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It will do both. From my first surgery I lost 150lbs. I was happy with the weight I had lost. Still had a lot more to go but the heartburn was such a hinderance. Nothing like walking in the treadmill and eating tums at the same time just to get through :). I am feeling so blessed to have found a surgeon that specialized in revisions and took me seriously. 5 days post op and no reflux!

I have not done well on the preop diet while traveling to move my daughter to college this week. I will let my surgeon know and see if she still wants to keep my surgery date. I’m a revision and she almost didn’t put me in the preop diet. I am back home on Subday and will have 5 full days to follow it without any hiccups. I am worried.

Sept 4 here! Revision sleeve to bypass. BC Canada.

The DS as a virgin procedure is more challenging to perform than a VSG or RNY, which is why relatively few bariatric surgeons offer it, despite its' demonstrably better performance (the RNY is "good enough" for most patients...) That's your first challenge - finding a reliable DS surgeon. Converting a VSG to a DS is straightforward for any DS surgeon, as the DS uses the VSG as its basis, so it's mainly a matter of adding the "switch" part - the malabsorptive part - to the VSG. Revising an RNY to a DS is another, much more complicated matter, and surgeons who can do that are few and far between. It used to be, a few years ago, that there was maybe a half dozen surgeons in the US that reliably did them, and I have seen references to a few more have joined the ranks in recent years. Rabkin and Keshishian in CA have both done them for many years, as has Roslin in NYC. I've heard that someone in Salt Lake has done some, along with some docs at Duke University in NC, possibly Kemmeter in MI. Some surgeons who don't do the DS will offer to revise to a distal RNY instead - that is a "long limb" RNY that has malabsorption more akin to the DS. However, it does not have a great reputation, and is usually not approved by US insurance as a primary procedure (but often will as a revision under the right circumstances.) My take on why it seems to be more problematic than the DS is that it is rarely done, and the surgeons and their practices aren't all that in tune with its' long term requirements. A DS, and by association the distal RNY, has a quite different nutritional and supplement requirement to the standard proximal RNY, which is well known to those in the DS world, but not all that well appreciated by those in the RNY world. Like with the RNY, and much more important with the DS, is to commit to having annual labs and follow ups for life - with the altered absorption and nutrition/supplement requirements, things can go askew in sometimes if you don't stay on top of them. Those who do stay on top of things typically have minimal long term problems. I would not go to MX for a procedure like this, as you really don't know what you will end up with. Historically, there has only been one reliable DS surgeon in MX - Gilberto Ungston - who, if not retired, is heading that way. He has trained a couple of others to do the DS, but I haven't heard of him doing the RNY to DS revision. There are, of course, the various horror stories of MX surgeries gone wrong, and in particular of those seeking a DS and getting "something else" (who knows what.) There are great, reputable surgeons down there for the VSG and RNY, but I wouldn't go there for something more complicated like a DS, unless it was someone well vetted in that procedure (such as Ungston,) - the differing legal systems leave one with no recourse is something doesn't go right (and the chances of that happening with something as complex and an RNY/DS revision are high there.) Good luck - it is a long search for what you need, and be prepared to travel. Being in CA myself, and my wife is a Rabkin DS, we have seen several successful revisions like this from both Rabkin and Keshishian, so it is viable when done by someone experienced with it. It, also, is not a simple outpatient procedure, and Rabkin's standard practice for travelling patients is to remain in town until at least the 10 day post op follow up. Most everything else can be done remotely (and they are set up for doing so.) Keshishian is similar in this regard.

I’m on day 3 post op conversion to bypass from sleeve. Best decision of my life. I was living off tums and I have not had a single bit of heartburn. It does seem different some how, maybe because I’ve been through this before and know that the first few stages is a bit the bullet until my insides are healed. If anyone asked me, I would simply say, I wish I hadn’t waited so long to get the revision.

I'm a revision sleeve to bypass. When I had my sleeve 14 years ago, the only thing I COULD NOT eat was eggs. IDK why. I could eat chicken and steak, but for some reason, eggs was a no go for me. I think eggs swell up in our tummies after we consume them.

I had an easier recovery with RNY vs VSG as well but did experience stricture (easily resolved) early on. GERD was resolved almost immediately. Not much hair loss but that’s really individual based. Constipation is always a concern but that’s what stool softeners are for and fully expect to need assistance with that long term. It’s been 4 yrs since revision (6 since VSG) and once you get into a routine life feels really normal.

I'm not sure how "northern" in Kentucky you are, but right across the river in Cincinnati there are many options. I had my procedure at JourneyLite in Evendale, OH...I'm not sure if they offer a VSG to DS revision, but you could call and ask. I felt very well taken care of by them.

Hello, I am trying to find a DS surgeon here in northern KY who can perform my surgery. The doctors I have found so far do the RnY but not the DS. Does anybody have any suggestion? Thanks.

Just a lil rave... As of this morning, I am officially down my first 50 lbs! I had a 3-week stall 2 weeks after my surgery. I had issues with my skin, with constipation, and this horrible stall. Because it's a revision, my weight loss is incredibly s-l-o-w (compared to virgin surgeries). I was so disappointed, having buyer's remorse, and all that. I've only lost 20 lbs in 45 days, but altogether (including my pre-op dieting) it's 50 whole pounds since May 11th!

For me, it was an easier recovery. No new food aversions. I didn't have any before with the sleeve either. My gerd is gone an that in itself made being able to stay on program much easier due to better sleep, no fake gnawing hunger signals due to excess acid... Etc. It was the best thing I've ever done. I've said this before on quite a few posts but I feel so normal now, like pre-WLS of any kind, and I still have restriction. At first, you will feel that your restriction is gone but it isn't, it's different than the sleeve. Also, like the sleeve, wait until you begin solids because the fluids will just go right through your system. I had a learning curve to determine when I was approaching fullness. With the sleeve it was a runny nose. With the revision, I can feel it more in my stomach. I still get the runny nose but that is far too late for me so I stop before that now. The signals are different. I have not dumped, and the only symptom I have is slight constipation so I take 1 tsp of MiraLAX in my coffee every morning. Some need more, some don't need it. My vitamins are the same, a multi-vitamin patch, and depending upon my blood tests (I take every 6 months), I may take an additional chewable ADEK vitamin.

I did, but I wasn't done with my weight loss when it became obvious I needed to have the revision. I lost 116 pounds in 9 months and was still losing when the complications slammed into me and I was told I had to have the revision. I never would have gotten it and would have continued to work my sleeve, my diet, and my working out had I not had so many insane issues happen.

Did you have excess weight to lose before you had your revision? My doctor actually recommended the revision for the extra weight loss

What has your experience been with having the sleeve to bypass revision? How was the recovery? Do you have many more food aversions? More dumping? More severe hair loss? I'm considering the revision due to GERD and I want to hear all the stories before I commit.

Thank you so much for that information! I've been looking for a good protein shake for a while so this is super helpful 🙂 I hope your revision went well!

I had my revision June 21st, original R N Y in 2005. Just remind yourself it is to make sure your liver is smaller to make the surgery less complicated for you! If you haven't tried them yet, bariatric pal has awesome protein shots available. I love the orange. It's like conentrated Tang! 100 calories, 15 grams of protein. Other really good protein shakes that got me through it, Redcon1 Protein shakes are 0 grams of sugar 250 calories and 40 grams of protein. Also KaChava is a good powder shake with alot of protein and super foods in it. I still incorporate these in my diet post surgery and it definately helps. Hope your surgery goes well with no issues!

I'm so sorry this is happening. Have you talked to your surgeon about a revision?

Well my Sh:t Show continues, on Tpn 12 hrs a day, and now saline iv 1 a week to make sure i stay hydrated.. Met with docs again.. they still keep saying give it time, it should improve...My GS was May 8th how much more time? and the doc wont give a timeline. i am now taking 5 different meds for nausea, puking and acid reflux.. even with all that I still struggle every day.. I am tempted to have revision and have them do a bypass to see if it will stops all this. Wish i could find someone who this happened or happening too,, and i pray no one has to go though this, it is exhausting,

I had to have a revision for other reasons, but I can tell you that you lose a lot less with it than the initial surgery. I'm 5 weeks post op, and I've lost 16 pounds. This time last year, I had lost 30. So you lose roughly half as much with a revision as you do from the initial surgery. Revisions tend to be worth it more if you have complications from the initial surgery (like I did). Additional weight loss isn't really a huge reason since you lose slower and less than the original surgery.

I should have mentioned in my initial post that I had a sleeve in 2018. Had horrible GERD since and also never lost the most weight that my surgeon said I could possibly lose. Fast forward through COVID, loss of a family member, major job change l, etc etc - I actually gained almost ALL of the weight back. It very embarrassing. I would have never thought that I would gain it all back - ever. As the day goes, never say never. I have a new surgeon now and she is amazing and did not make me feel like a loser. Since I have GERD and never lost to my potential, and have the hiatal hernia, I am having a revision to gastric bypass on 8/11. My highest weight was 250 and my lowest weight after sleeve was 169. I’m 5’4”. To say that this second chance means everything to me is an understatement. I haven’t even told anyone (besides my husband) that I’m doing the revision because I’m so embarrassed.

I had the sleeve done and only lost 30% of my excess body weight. Typically they like to see you at 60% of your excess body weight. They had me on wegovy and that didn’t work so I’m now scheduled for a bypass revision. For people in the same boat that lost some but not a lot the first time, how much did you lose after revision? I’m hoping because I have so much weight to lose that it will come off the way it should have the first time

I have my sleeve revision to bypass on 8/11!

Hello! My surgery is Tuesday! Has anyone else had a sleeve to sleeve revision?

Hello! My surgery is Tuesday! Has anyone else had a sleeve to sleeve revision?

I would love to converse have you had surgery or a revision