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Well this is the safest revision I'm my particular case. Sometimes referred to as a distal rny. It has higher malbsorbtion guts of a DS' Er. They leave the pouch and reroute intestines leaving u with a much shorter common channel which is responsible for wt loss. It is also referred to as long limb rny. Many do not l like this route as u still have original rny.

We have had very similar experiences! Except my band caused me issues from day 1. With acid reflux which caused aspiration pneumonia and hospital stays. I had it for 6 years, My band slipped and when I had it removed I gained all 80lbs I had lost and then some. My doctor also didnt want to do the sleeve because he said it had many of the same problems as the band. I just had my revision almost 5 weeks ago and I feel pretty great. I wish I had done the bypass to begin with. They don't even do the bands anymore in this area.

I was wondering if anyone out there had been diagnosed with fibro before having bypass surgery. I can't find a straight answer from any of my docs and there isn't anyone in my support group or pain group with this particular issue. I'm wondering if this weight loss is going to "cure " my fibro. Not that I wouldn't have done this anyway, I am a revision patient from a VBG/SR back in 1999, having issues with the ring. Just wondering if my horrendous pain might actually go away in the next year? Sent from my SM-N900T using the BariatricPal App

It is good that you are asking this question! Many people simply decide that they want the Lap Band because they hear that it's "easy", "less invasive" than some of the other types of WLS etc, etc. But the truth is that it's NOT easy....most people here will tell you that. In specific answer to your question, yes, people HAVE lost 100+ pounds with the Lap Band. But you need to thoroughly research ALL the WLS procdures to make sure that you choose the one that is right for YOU. Many people think the varous forms of surgeries are all interchangeable, that they are simply "different methods", and you just need to pick one. Not True. You need to pick the one that fits your physical and emotional makeup. And that's not a decision that you are going to reach by reading a few articles and visiting some internet forums. I myself have had two Weight Loss Surgeries....Lap band (disaster for me) and Gastric Bypass (Success!). You will also find a growing community here on LBT that have had their bands removed and revised to a "sleeve" with great success. So, there are many options....but only one is the RIGHT one for you. Take your time, talk to as many Drs and patients as you can, do a LOT of research. Make the right choice the FIRST time so that you don't have to go through multiple surgeries like I (and other here) have. Good Luck! HH

I had the band 5 1/2 years ago, lost 85 lbs, my band slipped and I had it redone 18 mths out 2nd band was not a succes. I really didnt loose too much more. I had fills then unfills, then fills. I stopped loosing weight and really had to rely on ME now, which I did. I walked 2 miles at least 3 times a week, ate semi- right. I pushed the envelope sometimes but not most of the time. I went back for a fill because no weight loss, even a few gained. So I thought maybe I need a fill, Guess what the band had slipped again. I am not telling you this do sway you from the band...The band is GREAT - remember I lost 85 lbs, However I think it just was not enough for me. 5 1/2 years ago..it was the ONLY choice for me, RYN was a dirty word.....I would have never considered something that invasive. Now since my band has slipped that is exactly what My Dr will be doing - a revision to either the RYN or the Sleeve. Would I have the band again, you betcha!! For me at the time it was the best choice. Do your homework, research and read about all of the WLS options. Read how each one is performed, what the risks are, what the % of weight loss is, then YOU decide, it is your body and you know it best. Best of luck to you!

What's a sweet spot? I have an idea, but clarification is needed. The sweet spot is the point where upon a person achieves restriction that provides consisten weight loss. Usually you do not need further fills after reaching the sweet spot, however everyone has different results. How do I know if I need a fill or if I'm too filled? Some signs of being to filled are vomiting, sliming, bps, food being stuck, and/or the inability to keep fluids down. Is it painful if you eat too much? I hear lots about heart burn. I suppose it can be painful if you overeat. I have not had this experience because I don't over eat. I measure my food, track my calories, I eat slow and chew my food thoroughly. I am not distracted while eating, which means no tele, radio, car driving, or computer. I have never had heartburn pre-band or post band. Is your diet restricted completely to avoid certain foods once your back into the normal eating phase? I can eat any food. I have no diet restrictions. I do eat in moderation. And if I am going to have high calorie foods, I increase my exercise to compensate for my sweet tooth. My doctor states that I can eat any food types, but the thing is the band is very fickle. What goes down the pipe for me might get stuck for someone else. You just have to see what food items work with your band. Is there anyone out there who found the liquid portion after your LB surgery completely torturous? Yes, just plain and simple the liquid diet pre-band and post band sucks! But it does not last forever. Has anyone had a leak and if so, how do they treat it? Yes, I have a leak, which the doctor and I monitor every month. At one fill, I was missing .5 cc at another fill I was missing 1cc. If the leak is significant, then revision surgery will occur. How long is recovery time? I was planning to take 3 days off and go back in the middle of the week... is that too soon? It depends on your ability to recover and the type of job you have. Everyone's experience is different. I took two weeks off from my stationary job. I felt great going back to work with lots of energy. I like bulk fiber... is that a no no forever after being banded? No food types or off the list for me, but what works for me may not work for you. Really, you just need to play by ear and see what works with your band. What happens if you have a stomach virus and vomit? I know that vomiting, among other things, can loosen the band or displace it... is that indication for surgery? My doctor gave me anti-nasuea Patches just in case of an emergency...aka flu bug... Ask your doctor if they will do the same for you. Constant vomiting might make the band slip. Is anyone else in the same situation where they have kept it a secret? I'm not even sure if I will tell anyone afterwards. I have not told anyone, except my sister. And the only reason why she knows is because she was my emergency contact person for the hospital. My family, friends, and employer do not know. I do not lie; when people ask about my weight loss, I tell them the truth..I am training for a marathon and eating healthier foods. I do not lie; when I need to go to the doctor. I tell my employer I have a medical appointment and I do not provide details of it. I am on FMLA to safe guard my job, so I can attend medical appointments. I am very aware of my HIPPA rights, and I chose not to disclose my medical information to anyone. I have to go 1.5 hours away to attend my appointments, so yes people are curious, but they don't dare ask me why. Good luck!

Hi Falcon... I can help with a couple of your questions: 1) Don't tell your coworkers anything. As far as your time off, you're just taking time off. And, at your weight and BMI, you probably won't lose 100 lbs in 6 months (seems like the higher the BMI the faster the weight loss -- just an observation I've made), your weight loss will probably be slower/slow-ish. After banding, you will probably be inspired to start an exercise program (I personally recommend the Couch to 5K running plan, which can be found at coolrunning.com and on several threads on lbt.com). Moderately-paced weight loss and a consistant exercise program will leave your coworkers saying "wow, you're looking great," instead of suspecting anything. 3) I don't know exact percentages either, that's something to get from your surgeon's office, but what I can tell you is that I'm almost a year out and have learned a lot on this website. It SEEMS to me that many many many of the people who have to have revisions of any time caused it by not FOLLOWING DIRECTIONS. That means: 1) you can't keep your band too restricted because you like "losing quickly." 2) you can't "PB," "get stuck," "or throw up" too often. 3) you MUST EAT SLOWLY AND CHEW YOUR food THOROUGHLY FOR THE REST OF YOUR LIFE. (This is hard, but important). 4) You MUST follow your doctor's pre-op, post-op, pre-fill, post-fill, etc. recommendations TO THE LETTER, AT ALL TIMES, no MATTER WHAT. It is NOT okay to "assume" you're fine, or bend the rules, or push the boundaries. that's my two cents....sorry for going on and on...I'm feeling a bit fiesty this morning!

If you don't mind telling us, why did you revise to the sleeve? Did you have complications with the band? thanks!

I would either reschedule or try the pill route if that would work. Having just been through revision surgery this week it is very fresh in my mind and I would not want to deal with that situation myself on top of everything else!

Hi Everyone, I found out about this site from Obesity Help, and hopefully with all the wisdom on this site regarding the lapband ( one word or two please!) I can get excelent help and resonable advice. :scared2: I had a RNY done in 2000 at Baratric Treatment Center, a wonderful place but not a real success for me. Let me begin by saying I had a RNY done in Feb 2000 my initial weight was 235 lbs, I am 5'2" tall and my overall weight loss was 55 pounds. Currently I weigh 215.5 with a BMI of 38.5 so you do the math. I am real depressed and I feel like such a failure. After reading on Obesity Help that revisions were possible (Baratric told me it was something I had done wrong and refused to answer my calls, and insisted that if I had regained weight it had to be my problem and not their procedure!) After reading many post on Obesity Help I finally found an excellent surgeon with the Kane Center here in IL, who explained to me that not only were revisions possible but they had done numerous of them. The Dr also explained that the procedure used was an older procdedure because they did all or most of the suturing by hand, and that could actually allow the stoma to stretch much quicker. Now here is my question, because I have had a hernia repair along with an open RNY my new Dr. strongly suggest the LapBand. I am not sure if this is what I should do. I have read of so many people having problems, not losing weight, bands slipping and to be truthful I am really afraid. If there are a few people who have had revisions from RNY to LapBand and sucessful lapbanders ( is this a word!), out there, would you please let me know why you chose the LapBand, why you feel it was the best choice for you, how you had success with it and what I could expect? I realize that there are those who don't like this procedure, but right now I need to hear positive feedback, and who is better to give it than those who have experienced it! I trust my Dr. but I am confused. At my age (53) I don't want to go through this anymore. Any comments, questions, prayers, suggestions, etc would be greatly appreciated!

I would get the go-ahead from your nut. before buying anything. My nut specializes in bariatrics with a focus on vitamin deficiency and she is very clear that our vitamins need to be designed specifically for bariatric patients. All vitamins are not created equally and since our bodies don't digest and absorb things the same if you aren't taking the right stuff you might as well not take anything. I had RNY in 2005 and have had a large weight regain. I am having revision surgery and I am with a completely different surgeon and nut then from before. I have had a lot of trouble with vitamin deficiency because I was taking stuff like Centrum, Citracal, regular iron and b12. None were bariatric specific and now I a lot of problems specifically with Vit. D. Every doctor and nut has different beliefs and approaches so I suggest following the rules you were given but also do your own research.

Personally, I went with the sleeve because I did not like the idea of my intestines being re routed. Also, from what I read, there seems to be less complications, less need for vitamins long term, less issues with malabsorbtion and dumping. Also, with the sleeve, you can be revised to the by pass, or Dudial Switch at a later time if you feel it is not effective enough. I would discuss and research the pros and cons of both surgeries, and see what your surgeon suggests and why, but I am pretty sure most all of us here will be just a little more biased toward the sleeve Good luck on your journey whatever you choose!

Wow what a mess, hang in there but something to consider is if it's stressful now how are you coping, if the answer is food, imagine if that were not available? I'm still struggling with that 4 months out Also I'll second Amy, I also had a full hysterectomy and like you was exhausted and out of work a lot longer than I thought. But I had a band revision to duodenal switch sleeve and gallbladder surgery on a Wednesday and went back to work on Monday(not super energetic but I could sit at my desk) I wish you luck it's a challenging journey but I'm down 60lbs so it sure helps Sent from my iPhone using the BariatricPal App

Here is some of the basic advantages to having the sleeve, I pasted the information from the Bariatric.us website. I went through the 12 week Kaiser pre-op program and received tons of information on the surgery and on the nutritional requirements before and after surgery. There are tons of success stories on this website and also alot of issues, mostly in the early phases of recovery after surgery. Most long term sleevers wish they had done the surgery long ago. I will be sleeved in April of this year, and I have been on restricted calories since last September and already lost nearly 40 pounds. I am looking forward to the next leg of this journey. The effects of gastric sleeve surgery are: restricts food intake controls hunger Following gastric sleeve surgery, food continues to move through the digestive system naturally, from the time it enters the stomach to the time it is released into the small intestine through the pyloric valve. The difference is that after surgery the amount of food that can be eaten at any one time is greatly reduced. The surgery also helps to control hunger, because the upper portion of the stomach that produces the hunger stimulating hormone Ghrelin is removed during surgery. Advantages Intestines not cut, rerouted, or bypassed, so does not cause malabsorption or nutritional deficiencies Keeps pyloric valve intact, thus reducing ulcer risk and avoiding dumping syndrome Food does not get stuck on way into stomach, as is possible with gastric banding Can usually be performed laparoscopically, even on very obese patients Safer and less complex than a combined restrictive/malabsorptive procedure, especially for patients with health problems Option for patients with health concerns or medical issues, such as anemia, Crohn’s disease, anti-inflammatory drug use, or prior surgery, that prevents them from other bariatric procedures Does not require a medical implant (gastric band) or adjustments Average weight loss of 30% to 50% excess weight in first eighteen months May be converted to duodenal switch for additional weight loss Revision option for gastric band patients

You can definitely throw up after bypass! I wonder where people got the idea that you can't?? weight loss after revisions IS slow for most people how long ago was your revision? I'm surprised you're still having reflux. If it was recent, does your surgeon have you on a PPI? Most surgeons put people on them for the first 3-6 months (for revisions AND for virgin surgeries.

Good Morning, My name is Jeanette, I am 30 year old, 5'4 and 240 lbs. I was so excited this morning because I got my surgery date set for Nov 7th! Now I am scared...I came on to start posting and another group caught my eye. I went in to Lap Band Complications and all these people are talking about erosion and dilated esophagus, ,revisions,slippage and removal....Seriously, this stuff happens? I want the lap band to help aid in my weight loss. I need to get healthy for myself and my children. I have tried everything to help but nothing. So I looked up lap band and it seems like a great tool in weight loss but now Im reading all those posts I am second guessing my decision. Is it common to have to remove your lap band because of these things? I am just really scared now, sorry guys...

I had a revision from band to sleeve on 06/23/11 by Dr. Aceves. I am doing and feeling great. Dr. Aceves and his team are all wonderful and the hospital is super clean. I returned to work 6 days after surgery. No worries, you will be in great hands

I have to go in again to have a port revision, not because of the port, but because there is a kink in my tubing. Dr. can get Fluid in, but cannot get anything out. He gave me a slight fill on friday when he did it under flouro to see where the kink was. It made a huge difference in the amount of restriction I feel. I can't swallow my Vitamins without getting stuck, but I am able to get liquids and mushies down. I'm glad to hear that the recovery is quick and that I will be able to do this with only conscious sedation and not have to go completely out. Good luck to everyone else with this problem. My Dr. seems to think this is a manufacturers glitch as I am the 3rd person to have this problem in his practice, and he was able to show me on the model where the problem is occuring. Ari

To make your ticker and post it: http://www.tickerfactory.com/WeightLoss/weight_loss.php?type=3 1. Go to the link above and make your ticker. 2. Go to the bbCode box and right click on mouse and hit Select All then right click again and select Copy 3. Go back to LBT, click on User CP and under Settings & Options choose Edit Signature 4. Click in the signature block where you want the ticker to go, right click and select Paste You can preview your signature, or select Save to save your signature( it will look like a bunch of letters until you save it) Your new signature line will now show on all your existing posts, and all your new posts. To edit/update your ticker: 1. Click the ticker in one of your posts, or go to User CP, Edit Signature, Preview Signature and click on the ticker there. 2. The ticker page should open up. 3. Click on the Back button and revise your numbers. 4. Click on the Next button. 5. Go back to LBT and delete the existing ticker. 6. Repeat steps 2- 4.

By the way, people who have gastric bypass often have to have resurgeries as well because after about a year's time, the stomach pouch relaxes and thus they can eat more, and the intestines make more cilia which absorb food so after one year weight loss becomes tough. Many RNY patients have "revisions" later on to tighten up the stomach again. With a band...."later on" you just get another fill. No procedure is 100% foolproof. I LOVE my band and wouldn't trade it for anything.

Many have come back and posted after weight regain. You are not alone. Your options are to have a surgery revision or Get back on track. The only way to know if you stretched your sleeve is to have it diagnosed by a surgeon. Many sleeves have less restriction years out, but our stomachs are not back to full size. I can hold more food volume. I had to find strategies to fill the extra space and satisfy hunger with out regain. Many people confuse grazing/ eating around your surgery with stretching. Grazing is eating many small meals healthy or unhealthy choices that total over your weight loss/maintaining calories. When you eat small meals, you don’t feel your surgery restriction. The calories quickly add up and you will gain weight. When you eat around your surgery the sleeve will no longer works. If you get back to basics and control what you eat again, you can start losing weight. Getting back to basics and finding the right mindset and discipline is not as easy as it sounds years out. I would suggest getting a counselor and dietician to support you through all this. Bariatric Basics. Eat your bariatric real food plan - Weigh your food on a scale, log your food in a food app,(my fitness pal or baritastic) drink a minimum of 64 oz of water, exercise. **stay within your weight loss calories and macros ** You can ask a dietician for a meal plan and calorie range. Other people here that are years out are willing to share their plans. I'm five years out with the sleeve. Some do the pouch reset suggested above. Some find it too restrictive. Real food plan can be more satisfying.

No revision for me... this sleeve is my first WLS! Today, Day 2, was a little rougher than yesterday but not too bad at all. I had crazy nausea & dry heaves, only to find out it was due to my IV not working properly. Once they changed the site & after a little rest I was good to go! I'm peeing normal (yay for me, but maybe TMI for some!) and just had a shower & put my own pjs on... feels much better! Drinking the blue apple juice wasn't as bad as I thought it would be, it just seemed like a lot of liquid all at once for the first time... but no leaks, so it was all worth it. I'm now sipping normal apple juice & tea. It's a different feeling to get used to, but I'm hoping that'll change quick. The staff have been amazing. I've never had a medical team that explained their processes so much or checked in on me so often. I'm glad to have read so many positive reports on Dr Aceves, as this experience has been nothing short of positive so far. Glad to be on the other side, hope it just gets easier from here!

Garvey, to answer your question about getting complications from bariatric surgery covered in 2014. My husband and I own a small business and we buy individual health insurance policies for ourselves. To be compliant with Obamacare, our individual policy can no longer fail to cover pre-existing conditions starting next month (Jan 14). Before getting sleeved last month, I wanted to research the Obama-compliant policy I would be getting January 2014 and make sure that it couldn't/wouldn't disallow taking care of me if my ailment was a result of voluntary/elective/bariatric/cosmetic surgery. I persisted until I found the fine print and what my 2014 policies reads is something like "bariatric weight loss surgery of any kind is not covered, but revisions to and care of complications from such surgeries are covered to the extent necessary to remove the patient from peril." (or something jargon-y and long like that). I knew that 2014 policies couldn't "not" take care of you because of a pre-existing condition and--though jargon-y-- I was satisfied by the language that I read that they would now bail you out if you had a problem after self-pay bariatric surgery. SORRY SO LONG -- I was trying to be detailed and I probably just confused you more, lol ! (An analagous situation that I read in my new policy was that if you had breast implants that ruptured, they would not help you out for cosmetic reasons... but if the rupture was causing an ailment they would care for you/remove/revise just enough to get you out of peril [which I took to mean they would take the old ones out surgically, but not cover to add new ones in the vacant spot ].)

RHW94123....what is the name of that additional insurance that will cover the revision? I need a revision from band to RNY and of course my state Ohio is not on the list of covering weight loss surgery and my employer has an exclusion.