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I was sleeved in 2010 and lost a couple of stone then asked the doctor for revision surgery in 2016 and had a bypass August 2021 not much has changed just more protien which isn't a bad thing got told by the surgeon I'd only lose 3 stone I lost 45lbs up until the end of November not seen anyone since I've lost more but not been weighed I wont have scales in the house been there done that but everything is looking good , good luck with your surbery

@@CowgirlJane what was your success with the band? I was very successful 100% EWL until kids and complications. I struggle with a fear that as a band revision patient I will not be as successful…. I see these older posts about "slow losing" and I worry that I have damaged my esophagus and I will not feel the restriction. This, despite my surgeon and GI doctor performing testing and assuring me that "there is no reason not to get the sleeve"! I had a nightmare about it last night - surgery is at end of June!

My recovery from revision surgery was very easy. I was I was 45 when I got the band - 52 for revision. It was done in 1 surgery and I did not have the gas pain like I did with the band surgery. I was expecting the recovery to be long & painful and was pleasantly surprised how easy it was

Just playing devil's advocate, would your surgeon go for a sleeve first, then finish the switch later if you needed it still? Granted, the revision isn't going to lose as much as the virgin procedure, but you could have a plan like.. if you start regaining and get to 30lbs that you'll do the revision then.

I’m 7 weeks post op on a revision and on soft foods. Having a hard time figuring out what to eat, especially as I return to the office and work. What are your go to foods/meals in this phase?

Ditto what AZHiker said. I'm back on keto with exception of fat %. I use vinaigrettes for salads and some salad dressings that straddle line between low carb and low fat. I use spray butter instead of butter, avocado mayo mixed with low fat mayo or greek yogurt and I use sparingly. Instead of full fat heavy cream, I opt for a splash fat free 1/2 and 1/2 )or vanilla protein drink). On rare occasions if overall carbs are low, I will use 1 TBSP of heavy cream in something but that is rare. I use fat free cream cheese, etc. - I think you get the picture. On top of this, since my calories are between 700-800 a day I still can be in ketosis sometimes partly from lower calories & part from low carbs. I notice when I stick to this, I lose weight faster. If I do some of the 'low glycemic carbs' like oatmeal, sweet baked potato, beans, I notice slow down in loss but I've had these items sparingly.. My surgeon is a keto fan after full healing when he lets his us start eating "regular food" . On the ongoing nutrition plan I just received, they had the macros as follows: 800 calories with 40% of total calories from protein, 30% from fat, and 30% from carbohydrates this should help increase your rate of weight loss. I can understand 800 cals & biggest % being protein but I was a bit surprised by 30% from fat part although I know they mean healthy kinds of fat like avocado, etc. Here is what plan says about fat: Limit fats to 2-3 servings a day; avoid unhealthy fats such as cream, lard, butter. 1 serving of fat should = 5g fat. Some examples include: 1 tsp. oil, 1 Tbsp. regular salad dressing, 2 Tbsp. reduced-fat salad dressings, 1/8 avocado, 6 almonds, 1 Tbsp. peanut butter. In looking at sample meal plans, I will revise it for me by removing some of the bigger carbs that the list has like once a day having oatmeal or 1 pc whole wheat toast as I need to keep overall carbs down to lose more quickly.

Dear Robin: I know you don't want to hear this, :tongue: but wait til you get to your goal. Inthe mean time, try the Enell bra for exercise (trust me- I am a 42 G-I know all about the bounce factor!!!). :cheers2: I work with surgeons on a daily basis, and I know how they think.:huggie: One thing they do not like to do is have to cut across scar lines because the vasculature has been altered, and the healing will be less optimal. You do NOT want to have a revised scar under your bra line that never heals, not to mention around your areolas!!!! Keep me posted on your progress, because I am headed for a lift and BR the minute I reach my goal-which is probably still a year away. PS: Now that I am banded, I can joke about the irony of going to the PS for a BR and being told (very diplomatically, of course) that I was too fat for fat surgery.:w00t:

Dr. Owens is one of the most experienced Bariatric Surgeons in California having performed over 7,000 weight loss surgeries. He performs all surgeries using laparoscopic technique including patients with BMI's over 60. Over 500 lap bands placed. Patients with BMI's of 30-35 now considered Dr. Owens is the first in Southern California offering Sleeve Gastrectomy. His surgical skill includes routine and complex revisions. His research papers will be presented in June at the American Society for Metabolic and Bariatric Surgery. Dr. Owens uses experienced Bariatric surgeons only as assists on all patients. Preferred surgeon for Hispanic patients. Bilingual Patient Coordinators/ Seminars and support in Spanish and English. Visit our web site at http://www.CoastalObesity.com or call us toll free at (888) 527-5222 .

As far as I understand a replacement would be if you had it completely removed and a new one put in. A revision is fixing things like slips. If you have your insurance book it should tell you right in there.

I am just starting. I have my first appt. With Dr. Watkins end of April. I am having a revision from Lap Band. Insurance Said I need 6 month supervised diet.

With this surgery, chances are if you had reflux pre surgery you will likely have it after. I'm not a Doctor though so I'm only guessing, but it just makes sense to me. Anyway, I do take Omeprazole every morning. I was only told by my surgeon to take it for the first 6 month post op, however I have no real intention of ever stopping taking it. The studies show too much evidence that reflux is a big issue with the sleeve. I'd rather keep my acid under control rather than "chance it" and end up damaging my esophagus so much I have to revise to RNY or DS. I honestly do not think my body can handle either of those surgeries and need to practice some preventative medicine here. To combat the Calcium deficiency, I take 1500 mg of calcium citrate a day making sure not to take it with Iron, and taking Vitamin D and Magnesium for super potency and absorption. All of this to me is a small price to pay for my health and fitness. If I didn't do all this I'd end up with a stroke, Type 2 diabetes or heart disease, even cancer. All of these run in my family, and I was already diagnosed with hypertension at 31 years old. I was headed no where and fast. I was placed on 4 maximum dosage pills per day to bring my BP down. Today I'm down to only ONE!!! It's the minimum dose and to date my BP has been excellent. It's only a matter of time before my PCP takes me off of that too. You really have to consider your choices when you do this. Think about your future, look at your relatives when making this decision too. If they have something, chances are you will too if you continue with very bad habits. Hang in there, don't sweat the small stuff.

Hi neon, how are you feeling now? How is your achalasia? I have a sleeve and developed achalasia last year. I'm having a Heller Myotomy and revision to gastric bypass on 9/13. My surgeon said I would likely have really horrible and uncontrollable reflux if I didn't revise to a bypass, and I still have about 100lbs to lose from my initial surgery (I was over 400# to begin with). Curious to know more about your achalasia diagnosis and if you're able to eat better now that you've been healing for a few months.

I would ask these questions: 1. How many bands has he/she placed, you are looking for a high number, a couple of hundred is a good. 2. How many revisions to other surgeries have they had to do, if they take out more bands than they put in--run, ideally you want a very low revision rate to any other surgery. 3. Aftercare is MORE important than the band, ideally you want a surgeon that do his own fills, but if he is busy, ask if he has a physician assistant that is trained in surgery as well as perform fills. Also part of aftercare is diagnosing and treating any type of lap band issues, you want to make sure that your surgeon will not outsource this, many lap band surgeons either work closely with GI doctors to do EGD's or Radiologist to do Upper Gi,'s etc, and most lap band surgeons are skilled to fix hernias, etc. Also your lap band surgeon should ONLY treat and diagnose any lap band related issues you may have, such as determining if your band is adjusted properly and following your progress, you don't want a PCP doing this, they are not skilled to do so. 4. Fills, should be administered by your surgeon, or a skilled PA, not just anyone. Ideally you want a surgeon that will be available to fill/ or unfill your band if needed and not on a set schedule, but ideally every 4/6 weeks the first year. Good luck

Heya! I'm scheduled for surgery 8/5 at NY-Presbyterian-Columbia. I'm a Brooklynite. Getting revision from lap-band to the sleeve. Anyone else a revision patient?

I had RNY 21 years ago, I'm scheduled for a revision from proximal RNY (standard one most people get) to a Distal RNY where they make the roux limb longer by bypassing more small intestine than they do on the standard RNY. I'm getting this distal revision done Monday March 21st (6 more sleeps! Yikes!). My Dr says he does them as out patient, which kinda boggles my mind (I figured at least an overnight stay), and I'll go home same day. Has anyone else experienced this? I know there aren't many distal rivisioners that I've run across.

Hi I too was in this same situation after having gastric sleeve last year. Mine was due to a stricture in the middle of the stomach pouch. This was found by doing an endoscopy. I was on picc lines and feeding tubes for dehydration and severe malnutrition. My doctor decided the only option was to revise to the full bypass. (This was after he attempted dilation and placing a stent). Having a revision was not ideal but at 4 months out from revision i am glad i did. No more vomiting i have regained my strength and best part no more tubes coming out of my body. Message me if you want to talk more.

If you have ANY lactose intolerance, stay away from any protein that contains Protein Concentrate. Find yourself a protein that ONLY has Protein Isolate. Like Isopure for instance. Whey Protein concentrate is exactly what it sounds like, it's a concentrated milk protein, but concentrates do not filter out lactose. Isolates remove most, if not all, lactose. You are looking at things the wrong way. Saying you'll NEVER be able to do something is wrong... very wrong. Quite a high number of Bypass patients, myself included, have almost no issues with almost all foods. I can eat pretty much what I want at this point, just over 6 months post op. I drink beer, eat sweets, etc. No issues. I had 2 donuts the other day and that made me feel like crap, but no dumping or other issues other than feeling super run down and icky for a few. If you focus on ways you plan to fail, you will fail. Focus on the things you can switch out. I'm a huge ice cream guy. I could eat a whole pint and want more. I found Halo Top ice creams, protein, no added sugar, low fat, super low calories and they taste good. I don't eat white flour anymore, I choose to eat the high grain count stuff or fiberone has an 80 calorie wrap. Look for the things that you can swap out, and that will satisfy the cravings while still falling inside of your diet restrictions. It's not hard, you just have to do a little bit of work at first. Revision from Band to Bypass was legit the best thing I've ever done. I'm still dealing with some odd body dysmorphia, I still "feel" fat. Like when I'm not paying attention, my spacial awareness is that of my fat body... but I'm not "fat" anymore, so that's an odd thing to deal with. But it's getting better day by day. I don't have any issues with feeling like I'm missing out on food or anything, we still go out to eat, I just pick better items. Your taste buds will change, some folks they change only for a little while, some, forever. I've lost my craving for super sweet things, for the most part. With sagging skin, my max weight was 370 and I don't have much sagging skin at all... I've got some, but it's totally hidden with clothing. The bypass is reversible. It's risky, but it happens. The **ONLY** weight loss surgery that isn't reversible is the sleeve, because the sleeve 90% of your stomach is removed, with the bypass, it's all still there, just shifted around. The other side is to realize that, food addictions are real, even if you don't believe you are addicted to something, doesn't mean you aren't. Some of it is habit, habits take a minimum of 2 weeks to break. Why do you want the surgery? You don't have to answer here, but keep that in mind whenever you start to get frustrated or sad at things that... more than likely won't bother you later down the road. I knew that if I didn't do something to lose the weight, I would be cutting my life MUCH shorter... I don't want to do that to my wife and kids. I'll tell you this. over 90 lbs dropped since March and I feel fantastic. Food does not drive my life, I still enjoy lots of food items, I can hike without issue, I take several flights of stairs without breaking a sweat, I actually did 8 floors of a Federal Hospital in 1 go, just because I wanted to see if I could do it, and my heart rate got to a whopping 121 bpm. I'm prepping now to climb a mountain.... I wouldn't even have been able to entertain the idea 6 months ago. It's ok and totally understandable to be afraid, scared and unsure of the future and all the changes that WILL be required with this surgery. But one thing is certain, if someone stays overweight, they are guaranteeing they will have medical issues down the road.

We had a great support group meeting today and the topic was "Understanding the Desire to Eat" presented by Katie Mckenna, a specialist in both nutrition and psychology - her visits are always incredibly enlightening. http://www.mckennaco...om/default.html Our nutritionist also shared a new resource that looks interesting that I will most likely check out - the paste is from the bariatric section of thier website. I am of the belief that one can never have too many resources to help us long the way on this journey. http://www.amihungry...c-Surgery.shtml Am I Hungry? Mindful Eating Program for Bariatric Surgery The Am I Hungry? Mindful Eating Program for Bariatric Surgery helps resolve the mindless habits and emotional eating issues that lead to problems after bariatric surgery. It includes TWO books (both paperback)*: Am I Hungry? Mindful Eating Program for Bariatric Surgery Companion Workbook and Journal * Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle The award-winning book Eat What You Love, Love What You Eat is the foundation of this program; the Bariatric Surgery Companion Workbook and Awareness Journal shows you how to apply this life-changing approach after you've had bariatric surgery. (This program is appropriate for people who have had or are considering gastric bypass, the band, or the sleeve.) Each of the eight workshops in the Bariatric Surgery Companion Workbook and Awareness Journal helps you apply what you’ve read in Eat What You Love, Love What You Eat to your daily life and explore issues that are unique to people who have had bariatric surgery. Each of the eight workshops also has a special section called "Adjust" to guide you through the necessary skills to adjust to your "new normal." (See Dr. May's article below: It's STILL Not About the Food.) Download the Am I Hungry? Mindful Eating Program for Bariatric Surgery Companion Workbook and Journal table of contents and an excerpt from Workshop 8 listing the key concepts here. *Available only as a set because the Bariatric Surgery Workbook and Awareness Journal is a companion to Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle. It is not intended to be used alone. If you have already purchased Eat What You Love, Love What You Eat from us, you may email Orders@AmIHungry.com with your name so we can look it up (or you can email us a copy of your receipt). We are sorry for the inconvenience but it is very important that you use both books together! Am I Hungry? Mindful Eating Program for Bariatric Surgery (set of two books) $39.90 Am I Hungry? Mindful Eating Workshops for Bariatric Surgery - Webinar Participate in this workshop from the convenience and privacy of your own home! Facilitator: Jeff Butts (Read Jeff's personal story here) Dates: Wednesdays, March 6, 2013 - April 24, 2013 Time: 5:00 - 6:30 pm PST/6:00 - 7:30pm MST/7:00 - 8:30pm CST/8:00 - 9:30pm EST Investment: $199 Click Here to Register Email training@AmIHungry.com to receive advanced notification of future webinar dates. Am I Hungry? Mindful Eating Workshops for Bariatric Surgery - Facilitator Training Do you work with bariatric surgery patients? Now available: Facilitator Training to offer Am I Hungry? Mindful Eating Workshops for Bariatric Surgery in your bariatric center, office, or community! Please download the Facilitator Training information packet and contact us at 480 704-7811 or Training@AmIHungry.com to learn more. About the Author Michelle May, M.D. Michelle May, M.D. is a recovered yoyo dieter and the founder of the Am I Hungry?® Mindful Eating Workshops and Facilitator Training Program (www.AmIHungry.com). She is the award-winning author of Eat What You Love, Love What You Eat: How to Break Your Eat-Repent-Repeat Cycle that guides readers to eat fearlessly and mindfully. Eat What You Love, Love What You Eat received seven publishing awards including best book in the categories of health, best self-help, best nutrition, and mind-body-spirit and was named one of the Top 10 Diet Books in 2010 by Time.com (though Michelle insists that it is a how-not-to-diet book!). She is also the author of Eat What You Love, Love What You Eat with Diabetes. Margaret Furtado, M.S., R.D. served as a consultant on this project: Margaret Furtado, M.S., R.D. has specialized in bariatric surgery at bariatric surgery centers of excellence for over a decade, including Tufts Medical Center, Massachusetts General Hospital, and The Johns Hopkins Center for Bariatric Surgery. She is currently a Bariatric Nutrition Specialist at The University of Maryland Medical Center, in Baltimore, Maryland. Margaret has co-authored 3 patient-centered books on bariatric surgery and nutrition, including her newly-revised Recipes for Life After Weight Loss Surgery and The Complete Idiot's Guide to Eating Well After Weight Loss Surgery. She was one of the authors of the 2008 bariatric nutrition guidelines published by the American Society of Metabolic and Bariatric Surgery. Margaret speaks internationally on bariatric surgery and nutrition. Bariatric Surgery: It's STILL Not About the Food! Michelle May, M.D. writes about why mindful eating is so helpful for bariatric surgery patients: Bariatric Surgery is Only a Tool While bariatric surgery may be controversial, even bariatric surgeons agree that bariatric surgery is a tool, not a quick fix. This is a critical point because a tool can do nothing on its own; it requires skillful management by a knowledgeable user to work effectively. Therefore results following bariatric surgery depend on learning to use that tool optimally to develop and maintain a healthy lifestyle. Adjusting to a New Normal When people ask my opinion about bariatric surgery, I have to admit that it's a tough question because many people who decide to try surgery believe that they've tried everything else. Most have never even heard of intuitive or mindful eating. Some believe or hope that having bariatric surgery will solve all of their problems—but nothing could be further from the truth. For example, if you’re an “emotional eater,” the situations and emotions that triggered eating in the past are unlikely to disappear simply because you’ve chosen to have bariatric surgery. As one patient said, “They didn’t operate on my brain!” Some discover that they “miss” their friend—food—leaving them with a feeling of loss. As one person told me, "I've cut out my coping skill!" Others believe that after surgery they won’t need to think about their eating anymore. In fact, it is just the opposite. You need to become very thoughtful about eating in order to use this tool optimally. If you’re not mindful about your eating, this “tool” can cause you to experience uncomfortable, even serious consequences—and you’ll be far less likely to get the results you hoped for. Bottom line: It breaks my heart to see people invest so much yet continue to struggle in their relationship with food. Bariatric Surgery and Mindful Eating Since 1999, tens of thousands of people have used the Am I Hungry? Mindful Eating Program and/or read Eat What You Love, Love What You Eat, to resolve their difficult eating issues. There are often people in our workshops who have had also bariatric surgery. They explain that surgery did not fix their real problem and/or that they need additional skills to cope with their "new normal." Mindfulness is beneficial because it teaches us to focus our attention and awareness on what is happening right now, which in turn, helps us disengage from habitual, unsatisfying, and unskillful habits and behaviors. Specifically, mindful eating skills help resolve the mindless habits and emotional eating issues that lead to problems after bariatric surgery: Eating too quickly Taking large bites Not chewing thoroughly Eating while distracted leading to overconsumption Not savoring food and therefore having difficulty feeling satisfied with small volumes of food Eating too much, leading to vomiting and/or distention of the pouch Grazing throughout the day Eating "slider" foods and high-calorie soft foods and liquids, often in response to emotional triggers Not consuming enough protein or nutrient-rich foods Feeling deprived or left-out in social situations Struggling to establish consistent physical activity Transfer addictions And many other issues... Further, most people who make the difficult decision to have bariatric surgery want to improve their health and energy so they can live the vibrant life they crave. Yet without the additional tool of mindful eating, bariatric surgery can feel like a permanent diet that continues to consume your life. One of the most meaningful changes that happens when you learn to eat mindfully (whether you've had surgery or not!) is that it allows you to think about eating when you need to and free up your energy and attention to focus on living in between. Am I Hungry? Mindful Eating Program for Bariatric Surgery For all these reasons we felt that it was time to create a mindful eating program especially for people who have had (or who are considering) bariatric surgery. We have a brand new Bariatric Surgery Workbook and Awareness Journal and will also begin offering additional workshop training for Am I Hungry? Facilitators who work with bariatric surgery patients. Am I Hungry? Mindful Eating Program for Bariatric Surgery (set of two books) $39.90 (For a sneak peek, download a pdf of the key concepts covered in this Am I Hungry? Mindful Eating program for Bariatric Surgery.) I am personally very excited about bringing the life-changing concepts of intuitive and mindful eating to the many people who, despite having surgery, still find themselves stuck in an eat-repent-repeat cycle. After all, even after bariatric surgery, it still isn't really about the food. Eat Mindfully, Live Vibrantly! Michelle May, M.D.

Re: the bad habits. I was doing really well with the band until I had a fill that was too tight. That was the beginning of the slider food phase that lasted me 2.5 years until I had my revision this past February. Now that I'm on a new path AGAIN- I'm praying that I don't slip back. The only thing I do know is that I won't be going in for an adjustment for the sleeve so there is no reason for me to go back to slider foods.

Great to hear about easy recoveries. I dont have a surgery date yet and not sure yet if I'll have to have one or two procedures for my revision from band to bypass. Hope it's one though.

I had mine in 2012 too.. and they used the largest bougie at the time. I do carefully watch what I eat.. lots of Protein, no rice, Pasta etc.. (okay.. i ate three raviolis a few weeks ago and felt like crap... never again) but i can easily eat an 8 oz steak... plus veggies etc.. so I know "something" is different.. i dont feel as much restriction. I am seeing my dr. at the end of August and he will decide which is best-- resleeve or sleeve to MGB ... but the original post was just finding out what negative side effects people are having... I consider all of what I have going on negative side effects. I know it is not common for the sleeve to twist. I am not sure if that has anything to do with my pregnancy. My gerd is getting worse. Some days it feels like my food is sitting in my chest. I have been drinking more Protein shakes and eating lunch meat and cheese, tuna.... Anything else feels brick-like... Honestly, some days eating is just a chore.... U am looking forward to a revision for many reasons. I really wish you the best.

Dr Wilhelmy sutures over the staple line, I just had my surgery with him last week. He does 3 lines of staples plus the sutures. I had a revision from band ro sleeve which increased my chances of a leak. I passed all 3 leak tests.

Tues. Dec 15 in Dallas with Victor Gonzalez. Revision band to sleeve????

I had a lap band to sleeve revision on April 16. I started eating solid food at 14 days. I started with salmon and green Beans. Then had mahi mahi with some slaw mix. I have had no problems as of yet. I have had chicken, tuna, turkey. Have not had ground beef yet, but going to try that this weekend. For Breakfast scrambled egg with sautéed veggies (zucchini, onion, mushrooms - cooked well), grits, steel cut oats, strawberries, blueberries and raspberries … the raspberries did create some acid for me … and strawberries today so we will see. I think my stomach healed much faster than most because I used Bone broth in my liquid diet. Bone Broth has 9 grams of Protein in each 8 oz. serving and the purpose of bone broth is to heal the gut (if you have gut issues) … so since I mostly eat a Paleo diet 85/15 … I cook and use that a lot and I really think my stomach was fine at 10 day! I have lost 13 lbs. in 3 weeks and I am ok with that! All I can say is that I can eat again. I had so much trouble with the lap band that I threw up almost everything I ate! It was depressing. How I can eat healthy again! Also … looking forward to my first salad … maybe this weekend!

Hey folks, I am now three days out from my revision surgery, still sore but not hungry in the least, I have wonderful restirction as with the first surgery but I am sure it is from the stomach still being swollen. I am blessed to be able to work at home (I do medical transcription) and only felt like working 4 hours yesterday before pooping out, but hopefully I can work a little longer today. I am still doing the clear liquid diet, usally have 1/2 cup of warm chicken broth and about 2 popsicles per day with sips of water throughout the day. Thanks for all your prayers, words or kindness and concerns. I love the caring, considerate folks on this board. I needed this board when I found it. You guys are great for support. Thanks! Hope you all had a wonderful Valentine's day.