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So my primary issue with my lap band was that my pouch would never stay full for long. One burp or drink of water would empty the pouch and I would be hungry again. My stomach is like an hourglass with a small pouch on top, the band restricting, and then the rest of my stomach below. You eat and the food rests in the top pouch and, ideally, filters through like sand in an hourglass over a long period of time. Water dilutes the food and boom, it all slides through within 15 minutes of drinking anything. Or a burp creates a good slide where it all spills down from the air bubble making room. Hunger returns and I eat. Worse, the foods that are healthiest get stuck (like fruits, vegetables, and lean proteins). I avoid them now. Strawberries were once one of my favorite foods and now I can't really eat them, even with my band empty. Also, my band is tight in the morning so breakfast (the most important meal of the day) is difficult to eat. My band is magically nice and loose at night so I can eat as much as I want. It sucks. Anyway, my point is, I'm wondering if this sort of crap happens with bypass. Can you clear your pouch out that easily and push everything into your intestines by drinking water? If I can eat a few bites of food, drink some water, and empty the pouch, this is not going to work for me. I need something that's going to slow me down. I keep asking folks to explain what eating feels like after bypass but I can't seem to get a straight answer 😕 Thank you!!

Well its another surgery so another risk of death. You can develop barrots esophagus which can turn into cancer from gerd if you dont. Sleeve has higher incidence of gerd. Gastric bypass has more complications so who knows what bag your gonna get there. I think you should get two opinions because you may be able to manage it medically - perhaps get a referral to a gastro and see what pharmaceuticals they got for you to try first

I felt like you and did everything in my power to NOT have a bypass, but in the end the GERD was just too awful to go on with. I was at goal and didn't want to lose more weight. I lost 10 lbs the first postop week on liquids but haven't lost any more. Look in the Revision forum for lots of people's stories about sleeve to RNY revisions for GERD.

I had a BRAVO test, which does the same thing but with a little capsule that is attached to the esophagus to monitor the acid level. I got approval for a revision, I don't know how much the test results had to do with it. My surgeon and I already knew I had GERD and esophagitis. The test did give them an indication how bad the GERD was.

Has anyone had to have the 24 hour PH test??? Did it help with approval for revision?

Yes and conversion to RNY seems to be the top choice of Surgeons. Bypass is *almost* imperceptibly different from VSG at least in my experience

that's the usual fix for it, yes. You don't want to mess around with unmanageable GERD. It could progress into Barrett's esophagus, which in turn could progress into esophageal cancer. Sometimes it can can be managed via meds - but your surgeon may be thinking this is a case for revision. Like the person above said, they can't force you to have surgery, but on the other hand, if you have dangerous GERD, I'd be inclined to at least listen to the surgeon. If you're really doubting it, you could always get a second opinion.

Welcome. I'm assuming that when you say "regular diet" you mean your food plan that you will be following the rest of your life? If so, your calories as part of your plan will be north of 1000 kcals, which along with drinking, should relieve some of the deprivation sensations. Cravings, however, are in your head not your stomach. Depending on your plan, you may be able to eat some of these cravings in much smaller quantity. Some folks change the cravings food to something more in line with their plan. However, at 6 weeks it's critical to your success to follow your plan. You making decisions about food got you to where you needed Gastric Bypass. The lesson we need to learn is to follow rules. Once you start changing things to off plan, then you are back where you were pre-op. Right now you are learning how to eat and what to eat and you need to stay on plan and create a pattern and history of success. Stay on plan. Good luck, Tek

It's very common and if it were me, I would switch to the bypass.

I had gastric bypass Nov 2019. Since its been uncomplicated except for an ulcer found 2 months ago, and the inability to eat enough protein or drink enough liquids. Anyway I'm now having lower left abdominal pain . Any idea of what could be going on?

I had the Loop DS surgery (no revision) and yeah sleeping in bed was a no for me for at least the first week. I also slept on the couch with a bunch of pillows propped up behind me. The recovery does take a little longer than most WLS, but it'll pass! Congrats on your new surgery!

Hey! So I’m 4 years post op with gastric sleeve and I’ve just recently fallen ill... my symptoms are constant and not easing up with any medication. After GP appointments, specialists appointment and even a trip to the emergency department I finally decided to call my surgeon who thinks it may be a hiatal hernia or GERD. He said if it’s the hernia he can repair and if it’s GERD you will need to go ahead with the bypass... is this true?? I’m 163cm tall and 57kgs... I really really realllllly don’t want to get the bypass but I’m feeling so sick daily... has anyone experienced GERD after the sleeve??

My surgery gastric bypass surgery was August 4, 2020. It was without complication and I healed as expected (two weeks back to work). I have been faithful to the diets pre and post op until about 2 weeks ago. I have had food cravings throughout this process and was hoping I would have been one of those individuals who has the cessation of cravings. I am averaging between 500 and 1000 kcals a day. I was just advanced to stage 4, regular diet. I am concerned that I am not going to be successful at this as my weakness, low calorie count and deprivation of carbohydrates has sent me into a dangerous whirlwind of eating. I am petrified that I have overstretched my new pouch and blew this whole endeavor. I am trying to reset this mess by turning back to protein shakes (cup or less) and clear liquids alternating days. I just need to shrink that pouch back to post op size. I don't get dumping syndrome and I'm not really obtaining a feeling of fullness or discomfort with eating. I am so upset! Looking for support. I can't be the only one experiencing all or part of this. Looking forward to hearing from some of you.

Does anyone know how many carbs we should be shooting for after gastric bypass? I’m 10 months out, down about 96 pounds from highest weight

Omg the healing process is so much different and painful. I had my revision on 9.17.2020 and the pain has me so uncomfortable to move, talk, cough,anything. I cant even lay down. I literally have a cloud of covers and pillows on the couch to keep me propped for comfort. I am really hoping for weight loss as I am working on my discipline this time around cause I failed my sleeve unfortunately and I am not in denial about it. Sent from my SM-N950U using BariatricPal mobile app

Hello there bypassers. Hope you're all doing well. Had a follow-up with my surgeon's office. I'm ahead of schedule according to the standards they use. I'm happy with my progress but I'm prepared for the eventual slowdowns and even plateaus that I'm sure are coming. I still don't really feel hungry, but lately I've also had a lot of problems with things making me nauseated. Some things never seem to cause a problem: cottage cheese, fruit, toast, pasta. Other things seem like they should be OK but I get super nauseated after eating just a little, even with tiny pieces and thorough chewing: steak, chicken, hamburger. Obviously it's a problem that proteins are some of the worst offenders! Something to discuss with the nutritionist next month, I guess.

This is a very rude statement. According to the rules of this site: Posts that are forbidden include, but are not limited to, the following: Rude posts. This is a first time poster and I find the content of the OP to be rather questionable. There is an artifact left in the account that makes me believe it was lifted off the Internet. The artifact is < /span>. The <span> tag is an inline container used to mark up a part of a text, or a part of a document. In reviewing the post, I asked the questions WHO, WHAT, WHERE, WHEN. The where an the when appears to be the Seattle, Washington area around 9 February 2019, that is the date of the SNOWMAGEDDON in 2019 that struck the Seattle Area dumping 4-8 inches of snow. To support this observation, in the article it mentions the West Side, which is part of Seattle. It mentions Richmond Hospital. There is Richmond Internal Medicine hospital located in Shoreline, WA. It mentions St. Paul's Hospital, but from my perspective this is not really a hospital but rather it is a small clinic called St. Paul's Medical Clinic in Seattle. One of the things that attracted my attention was SNOWMAGEDDON 2019. The OP said it dropped 20 cm. of snow. Who in the U.S. would say 20 cm instead of 8 inches? The whole article is overly melodramatic. The OP identifies Dr. Kantner as an Obesity Specialist. There is a Dr. Jenny Kanter who received her PhD from the University of Washington in Pathology in 2010, with a specific focus on myeloid cells inflammation in the development of diabetes-accelerated atherosclerosis. Her specialty includes diabetic kidney disease. So this may be the WHO. But another thing that attracted my attention was the article opened with her diagnosis of advanced liver fibrosis. Liver fibrosis can be a very serious condition. Liver fibrosis is the excessive accumulation of extracellular matrix proteins including collagen that occurs in most types of chronic liver diseases. Advanced liver fibrosis results in cirrhosis, liver failure, and portal hypertension and often requires a liver transplant. It can be a life ender. This is a serious medical condition. Some research seems to indicate that gastric bypass surgery can help with this condition but only sometimes. So although the OP seems focused on the bariatric surgery component, the liver fibrosis disorder is very serious complication. Another thing that bothered me was the OP description of the surgery. Gastric bypass is a complex surgery. When I had it done several years ago, I was in the hospital for 2 days after surgery. This was routine. A few years have passed since then but bringing someone home the same day of surgery seems rather unwise. Yet that is what the OP expected. The OP mentioned that the sleeve had come loose. What does that mean exactly? There can be several complications associated with sleeve surgery. So revisions may be needed sometimes, I haven't heard of a sleeve coming loose. There is a form of weight loss surgery called Lap-Band surgery. In this procedure, a bariatric surgeon places a a silicone ring with an expandable balloon around the upper part of the stomach. This creates a new, smaller stomach pouch. These bands have been known to come loose and slip and need adjustments. During the gastric sleeve operation, around 80% of the stomach is removed. The remaining section of the stomach is formed into a tube-like shape about the size and shape of a banana.

you can see some before and afters of people in that weight range in the other forum. you arent too fat for surgery but that doesnt mean your surgeon wont make you lose a little weight first some do some dont. i think though that bypass might be what they would recommend because you take off more excess weight with it and you have more going in. however most surgeons seem fine to do whichever procedure the patient selects as long as there arent alot of conflicting comorbities (gerd is contradicted for sleeve as an example). welcome to the group

I'm looking at other's post and every seems to be doing so well with no regrets. I just had a piece of salmon and threw it up. I want to cry. The only thing I can seem to keep down is quiche. I'll fill out my profile but in the meantime I had the sleeve in 2012 and I just had a bypass revision on July 27th. So far I've lost 30 lbs. Thank you for your words of wisdom. It helps a lot.

Hi Everyone, I was here years ago, after I had lap band surgery which was a total waste of time. Had that redone a year after on the advice of my surgeon. Still didn't lose any weight and gave up for years. Recently had a revision to sleeve done with a different surgeon, they took out the band, waited 3 months and then did the sleeve 9/9. What interested me in the sleeve was the reduction of ghrelin. Not being hungry. Well I've been hungry since it was done. I'm following all the protocols but am really worried. Doctor said I can do the purees early, started that today. Can sense a tiny difference because I ate something warm - a little better than broth but not enough. I can drink as much as I want, and am able to eat a protein shake with 2 full scoops of protein with soy milk. Has anyone had a delayed start when noticing they were no longer hungry? I know the goal is real food and am looking forward to that but I don't understand why I am so hungry, and freezing - I'm so cold all the time! If anyone is going to write anything about head hunger please save it. I know the difference. I'm down 7 lbs, including what I lost before surgery, doesn't seem a lot given the liquid diet. I want this to work very badly, enough to have done 4 laparoscopic surgeries to be here. Thyroid and general health are good. I would be sincerely grateful for helpful advice, Thanks

Had weight loss surgery 7 years ago. 2 years into it started drinking heavily. I use to drink maybe 2 or 3 drinks a year. Now I'm a full blown alcoholic in recovery. My ex wife also hade bypass and started to drink alot but was able to control it. Anyone else struggling with the cross addiction?

Did you get the sleeve or bypass? A 4 week liquid diet is BRUTAL. I totally understand what you're saying - I barely liked a lot of the liquid stuff to begin with... flavor fatigue sets in real quick. Hang in there -- eventually this will be all but a bad memory to you. It will come to an end eventually.

I too am scheduled for a revision to bypass on October 7, 2020 per issues with GERD. I gained 7 to 15 llbs (it goes up and down) but never did reach goal weight but have been ok with where I am at. My original surgery was done 12/26/2018 along with a hiatal hernia repair and I read above a mention of thrush, I had that with the VSG so I am wondering if I will have that issue once again with the bypass? My GERD got so bad that it is hurting my vocal chords and caused some bleeding and so I am ready to get the acid under control. Apparently my hiatal hernia repair came undone and so they will do another repair on this as well why doing the revision. I am a little nervous about it all and wondering if it will be harder? Wondering if I will go through that huge energy loss again or if will not be so bad since the body has been trough it once and the hormones don't have that big of a re-adjustment? This will be my 15th surgery and I just hope my body can handle it. I don't have any issues with dumping and can pretty much eat anything in very small portions and am wondering if that will change with revision? So I am back to this fabulous forum looking for answers.

Scoutmom— how is it going? I’m in the same boat as you guys but i haven’t out on weight. My sleeve was very successful but now having revision in one week due to gerd. Although i haven’t gained weight i am about 25 lbs from my goal weight. I am hoping to loose just a little bit not too much. I’ve heard it’s a little harder the second half. How are you progressing and feeling?

Hello, I had a revision surgery a year ago. The only way I got through the liquid diet was hot beverages. Hot tea and decaf coffee. Sweetened with calorie free sweetener and if I wanted creamer I used fat free half and half with sugar free/calorie free flavored syrups. They curbed my hunger and still do. Same for hot soup and broth. I drank it as hot as I could stand. I tried to also keep myself full off water. The key is to make sure you try to stay ahead of your hunger with the approved options. Try to consume something every 2-3 hours.