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PROJECT LAST CHANCE! 3rd Bariatric Surgery Scheduled...Sleeve to RNY Anyone?
Matt Z replied to ellie123's topic in PRE-Operation Weight Loss Surgery Q&A
@ellie123 I'm a revision as well, Luckily I didn't get sucked into the band to sleeve revision that I actually was originally looking to do. So glad my surgeon refused to do any band to sleeve revisions due to added complications and issues in doing so. Had the band to bypass revision in March and I couldn't be happier overall, I really do wish I went with the bypass way back in 2011. Could have saved SO MUCH TIME! -
I chose a sleeve because I am still in my 30s and malabsorption seemed like a really bad idea to me. Thought I would just be upping my chance for a barrage of health issues down the road. Add the fact that I have lost large amounts of weight in the past all on my own and a husband who only reluctantly supported the sleeve and was down right opposed to a bypass, and sleeve it was. Also, I don't want to be "skinny." I don't have the face for it--the thought of looking bony (for myself--not others) repulses me. Now I am one of the lucky ones that is dealing with GERD from their sleeve. Medications do very little for me and are not a long term solution. I may be forced to get a revision and it still terrifies me. I do not want my intestines messed with. but it is what it is. Should I have gone with the bypass to begin with? Maybe. I might have not had GERD but my mother has numerous GERD related issues--so I could have seen it coming. Not to mention I am only 3.5 months out and back to my creamer in my coffee ways. Plus, I did purge in my 20s. And the 100s of pounds I have lost on my own--I've gained them back, Time will tell--but to answer your question. FEAR. I was educated on the outcomes but I am afraid of a bypass.
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This was not the old "RNY is superior to VSG" debate. To clarify I have a VSG is a fine tool This was a question about the need/desire for revisions based on failed expectation on weight loss alone (not post WLS medical issues or malfunctions) I see a ton of post (sadly mostly VSG based) where people are very freshly out of surgery wondering when they can cheat, or 2 years out of surgery wondering why they never made it to goal , or going for revisions to RNY to finally make to goal after regain My questions was are people going for VSG to avoid dumping to cheat (vs malabsorption for medical valid reasons) OR were they not advised that the best surgeries for their particular cases would have been the more aggressive surgery OR did they have no honest clue about the statistical weightloss/ regain rates ? I see a lot of good complex answers, thank you. I also see that a lot of Doctors are promoting VSG as their first choice surgery. Now I know. There are complex reasons why revisions are seemingly on the rise. Thanks everyone!!!!
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From what I have seen, (just from others, never had the band myself,) if you were able to successfully maintain a good weight with the band, but the band failed mechanically, then you should be able to do similarly with the sleeve. Those who have trouble with this revision are those who were never able to make the band work in the first place - they figured out how to "eat around" their WLS, and if one is intent on eating around one WLS, they will likely work out how to eat around another WLS.
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Your surgeon knows your medical history. They have read through your psych eval and blood work. The chioce is ultimately up to you. Since you asked about the sleeve I will give you my two cents. Each of us are more than the statistics. I lost 120 pounds in 6 months with the sleeve. My goal was 140. I am five years out and maintaining in the 130s. Nothing magic about the bariatric process. Follow your plan and behavior changes. Weight gain can happen to any type of surgery: Small or large amounts of weight. After a year you may see a ten to twenty pound bounce. It can be lost again. Maintaining is if you have a gain you go back to your bariatric plan and get the weight off. If you can't change your relationship with food and exercise you will not have long term success with any type of surgery. People with bariatrics have revisions due to different issues. (medical, not following their plan, mobility and eating disorders etc) Sleeve realities: Things to know. (1) less chance dumping syndrome if you eat sugar. (some will experience it) If sugar is an issue for you, you might want a different type of surgery. Lots of debate about stomach stretching. (yes it happens but it's rare) I am going to pass on reading any following angry posts about stomach stretching. (2a) Your restriction will be less as time passes. This is normal with the sleeve. Your stomach has not grown back or stretched. It's a new feeling of stomach capacity. It's rare to see revision due to stretching. Think of how much food you would have to binge and force down in one sitting to cause stretching to the point of revision. 2b) Many people confuse grazing with stomach stretching. Grazing is eating several meals throughout the day healthy or unhealthy foods. Your calories will seriously increase. It is as if you didn't have surgery at all. (google it) I also see some surgeons take advantage of gain due to grazing. It's a money maker to do another surgery. This is life long change with any type of surgery. It is still work after you get to gaol.
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One more thing. My doctor said that since I had so much weight to lose he actually thought it would be best to do the sleeve and then do a revision so I could get to my goal weight. Of course I said no, RNY please, one surgery. Because I’m trying to get pregnant after and can’t have two surgery’s to wait four years to have kids! I’m 31
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I wish there was a way to know what is best for each individual. My choice on the sleeve was because of iron deficiency, vitamin D deficiency and heavy cycles. I was worried the bypass would make these things much worse and cause other problems for me. I would have loved to do the bypass because it comes with more weight lost. My surgeon and I both agreed on the sleeve. However I’m not sure 🤔 it was the right choice. I started out at 280 lost 37 before surgery and would like to be 170. I’m currently 8 days out and worried because I havent lost a pound. Spoke with my doctor yesterday who says I may not be getting in enough liquids and calories to lose anything. So I am praying that I made right decision. I don’t want to be one of those people that needs a revision.
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The suggestion of self-sabotage doesn't make sense for me when considering one weight-loss surgery over another. Real self-sabotage is doing nothing, taking no steps toward reclaiming one's life via the tools of WLS. I often wonder why some people have opted into a revision (from sleeve to bypass). Did they make a mistake in choosing the sleeve in the first place? I have no regrets in selecting the bypass. None. I think I'd be upset if I'd had ended up with the sleeve, though.
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I'm sorry but he's not exactly correct. Similar sure, but the bypass and ds both have higher weight loss amounts and longer weight loss retention than the sleeve does. Look around for sleeve revisions, there are quite a few. Did your doctor tell you about the increased acid reflux issues that are super common with the sleeve?
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Surgery Scheduled! Revision Sleeve to Bypass
CyclicalLoser replied to shoregirl75's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm not exactly the opinion you requested because I went from the band to the RNY. At the time, 10 years ago, the band had a decent amount of fanfare (Can you say 1-800-lap-band)? The Sleeve was just coming out and my insurance wouldn't cover it. To be honest, I wanted the sleeve, but wasn't willing to pay out of pocket. I didn't want something as extreme as the RNY. I went from 293 to about 220, then up to 303. It never felt right, and the port flipped 90 degrees within a year or two. I choked all the time, and many times some extremely painful swallowing deals. To answer your question about GERD, I can tell you this. I've had a problem for as long as I can remember it...Way before the lapband. When I wake up in the morning, I sound like a beat-up pickup truck. I have to clear my throat several times, drink water, and even have to clear my throat several times a day. It was so bad my coworkers could tell when I hadn't "drank it out" because my voice would be raspy and out of pitch by a lot. Before I had the lap band, I had GERD really bad. After the lap band, the symptoms went away immediately. I talked to my RNY surgeon about the constant clearing of throat, and he said it might be silent gerd, and the surgery might fix it. I'm 6 weeks out today. Every morning when I wake up, my voice works perfect. No pitchiness, no clearing throat, nothing. It came as a great benefit to me. My surgeon does have me on prilosec for 6 months, he said it actually helps the pouch heal. I did a lot of research and intense thinking about my revision. When I went to the required classes, I would say 60-70% of the people were going with the sleeve. The doc "kind of" recommended the sleeve saying the take rate was very high. The (very) long term results just aren't there compared to the RNY. The 10 year results show that the greatest retained loss is from the RNY. At the end of the day, that's the whole goal of the surgery, so that's what I went with. -
For me the sleeve appears to the the right decision. Granted I’m 4.5 months out and I’m way ahead of the avg loss numbers. I was already lactose intolerant so that wasn’t t a concern. I rarely got heartburn prior to my sleeve and think I’ve had maybe 4 flair ups (too many spicy foods). It came down to how much the malabsorption scares the crap out of me and rerouting my insides when I know I’m an ugly scarrer was enough to tip me to sleeve. Going in based on what I needed to loose the avg lbs difference between the options wasn’t significant enough to deal with malabsorption. I also have 4 friends at different points in post sleeve surgery. One is extremely successful. One is still loosing but doing really well. Another was a band to sleeve revision and is the least successful. Lastly is someone who is fighting regain 2 years out. This gave me a realistic view of what is possible and what is needed to meet goal. Can I self sabotage? Sure I could and maybe someday I might but I have different tools I didn’t have before. Will they work? Time will tell.
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This question (perhaps its confusing to everyone) is about revisions. My question is basically is why chose the least effective surgery (individual based) only to end up getting another surgery when the outcome is unsatisfactory. (And i don't mean people who revised from lapbands that were installed forever ago, or revisions for GERD/Barretts, those are different) Why does anyone chose a lapband these days? Why choose VSG vs RNY/DS if you have A LOT to lose with a history of eating disorders, mental health concerns, lack of support, stressful lifestyle, tendency to cheat constantly, etc...? Why not be more aggressive? Some answers were good. Some left me with more questions, but I'm thankful for everyone who participated. This wasn't about divisiveness. This was a real question.
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Would you ever consider revisions (based on weight issues alone) vs continuing to work with your current surgery?
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Almost two weeks post op from revision band to rny
sld21 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Thursday is to weeks . I’m technically on thick and pureed so I’ve been loading down with protein . I have no issues getting fluid or food in . Down about 13lbs. I hope I’m doing it right and hope to move on to soft foods on Thursday . I had a protein shake I made with a scoop of premier protein, 1 cup of fair life skim milk and a tablespoon of pb 2 powder.today . Then I ate lunch ; some goat cheese and some turkey bean chili I made last night that I puréed for myself for lunch . I made sausage and shrimp jambalaya tonight for my family and only tried a couple bites of meat and chewed until mush . Plenty of fluid . I ate boiled egg white yesterday even through technically on the soft food phase and mushed it in my mouth and it was fine going down . The only difference I’ve noticed from revision is that I’m not stuck from a top right hand and I feel like I feel every bit of food traveling through my intestines like left to right . It doesn’t hurt just strange . I’m guessing that’s normal . Does this sound like I’m doing ok ? -
September bypass buddies??
shoregirl75 replied to MissPoodle's topic in Gastric Bypass Surgery Forums
SEPTEMBER 10TH! I having a revision to bypass from the sleeve. I start my 2 week liquid diet 8/27. Good Luck and smooth surgeries to everyone! -
Very very true But what comfort does someone who's surgery failed their expectations get if that surgery was never right for them in the first place (not by my standards, by close evaluation of all data)? Just have a revision? Thats what people are doing ...
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Hmmmm I don't like it. Another member asked why so many revisions, they though it was a way to collect extra coin from failed surgical patients, I thought nonsense, why would a doctor do that? at the time now I'm thinking yeah...
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Most good surgeons will suggest the more aggressive surgery (better outcomes,less revision/failure rates factors into their records) lazy ones will do what's comfortable for them. You have to ask for a lower level. I just wonder why if someone knows they have maladaptive eating practices (binging, purging, etc) , tendency to graze, very high start weight/very low goal weight why get a half measure? Why not go DS, where you have the highest rate of loss, highest level of malabsorption to combat all of the behavior? DS not available, cool RNY second best for your situation ( and of course this is all situational and hypothetical) But why with a history of binging not well controlled through meds/therapy, very high starting weight, lack of support, stressful job, would anyone go for VSG let alone band or balloon?
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any sleevers in their late 50's
Strivingforbetter replied to tahoegirl96118's topic in Gastric Sleeve Surgery Forums
I'm 55 years old and also had a revision from a lap band to the duodenal switch. It's been the best decision I've ever made for my health. I spent one day in the hospital and within two weeks I was running around doing errands. I've got my confidence back too. It's a great feeling to reach for the size in the middle or front of the rack instead of at the very back or at the bottom of the pile. Sometimes when I look in the mirror it's hard to believe it's really me. But it is! -
8 Months post RNY and stalled 2 months
Cybie replied to nicmarie75's topic in Gastric Bypass Surgery Forums
I am also 8 months post RNY. Surgery December 14 and presurgery wt was 195. 208 two weeks prior. I’ve finally hit my goal of 140 but I really had a hard time stomaching some of the foods you mentioned. Still do! Chicken and beef still gets “stuck” and hurts, and I can’t handle the sweetness of protein bars anymore! It sounds like you can tolerate a lot so you may be overeating and not realizing it. I’m a grazer so this is the only way I can get enough protein in. I hope The keeping track of intake helps you! I’ve revised my goal to 130 but I’m stalled right now so it may not be doable. Good luck! -
PROJECT LAST CHANCE! 3rd Bariatric Surgery Scheduled...Sleeve to RNY Anyone?
ncgirl77 replied to ellie123's topic in PRE-Operation Weight Loss Surgery Q&A
OMG - thank you so much for posting this!! I, too, have been combing the forums for some info on this and have found zip! I had the sleeve 4 years ago in Cancun and lost 87# with it (297 SW), only to gain back 50#. I'm devastated and ashamed. I am going to a new surgeon on 9/5 to talk about a revision to RNY as I feel that is my only hope to fix this failure. I feel hungry all the time and, while I do not each large volumes like I did before my sleeve, I'm still gaining. I travel often and am usually taking clients out to dinner, so that doesn't help (we have very similar situations). I am so excited to hear you are getting this done and I pray it is wildly successful for you. Thankfully you have a supporting husband and you will have support here I'm cheering for you and hope to follow in your footsteps shortly. Please keep us updated! -
I had my band for 5 1/2 years and didn't have any problems (except weight gain) until about 8 months ago when I went to get a fill. The doctor couldn't find my port which is never been an issue in the past. Turns out my port was turned around and underneath scar tissue. Moving forward on July 23rd approximately 4 weeks ago I had my lap band removed and revision to the sleeve. In my case my lap band did not come out easily for the doctor. It was bolted in with mesh, and attached to my abdomen. My 45-minute surgery took about 2 hours and 15 minutes. But there were no complications other than that and my doctor was able to continue with the sleeve gastrectomy right away. I'm telling you this just to make you aware I did have pain longer than most people do, in my incision mostly. I was pretty weak for about two and a half weeks. Tomorrow will be 4 weeks and I finally feel almost like myself. It was so worth it though. I had a stall after 2 weeks, but I'm now down about 24 pounds since my surgery date. Good luck, you'll do great! Just trust your surgeon! Sent from my SM-G935T using BariatricPal mobile app
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Revision surgery after gastric bypass surgery
RhondaRob posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had gastric bypass surgery + 2000 + 7 and games in the last year 100 lbs back or maybe over a hundred pounds I was wondering has anyone had a revision surgery after gastric bypass surgery -
Proton-pump inhibitors (ppi). You need to go back to your surgeon to report that. I had to go on several different ppi drugs. I had a Gastric Sleeve done in 2012. Developed acid reflux and now have GERD. Unfortunately for me the GERD was not controlled with the ppi. Now have a serious hernia and developed Barrett's esophagus. Having a GS revision to Bypass in September. You can develop Barrett’s esophagus when acid reflux is not controlled. Barrett’s can turn into esophageal cancer in 5% of patients.
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Tummy Tuck without Muscle Reconstruction
Screwballski replied to Strivingforbetter's topic in Plastic & Reconstructive Surgery
When I had a tummy tuck consult three years ago (before I gained back 40lbs/pre-revision) my surgeon told me I didn’t need any muscle work and my tummy tuck would be simple. I was pretty stoked. Glad I waited, though.) He told me to thank the surgeon who did the c-section for my son’s delivery. Apparently, he was an artist. The plastic surgeon couldn’t stop raving about my muscles and my scar that looked like “nothing but a loose skin wrinkle.” God bless you, Dr. Reimer, wherever you are! 😄
