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Everyone will about regain about 20% of their weight back after 2 years regardless gastric sleeve or RNY... However RNY has better weight loss results and longer lasting results as the food travels shorter and doesnt stays within your body long enough. RNY is considered the mecca of weight loss procedures. It also says in your link "Most patients report 50 to 60 percent EWL within two years and then subsequent weight regain. These are the patients who seem to benefit most from a revision procedure to eliminate the weight regain" Now for the poster, her potential end result is 189 lb per gastric sleeve calculator and this is with a 20% chance, a 50% chance is 210 after 18 months. If she has another procedure, her starting point will be at her present weight and she will be able to break into the 150's, and hopefully maintain it with some work and dedication. I hands down agree with you that forever dieting is something we will need. Its a must. It's unavoidable for us. I also know from sitting in nutrition class with people over 325 + that weight loss surgery sometimes requires 2 surgeries.
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RNY is no guarantee. Plenty of people will gain weight back after RNY. 20-35% of people who get RNY fail and regain. This number is much higher for the super obese. No surgery is guaranteed to fix your weight long term. Changing your forever diet and forever eating habits...can. http://bariatrictimes.com/revision-procedures-for-failed-gastric-bypass/
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We gotta make sure to stick to our doctor’s plan so we don’t get ill like that. I accidentally took a bite of my fish tonight and there was sweet potato mash on it (came with meal) & I spat it out cause it was overly sweet tasting. I am afraid of dumping and am trying to limit my sugar as much as I can and am choosing not to consume sugar at all if I can help it. I too am a sleeve to bypass revision & was informed of dumping. I am one of those whom hope I get it as a reminder to not make bad choices. i took off only 3 weeks after my rny
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Sorry you’ve experienced dumping, especially right after surgery. Were you educated (pre-op) on dumping, which impacts 30% of RNY patients? You may need to stay away from sugar for a longtime, more than 1-2 years, if not forever. Does your surgeon’s post-op plan allow milkshakes 2 weeks after gastric bypass or did you just give into temptation? If the latter, you need to set yourself up for success by staying away from fast food places and removing trigger foods from your pantry and fridge. And if you didn’t receive clear nutritional guidance then you should contact your bariatric center for specifics on what you can eat when, post-RNY. Good luck! I was off work (desk job) for 2 weeks after Mini Gastric Bypass. I will be having revision surgery soon (RNY) and my surgeon said I should expect to be off work for 2-3 weeks. How long were you told?
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Oh my word!! I had the revision from sleeve to RNY on 6/6. I had some peanut butter chocolate milkshake today. Just a 1/4 of a small sonic cup. I have been so ill!! Do not eat sugar! I don’t know if I ever will again after today. Headache and nausea is horrible. Also, how long were you off work after RNY. My revision was because of a bad stricture/stenosis. I lost 90lbs with the sleeve. I am 180 now but my doctor said I did not have a choice but to get a revision because my stomach was so bad. RNY is not what I wanted but the GERD and nausea were awful. Will I lose much more? Sitting here feeling like I’m going to barf.
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Sleeve revision for July 25th in Pennsylvania
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Post DS Surgery = Lactose Intolerant
DSJ replied to RaniaOnTheRun's topic in Duodenal Switch Surgery Forum
I had a revision from lap-band to ds in 2014. Prior to the ds I loved dairy...now I can't tolerate dairy all. However I have gone from 420 pounds to196 pounds so for me it was worth giving up dairy. I struggle with anemia and vitamin deficiency though. -
53??? I'm 68 and for some reason not worried about age. Having a band revision but this time doing surgery for health and not vanity. We older peeps will do fine👍
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I'm a band revision to bypass on August 6th. I too am scared I will fail at this too BUT am determined to make a life change!!!
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Slipped band reposition surgery what is the recovery time
Matt Z replied to readysetg070113's topic in LAP-BAND Surgery Forums
Recovery time should be pretty much the same as it was when you had the band installed. You are going in for a full laparoscopic surgery, so you'll have all the ports/incisions that come with it. You'll be unfilled, have your band adjusted and more than likely some more sutures put in to hold it in place, and this is all barring any complications. I had my band installed in 2011 and I had ZERO physical issues, no slippage, no erosion, nothing. But when I had my revision from Band to Bypass, it took my surgeon over 3 times longer to get the band out, because it has been 100% encapsulated in scar tissue. So, you *might* not have any issues once they get inside you again... but you could have some major complications ahead like I did, even though nothing pointed to there being any real problem. To be honest, my "suggestion" would be to talk to your surgeon about revision to another WLS. The Band has just so much working against it at this point, 2 major manufactures have stopped making them, most surgeons won't even do them any longer. -
Sleeve revision
Fatgirl56 replied to Fatgirl56's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks Rick! My surgeon has been doing this for 13 years and has a great track record. About 3 mos after my VSG surgery he attempted to “burn” the Barrett’s but couldn’t because of the amount of bile reflux I have. He says the only was to correct the GERD is by doing a revision and then can take care of the Barrett’s. I’m trying to talk myself into it but am unsuccessful at this point. -
On the pre-op diet front, that depends upon the surgeon - many of us do no diet at all other than the day before to empty the GI tract. If you are talking to the same surgeon who did your original surgery, and he normally imposes such diets then you will likely be told to do it again, though one can make a good case that since you are at a reasonable goal weight you don't need to "shrink the liver", assuming that is the rationale that they use for the diet. All you can do is ask. When contemplating a revision, it is always a good idea to get a second (or even third) opinion, as these surgeries are often more complex and their causes more variable. If the cause is a shaping or other structural issue with your sleeve (which can have a big influence on GERD problems) then it may be better to correct the problem with the sleeve rather than replace it. As the sleeve is still relatively new to most bariatric surgeons, they may not really know how to correct a problem with a sleeve and prefer to stick within their comfort zone by converting it to a bypass, which they tend to know very well. A good starting place to look for second opinions on something like this is in the DS community - look for a surgeon who is experienced with the DS, since as that uses the sleeve as its basis, they tend to be more experienced with them than most, and tend to be more comfortable in correcting them when needed. The practice that did my sleeve had been doing them for around twenty years, and that was seven years ago - most bariatric practices at that time had only been doing them for a year or two at best.
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Sleeve revision
Orchids&Dragons replied to Fatgirl56's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks, Matt. My surgeon has already broached the subject of a revision due to reflux. He'll decide in a couple months, after I hit the 6 month mark on my sleeve. I had been wondering about all the pre-op stuff. -
Hi I’m new to this thread. I had a sleeve revision to bypass on 6/18 and hate clears. I feel I want substance like stage 2. I’m hungry perhaps because I haven’t been cleared to start protein shakes yet. Anyone else feeling hungry ?
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This is going to depend on your surgeon (and maybe insurance) but, my revision from Band to Bypass required a minimum 2 week pre-op diet.
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EKG/ECG is a standard test pre-op. Had to have one back in 2011 for my band and had to have another one for my revision this past March.
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I had VSG in Aug 2017. Dr says I’ll need to have revision due to acid reflux/Barrett’s, etc......Does anyone know what the preop for revision surgery is? Do you still have to do 2 week liquid, etc.....? Just gathering info to make an informed decision. Thx!
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Hi July people! Are you ready for this? Happy, excited, nervous? Any revision patents out there? Have you tried out your protein shakes yet? My hospital and surgeon is requiring me to have a 2 week pre-op diet to shrink my liver prior to VSG surgery. I purchased the Syntrax Nectar sample packets. With 17 flavors, I can weed out the ones I like and don't like. Otherwise, I'm ready to do this! What about you guys?! Are you ready?
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Hopefully in July. The final hurdle is getting approval on the hospital stay from my insurance as this will be done out-of-state (by a revision WLS expert).
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I’m getting a bypass despite the fact I have a sleeve done
mhysteik replied to Saddy's topic in Gastric Bypass Surgery Forums
I have had a RNY as an original not a revision. Not all patients having RNY have the same outcomes. I can tolerate some sugars without having the immediate dumping, but another issue that can frequently become a problem for some is the post gastric bypass hypoglycemia effect. This is when for instance you have had a small amount of food and in the next 1 1/2 - 2 hours your blood sugar drops. I have this problem and it is not fun at all. It is very frustrating because many times you loose complete functioning ability until you can stabilize your sugars. I have found that in learning to manage this that when this happens it is more often after ingesting a food with some sugar or carbohydrate content. For instance even sugarfree jelly on a slice of low carb bread with peanut butter will cause the sugar to drop, because there is still a small amount of sugar in the sugarfree substitute. Anyways, you may want to consider this as a challenge should you get the RNY revision. If you are one of the lucky candidates to get this problem it is a life long problem that is hard to deal with but can be managed. -
Very helpful Marina...thank you. When do you think you will have the revision?
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My insurance would not pay for WLS due to low BMI (35), so I decided to go to Mexico for surgery (self-pay). My surgeon in TJ did not recommend VSG because of my longtime history with GERD/acid reflux. Instead, he suggested One Anastomosis Gastric Bypass (aka MGB), which is a type of gastric bypass that is popular outside of USA (i.e. in Mexico, Latin America, Asia, India, Europe). I didn’t expect to get the MGB side effect (low incidence) of bile reflux so did not insist on an RNY instead of an MGB. The good news is that my insurance will pay for revision from MGB to RNY, which is a huge relief. In retrospect, I wish I had the RNY instead of the MGB. If I had to do it all over again, I would go to Mexicali Bariatric Center, which has some of the best WLS surgeons in Mexico, for a Roux-en-Y Gastric Bypass. Note that in spite of my issues with bile reflux, I’ve lost 100 lbs from my highest weight and am currently below goal weight. And I do not have any issues with bowel movements.
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I’m not sure what surgery to do?
kimberlymi replied to susunorm's topic in Gastric Bypass Surgery Forums
I am going to do bypass for a few reasons. 1) high BMI . 2) I have a lava field already, don’t want it any worse . 3) type 1 diabetic 4) don’t want to have to go back in for a revision from sleeve to bypass . My primary doctor feels a sleeve would be better, but my surgeon feels the bypass is a much better choice for me. -
My lapband was approved by BCBS, not Federal though. But, I have GEHA, and they approved my revision to bypass. So I don't see why BCBS Fed would have you any troubles. You'll more than likely need to do the typical stuff, GEHA required a 6 month doctor monitored diet prior to approving. Have you checked in with BCBS Fed to see what they require for approval?
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got my bypass revision on 4/30, SW on surgery day was 242, HW was 260, CW now is 232. So I only lost 10 lbs since surgery. Not sure whats going on, probably in a stall. Still on pureed foods, but I see the surgeon for my one month post op on the 28th, maybe he can shed some light. I am getting my protein in, but definitely not my water. Maybe that's the issue? Anyone else struggling?
