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Wow, you've been through a lot! I've never heard of a revision like that before, nor that they did further revisions once you had the rny! What you described is my major fear, to have the surgery then have it creep back on despite me following all the rules! Thank you for sharing, yes it is maddening..I have my 6 week next week, I plan on discussing it with them at that time!

It’s a very different situation. I had RNY back in 2004. I lost a lot of weight and maintained it for 18 months. Then it started creeping back on. When I was finally ready for a revision (somewhere around 2014-ish, different team), the team kept losing my endoscopy results. I finally lost interest. In the last few years, I’ve felt ready to try again. My insurance has changed, as have revision methods. My insurance approved a procedure called Endoscopy with Argon Plasma Coagulation. They make the opening to the stomach pouch smaller by zapping it and creating scar tissue, making it smaller. I had the first procedure in 2022. Unfortunately, the surgeon didn’t tell me that there were more to come. No one reached out to schedule the next procedure. I assumed that the revision consisted of that one procedure. That’s why I thought the revision wasn’t working for me. When I spoke with my surgeon, she was surprised that I had done as well as I had with just that one time, as well as the fact that no one had contacted me to schedule the next procedure. I’ve had the second procedure, and I have continued to lose weight. I know the stalls are maddening, and if it continues for more than a few weeks, talk to your surgeon.

Thank you for responding! My bowel movements are daily so that isn't the issue. I've read stalls are common, but I wasn't expecting one only 3 weeks post op! May I ask, you said you checked with your doctor when you had a stall? Then you had a revision? I had a RNY, what more could they revise at that point? I'm sticking with the program..don't really have a choice even if I didn't want too...major surgery done..no going back. 😋 I know its fairly common to experience these stalls, but, it doesn't make it easier its still frustrating!

Has anybody had surgery in Mexico bariatric Center in Tijuana Mexico? Could you share your experience? Thinking abt getting a revision DS there.

Most, if not all, of us have experienced a stall in weight loss not long after having the surgery. Check your bowels; you may be constipated. Just stick with the program. Talk to your surgeon, if you don’t see progress. I did that and discovered that I had had only the first of several procedures in my revision surgery.

I'm almost 15 months out from my original surgery and 3 months out from my revision. These numbers are where I was at when I hit around 10 months out and I've pretty much stayed here because I'm used to it. I was told I could go up if I want, and I may go up to 1200 on non work out days and 1400 on workouts since I'm doing heavier and longer workouts now. But with the smaller stomachs that we have, and the frequency we're supposed to eat, and the kinds of things we're supposed to eat, it is actually a lot easier to stay at the lower calorie amounts. You definitely shouldn't be anywhere near 2000 per day.

What surgery did you have? When I had my sleeve, I was so sensitive to temperature of liquids, amounts, had to sip very slowly. When I had my revision to bypass, I was able to drink an entire 20oz of water 3 hours after surgery and haven't had any issues at all. Some people on here had to take it slow when they got home, some were able to just jump in and drink however much they wanted. I was in both camps.

I initially had the sleeve and was told I could maybe try it at 18 months out, but it was very heavily discouraged. I had a revision to bypass and was told absolutely no forever.

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!!!!