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Good to know you are doing good! You said you did the revision at your goal weight, did you lose Ms more weight after the revision or stay the same?

I'd contact your surgeon, especially since you were "fine" beforehand. It might not or might be stricture, I'm not a doctor so contact your surgeons office. Stricture presents symptoms that can "include nausea, vomiting, trouble swallowing, feeling fullness in the upper-middle abdomen, and trouble eating" "The patient may also experience pain when swallowing or experiencing difficulty swallowing." ** This is what you're describing!? "Generally, when a patient complains of feeling like food is getting stuck, or they are throwing up, we immediately assume it is an anastomotic stricture. An anastomotic stricture after gastric bypass is the most common complication. "Near 60% [of patients] present a mild stricture (with a diameter between 7 and 9 mm), [with] 28% asymptomatic. This complication is easily treated by endoscopic procedure if it is diagnosed early (3 to 4 weeks) after surgery. Routine endoscopy 1 month after surgery is the only objective scientific way to determine the real true incidence of this complication." You are better off directing your concerns to your doctor just to be safe!

What kind of BCBS coverage do you have? When I had my initial sleeve surgery (and my revision an year later to bypass due to complications) I had BCBS (the highest Diamond plan) and they approved my initial surgery in 48 hours once it was submitted and 72 hours for my revision once it was submitted. I know some plans don't offer a lot of coverage, or require a thousand hoops to get an approval.

If you are asking me: I’m still doing pretty well. No issues. I saw the nutritionist a few days ago just to check in and make sure I’m on track. She was pleased with my progress (food and liquids quality and quantity). One thing I was eager to discuss was probiotics/probiotic foods and my reintroduction of carbonated drink (seltzer and kefir water,kombucha) I avoided them for a long time but she said I’m perfectly fine to have them. So generally no changes for the last few years. Honestly real no changes from the first year post revision.

Yes, make it clear to the doctor this revision is for treatment of your GERD and Tricare should go along with it. Reflux coming up your throat that far puts you at risk of aspirating it. I ended up in the ER with severe asthma attacks from that and got pneumonitis several times from acid burns in my lungs. It is NOT fun. This wouldn't be a second weight loss surgery, this would be a revision due to a medical problem that the surgery will treat. So it won't conflict with their "once per lifetime" clause.

Hello! I paid for my sleeve out of pocket and looking to get a revision due to GERD as well. I have tricare select. The insurance coordinator said that tricare is really good about revisions. I’d not mention it’s for weightloss but for a medical reason. In your case GERD and sleep apnea. Good luck and I hope it works out.

I'm hoping to get a revision to a bypass for gerd and sleep apnea if that is a possible. I called tricare and the lady said that they only cover 1 weight loss surgery in the lifetime or the person. Any experience with getting approved with tricare select?

I got the sleeve done in 2010, lost a hundred pounds and then had 2 babies which basically stopped my weight loss. I have gone back to the yoyo effect between 200 and 245. I'm currently 243 and just want to get the weight off. I have severe sleep apnea and gerd that wakes me up sometimes from stuff in my throat.. Has anyone who has tricare select be able to get a full bipass after getting the sleeve? I had tricare prime for the sleeve. I called and they told me that one 1 biariatric surgery is allowed. Thank you in advance!

I think 21days post op and losing 16-18lbs is great! I just learned in this community that revision surgery have slowly weight loss. My doctor and me doing my own research never came up till I found this site. i am also feeling that I am having multiple stalls. Before pre op diet I lose 15lbs on my own, then during pre op diet I lost 8 lbs on the first week of liquid diet and stall for one week have no weight loss. Then went into surgery while having the stall. After the surgery, I gained 7 lbs of water retention from the iv I got from the hospital. It took a few days and get back to my surgery day weight, then I loss about 5 lbs in a week. so almost 2 weeks after surgery only loss 5 lbs. So 16-18lbs is great! I am jelly here. But like many said everyone is different, although it’s hard, but I am trying to positive.

I have to be on a liquid diet for two weeks before my bypass. I’m on day 9 and if I’m not constipated I have diarrhea! Who knew? I’m only having extra protein Slim Fast, broth, jello, water and occasionally a sugar free popsicle. I think my GI system is out of wack!

I just had bypass as a revision as well about 10 days ago. The last two morning I woke up with feeling something in my throat accompanied with sore throat feeling? But no acid taste. I really hope it’s not reflux!

I wouldn't hesitate to look into a revision. You had such great success with your first WLS. I've read the weight will come off slower second time around, but it beats developing later in life co-morbidities. Many are going for the Ozempic shot nowadays in lieu of surgery, but recent studies show a lot of downsides to using it. I had a few people ask me why I didn't go that route with those shots available. It's the wave of the future they say. Maybe one day improvements will be made. I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it. Believe me.. I did my research before getting my RNY. But for now, no regrets. Good luck in your decision making.

Thank you! Everyone’s messages is making me clammed down with my sad emotions. I feel the same about the sleeve surgery, I was pretty much ok after 2 -3 days after the sleeve, and didn’t have allergic reaction to the glue. The feeling after the revision was completely different so I guess I was shocked of how much I am going through. I was under the anesthesia much longer this time and I am still feeling dizzy, sweating from doing nothing right now. The nurse said my body is trying to get rid of the anesthesia from aspiration. Hoping to feel better soon.

I was fine after the sleeve as far as the surgical glue goes. But after my revision from the sleeve to bypass due to a lot of complications, I developed a major allergy to the glue. So when I had my hernia surgery, they had to do a lot of internal stitches, which was A LOT more painful. But overall, even though the first week or so after your revision has been rough, I promise you it WILL get better.

I found I was allergic to derma bond after having skin removal surgery. Yea - the itchiness is awful. They put me on prednisone for ten days, and it cleared it up. weight loss is always slower after a revision than it is after a "virgin" surgery. Five lbs is great, though. And actually a 20 lb loss the first week would be very unusual, even with a virgin surgery. Maybe for folks on "My 600 lb Life", but not a for an average WLS patient. I lost 16 lbs the whole first MONTH. emotions can be wild the first few weeks after surgery - and so can regrets. This will pass - just hang in there!

Menopause is the worst. It’s when I gained my weight. Went from 60 to 75kg very quickly during perimenopause. This was my usual fluctuation so I didn’t worry that much. Then entered full menopause & bam another 15kgs. I swear I gained it overnight. Several of my friends were the same - gained 10-15kgs very quickly with menopause. Couldn't really shift a kilo of it. Drop a couple & put them straight back on. I had hoped that being on HRT might balance out my hormones & help me lose some weight but nope. Struggled for a couple of years. Wasn’t happy. That’s when I decided to have my sleeve. Why don’t you try getting in contact with a bariatric surgeon to discuss your revision options like to a DS. Does your surgeon who did your RNY still practice? Have you considered whether the new GLP - 1 medications might be an option? Certainly worth a conversation with a surgeon. PS Congratulations on your long term success with your original surgery. Such an achievement.

A little back ground with me. I had gastric sleeve 10 years ago because of my over weight issue I wasn’t getting my period and I wasn’t able to get pregnant. After the sleeve I loss total of 60 lbs, and got pregnant. The first pregnancy ended in miscarriage. I was very depressed about it. So my next 2 pregnancies I made sure I eat and gave enough nutrients for my babies. Also I didn’t keep up with the weight loss after I gave birth. Now after 10 years of the surgery I regained almost all my weight. My issue with pcos such as no having period came back… didn’t have period for like 2 years. Also have other issue like cholesterol, foot pain and Gerd. I thought about having revision for almost 3 years and I took action and had gastric bypass about a week ago. I am feeling some emotional up and down…been crying for the last few days. I feel such a failure of having to have to get the revision when the doctor gave me a chance. My surgery also didn’t go perfect. I was under the anesthesia for over 4-5 hours, (I didn’t get an exact time from the doctor when I came out from surgery. Family was inform about the equipment issue and didn’t see me untill the afternoon) because one of the equipment broke and the medical team had to wait for the replacement. I went into surgery 7am and woke up 4pm. when I woke up they had me take a walk and tried drinking sips of water. I vomited right back with 2 big chunks of clogged blood. And I tried drinking again but kept vomiting dark brown color liquid out, like old blood. ( sorry if it’s too much description) it was quite a lot of it even I didn’t drink so much water. The nurse informed the doctor and they said it’s normal and they did just literally cut my stomach. So some amount of blood is normal, but because I was under the anesthesia for so long maybe I am feeling sick from it. So they told me not to drink anything for the first day and started me on liquid the next day. The next day I was fine and went home. I felt horrible the first day and the pain in my stomach is there everywhere probably gas. The feeling after the revision surgery is completely different than how I felt the first time. I am aware it’s a bigger operation, but I just didn’t expect it to be like that. When I return home my stomach pain was still there, but eventually it did get better, but after a few days my whole stomach was so itchy, I thought the incisions were healing and that why I am feeling this way. The next day all my incisions were swollen red. BTW I had 6 big incision and 2 small needle punctures. When it got swollen, red and itchy it was at night and I waited another day and called my doctor asap in the morning. They told me I am having an allergic reaction to the dermabond. I am just feeling itchy, my incisions are raised and lumpy, it’s been over a week and I lose only 5 lbs. ( comparing to other people who loss 10-20lbs, i think to myself why am I not loss it?) and when I look at scars from the mirror I just broke down and cried. Thinking what did I do to myself…. I know I should stop being so bitter, and stop complaining. But I just feel like such a failure because I failed the first surgery, and I put myself in this journey again and things are not going so great… there are the positive side that I should look at, but I just can’t help it. *note- goal weight 150lbs pre op weight 273lbs started liquid diet 258lbs I had a stall during liquid diet for 1 week. Most people loss 10-15 lbs during liquid diet. I loss 8lbs. I followed everything my nutritionist told me and had 1 lean protein 3oz and 3 oz vegetable for lunch for 2 weeks. i w so hungry that the morning of surgery the nurse told me my blood pressure was actually very low. Surgery day 250lbs 1week post op 245lbs I don’t know what type of response I am waiting to get here. Maybe I am just venting and hoping to feel better.

I worked for almost a year toward my gastric surgery. My husband had a sleeve two years ago and everything went perfect. He feels so much better and has improved his health. But my story didn’t go as planned! I had a gastric bypass on 12/5, but I developed complications immediately. The very next day it was discovered that my small intestines had decided to close off completely. Evidently this is a super rare occurrence . I had to go into emergency surgery to remove the blockage. During the second surgery, I aspirated and my lungs filled with fluid. I developed pneumonia. I came out of that surgery on a vent! It got worse when my body went into sepsis and I developed ARDS! I ended up on that vent and medically paralyzed for 11 days! I ended up spending 21 days in the hospital with most of that being in ICU fighting to stay alive. Now, I’m home, but I’ve had to regain strength in order to walk and to use my arms and hands. It’s been a long road and still not back on my feet. It’s hard for me to look back and think this surgery was worth all I’ve been through, all my family has been through! I still can’t work or function completely independently. Has anyone had any such complications?

I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!

Have they tested you to see if you are having issues with reactive hypoglycemia? This usually kicks in 1-4 hours after a meal, but since you've had a bypass it is possible it could kick in faster for you if your food is transitioning faster. I've seen FB groups for bariatric patients that have this issue. I've noticed it often happens years out from surgery... I used to have issues with this before bariatric surgery, even on a low carb diet. Eating small meals often with fat and protein paired with your carbs is usually what they advise to treat it, along with other dietary adjustments. Personally if I don't eat every 2-3 hours, I aggressively crash energy wise. It is very pronounced. I have to carry snacks with me everywhere to prevent me going past that 3 hour mark or I look like the Energizer Bunny without his battery! LOL

I had heard about the honeymoon period at the start of it all. Didnt really think much about it at the time. But this has smacked me hard.The honey moon period is well and truly over. Reality is kicking back in. I had the RNY back in May 22. Since then I have lost 60 kg or 132 pounds. I had Covid for Christmas. I have managed depression and anxiety for decades now. In the last month my anxiety and depression have flared up something chronic and I am stuffing food into me as if I had never had the bypass. I am loathe to weigh myself and I can feel my body change again. Food addiction is real and I am terrified that I am going to regain all the weight I had lost. I dont want to be trapped in my own body again. I want my muscles to be strong. I dont want the panic attacks to dominate me again. Right now I feel distended and hopeless. Has anybody else tackled this point. I dont want to be overtaken by a Tsunami of food and shame and guilt. Who eats food off the floor? Who eats food out of a bin? I want the control back. Is it too late now that the honeymoon is over. Has anybody else tackled this time and won? Anybody? Anywhere?

So my surgery date is tomorrow! I don't know how i feel, excited and nervous at the same time , I'm having the gastric bypass, any advice welcome 😊

Hi, everyone! New to this. Just had my gastric bypass on the 17th. Struggling with the water & shake intake. And the Fusion vitamins are the worst!! I gag every time I take them. I don't know how I'm going to eat from here on out

Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!