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Do you know if you are a candidate for Linx, JRL? That is an option for fixing the hernia and LES, *if* you have enough esophagus motility for it. I would definitely talk to a surgeon who does Linx before I would agree to a bypass. It is hard for me to accept the idea of being forced into a bypass when I really regret ever getting bariatric surgery to begin with. I feel like I am worse off this way than I would have been with my original stomach and the extra weight.

Well I will be having gastric bypass on the 29th and I just want to have everything I need before hand.

which surgery did you have? A lot of bypass patients have to take B12 and D3 in addition to their multi (we don't absorb B12 well because of our lack of intrinsic factor, so we have to take it via sublingual tablet or injection, usually - so that precludes whatever is in the multi. Also, our vit D requirement is higher than what is in the multi). I don't think sleeve patients, in general, need quite as many vitamins (although some clinics have both kinds of patients on the same regimen) there may be some bariatric-specific vitamins where you don't have to worry about all these additional supplements - but check. You can compare what's written on the bottle to this list from the American Society for Metabolic and Bariatric Surgery (you have to scroll down a ways to see their requirements): https://asmbs.org/app/uploads/2017/06/ASMBS-Nutritional-Guidelines-2016-Update.pdf

Glad it is working for you. My surgeon told me it had failed in a very high % of patients. All have not had revision or removed. For me I am just glad to be rid of the dadgum thing. Congrats on your success and continued weight loss.

I have struggled with weight my entire adult life. I’ve yo yo dieted...lost and gained over 100 pounds 3 times. Just before turning 50 I decided to give it another go in trying to lose the weight once and for all the traditional way with a naturopath and a personal trainer. But if that didn’t work I made a promise to myself that, I would go for the gastric bypass. It took about 2 years but I was successful with the weight loss, and once again lost 100 lbs. Unfortunately a few years later, slowly but surely the weight came back. A number of reasons precipitated that including the fact I wax dealing with a lot of stress and depression associated with getting a breast lumpectomy because of a suspicious biopsy. It was not cancer, but because of it I’m considered high risk. By then I also experienced a lot pain due to osteoarthritis of my knees. So much so that I now require a knee replacement. Unfortunately my weight would make, not only the surgery, but the recovery difficult and complicated. Not only that, I have high BP. At 54 with retirement fast approaching i felt I was running out of time before other health problems came so I decided to keep my promise of going for the surgery to give myself a chance to have a long active, healthy and adventurous retirement. Had my surgery March 29th and not looking back! I should have done it sooner but so grateful now!

My bypass was scheduled for April 21 and I was slogging through my pre-op diet... then today (April 15) I got a call from the surgical scheduler, all surgeries have been cancelled due to the COVID surge here in Michigan. 😭 Honestly, I get why it had to be done but I've been waiting six months for this surgery. I was mentally prepared and had work time-off all arranged... I'm tempted to drown my sorrows in pizza! Anyone else had this happen (this year or last year)?

My bypass was scheduled for April 21 and I was doing my pre-op diet... then today I got a call from the surgical scheduler, all surgeries have been cancelled due to the COVID surge here in Michigan. 😭 Honestly, I get why it had to be done but I've been waiting six months for this, I was mentally prepared, and had work time-off all arranged... I'm tempted to drown my sorrows in pizza!

When you have a distal bypass more of the intestine is bypassed than a Proximal Gastric Bypass. If more of the intestine is bypassed then more weight is lost through the process of malabsorption. So it's kind of in-between a proximal bypass and duodenal switch.

Interesting! Per a Peterson Method calculator, my ideal weight is 145. For the OP, my stats are 5’8” with starting weight of 264 (before starting pre-op diet, AND my highest weight), so pretty close to your stats. I did have bypass rather than sleeve due to pre-existing GERD. Based on the Peterson Method ideal weight, I have lost 104% of my excess body weight at my current weight of 140. I am a bit over nine months post-op. My weight is not entirely stable yet, so I expect some possible additional loss followed by a bounce back of 10-20 pounds, which I understand is common.

it's actually spelled "distal". I believe it bypasses more of the small intestine than the standard bypass does, giving you more malabsorption.

I havent been losing much at this point nor do I want to. I lost 25lb more after the revision and have been maintaining it now for a good 6 to 8 months. I have noticed that if I dont eat a normal 3 times or more a day my weight will drop. I had a crown done a week ago and havent been able to eat on that side and dropped 7 lbs in a week!!! CRAZY

This is what my surgeon is recommending for me to do has anyone had it and what exactly is it I have not been able to find much information about it

I had my bypass the 8th of April too!!

I had gastric sleeve surgery at age 70. Due to sleeve not being done correctly I am having gastric bypass surgery at age 75. You’re not too old. As long as your health is good and you pass all your test before surgery.

I can't speak for the OP, but most people who have this revision have it because of severe GERD.

I'm only 6 months post revision, so I'm not really sure if there is a honeymoon period like I heard about with the sleeve. I too have gotten below my goal and significantly lower than I ever got after VSG surgery. But I was overweight, not obese, at the time of my revision since the surgery was done for medical reasons, not for weight loss. I really don't know why I've lost so much weight, since I feel like my insides have been healed for months. I try very hard to eat healthy and I walk 5-6 miles a day. But I would be less than honest if I said I never ate sweets, snack foods etc. I haven't been actively losing weight for the past month (only lost 1.2 lbs. in the last 30 days). I think I'm actually in maintenance, which would be great if I can just keep doing what I'm doing and maintain! If it's a honeymoon, I hope it keeps going.

Went out to lunch with my sister for the first time eating at a restaurant since my VSG in Dec 2019 (had revision in Aug 2020 and a bowel resection in Dec 2020), so I was over ambitious to say the least. This is an after picture. I stole 3 small French fries from her and ate a bite of bacon off the salad. I think the melted cheese is what did me in. Next time I’ll order without the cheese. 😂🙃

I had bypass surgery October 2020, almost 6 years after I had the sleeve surgery. My revision was to resolve severe GERD, Esophagitis and Gastritis. I was overweight, but not in the obese range at the time of my bypass surgery. The recuperation for a revision appears to be very different from a "virgin" bypass and my original VSG. The biggest differences that I noted: 1.) no sense of restriction like I felt with the VSG 2.) I was hungry, unlike my total lack of hunger following VSG and 3.) I had very little pain after the revision compared to the pain I experienced after VSG. But everyone has different experiences and pain thresholds, so I can only speak for my post op experience. On a positive note, I've lost 47 lbs. since October and I feel great. But I could very, very easily "eat around" the bypass if I didn't make a conscience decision to eat healthy and exercise. Since weight loss is considered a ""complication" of my surgery, I am beyond thankful that I've been given this "do over".

I wish there was a study on WLS failures. Where everyone would be honest about what they did and didn't do to contribute to the outcome of their WLS (band, sleeve, GB, MGB, DS.. etc) whether good or bad. I know when I had my band place in 2009 band and BP were my two options. My bmi was 42+ at 5'2" 232lbs. Sleeve was the "new" wls and not much was known. I did however work with about 200-300 women for a huge corporation and I saw firsthand some of the successes and failures in some. My journey began with my co-worker and friend got the band. She did an amazing job and I thought this is for me. I had also seen a few that had GB and didn't want to go that route. I also had a few friends and a cousin that did GB and I saw their struggles. In fact, they have all gained their weight back. Now my friend Paula, was not a very compliant bandster, but her wife was (wife and I got the band the same day). The wife lost and did a great job. She still has her band. Paula doesn't. Paula also learned to eat around it and gained, then blamed the band for not working. She then revised to the sleeve, I don't think she has lost a pound with the sleeve (we are still great friends). My friend Tami at the time was the only person i know that had had the sleeve done back in 2008. She did an amazing job but is now about the same size she was when she started. What I'm getting at..... is all of the WLS have risks of "not working"........ but they all have the "ability" to work if worked properly. I'm new to the sleeve (8/28/19) I had my band from 2009-2017. I know that the stress of going through a divorce and the fact that I got a very bad case of a stomach virus caused my slip. Up to that day, I never had a day's problem. I never go reflex at all. I of course got stuck a few times, but once I got stuck on something, I didn't eat it again. I maintained my weight of 143lbs. At the time I thought I didn't need another WLS and that surely I learned how to eat and I could just eat like I was with the band..........I WAS WRONG.... with the band completely gone it was HELL.... I was so hungry all the time. I gradually re-entered bad foods that I could not eat with the band. I was back on the sugar train, and the carb train... and over the next 2.5 years I put back 30lbs. I was so disappointed in myself, depression was really bad, and I also started menopause. A few times over the years I thought to revise, but no one would because I "didn't weigh enough". So if I were to do anything, it would have to be cash. I started looking into Mex... and had decided I would go there. But I still didn't have the money. $9500 was not just sitting in my bank account....... As luck would have it, in May 2019 my divorce property settlement was done. I also found a dr. here 10 min from my work.... Yes, it was 14k, I figured I'd pay the extra to be right here..... So I took 14k of that money and invested it in me. That day I was 173lbs..... Today I'm steady at 120-123lbs..... Praying that God keeps giving me the strength to keep going and keep being healthy. In July I will be 53 and feel I'm in the best shape and health of my life...... BG (Chris)

i will be having my sleeve to bypass in under 4 weeks. what should i know before going into surgery? is the pain easier the second time? nervous but excited.

I had mine for 10+ years and I lost about 80 pounds and mainly kept it all off but THE REFLUX after maybe 6.5 years of having it. Ugh. Crazy-bad. And it slipped once, which was just God awful. And I am pretty sure it was the cause of my hiatal hernia, which needed a MAJOR repair. I also know of several people who had enough of a food addiction that they were easily able to 'out-smart' the band. That being said, I thing until the addiction is addressed for these people, ANY WLS will ultimately end up as a failure... But, back in 2009, I was unwilling to get a bypass and VSG didn't really seem to be a 'thing' as far as I knew. At least that option was not offered to me. My surgeon tells me there are a several patients in his practice who absolutely love their band, even when it is giving them the same kind of problems I had with it and will not even consider removing/revision. So...go figure! Whatever works I guess

I just had the Gastric bypass on 4/8 as well. I am struggling with just getting fluid down at this time but in time it will be better. My doctor called in a stronger anti nausea medication so I am hoping that will work. Sent from my SM-A205U using BariatricPal mobile app

your experience is common. A lot of people (maybe most?) have had them removed and have revised to sleeve or bypass.

My mom had gastric sleeve 8 years ago and my aunt had gastric bypass 12 years ago. My mom wasn’t very successful due to underlying health issues that didn’t make themselves known until she was post-op. My aunt lost over 150 pounds. I researched for years and would bounce back and forth with the idea to go forth with it and I’d always back out. I finally decided that for my health and my children’s sake, this would be the best option for me. I would have mental talks, and journal about my ideas and thoughts on surgery, the pros and cons, what I needed to do to prepare myself and my family. I talked it over with the adults in my family and then talked it over with my kids, because it will affect them as well. When I realized the support I have that will improve my success rate, I couldn’t back down this time. inhave one more dietary appointment before I can schedule my surgery and I couldn’t be more excited. Yes, it’s scary because it’s such a major surgery and many things in your life will change. I have two of my friends who now are going through the process as well and we will be each other’s coach and accountability partners. Remember, those leaps thats are the scariest are usually the ones most worth it.