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To say that one should choose different operations for different BMI ranges is an often propagated myth by surgeons. The truth is that all weight loss operations are tools for weight loss and regardless of the operation, patients that take full advantage of the tool do great but some patients don't lose that much weight with any operation. Interestingly, if you look at band vs bypass, the bypass looks better the first year, but 5-10 years later the band looks better because bypass weight loss is somewhat "false" in the beginning because it is a disease weight loss with muscle wasting (NOT the way to lose weight in a healthy manner even though it makes the scale look better, temporarily). The problem with bypass is that patients regain weight later requiring revisions. We do a lot of band-over-bypass surgery to create an adjustable bypass so patients can lose weight again. The plication success rate should be no different from other weight loss operations. I anticipate most patients will do very well with the tool but some patients will lose very little weight just like we see with other weight loss operations. I've got a couple of GPS patients (Gastric Plication Surgery is what we call it) who have already lost over 40 pounds in a couple of months - amazing. Obviously, it is early in the game but it is so simple I do not anticipate any massive surprises with the operation. In Europe, plication patients' average weight loss looks better than the band. A common theme of patients not losing weight as fast is eating too much ice cream and/or too many "concentrated sweets" (cake, Cookies, etc). The good news is that when the appetite is turned down after surgery, patients find it much easier to avoid these foods because they are not hungry. I've had a lot of patients -before surgery- tell me, "Well, Doctor, if I could make good food choices I wouldn't need surgery," but then they are pleasantly surprised after surgery at how much easier it is with the appetite turned down and getting full on small meals. Also, sometimes complex emotional eating issues are thrown in there which sometimes requires experts in that area if it is interfering with weight loss but it is rare that patients need that level of help after surgery in my experience. At any rate, we have done band surgery on patients through all BMI ranges and they all lose weight very well when they use the tool effectively. I feel no different about the GPS (plication). I like the plication because there is no malabsorption, no cutting, no rearranging, no foreign body, no port, etc. Plication has a lot going for it. Brad Watkins MD

Our @Matt Z is, unfortunately, very knowledgeable about this complication. "The Band had become totally encapsulated in scar tissue, it took my surgeon and her team more than 3 times longer to remove the band than what's normal. My 3-4 hour surgery, lasted over 6 hours. Who knows what would have happened if I didn't revise. The band is gone. My insides have been rearranged. And I'm working my way down to my goal. One day at a time. " --https://www.bariatricpal.com/profile/120901-matt-z/

Me too!!! this will be a revision for me- VSG to RNY because of GERD and because I'm fat again...

I belonged to an all woman gym after my lapband surgery in 2009 (I'm now a a sleeve revision). I paid $60 a week for a personal trainer. Loved her. She kicked my butt every week. We spent 90 mins (30 on nutrition choices and 60 on weight training/cardio intervals). I told her I didn't like the elliptical cuz it was hard and made my legs feel like noodles. Guess what she chose for my 3 mins cardio intervals? Yep, the damn elliptical. By the time I left, I felt like Jello. Had a hard time walking to the car. After about 2 mths, I cut back to every 2 weeks (just cound't afford the $240 every month). I would weigh, we'd discuss my food intake and then she'd work me out. Everytime I got on the scale, I saw a loss. Even after not making the wisest choices at times. After a couple more months, I cut her back to once a month. Still saw losses every month. Then I met my now-husband. He had a membership at the Y, so I started going with him. He couldn't go to the all female gym with me and we didn't want to work out alone. So I gave up my trainer. Something she told me early on that I still remember: "You don't have to give up ur favorite foods. Just take a few bites and throw the rest away. U still have the taste but also have the control over what ur eating". She got me off my almost daily Tamale Pie (Found at Vons and Safeway on the West Coast). I cut back to once a week. Not giving it up but cutting back on it. I rarely eat them now.

MacMadame, You are not letting me down AT ALL!! I have felt as though I am letting you down since I have gone into my nothing mode. Keep it up! You are doing great!! Georgia, I have never lost any fluid that I know of. I am doing good today. I am a little sore. After this "minor" revision I have 33 staples. My doctor actually did revision on 2 areas instead of one. I am very pleased. I have done very well with my eating today and actually feel a little more focused. I am going to take the rest of the week to recover from my procedure and then I will start my new routine on Monday. My goal will be consistancy. I am actually looking forward to getting going!

You are doing awesome MacMadame. As of today, we have a well. Septic and electric will be put in on Monday. Hopefully the trailer will arrive next weeka dn we can move 1 week from tomorrow. I get my staples out on Tuesday. I am pretty much good to go. LOTS of packing still to do! slinky, DH said that I picked a bad tiem to have my revision, but is there a good time??? I really feel good. I may not be exercising real consistantly till after the move. There is just so much to get done. Feeling a little overwhelmed, but ready to get out to our place!!

Welcome back, though I’ve been gone a while and only just found out you had a surgery! Did something happen to prompt the revision?

Still in the game! After revision i was counseled that i may lose a little more so im STILL trying to maintain in the 150s. Im 151 lbs currently and about 19 days post op. Not too rapid so I'm satisfied.

You are not alone! I fear that tremendously. I am having revision surgery, which means I’ve been here before (or something like this) and I lost over 130 lbs from my highest weight and have gained a ton of it back. Now my gain was pretty much due to the pandemic/getting COVID but I gained it none-the-less. I will say I personally am preparing for this surgery in a way I never could the first time around. These many resources did not exist when I got my lapband. But I joined this app/group for support and if we’re not supporting each other even through our worries and fears how supportive are we really being? So know you’re not alone or being overly negative, you can’t work through your fears if you don’t acknowledge them! And, you can make this work, it’s possible. And I believe it will happen for me, so there’s no reason for you to not believe it will happen for you. There’s nothing particularly special about those who succeed beyond their determination to use their tool and make themselves succeed.

I had a BMI of 32 with no comorbidities. I had to self pay. First spot was in September and I had surgery in November. This was 2017. I advise addressing any food addiction or other mental health concerns adequately prior to surgery. Or you may end up like me 3 years later and qualifying for surgery yet again and pursuing revision. Dealt with my trauma with food and I had to do therapy before I felt ready to seek revision now.

I'm having the same issues as you. I had my sleeve done in 2012. My lowest weight was 174 but now I'm up to 197. Since having my sleeve I've never missed a beat with barfing. I recently had a endoscopy and a upper gi but the doctor said I was stretched but couldn't tell why I've gained weight. I don't eat a lot. He's sending me to a weightless doctor. He said if things don't change with the barfing and heartburn we will consider going to the bypass. I didn't realize that you could revise the sleeve. Have you looked at the risk? What's the recovery time? How much weight does the doctor think you will lose with the revised sleeve? Keep us posted afterwards. I'm thinking I should go to another doctor. I would love to follow your journey. Good luck on the 25th!!

I was revised from sleeve to bypass due to acid reflux. The insurance initially denied me because they wanted to me to see dietitian.My Dr did a Peer to Peer with the insurance and told them this wasn't about weightloss it was about ending the acid reflux that was harming my esophagus Hiatal hernia repair failed too. My stomach was pushing upwards ,contributing to the reflux.The insurance approved it then. I had my surgery on Nov.22,2016,My sleeve was in 2011. Doing good.One more week soft foods,then I can have shaved turkey,ham,chicken and other foods.

It is definitely possible to stretch the sleeve. I had my sleeve in Nov. 2011 and now I have an appointment next week to see about a revision to bypass. I'm only hoping my insurance approves it and doesn't make me do the 6 month diet and all that. I'm dying to see what insurance says. I initially lost 88 pounds and then gained 35, lost 10 and now I can't seem to lose at all, lots of acid reflux.

@@heart_RN like you I have had the same issues since having the surgery. I've been reading up on the revision to bypass. Like the sleeve, you will be on liquids for a short period of time and gradually work back to solids. Your stomach will still be smaller limiting your amount of food intake but with the bypass they are re-routing so this will stop the acid from getting in the stomach area. If you've regained any weight or still have weight to lose you can expect to lose more. Like any surgery you take a risk. You have to hope and pray for the best. I told my doctor I just want to feel better and if I lose a couple more lbs I'm ok with that. I liked the fact that the sleeve weight loss looked natural not sure if the bypass weight loss does or not.

I had an EGD last week and expect to revise a VSG to the bypass due to reflux issues. I am wondering what to expect. Differences in eating and is addition weight loss possible? I am very nervous about having another surgery. Sent from my iPhone using the BariatricPal App

My date is Dec. 14th. I'm having a revision from lap band to bypass.

I'm scheduled for a revision from lap band to gastric bypass on Dec. 12th. Would love to stay connected, but I'm also new on here and need to know how to go about staying connected.

Mine is Jan 6th I’m having revision. VSG to RNY

Luv the Cadbury Mini Eggs. They r like crack. However, like u, I could devour a whole bag in 1 sitting pre surgery (2009 I got the lapband. Last July I revised to the sleeve). Even just last year (banded but had all my fill removed for a slip) I could eat about 1/3 of a bag in 1 sitting. I also bought a bag when I first saw them (those and a bag of Starburst Fav Reds Jellybeans). I just opened the bag of jellybeans a few days ago (where I ate about 6 of em) and I still have about 2/3 of the bag of Cadbury eggs in my nightstand (where I stash my nightime snacks). And it's been since before Valentines Day. Thank God for the portion control that the sleeve gives me. I feel so in control when I open the bag of chocolates and can stop at 5 of em. Now I enjoy them much more than when I swallowed them without even tasting them. So I'm in ur corner when it comes to the "Easter crack"!!! Luv em 2!!!

Welcome! I know I'm not on your list, but let me know if you need any advice. Sleeve to RNY revision here.

I had the lap band, it tangled in my intestines, was always sick! Revised to a sleeve Sept 2016, anesthesiologists decision The hardest part is the liquid diet! Hang in there, you will lose The band list me 65# then the sleeve another 85#. Only 20-25 to go.

Mishu I am a revision from sleeve to rny and am constantly questioning what is the best path to insure success. I just can’t help feeling like we need to keep calories/carbs very low to be successful after failing one surgery already. It’s scary for sure.

Try not to worry what other people tell you; if you and doctor agreed that WLS is the way to go, then that's what you should do. I think some people tend to think in order to have WLS you need to be 400+ pounds. WLS helps a lot of people with their weight, but also healing joints, getting rid of diseases that can be caused by excess weight, etc. I had the sleeve and am currently getting a revision to bypass, and am at 35 BMI. Some would say i don't need the surgery, while me and my surgeon have decided that's what's best. Do what you feel is best.

Had my revision two days ago after being banded for six plus years. I'm glad it's gone-found out after surgery that I actually had a slip and stomach prolapse along with needing a repair to an already repaired hernia. Sent from my iPhone using the BariatricPal App

I really don't remember how long it was before the day I think the port actually came up, but it was like close to a month, I think. Unfortunately, it was not for a few months after that when my doctor FINALLY confirmed this. I had revision surgery in August. In considering this surgery I asked about the low profile port also, but my doctor convinced me against it. I don't remember why, but whatever it was it must have sounded rational. I knew shortly after the revision surgery that the sutures didn't take AGAIN, but my doctor was convinced they had and that all was fine. (He is great at appeasing me). So now, I see him yesterday to discuss my symptoms and thoughts about my band having slipped. He sent me for a CT scan. I had the test, and the doctor on staff read the results and reported to my doctor. My doctor "promised" me that my band is fine...but I "have a pnuemonia" in my left lung. I have no idea wtf that means, but apparently I'm pretty sick lol. Needless to say I am asymptomatic, and have decided to go for a second opinion on Monday. Oh, but in all this my doctor said I was right and that my port did in fact come up again. Apparently, I have very resistant stomach muscles. I'll keep you posted. I have a question though. Has anyone felt that they have been getting sicker easier since the rapid weight loss? Like maybe more susceptible to things, maybe from compromised immune systems or something? I've been sicker this year than I can remember previous years.