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Revision Surgery to a Gastric Bypass
RickM replied to mcetbmb's topic in Revision Weight Loss Surgery Forums (NEW!)
Here is one surgeon's perspective on revisions, though not specifically addressing this particular technique. The general consensus that I have seen regarding the common RNY revision techniques of band over bypass or different means of tightening up the stoma is that they aren't particularly effective, but that they are about the most that can be done without totally revising the RNY to a duodenal switch, which is much more effective but a very complex procedure done by few surgeons. Another thing to recognize is that when you are dealing with a trademark named procedure like Stomaphyx, Lapband, Realize band, etc., is that there is manufactured surgical product involved, with a manufacturer that can provide extensive marketing power in promoting their product, so like with the bands, there tends to be a lot more optimistic over-promotion of the procedure than there is for procedures that don't us a specialized product, like an RNY, VSG or DS. -
Revision bypass surgery post gastroplasty
RickM replied to Candynorvell's topic in Revision Weight Loss Surgery Forums (NEW!)
It can be done, as total gastrectomies are done for cancer and some other extreme gastric morbidities, and what is often done is they make a pouch out of part of the intestine where they join in the esophagus. There is apparently a substantial difference in recovery and adaptation time between a total gastrectomy and a partial gastrectomy, even with a marble sized pouch of stomach tissue - tying the esophagus directly into intestinal tissue seems to be a much bigger deal than taking the stomach tissue at the base of the esophagus and tying that into the intestine. As with any revision, particularly when dealing with potentially odd configurations, I would want to get a second opinion or two, as you aren't dealing with just a straightforward virgin bariatric procedure. A bariatric practice that is associated with a major cancer center would be a good place to start in finding good experience in such abnormal procedures. Good luck in working this out, -
Revision bypass surgery post gastroplasty
Candynorvell posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi there, I just had an endoscope procedure to view my stomach. I had the Gastroplasty surgery 25 years ago and am seeking to have the bypass revision done. My Doctor just informed me that there is only about 2-3cm to work with and with best case he could do it leaving my stomach about the size of a marble as opposed to the size of an egg which is the normal size post surgery. Worst case scenario he gets in there and involved and can't get out without removing my stomach. My question is to anyone who has had this revision with the marble sized outcome how can one possibly eat enough to be ok let alone stay alive? He told me to think about it and talk amongst those of you that have done this, surely I am not the only one? Any help, advice would be greatly appreciated as I am at a total loss! Thanks -
Revision Surgery to a Gastric Bypass
mcetbmb posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had an open Gastric Bypass back in 2001 when my weight was 235lbs. After 1+ years I weighed about 120lbs, but over the years since the surgery, I have gained almost 70 lbs. My current weight is 185lbs+/-. Recently, I read about Revision Surgery for those Gastric Bypass patients who have experienced significant weight gain: StomaphyX revision is a completely endoscopic revision technique[12] used to tighten a stretched gastric pouch using internal sutures or fasteners. It may be used in patients who have had prior Roux-en-Y gastric bypass surgery and have a stretched stomach pouch. Has anyone had Revision Surgery to lose weight post gastric bypass and if so, can you tell me/us about your experience with it? I have an appt with my Surgeon on May 30th so I am hoping I can learn from others before I broach the subject with her. Thank You! -
Lapband removal and RNY in May
Nowheregirl replied to Missfree49's topic in Gastric Bypass Surgery Forums
I was banded in 2002. I had my band removed July 2016 and was revised to a sleeve during the surgery. I haven’t lost any weight as i am constantly hungry and suffer greatly with GERD and severe gastritis. I will be having yet another revision May 3rd, out of state, to RNY. I am very anxious about the recovery 😕. I started my 2 week pre-op diet today and always feel the first 2 days are the hardest. Anyone else starting pre-op today? -
I did this as well. I didn’t purchase much besides smaller plates/bowls. I am having a revision (vsg to rny) and having smaller dishes helped me eating smaller portions. Also just stocked up on protein drinks i also purchased mederma, it’s a scar cream to help lighten a scar. It’s for vanity purposes but my scars tend to get pretty dark. I am curious to see others responses as well
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Finding the courage to get gastric sleeve done in Mexico with a BMI of 33
missShotcaller replied to newlifeat41's topic in Mexico & Self-Pay Weight Loss Surgery
I had the sleeve done in Mexico with Dr Garcia at Tijuana Bariatrics in 2012... no problem and no issues other than why did I wait so long!! It took a bit to finding my new normal but with education and being prepared, I’m loving my life. I am however going back to Dr Garcia to revise my sleeve to bypass distal as I have plateaued for the past year and I’d like to loose more and my sleeve has got bigger, I’m noticing I am eating more again... this is my choice, I am learning that there are many people out there who have had the gastric sleeve and years later or going back to have it revised because it does stretch out we’re going to bypass, I wish I had just done the bypass to begin with it will cost me more money to go back and revise it but again my experience with the sleeve has been excellent and what is most important to know is that you are educated,prepared and you must have your head in the game. -
On the other hand, you can try sleeve, which as you say, is less invasive and has fewer malabsorption risks longterm....and see how it works. If it's not working, you can do a revision to DS. The majority of patients have very good luck with sleeve. it's a personal judgement call.
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Greetings, I am getting the DS and ohh so excited, I had the sleeve and had weight gain now I am close to my original starting weight, I started the process of DS a few months ago with the intention of sleeve revision or gastric bypass, and my surgeon discussed my options and DS it is! So good people of this forum, I am seeking advice, pearls of wisdom, any info you care to share. I am an RN and have researched all the data, pros and cons, now I want to listen to those who have experienced the surgery and their story. Thanks a million
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My 2nd time around I started at a HW of 242 at my revision consult. Which was actually heavier than my first wls back in 2010. SW was 226 on 8/8/17. My program never asked me to set a specific goal. If I went by the BMI chart, I should be 142. I had exactly 100lbs of excess weight to lose. My personal goal would be to get to 150. Just at the top of normal on the BMI chart for my height. As of this morning, I have 9lbs to go. My first NSV that really stood out was being able to wear riding boots that weren’t wide calf. Now I can cross my legs easily and even double cross my legs. Also, I tried on jeans on Sunday and was able to put on a size 8 without issue.
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Revision from Sleeve to Gastric Bypass due to Acid Reflux
Bryn910 replied to E. Diddy's topic in Revision Weight Loss Surgery Forums (NEW!)
My surgery for a revision for sleeve to RNY is in 3.5 weeks and my reasons are for severe GERD & regain -
Anyone have a revision?
gahvi replied to J_Mkay's topic in Revision Weight Loss Surgery Forums (NEW!)
I also had a revision on the 13th of February. So far everything is going as planned. I’ve lost 51 pounds in 8 weeks. Not sure how to compare the VSG with those that didn’t have lap band revision. I’m thinking each case will vary per person. I’d say stick with doctors instructions and you will have success. -
Revision from Sleeve to Gastric Bypass due to Acid Reflux
E. Diddy posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I just received my approval from my insurance and my surgery date to go from a Sleeve to Gastric Bypass due to my Acid Reflux. Has anyone had the procedure done due to Reflux as well? Any information would be greatly appreciated. -
Anyone have a revision?
lovemy2girls replied to J_Mkay's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello, I had my revision on the 7th of April I’m 10 days post op.. im feeling ok. Just the head hunger is what gets to you. I’m trying to drink all my liquids. It gets overwhelming at times but other than that I’m feeling good I’ve lost 17lbs -
I'm in the process of having a revision from band to sleeve. Anyone else have it done? Did you do better with the sleeve? Is the weight loss slower or about the same as those who have the sleeve for the first time? I did well with the band for a few years, but years of complications, food getting stuck all the time, I've gained all my weight back and then some. Just curious how others are doing that have gone through a similar situation.
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Lapband removal and RNY in May
teacherlady095 replied to Missfree49's topic in Gastric Bypass Surgery Forums
I am a band revision patient as well (or I will be on 4/27) and I am going with sleeve. Did I make the right choice? Just wondering what made you guys go from band to RNy? -
Gastric Bypass option off table-having sleeve
Mamsmith83 replied to tuckersmom's topic in Gastric Sleeve Surgery Forums
When I decided on the sleeve vs rny I think the difference was like 13 lbs I think sleeve people average loose 60% and bypass people usually lose about 70%. Depending how I am feeling in a few months I will probably talk to my doctor about switching to a bypass, but for me its because of reflux. I had pretty severe reflux before, but I let the doctor talk me into a sleeve, and now it is the same or worse than before so I might be one of the revision people too. I'm down almost 40lbs but my weightloss has slowed this week. I think that people who have the bypass lose faster, but from what the doc told me by 2 years everyone is about the same. -
Stall finally broke!!
SIPS in Seattle replied to Road Runner's topic in Gastric Bypass Surgery Forums
8/8/17 was my surgery (I’m a revision band to SIPS) but was at my hw of 242 at my first revision consultation. For my band back in 2010 my hw was 239 so I was even heavier for my revision [emoji22][emoji25] I was 226 on my surgery date though (8/8) -
Gastric Bypass option off table-having sleeve
Creekimp13 replied to tuckersmom's topic in Gastric Sleeve Surgery Forums
Sleeve -vs- RNY....statistically, people lose a little more with RNY. With sleeve the average person loses about 60% of their excess body weight. With RNY the average person loses closer to 70%. But people are individual.....You can succeed to goal with both, and both can fail if you don't make the necessary lifestyle changes. With sleeve...some people get really bad acid that sometimes requires revision to RNY. With RNY...people can experience dumping and more nutrient malabsorption problems. The bottom line is making lifestyle changes. -
Gastric Bypass option off table-having sleeve
Taoz replied to tuckersmom's topic in Gastric Sleeve Surgery Forums
I'm getting the gastric sleeve 2nd may. Rny tends to lose weight faster at first, but by 18 months post op sleeve and rny loss is about the same. Most revisions from sleeve to rny that I've seen so far are people who developed reflux. Benefits of sleeve over rny are much lower chance of dumping, no malabsorption of nutrients, no risk of herniation from bypass intestine joins, and complete removal of the 80% of your stomach that produces most of your ghrelin hunger hormone. (I'm guessing sleeve would also do less damage/alteration to your "gut biome" too, which research is only now starting to show is massively important to health) If you are someone who still chooses to eat unhealthy foods / empty calories post surgery though, the sleeve won't prevent you from absorbing all of those calories like an rny would. -
The research is pretty clear that the lap band just doesn't work. There is a good number of people that undergo a revision surgery because the lap band did not work. Do yourself a favor and don't go that route. You don't want to have to undergo two major surgeries: go with a VSG, RNY, or even the DS.
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Hey everyone, I have the band, but due to a ton of complications, am looking into a revision to the sleeve. I'm just wondering how my life will change. Is what you are able to eat the same for the band as it is for the sleeve? Do you still throw up if you overdo it? How is the surgery recovery different? How many days in the hospital? Which recovery is harder? How is the post-op surgery for the sleeve different for the band? Is there anything else that really changes? Thanks!
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When is it appropriate to consider revision?
AtlantaRed replied to Kaze's topic in Revision Weight Loss Surgery Forums (NEW!)
Not that a revision is a bad thing, I'm getting one, but 1900 is a lot of calories. When I was sleeved, I was told 800-1000 calories lifelong. -
When is it appropriate to consider revision?
Kaze replied to Kaze's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes on the perfect storm! Ugh! Like I said in a reply above my relationship with food is better than before surgery, but somewhere along the track I grew apathetic (probably because of depression!) and I've hit a brick wall since, so I will absolutely be working on that from here on out. Revision would be something I really seek out hard sometime next year if dietary and activity adjustments just don't work. I don't exercise as much as I want to but I'm hoping with next semester I'll have a more structured schedule and I WILL be putting ~3 hours of treadmill every week minimum. Even if it's just walking, it's something! Thank you all for your kind and thoughtful responses! I will definitely be working on the "things I can change" stuff first and foremost and only really go for revision in due time if my weight doesn't see tremendous benefit down the line. -
When is it appropriate to consider revision?
Kaze replied to Kaze's topic in Revision Weight Loss Surgery Forums (NEW!)
My relationship with food, I'd say, is infinitely better than it was pre-surgery, but I won't kid myself and claim it's where I should be. I definitely will pursue a therapist for that after I find a doctor to address anxiety and depression. I also will consult with my nephro docs because malabsorption did worry me as far as medication, so I'll see what their input is. My WL surgeon did affirm that medication absorption is rarely effected by bypass or the duodenal switch, but when I pursued my sleeve I just was too worried about it. If I pursue and go forward with revision, I will be in the highest plane of vigilance this time around because I'll go into it with side factors (like stress, anxiety, etc) dealt with or under control so I don't slip. I'm only in the preliminary stages of considering it. I might seek a second opinion from another weight loss surgeon at the hospital I work. On a positive note, I did an assignment for one of my classes where I had to keep an extremely detailed food diary and I did make several adjustments because of it...whole grains as much as possible, more vegetables around, I'm going to invest in some fish (though I don't like it blech) and other things to boost healthy categories. I get a considerable amount of my daily calories from fat which I'm sure isn't helping even though my sum total calorie intake isn't terrible.
