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DS possible after gastric sleeve?
Paloomino78 replied to midniteblue102's topic in Duodenal Switch Surgery Forum
I had a revision from sleeve to a SIPS by Dr. Cottom of Utah. Really happy with it so far. -
Sleeve revision with FEP Blue
pintsizedmallrat replied to Jones218's topic in Revision Weight Loss Surgery Forums (NEW!)
I have FEP Blue and while I wasn't going for a revision, I had gone through the entire process and had an approval, and my surgery was originally scheduled for early 2020. The state I was living in cancelled all elective surgeries for several months at the beginning of the pandemic, and then we moved to another state. I had to start the entire process completely over when I contacted the original surgery center 18 months later (after having tried to start with a place in WV where the dietitian made me cry and I decided I'd rather drive 3 hours than put up with that). I suppose the good news here is that even if you do have to start over, FEP Blue's requirements are a little less of a pain than some others; you only have to do the supervised diet for 90 days and a lot of insurance companies require six months or a year. -
Reserved in Turkey
xelizx replied to IAMPERFECTION2's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi there, I had a sleeve back in 2016, and over lockdown etc manged to regain most of the weight, so I'm having a revision to a mini gastric bypass in August, I'll heading to Prague for mine. Good luck with your surgery -
Absolutely see your frustration. I had lost 194lbs before my revision revision (my original being ruined by a bad pregnancy, hemorrhaged ovaries that had to be removed. A diagnosis of Hypothyroidism and then PCOS) and when I was a smaller more ‘normal human sized’, my concerned were actually taken into account when I spoke to my health professional versus when I weight 365 before hand and have gained 100lb back and an chubby now, the doctor basically blames EVERYTHING you complain about on the fact that you’re fat or you’re not working out enough and assumed you’re eating cookies and candy all day to get so big so then comes the nutritionist recommendations instead of a cardiologist appoint or what have you. This is all learned and considered acceptable behavior largely do to social conditioning and it’s sad. Proud of you for doing so happy in your year though. You’re doing amazing!
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Hey all, I have a small hernia and GERD from sleeve surgery. My insurance is FEP Blue of MD. My doctor submitted a pre cert and FEP Blue said I needed behavioral health and nutrition visits to approve even though it’s a revision due to complications. My doctor then canceled the pre authorization and Re enrolled me to start the whole program over with again. Does this seem right ? I feel like I’ve seen other people have a very seamless process when having a complication based revision. I feel like the insurance and the doctors office is not properly communicating with me or each other. Any advice ?
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Any revision veterans out there
ShoppGirl replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks so much for all your replies. I did try the phentermine but that didn’t work because I mainly snack at night and it wears off before then. And unfortunately with my other meds that’s the only one I was able to try so now she has me trying sleeping pills thinking if I can sleep through the night I won’t get up and snack but I think I need a stronger MG cause they don’t work. Another dr told me I can try taking like one and a half but I haven’t tried it yet cause I also read that it’s not good to take this medicine every night so I want to talk to her about that. I talked to a surgeon and he was very surprised that I am able to eat a whole 6 inch sandwich now at only two years out. That was his way of knowing how much my stomach can hold I guess was to ask how many inches of that I could eat if we went to a sandwich shop. I told him that I have been able to eat more than expected at every given stage from day one but when the hunger was gone I was able to eat what I was expected to. But after hunger returned it’s like I had no help without the restriction. I definitely couldn’t get my moneys worth at an all you can eat buffet anymore after surgery BUT, I could eat a normal serving pretty early out if I chose to. He said that I definitely need a smaller pouch which they can do with the bypass so that sounded promising that maybe it could be different?? I just wonder if like others have mentioned if all or part of the work needs to be done in my head. I am by no means opposed to trying therapy. I keep trying to find a therapist and even put a call in to see if the surgeon has any pull with one because in my area they are just not accepting new patients other than for the evaluations for surgery. He’s hasn’t called back yet but I am getting another opinion about whether going with bypass will be okay with my psyc meds since they advised against it the first time around so I will also ask him if he knows anyone that he can get me into. i have read on here that the revision weight loss is slower. I forgot about that. I hope it will still be as much though if I’m patient. I guess I am wondering if my hunger will go away the second time?? I just don’t want to yo yo down then right back up again like I did this time. I already know I sorta let everyone else down along with myself that was rooting me on and it has been very embarrassing to publicly fail at this. I almost think it would be easier to stay heavy than to fail at this again. -
So so SO annoyed right now!!!!
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I'm so mad. I mean, how did it go from "we're sure this is the problem and this will fix it" to one doctor saying "I don't think this is the problem but I don't know what else it could be because all the tests are negative for anything else" and then the other doctor saying basically "well, now I have to think about if we're going to do the revision or not". Like WHAT??? Regardless of the reason for the polyps (and they both assured me over and over that the high PPI was causing them since I had NO polyps pre-surgery) the fact is, I still have horrible GERD that turns into gastritis and esophagitis if left untreated or if the PPI dose is lowered. And the revision to bypass will take care of that. SO it seems to me the revision is still warranted for that alone. I'm literally at my wits end with all this. My weight has completely stalled, I have had to really scale back my work outs, and I'm just super irritated by all of this. -
Any revision veterans out there
catwoman7 replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
I agree with Arabesque. Letting old habits slip back in is what causes weight gain. If you let that happen again after bypass, then yes, you'll gain weight again. So you'll need to really monitor yourself this time around. Even at almost eight years out, I have to watch myself like a hawk or my weight will start heading north. Arabesque is also right when she says that weight loss is almost always slower after revision - BUT...you can lose the weight again if you really work at it!! -
So so SO annoyed right now!!!!
Smanky replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Oh dude, that suuuuuucks. 😢 I'd be ready to kick someone too. "I don't know" is an inadequate non-diagnosis for putting the breaks on the revision. -
Any revision veterans out there
Arabesque replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Will a revision help you to lose weight again? Yes but your weight loss will likely be at a slower rate than after your initial surgery. Will it help you keep the weight off in the future? Well, like your first surgery, that depends on you. The revision will offer more physical restrictions though many of these fade like your appetite returns & you’re able to eat larger portions. What the revision surgery, like your initial surgery, won’t do is anything about changing your head & your thinking about food, your eating habits, food choices, etc. That’s the work you have to do: establish a new relationship with food & a new sustainable way of eating that supports you maintaining a lower weight without hindering or limiting how you want to live your life. The one thing we all have in common is that our old way of eating & how we looked at food did us no favours. It led to us all being obese & affected our health. Many find a therapist helpful in understanding your eating habits & relationship with food. Your surgeon or their team should be able to recommend someone if this is a path you’d like to try. -
So so SO annoyed right now!!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
So after my surgery to remove the last of the polyps on the 14th, my GI surgeon said he's clearing me foe revision surgery, but said he doesn't really want me to have the surgery. I asked why and he said "At first, I was sure you had the polyps because of the PPI, but now I don't think that's the case" so I said "Ok, so what's causing them?" and he said "I really don't know. I think maybe you might just be someone who makes polyps" and I said "I don't see how that's the case. I've never had any before, and I didn't have any when I had the sleeve surgery. I didn't start getting them until the GERD, gastritis, and esophagitis started and I had to go on the really high PPI for a long amount of time" and he said "I'm clearing you for the surgery, but like I said, I don't think you should have it". So I called my bariatric surgeon's office today and talked to them about this and now my surgeon said he needs to talk to the GI surgeon and then "think about what to do about the surgery" and will let me know if the revision is going to happen or now. Ok, WHAT??? How is this real life right now? They BOTH agreed the polyps were caused by the 80mg of Nexium I have to take every day just to keep the GERD at bay. They BOTH agreed a revision was necessary to get rid of the GERD and to keep the gastritis and esophagitis from coming back again. They BOTH agreed that the revision would solve my issues and let me get back to my life. All of the polyps and lining that were tested all came back negative for everything. And now that I'm finally able to have the revision, I might not get it??? The insurance approved it 2 months ago!!! Who knew THAT wouldn't be the fight I'd have for the revision?!?! I don't know what to do. Now I'm in yet another holding pattern and I don't even understand why. I can't stay on high amounts of PPI forever. I'm so upset. I thought I was at the end of this nightmare. I just don't understand what the issue is. -
Any revision veterans out there
sharonwg replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Here, they call one surgery to another a revision. yup - fingers crossed. -
Any revision veterans out there
ShoppGirl replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Well I thought it was called a revision when you went from sleeve to bypass but today they called it a conversion. Regardless, yes, I believe I am gonna do it. I have an appointment with another doctor just to make sure they think it’s a good option for me too but assuming so it’s fingers crossed it works better the second time around. -
Any revision veterans out there
sharonwg replied to ShoppGirl's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi. Sooooo - I had a band fitted in 2006 and had it worked great for 16 years; I went from 280lbs to 91lbs and it was great. My band slipped a year ago and i've regained quite a bit of it back. I'm having a bypass on June 1st and I do sometimes think 'will this work a second time around'? have a great surgeon here in the UK and I was satisfied the bypass was the best option for me. I'm going to give it my best shot as I know I cannot go back to how I was before. This has to work as there isn't really anywhere else to go from a bypass. Are you having a revision? -
Any revision veterans out there
ShoppGirl posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I think I would be sleeve to bypass conversion or revision whichever you want to call it. I had my sleeve two years ago and lost down to 168 stayed there for about two months and then the appetite came back and I’ve gained it all back. I am wondering if the bypass would be any different for me. Is it ever successful the second time around. Has anyone lost weight with revision and kept it off. -
Weight loss slower than anticipated
catwoman7 replied to mathiasinthe314's topic in Gastric Bypass Surgery Forums
as others have said, weight loss after revisions is almost always slower than after a virgin surgery. Plus you're starting at a lower BMI to boot (and starting BMI is another factor in how fast or slow the weight loss is). Honestly, even given that, you're still losing faster than most people who've had a revision (and even faster than some of us slow-pokes who had a virgin surgery!). You are doing great - I'd quit worrying about it. Stay if the scale if it's playing with your mind too much - maybe just weigh once a week or a couple of times a month. If the general trend is down, you're good. -
Hi guys! Yesterday was the beginning of month 8 for me. I’ve been doing a lot of reflection. I am hoping to reach 100 lbs by year 1. Which will be on 8/22/23. I’m about 20 lbs away…give or take. I have to keep reminding myself of a few things along the way: 1. My surgery is a revision because my lapband slipped and eroded. I was warned weight loss would be slower than the first time…and it is. (No comparison shopping for me! Lol) 2. I’m older than I was when I first had surgery. That also makes a really big difference. 3. I have to make sure I am keeping myself aware of the difference between stalling out because my body is adjusting and stalling out because I am making the wrong choices in terms of eating and movement…that last has been happening more than not. 4. Beating myself up has never helped me. It doesn’t motivate me, it doesn’t make me make better choices, it doesn’t guarantee that I’ll do what needs doing. It just makes me feel bad. 5. Giving myself grace doesn’t mean allowing myself to eat anything and not move my body. It means I will acknowledge when I’ve gone off path, where I need to improve, and taking those next steps to do that WITHOUT first making myself feel like s**t. My stats so far: Total loss from pre-surgery to now 81. Loss needed to meet my year 1 goal, 19. Loss needed to reach my ultimate goal, 36. I’ve lost a total of 50 inches all around! which is great. Thats all for me. And its a lot. Lol. Thanks for reading if you got through it all. I hope you all have/have had a great month eight! (Hey that rhymes!)
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April 13, 2023, i had my lap band out and revised to gastric bypass dues to health problems from the GERD I had.
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Weight loss slower than anticipated
Smanky replied to mathiasinthe314's topic in Gastric Bypass Surgery Forums
You're losing much faster than I did (I averaged about 2 pounds/1kg per week), and I wasn't a revision patient. Just be patient and kind to yourself and stick to your plan and you'll get where you want to be. -
Weight loss slower than anticipated
Arabesque replied to mathiasinthe314's topic in Gastric Bypass Surgery Forums
Yes after revision surgery weight loss is slower than with your original surgery, Also remember you are starting at a lower weight this time so your loss will be a little slower from that perspective too. However, there’s nothing slow with your rate of loss. Three to 4 pounds a week is nothing to be concerned about. Enjoy every pound you lose. -
Weight loss slower than anticipated
summerset replied to mathiasinthe314's topic in Gastric Bypass Surgery Forums
Revision patients usually lose slower. -
A little backstory: I had a sleeve back in 2015. I went from 450 to 190. I kept it off for 5 years. Enter pandemic, job loss, and alcohol abuse. I gained 130 of the 240 back. My little sleeved stomach also grew and I was eating full size meals again and I developed severe GERD and a hiatal hernia. My esophagus was constantly sitting in acid and was scarring and narrowing and the hernia was so bad, food and pills were constantly getting stuck. Fast forward to the present, I had a revision to a gastric bypass to fix the GERD and hernia. Those things have been 100% resolved (thank goodness), but the weight hasn’t been flying off like it did with my sleeve. I lost 40 pounds my first month with the sleeve. An average of 1-2 pounds per day. Right now, with the bypass I’ve slowed down after exiting the liquid diet stage to where I’m losing .3-.5 pounds per day and loosing about 3-4 per week. I know I should be happy that I’m losing, but I’m disappointed that it’s not flying off like before. Especially because my activity level and calories burned is much higher than it was with my sleeve at this stage. I’ve gone in circles trying to wrap my head around it. I know I’m 8 years older (36 now) and I have developed chronic insomnia over the last year, so I only get 3-5 hours per night. I’m absorbing less, so maybe I’m in starvation mode? I’m at a loss Anyone have any encouragement or experience with this?
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Having GERD. Will insurance cover revision if BMI IS 31?
KeishaJolene replied to NewlySleeved12282020's topic in Revision Weight Loss Surgery Forums (NEW!)
My revision surgery was April 19, 2023 and I also have BCBS. my original sleeve date was 11/2016 and I lost 100 lbs the first year and half. My lowest weight was 135 and I’ve maintained that for the last five years. Around my second year post sleeve I developed acid reflux and heartburn daily. When I would eat, shortly after I’d need to either throw up the acid trying to come up or I’d have to sit and tolerate the acid burning until it subsided. Daily omeprazole and tums did very little to counteract the symptoms. If I ate, it was happening. 2020 I had another EGD performed that showed Barrett’s esophagus had begun to form in my esophagus and there was a hernia. The surgeon wanted to move forward with a bypass revision but because I didn’t want to lose any weight or have another major surgery I asked for other medications to try before we went straight to surgery. 2023 in March I had another EGD performed that showed three ulcers, the hernia and worsening Barrett’s. Nothing had worked so far and my quality of life just wasn’t good. Considering I love to cook and eat, I knew I couldn’t just live with this much longer. I agreed to do the surgery. The doctor sent over an EGD result, CT scan and upper GI to BCBS who approved the revision surgery. (My plan has Bariatric benefits) if your plan doesn’t have Bariatric benefits I would check with your insurance coordinator to see if there is another option. I am now three days post revision- no heartburn or acid reflux at all. Painful, but on the mend. -
My time from initial consult to surgery was ~9 months. My insurance required 2 psych visits, and 6 dietician visits spaced a month apart. Once I got through all of that the surgery team sent it to my insurance and the insurance approved it in one day! I personally went with the RNY as I've had GERD since my teens. He said the sleeve would not help that and could likely worsen it, so I chose the RNY. He also said the number of revisions from the Sleeve to RNY was quite high (I've read so many posts from people having the revision on here and the other support group I belong to). I did not want to risk 2 surgeries. I've been taking supplements for years and years, so I felt it wouldn't be an issue for me to not remember to take them. Good luck to you!!!
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DS possible after gastric sleeve?
RickM replied to midniteblue102's topic in Duodenal Switch Surgery Forum
Yes, absolutely possible, as Catwoman suggests; indeed, many talk in terms of this as being a "completion" of the DS rather than a "revision". I don't know specifically of anyone in those states who does it - DS surgeons are still fairly few and far between, at least ones who do the "traditional" or Hess DS. The simpler SADI "loop DS" has more who do it, but that's really a distinct procedure that should be considered on its own merits. In earlier years, Dr. Rabkin in SF (who did my VSG and my wife's DS) had an active support group in the Seattle area as he had a fairly large contingent of patients there, though they have dissipated in activity, as we tend to do over time. For a DS, one should usually count on having to travel for them, even if one is in a major metropolitan area. Fortunately most DS surgeons are very used to travelling patients and are equipped to do remote consults before and after surgery, so it's mostly a trip of a couple weeks time for the surgery and everything else can be done remotely.
