding and treating other issues that can/will cause us problems down the road, consider that a perk of the surgery.

I most definitely felt this way. I had a complete pity party for myself. I needed it. Why can’t I do it on my own? Why is XXX so skinny and eats whatever they want when I eat one slice of cake and gain 5lbs? The negative talk resonated in my brain. I can’t do this, it’s too hard, I love food too much, I’m a side baker I can’t taste my baking. But guess what? YOU CAN F****** DO THIS!!!!! As for complications, I’ll just throw this out there. Vomiting - had some the first few days of post op however, I knew that I get like that with anesthesia, so my doctor and I did what we could to minimize it. I’ve since had my gallbladder removed one year later, and am having a revision as I have a hiatal hernia and severe GERD. So…would I consider those to be complications? Sure. But I would do it over again 100x!!! I have gained so much throughout this journey. And continue to. My current surgeon feels my initial surgeon should have chosen a bypass for me originally, which I asked for but they recommended sleeve so that’s what we went with. Current surgeon feels that with my co-morbities at that time, and other issues, I shouldn’t have been a candidate for a sleeve. Okay so all that to say, again I wouldn’t change it!!!! I tolerate literally any food with my sleeve. Now things sit “heavier” than others so if I’m eating that I may be miserable (like feeling stuffed not sick). After some tragedy in my family, I stopped eating well and started eating just snack food. I gained 18lbs. But then I crawled out of the hole and said okay, this has to stop, you’ve worked wayyyyy to hard to go backwards, get it together! Here I am, back on track, still have some of the gain to lose, but grateful that I have this tool aka my sleeve to help mitigate that for me. I used to love following people on IG/social media but I had to stop. Before my sleeve I looked at thin people and felt pangs of jealousy and constant comparison. Then after surgery and losing weight (not even to goal weight haven’t made it) I looked at the VSG “influencers”, the same way. Constant “oh her surgery was two weeks before mine and she’s already lost 100 lbs and I’ve ONLY lost 70”. It was perpetuating the SAME cycle I was in. So I just had to stop. Every now and again I search out the hashtag but for the most part I don’t because this journey is unique to YOU. Sorry for the novel, and if you made it through it, that’s great! Lol

Surgery went well - it took me the rest of the day of surgery to have some conciousness. I do not understand why they begin to attempt to get you out of bed when you are still under the influence of the anesthesia and can barely keep your eyes open. The next day was much better and I was able to walk slow laps around the floor. My surgeon had the staff provide me with a stomach band that wraps around and closes with velcro which helps tremendously hold my abdomen stable when up and walking around. I still have lots of swelling and I am about 7 lbs heavier (per scale) than on surgery day due to the swelling, fluid etc. I hope that within this next week most of that will subside. Weight DOS - 195 Today - 202 I am staying on target with protein/fluid requirements 60g/64 oz - I was given Boost Glucose Control Max in the hospital and decided to get a pack of that as well as a pack of the Premier Protein Shakes both 160 cal/11oz/30g protein. I had an issue of jaundice while in hospital and upon coming home my face and body had a distinct yellow tone. My blood work had elevated as well a low levels due to surgery. I looked up my pain meds which all had an effect on the liver and could cause levels to increase. I made the decision to stop these pain meds. I was also given liquid Oxy which I was able to take a couple half dose to help with the pain. This morning I was able to get away with Tylenol (powdered). My skin looks like it is getting back to narmal as well. I am not saying it was the medicine, it could have been just the trauma of the surgery and or a combo of both, I followed what I thought was best for me. I don't have an appetite which I am not complaining about at all & I am consuming my nutrition one sip at a time. I'm anxious to hear how you guys felt 2-3 weeks after surgery with the swelling , fluid weight etc. ❤️

@Chel1 How did your revision go?!

I’m glad I found your post! Hoping for an update from you! I had a sleeve in 2020, but have had a tremendous amount of issues unfortunately. Had my gallbladder out since, and have horrid GERD. My surgeon does want to do a revision, but today I found out I have a HH, but I never had one before my sleeve. Annoying! My insurance requires a waiting period and I’m like really?! I’m miserable!

Hi everyO had a revision to a bypass and I am currently 5wls post op and my stomach has a dent under the large incision as well as a line across my stomach. What does this mean? Has this happened to anyone else? Should I be concerned?picture for reference

Hi everyone I have a line and a dent across my stomach. The dent is under my largest incision