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Should I get surgery
Terry PVB replied to Terry PVB's topic in General Weight Loss Surgery Discussions
Thank you for all your wonderful and thoughtful responses, I can't tell you how much I appreciate it! I was filling out my forms today (for my initial consultation) and I saw a section asking if I was going in for a revision. This made me think that I may be signing up for a lifetime of hospital stays to fix this and that... and I am not into that. I also watched a video today where a leak could cause you to stay in hospital for months. Oh man, I am really working myself up. I know this is the right thing for me but I would like to know from you guys if you have had to go back for any corrective procedures ? -
RNY instead of VSG
catwoman7 replied to BypassTheBS's topic in PRE-Operation Weight Loss Surgery Q&A
the majority of sleevers don't develop GERD, but about 30% do. Usually it's mild enough that it can be controlled medically (PPIs, usually), but in some cases it's so severe that the only option is revision. I don't know the percentage of those who have to get a revision, but it's probably pretty low - but still, yes, it's something to consider when trying to make a decision. some people with pre-op GERD are willing to take the risk, and often they luck out and it doesn't get any worse (and for some, it improves), but I wasn't willing to take the risk. I was afraid I'd be one of the unlucky ones, so I went with bypass. I love my bypass and am glad I made that decision. I think a lot of surgeons prefer doing VSG because it's an easier surgery (for them) and there are fewer potential complications with it (although honestly, not many people have complications with bypass, either), but they'll often suggest RNY to their patients who already struggle with GERD, because there's a change it could get worse. RNY will usually improve if not cure GERD. good luck with your decision - it's not an easy one. And remember that ultimately it's your body and your choice. My surgeon did say he'd do the VSG if I wanted it, but he wanted me to at least consider RNY since I had GERD. I'm glad I made the choice I did - but he would have done either one. -
RNY instead of VSG
SleeveToBypass2023 replied to BypassTheBS's topic in PRE-Operation Weight Loss Surgery Q&A
I had the sleeve and got REALLY bad gerd. It caused gastritis and esophagitis, so I was put on really high PPI for a long time, which caused pre-cancerous polyps and nodules through my stomach and duodenum. I'm in the middle of having them all removed before I can have my revision to the bypass. I have loved my sleeve, but if I knew then what I know now, I'd choose the bypass instead. This has been a true nightmare. -
Just had my 3rd surgery to remove all the polyps from my stomach....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
UPDATE: I just got the call. The nodules also came back pre-cancerous, and it's going to take 2 more surgeries to get them all removed from my duodenum. I'll be having them in April and May. I also have to have a colonoscopy because when I go #2, there's horrible pain at my belly button and along the sides of my stomach, to the point where I can't catch my breath, stand up straight, or walk. Given the polyps and nodules all through my stomach and duodenum, my GI specialist is concerned there will be polyps or something else that needs to be removed. So I have no idea at this point when I'll be cleared to have my revision. But he was saying the colonoscopy will probably be in June and then we'll go from there deciding what needs to be done. once everything with my colon is finished, I'll have to have another endoscopy to see if any new polyps have come back in my stomach and duodenum. If so, they will have to be removed again. If not, I'll be cleared for my revision. This is absolutely ridiculous. I'm so over all of it. -
Its been awhile since my last post so I just wanted to mention progress so far Still in the very early insurance approval process. I'm just hitting the 40 BMI qualification so I'm just trying to maintain while also taking my doctors dieting advice. I had a few tests done already: Sleep apnea = negative, H Pylori = negative. I have the Abdominal Ultrasound coming up. While doing some research and talking to a few people who have been post op for years I've learned the sleeve can cause pretty bad GERD and need the possibility of revision to RNY. Because I want to avoid revision surgery, GERD, and long-term/indefinite PPI use I talked to my doctor about RNY instead and right now she's against it but suggested adding the endoscopy to the test list. If all checks out with the endoscopy I still want to change to RNY instead 🤞 So moving right along 😊
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Just had my 3rd surgery to remove all the polyps from my stomach....
Lisa XO replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I'm so sorry you are going through all of this. Hopefully your revision can be scheduled soon so you can heal and move on. -
Just had my 3rd surgery to remove all the polyps from my stomach....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Thank you everybody. It really has been a pain. I still love my sleeve, but it's been made abundantly clear to me that I don't really have a choice with the revision. So as soon as I can get cleared, we're scheduling it. I'm just ready to be done and go back to living my life. -
1 year post op revision to gastric bypass
gabbykittyvsg posted a topic in POST-Operation Weight Loss Surgery Q&A
March 1st marked 1 year since my revision due to damage caused by acid reflux. I lost an additional 30 pounds which was a big bonus and put me into the healthier weight range. The damage caused by the reflux to my esophagus has healed. Sent from my SM-A135U1 using BariatricPal mobile app -
Unsuccessful revision from sleeve to bypass due to hernia mesh
LeighlonLove replied to LeighlonLove's topic in Revision Weight Loss Surgery Forums (NEW!)
I have a recurring hernia that came as a result of my gallbladder surgery years ago. I have had 3 hernia surgeries to date and part of Plan B is a 4th. I'm having that on 3/23 and then scheduling the revision to bypass for about 3-4 months after the Hernia repair so I'm all healed up. I've been feeling really down about this so I'm glad to be back on the path to resolution Wishing you the best as well. -
Hey, I had my surgery on March 7th. Everything went well, hiatal hernia wasmain problem during surgery. I had a revision from sleeve to bypass. I m still in hospital because I can't void. Has to get straight cath twice now I have to go home with a foly. 😪😧🤮
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Sleeve surgery is April 12, 2023, Input please!
CountryGardens posted a topic in Gastric Sleeve Surgery Forums
My sleeve surgery is scheduled for April 12, 2023. I am 5’6, 400 pounds., 60 years old. My mother and grandmother were both obese. At 16 I was 116 pounds, with undiagnosed PCOS. I had uterine cancer at 39, and had a hysterectomy. No hormone replacement as they felt it was a hormone based cancer. At 55 had a swollen thyroid removed. Each time, my weight increased. Three years ago, I had a spinal injury, which led to back fusion surgery, which caused nerve damage, and a right dropfoot. I have to use a rolling walker or cane to walk, and my back surgeon says I can’t lift more than ten pounds. I know I need this sleeve surgery, and I want to live and get healthy. But I am still nervous about doing this to my body. My surgeon says sleeve now, perhaps a revision to bypass after I have lost weight if necessary. I have five hernias which I had surgery to repair, which is why I believe he wants the sleeve first. I wonder if the potential of two surgeries is too much at my age, or just a bypass and be done with it. And I am worried about my inability to walk and exercise due to my disability. In my head I think, maybe if I just cut back on food, drink two or three protein drinks a day I will lose weight without surgery. After all, that seems to be what they want us to DO AFTER surgery! Any advice or sharing your journey would be so appreciated! Thank you! -
Unsuccessful revision from sleeve to bypass due to hernia mesh
prettypenny099 replied to LeighlonLove's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi LeighlonLove, I am less than 2 weeks away from getting a sleeve to bypass revision due to severe GERD. However, I had a paraesophageal hernia repair done in 2018 and my new surgeon just saw the surgical notes. Apparently, my first surgeon who did the hernia repair used lots of mesh and also did a Nissan fundoplication which is not usually done with a sleeve. I now have a hiatal hernia very close to that same location and she is concerned that she won't be able to fix it because it's in a tight location (GI junction) and there is very little tissue to work with. She said a mesh repair is like using super glue so she doesn't want to to try and remove it. Her fear is leaks which would be a big problem. She has agreed to do the revision to bypass with the hope that it will take care of some of this awful GERD but not all, unfortunately. Did you and your surgeon come up with a plan B? If so, I'd love to know what was decided. Best of luck with your next step! Penny -
Just home from having my sleeve converted to bypass on Friday at the Northern General in Sheffield by Mr Ackroyd who did the original sleeve, severe reflux and gain. Feel amazing compared to last time around. Good luck and plenty of health sent to anyone on a revision journey [emoji3] Kim Sent from my SM-G960F using BariatricPal mobile app
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Alternative to surgery (due to cost and GERD fears)
catwoman7 replied to Devi's topic in Gastric Sleeve Surgery Forums
oh - forgot to mention: for those who do end up getting GERD, often it can be controlled medically (i.e., by PPI's or another type of antacid). It seems to be people with the more severe cases who opt for revision. I honestly don't know what percentage of people get it severely enough that revision is recommended. -
Alternative to surgery (due to cost and GERD fears)
Devi posted a topic in Gastric Sleeve Surgery Forums
I am once again considering how to fix my health without surgery. I am self pay and was planning to go to Mexico to Endobariatric. I’ve decided that the potential need for revision due to GERD is going to hold me back. I would not be able to afford a revision and my health insurance would not cover any part of it. Part of me feels let down by this, but I know GERD is no fun. I have it from medication and a handful of times before not medication related. I did notice that Dr. Alvarez mentions the sleeve surgery can potentially heal GERD in those that have it. I do find that interesting since so many end up with revisions. It makes me wonder if I would get lucky and not end up with it. That’s a big roll of the dice though as I would be stuck if I did. This forum has been incredibly helpful to me. Most people here are really kind, which is so nice to see these days. Perhaps if my insurance changes I will reconsider this option. I just wanted to share where I am with it and thank you all for sharing your stories and hopes and struggles and successes. -
For those of you who have gotten the sleeve do you wish you had gotten the bypass?
Devi replied to Tinkerbell1991's topic in Gastric Sleeve Surgery Forums
This is what is holding me back from surgery. I am self pay and would have the surgery in Mexico. If I ended up needing a revision, I wouldn’t be able to afford it. -
I have to admit I have seen many people mention it on here but had never tried it till today. I failed with the sleeve and I’m trying other things before I go the revision route. The NP said to try tea, especially when I know it hasn’t been long since I have eaten and surprisingly I think it worked.
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Bipolar and gastric bypass
ShoppGirl replied to A-Rae's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Like I mentioned before since hanging around here post sleeve I have seen a lot of people with bipolar who had bypass and they were just fine but now that I am possibly facing a revision to bypass I am looking to hear even more peoples experience. Especially if anyone has experience with vraylar post bypass. -
I had sleeve 3/9/2021 and have regained almost all the weight. I met with the NP at the surgeons office yesterday to inquire about revision and she suggested phentermine. I have to admit I’m not even in a hurry to pick it up from pharmacy cause I don’t have too much faith it’s gonna work for me. I am glad to see some success stories here and hope that I am one of them.
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Is the second time around ever more successful and why?
ShoppGirl replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
She didn’t really say how long she wants me to try the phentermine but she does want to see me back in a month. She said there are a couple more meds to try so maybe she was speaking of those you mentioned if this one doesn’t work. I am just a little worried I will lose just enough to disqualify me weight wise for revision and not be able to lose anymore. BUT, I am on a few meds that are pretty important and she said because of that she would like to see me try everything before I decided on revision and that made sense to me. I’m just a little curious why they didn’t have me try all this before the first surgery to be honest other than they know it won’t work. Lol -
Is the second time around ever more successful and why?
TheRevisionedVagabond replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
Yes, I'm the same as you!! I didn't lose all my weight with the sleeve as well and I'm hoping I end up losing just as much, if not more. I agree that if it was an amazing loss, you'd remember. Haha! But man, I hope it works out for you. If you are in the States, you could also try Ozempic, Wegovy, or Mounjaro or something? Idk. This is what I'm seeing going around the revision fb groups and people are having crazy success. However, I think most regain once they're off of it. Hmmm, yeah.. It does seem like converting might be the better option but I'm no doctor. Everything else just seems like a quick fix, you know? How long does she want you on it? -
Is the second time around ever more successful and why?
ShoppGirl replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
Congratulations on your loss and thanks for sharing your experience this far. I met with the NP yesterday and she said she would really like to see me try weight managements before I commit to revision so she prescribed me phentermine. I know I have tried it in the past but honestly can’t remember how I did on it (seems like it if was an amazing loss I would remember though). I have a feeling I will end up converting as you did. Although I really hope it’s not true about losing less cause I never lost all my weight with the sleeve. -
Is the second time around ever more successful and why?
TheRevisionedVagabond replied to ShoppGirl's topic in General Weight Loss Surgery Discussions
Really sorry to hear you're having issues with regain. Hopefully the surgeon gave you some helpful information! I just had my revision on the 10th of February, so I can't quite say too much on whether or not its more successful the second time around, but I can tell you the expectations that I received from my surgeon! I was told that it is in fact slower the second time around, but this is okay because that means the weight loss should be steady and you're more likely to keep it off. Additionally, he told me that you'll lose about 10-15 percent less than what you lost the first time around. If you're smaller, the weight loss will be slower since you're closer to a healthier BMI than someone who is way over. Another thing that plays a part is the length of the limbs of the bypass (assuming thats what you revise to and not a re-sleeve). I believe that the longer the limbs, the more weight you lose. As for me, I had the sleeve then revised to the gastric bypass and its a little different, ngl. Instead of feeling full from tightness like I got with my sleeve, I get the hiccups which is funny but annoying as well since they hurt since im so early out. I'm not hungry at. all. Like, its a little concerning. Hahaha! But I did not get this sensation with my sleeve. I was hungry right out of surgery. Recovering was an absolute breeze. Within a few days, I was walking around like nothing happened. So far, the weight loss is moving at the same pace as it was with my sleeve, so I'm happy about that. Since surgery, I've lost 7kg. Surgery day, I started at 116kg (255lbs) and am now at 109 (240). Hope this info was at least a little helpful! -
They are hard to read! I remember during grad school thinking who the hell do they write these papers/journals/articles for? Them selves 🤣 You’re right so much is still unknown but A team of researcher actually looked at this and found that the division of the stomach causes ghrelin levels to drop (tested during surgery). What I’m still trying to find information on is what changes occur after revision surgery from VSG to RNY.
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This. At least most likely. I can remember when I got my revision (MGB to RNY) I asked if there would be changes in weight, i. e. I wanted to know if it would be more difficult to maintain the weight after revision or not. I doubt that the surgeon would have mentioned the weight thing if I hadn't specifically asked about it. For them it was fixing the reflux and repairing the hiatal hernia.
