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Oops, when I read restriction I thought you had the sleeve done. Sorry but it's my understanding you can get a DS revision following gastric bypass.

There is a new nonsurgical procedure called endoscopic sleeve gastroplasty. I had the procedure done in June 2020 but not as a revision. Google True You Weight Loss or Dr. Christopher McGowan in Cary, NC for more info. Also, many others have either had revisions to RNY or DS. I think there is a revision forum you can check out.

My friend has gastric bypass and his teeth are awful now (they weren't before surgery) but I haven't asked him about it

Surgery 03/2013 280lbs I've managed to gain back all my weight. I do not feel restrictions when I eat anymore. Possibly medication related. Possible bad habits returned. I bit the bullet and called the WL clinic because I don't know what options are available in my area. I've done all kinds of research. Nurse told me they rarely do any revisions and never have done a band over gastric (I was really wanting that) She mentioned possible medical weight loss such as appetite suppressants etc... I would rather have a surgery than to take any weightloss pills with side effects.I am wondering if any of you who had a regain have gotten any medical weightloss options that worked?

Here in the US, the MGB is not a common option, though it has been adopted by bariatric groups in other countries. When my wife and I were first investigating WLS some twenty years ago, the MGB was kicking around the sidelines of the bariatric field trying to find its place, but it never did here, failing to gain acceptance of either the ASBS/ASMBS or the insurance industry. In the meantime, both the DS and VSG have gone mainstream. There may still be a few isolated practices that offer it on a self pay basis, and there are several groups in Mexico that offer it, mainly as a cheaper, but not necessarily better, alternative to the RNY. The main bugaboo that I recall with it has been a greater propensity toward bile reflux, which is easy to understand if you look at its anatomy. As for a revision to counter regain, It doesn't make a lot of sense to me, as its metabolic strength is so similar to the RNY - much the same as switching between the VSG and RNY, or vice versa, for weightloss/gain reasons, doesn't make a lot of sense. To counter a regain problem, one should look to a stronger procedure, which in the current world is the duodenal switch (DS). Unfortunately, that is a very complex revision which only a half dozen or so surgeons around the country are capable of doing. That would be your best shot at losing a major part of your regain, but also the hardest. There is the newer SIPS/SADI/"Loop DS" that is a simpler and more accessible procedure that seems to sit between the RNY/VSG in DS in effectiveness, but it is still working on gaining acceptance from the ASMBS and insurance industry, but it doesn't seem far off now; that would be a compromise worth looking into, but it's not an easy revision, either, as it is sleeve based procedure, so the stomach first needs to be but back together before proceeding with the revision. The RNY, overall, is a difficult configuration to work with if it's not working right. The "simple" regain fixes such as re-doing the pouch, tightening the stoma or putting a band over the pouch don't seem to work all that well - figure on losing maybe 20 lb, on average, mostly from having to go through all of the restrictive diets around surgery time again, but beyond that it is mostly individual effort (which is what one does without surgery.) The other major option may be offered is to change it to a distal RNY (as opposed to the familiar proximal RNY) which dramatically increases the malabsorption component, with the trade off of the expected increase in supplement needs and potential for more significant nutritional problems. It is not usually approved by US insurance as a primary WLS procedure, but sometimes can be justified for special circumstances. Revisions are not a simple thing - research them carefully to fully understand what is involved, and what the potential risks and benefits are. Good luck,

My niece says she had gastric bypass surgery about 11 years ago now. We hadn’t seen her for a couple years and she says the gastric bypass surgery caused her to lose all her teeth. Never heard of this— is this something to be concerned about?? She has a lot of other problems besides this, but just wanted to throw this question out there and see what comes back.

1. I have BCBS, and I was initially denied because they required some very specific wording in the letter from my PCP. My surgeon's office sent my PCP an example letter, and after the new letter was submitted, I think it was only a few days to get the approval. But as you said, it is holiday season and it's quite possible that it will take longer since people might be on vacation. It looks like your surgeon's office is on the ball with this, so maybe check with them next week if you haven't heard anything. 2. I had gastric bypass, but my surgeon says for both sleeve and bypass patients to wait 6 weeks before lifting more than 20 pounds. From what I've read, that's pretty standard for most surgeons. They just don't want you to tear your sutures.

Kempner, TX but working out of the Killeen office with the Texas Bariatric Specialist group. Sleeved December 2018 and had revision to Roux-en-x-y gastric bypass on October 7th, 2020 per GERD/Acid reflux issues causing damage to my vocal chords and creating a cancer risk. Lost 20 more lbs since revision and am happy with results as I was only able to get to 173 with sleeve and now I am 8 bs from goal weight ( Now weighing 153) and finally within reach. I have had no complication and no longer any problems with GERD or reflux and am very happy thus far.

Ugh... I'm so sorry you have to go thru another surgery. I don't think I could deal with that. At this point, the pain isn't that severe, it's just constant and annoying. I don't get a "full" feeling like I did pre-op. Instead, I have to really pay attention when I eat as I get the discomfort every time I eat or drink, and the only way I know I'm full is when the discomfort gets really bad. It's so annoying! Good luck with your revision!

2012 Sleeve 12/02/202 RVISION TO BYPASS Starting 296lbs down to 189LBS MY LOWESET FIRST GO ROUND. Started back drinking Cokes n Nos. Stopped walking and lifting. Over the next 2 years put weight went back up to 240. 2017-2019. 2020 decision was made when I was told about hernia if I had not had hernia like many of you who have chosen to do a revision. I would not have decided for it. Acid reflux was beating me down. so Sleeve to Gastric bypass completed 12/02/2020. starting 236 lbs 12/20/2020 weight 212.8. Any Killeen/ Temple area folks hit me up no matter what year you come across this we are always trying to stay focus. ☮️

Yes, I am losing weight and has a weight loss goal set for both times for the same goal and did use the same doctor as he was already familiar with my body. I have lost a total of 103 lbs and have 8lbs to go to reach my goal. My starting weight in 2018 was 256 and I am currently at 153 and am 5'5. 145 is my goal as I have a large bone frame and look perfect at 145. Previous to my revision I only got down to 173 so I have lost 20 lbs with this revision in all since Oct 7th.

Wow, heck of a year 2020 is for me and countless others. I had move on after truly trying everything last year. After 5 surgeries (only 2 related) and countless testing? I will qualify for my revision sometime in 2021. Maybe it was this knee pain that I am currently feeling [emoji16] I am so scared. I don't know why? I know that is my best way to improve my health and increase longevity. I talked to so many doctors and mental health professionals over the last year. Opinions vary! Can someone tell if they too struggled with this process and then achieved success after being revised! Thanks so much! Heck of a year! Sent from my SM-G965U using BariatricPal mobile app

I had my sleeve to bypass revision Dec 2 2020

I had the sleeve not the bypass and I haven't experienced that. However, my cousin had the bypass within a few days of mine and he also tells me that things taste different (and not in a good way). I don't have any insight into what causes that but you're not alone.

Thank you for all of your help with I think I will ask my doctor what he thinks about a MGB. I don't know if that is going to be an option or not. I had a gastric bypass surgery in 1980 and gained all of my weight back. My consultation with surgeon on 1/4/21. Wish me luck 🙏 😅

I don't know if anyone else is experiencing something really strange happening. But I am experiencing things smelling and tasting really strange. It seems to be shredded cheeses, my yogurt, and my decaf coffee. All these things I ate before having my bypass revision but now they all have this strange smell and taste which is kind of nauseating. When did I mention it was Greek yogurt that has this smell. I also found that I order a salad from Wendy's and the dressing smell the same way and taste the same way. Can explain what the smell or taste is but it's weird that all of these different things have this smell and taste. Has anyone experienced anything like this? Sent from my SM-G781U using BariatricPal mobile app

I had sleeve to bypass as well but in 2019. Having problems with leg cramp as.

Had a revision & second hiatal hernia repair done per GERD so bad damaging vocal chords and cancer risk. 10 weeks post op and very happy with results! No GERD , can eat things I wasn’t able to before . Liquid goes down easier than it did with sleeve and I am losing more weight and am now closer to goal weight (8lbs to go) which I never was with sleeve. No complications. No more GERD or acid reflux, so happy and feeling 10xs better!

12-8-2020 Gastric Bypass

I am really about to lose it. I had the gastric bypass on October 28th. I lost 31 lb in the first 5 weeks. The last 2 weeks I've actually gained 2 lb, which really frustrates me because I haven't even been eating. Just a couple bites of greek yogurt here and there. I got ulcers after my surgery, so EVERYTHING hurts to go down. I know I don't drink enough water. I've never liked water and I try to drink it but I have a really hard time. I just don't understand how I could actually gain 2 pounds!! Anorexic people never eat, yet they lose weight, so I don't understand the whole, eat to lose weight concept.

I previously had a gastric bypass surgery in 1980 but considering a gastric sleeve any thoughts on this?

I have seen such devices being developed to treat diabetes, which makes sense as they emulate the surgical changes done in the biliopancreatic diversion (BPD) part of the BPD/DS bariatric procedure which yields exceptionally good results on resolving type II diabetes. It makes some sense that there will be some interest in trying to develop the concept for weight loss, but I suspect that they are climbing a very tall tree to get significant results. At best, I would expect it to be no better than the existing restrictive balloons and bands. Back in the 1960's and 70's one of the common weight loss procedures was the jejunoileal bypass (JIB), which was a purely malabsorptive procedure that resulted in pretty good weight loss performance, but at the cost of significant nutritional problems and other significant complications. It was largely supplanted by the RNY gastric bypass, which is highly restrictive, with a minor malabsorptive kicker, and that overall works well. Subsequently, the duodenal switch (the BPD/DS of above) came along which combines a more moderate amount of restriction with a moderate level of malabsorption, which has shown to work even better overall, but at the cost of being more complicated to perform. The lesson that I get from all of this is that for there to be enough malabsorption to yield the weight loss that we see in the current mainstream bariatric procedures (the VSG, RNY, SIPS/SADI and BPD/DS) it would probably have similar metabolic complications of the old JIB. Something with lesser malabsorption, such as these proposed sleeves, would likely yield relatively poor weight loss results - on the order of what is seen with other implantable weightloss devices (balloons, bands, etc.) and would likely have similar lifespan and foreign body issues. The other concern that I would have with these is how do they handle the bile and pancreatic enzymes that are released in the duodenum? presumably they flow down outside the sleeve to be introduced to the food flow at the end of the sleeve (perhaps that is the source of the pancreatitis and liver issues that Foxbins noted?) Overall it does seem like a neat idea, at least for some cases, but is not yet ready for prime time (and probably won't supplant the existing surgical weight loss interventions.)

As noted, the difference in weight loss performance between the VSG and RNY is minimal - there is more variation between individuals than there is between the procedures themselves. If one wants/needs something demonstrably better than the VSG/RNY, then there is the DS available; if ones needs are less than that provided by the VSG/RNY, then there are the balloons and lapbands available. The bypass will be somewhat fussier than the sleeve when it comes to supplements and some medications (some time release meds may not work well with it, and some meds that are known to possibly be ulcer prone are more restricted or forbidden.} Diet may be a little more restricted, but there isn't a great difference. What I would be concerned about is whether the finding of this benign tumor makes you any more susceptible to something more malignant that should be monitored? One of the drawbacks or the RNY is the loss of the ability to easily scope the remnant stomach post-op, as that is left in a blind loop along with the duodenum and associated bile and pancreatic ducts. I assume that the tumor was found somewhere in the lower part of the stomach near the pyloric valve, and that is why they are interested in doing a bypass instead of a sleeve as that would naturally remove the tumor and surrounding tissue (if it were found in the central fundus, that would naturally be removed as part of the VSG). If this is a concern to them, the RNY can be performed without leaving a remnant stomach behind (it's basically what's done in many cased of stomach cancer); I have run into a few who have had WLS/RNY performed that way for various reasons and while there are some tradeoffs to doing it that way, they are not real big ones - most don't know the difference other than it removes the theoretical reversibility of the bypass. In short, the difference in making the switch is not great, but my biggest concern would be what the tumor finding means to you long term and how do you mitigate whatever tendencies there might be (for instance, I am subject to stomach polyps, which like those in the colon are considered to be pre-cancerous, so that is something that we monitor with periodic endoscopies.)

I just found out my insurance will pay a percentage for gastric bypass surgery I’ve been debating for awhile on getting the surgery now at my heaviest weight it’s time any insight on how & want to expect having the procedure?

I have BCBS federal. I am trying to get a revision of gastric bypass originally done in 2004. They denied me because with the original surgery, I lost at least 50% of excess weight. My doctor did a peer to peer but still denied. Has anyone ever had this happen to them