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I will be getting a Gastric Bypass, I was told it could be an open surgery. I had that the first time and am praying I get laparoscopy this time! Thanks!

Good Luck 💜 What are you revising to?

Hey guys, just wanted to hear some of your stories. Especially people who are needing to undergo a SLEEVE revision to an RNY or Bypass. Could you guys tell regarding the reason for your revision? Was it because of GERD? or Sleeve stretching etc? Thanks

Well my DEXA WAS ABNORMAL long before WLS and I do have Osteopenia, not yet to Osteoporosis. I'm weighing in to confess this. Since I still have drinking more than 3 ounces of fluid when It came time for my yearly I call it : "my topping of the tank", no pill form, no shot either, due a bypass et all, I had an INFUSION of the appropriate medication in March and my PCP says that will be my mode yearly. My Mama, rest her soul, had full- blown osteoporosis, lost over 5 inches of height, had increased fracturing of bones due to it and even lost her remaining teeth, strange? Her Dental Surgeon and PCP concurred on that one. See why that's a bullet I'm trying mightly to dodge, although it is doubly bad because Daddy also was diagnosed with IT- Until HE got his diagnosis, had vertebrael fractures, I ALWAYS BELIEVED men might be immune, but he lost 3 inches of height, there's a were in my late youth , I was 5ft11, and both my parents were 5ft7, when we went walking into our church, it looked like an Hereford beef cow and her parents-- the Shetland ponies . Surely were people that thought I was adopted from some other family except facially I looked just like Mama! I did lose a little under 4 inches of height between menopause and WLSurgery Time but my bone/ spine specialists attributed it more to my disks saying " No Mas" ( yeah THEY COULD Speak Spanish!) than the "osteo" FAMILY. And Thanks be, my height has now stablized at 5ft8in, not as Impressive but with my weight loss of 1/2 my former self ( 365+ Down to My Current 180) I think I'm looking Pretty Doggone Fine. If people don't think so and say Something, I Shall pretend Deafness, at 73 I Can Play the "Age" Card just like Jonnie Cochran played the "Race" card for old O.J.! Cause there won't be anyone trying to ☔rain on my WL Parade if I have anything to Say!

I have been reading posts and anything I can get my hands on regarding the bypass surgery. One thing I can’t seem to find is anyone who is on pain medications (like morphine and Percocet). I have been in pain management for almost twenty years. Some of my weight is attributed to being on meds for so long. However I cannot stop them. My prior injuries are kept in stasis if I take them. Without the pain is unbearable. My question is can I continue to take my meds following surgery. Haven’t been able to ask dr yet as I’m not scheduled for surgery. I should be first part of October. But I was just stressing if anyone knew the answer. I’d appreciate it if you would let me know. Thanks.

It’s called Myalgic Encephalomyelitis, it’s a type of immunodeficiency (neuroimmune) so I am susceptible to developing other medical conditions of which I have a long list. I knew bariatric surgery wouldn’t make it better, in fact I knew it might make things worse but I also knew not fighting as hard as I could to lose weight was leading to something much worse. Maybe that won’t make sense. I fought so hard to lose weight before but since I can’t treat my metabolic disorders with medication I couldn’t sustain it. For some reason despite all my efforts to keep my weight down it skyrocketed. I knew I needed to have my gallbladder out and decided to pursue bariatric surgery. Just trying to function it’s impossible to carry so much extra weight. Just to be able to have (I hope) better control of my weight and hopefully achieve a goal weight I couldn’t reach or sustain before is my reason to pursue this. It. Isn’t ease some pressure on my joints and spine and help a little with function. Overall given my chronic Illness I wasn’t expecting much just to manage the fact that my metabolism is practically nonexistent .... but honestly my situation is not the norm. I doubt anyone else with M.E. Would have gastric bypass surgery. Not that I know of. Most people do find relief from pain if it’s directly related to weight. Just like it can help with diabetes, high blood pressure, high cholesterol, etc.

I’ve had my lap band removed and I will be have a gastric bypass on Sept 10th. I’ve been doing the Optifast shakes and have stuck to the routine and it’s been hard, but I can ha doe the next three days easy.

Update: had my surgery yesterday I am currently at home. The rest of the mass or whatever was removed and I now have a gastric bypass. I was so scared this time around but thanks for al the kind words. I hope this thread can help someone else one day.

I got mine 2 weeks early on the day after surgery and then got it several times over the next couple of months. Cysts and fibroids roared their ugly heads so I wound up getting a hysterectomy a few months after my bypass. Not caused by the bypass but I was feeling so happy otherwise that I didnt want to spend a couple years dealing with lady troubles. And I was done with kid having and probably not too far off from menopause anyway.

I know this is old post, but it was brought back up by EdenDesired's reply. I thought I'd reply just in case someone else runs across this and has the same questions. I have bipolar type II. I've been diagnosed for over 20 years and have tried pretty much all drugs that was for BP/Depression or even thought to have a benefit for BP's. There was some cocktails that worked and would work for a good while. Other cocktails would make things worse. But such is the life of BP. I've had two bariatric surgeries. RNY in 2001. I lost 200 pounds and was stable for about 15 years. I gained it back due to what ever reason, divorce, having to take over the complete care of my father, depression/stress from work, etc... ya know Life. I had revision surgery on June 28th, 2019 from RNY to DS. I was able to go forward with this new surgery only because I had a Pdoc that knew about new drugs that are working now and was willing to work with me to adjust things till we got to the right recipe. There is one main new med, and then re-adding some oldie but goodies that i have tried in the past, but are working better with the one new med. It stabilized me more than usual. Didn't stop being depressed/manic, but it limited the cycles in a major way. As to what my Surgeon and Pdoc thought. Pdoc thought I was stable on the meds and had been for a year, so it was a good idea, but told me I should expect to adjust everything as I shrink. Surgeon didn't have an issue as long as I passed the Psych eval. As to the surgery and the meds, I took all my meds all the way up to the morning of the surgery. I was off of some of them while in the hospital, but as soon as I could swallow pills, I was released from the hospital and I was to continue my meds as normal. 1st surgery, they gave me liquid versions of the medication when I went home for a time. The liquid versions don't taste good. When I was having issues and the cocktail wasn't adjusted well, I looked into ECT and a bunch of other things. ECT was one of my choices if other things didn't work out. Have you considered Ketamine Treatments? It is being used for Resistant Depression and you don't need hospital stay for it. Its doing wonders for many. https://www.health.harvard.edu/blog/ketamine-for-major-depression-new-tool-new-questions-2019052216673 Be mindful though when finding a Doctor that provides the treatment. Several clinics are setup by non-psychiatric physicians. _kimga_ I hope you're doing well and you are able to move forward with the surgery. Any questions, feel free to ask.

Who did your rny to ds revision?

Are you seeing your primary or a surgeon? When I saw my primary she told me about some patients she's had over the years and how well they're doing and how it really benefitted them. We discussed some pertinent health issues that could be resolved and/or prevented with the surgery. With her it was pretty cut and dry. With my surgeon we discussed all the options, he took into consideration what procedure I wanted and laid the ground work. We discussed my health history, weight history, what worked, what didn't, and then discussed the different options available. My surgeon definitely prefers the bypass and the sleeve over the lap band. Most will have you do an EGD to look at the inside of your stomach and see how things look, mine took a couple biopsies and revealed some nasty damage from GERD which I was totally unaware of. I also had to do a psych eval as that was required by the surgeon and the insurance and then some appointments with my primary and finally surgery! I really like my surgeon, he's awesome, he explains everything, doesn't talk over you, and listens to your concerns.

I was thinking about this last night and what is the difference between RNY and duodenal switch? I actually researched both when I started this and all I could tell was that DS looks like a combination of a sleeve stomach with rerouting of RNY and gallbladder removal. I had my gallbladder out due to chronic inflammation and low function. I had RNY due to GERD. I understood RNY to be malabsorption and why we take all kinds of vitamins vs simply being sleeved. I don’t think it totally doesn't process fat. Otherwise fat soluble vitamins wouldn’t be effective. And carbs and sugars still have a impact. The procedure bypasses a portion of the small intestine which means less of the food is absorbed and utilized by the body as calories and of course this means vitamins as well. So we supplement. A lot of medicine is largely not understood and (I can’t think of the word) anecdotal? Based largely on personal accounts and not necessarily research. With bariatric surgery they get information from patients yet how much do they understand about the process of what happens in the body except that it works. You have your risks but if it can battle obesity we accept these risks to have a tool to fight it. To say it’s not a malabsorption procedure when most doctors say it is, makes no sense to me. The sleeve procedure is a restrictive procedure but RNY is a combination of restriction and malabsorption bypassing part of the small intestine and alternating the body chemistry as well. How it’s altered exactly I don’t know. Except it alters the Ghrelin or hunger hormone. Ghrelin stimulates appetite while Leptin reduces appetite.

I'm deficient in Vitamin A abd have to take extra over what is in my multivitamin, and I had bypass. Could just be my quirky body! Sent from my SM-N960U using BariatricPal mobile app

I'm confused by your post lol. She has had a sleeve and needs the bypass to remove the rest of the cancerous borders Sent from my SM-G935F using BariatricPal mobile app

Found this article, though complicated. https://academic.oup.com/ajcn/article/92/4/704/4597483 I do find it confusing trying to research the malabsorption aspect of RNY “gastric bypass is known as a restrictive operation as it restricts both food intake and the amount of calories and nutrients the body absorbs.” you’d think bypassing part of the small intestine would cause less absorption of calories. yet I also see a quote which says: ”Mr James Ramus MD, FRCS - Consultant General, Upper GI and Bariatric Surgeon at Berkshire Independent Hospital in Reading comments on a common misunderstanding in modern Bariatric procedures. 'The gastric bypass is not meant to be a 'malabsorptive' procedure. i.e. you do not malabsorb calories. The bypass works partly as a restrictive procedure but perhaps the main benefits in the procedure are the changes in gut hormones that occur afterwards' ... but is that just one opinion? How much does anyone really understand how the procedure works? I mean they don’t really know the true mechanics of it. Especially since surgeons don’t seem to mention changes in things like how medications are absorbed Or utilized post op. Another quote “You had gastric bypass surgery. This surgery made your stomach smaller by closing off most of your stomach with staples. It changed the way your body handles the food you eat. You will eat less food, and your body will not absorb all the calories from the food you eat.” im not sure there is a clear or simple answer out there

I am curious to hear success stories from people over 350lbs before surgery. I am in this boat and realize this experience may be a little different for people who have more to lose. My date is set for October 1st and I am so excited and nervous and would like to hear some specs on weight loss throughout the process. Since everyone is so different, I would like to see some specs on SW, 3 months out, 6 months out, 1 year out!

I was recently revised from VSG to RNY at my goal weight. So when the surgeon said I needed to do a pre op diet I was pretty resistant and questioned why constantly. He said they place everyone on the preop. The reason he gave was to shrink the liver by ridding it from excess fat making it easier to mobilize and more pliable so it doesn't crack/tear/break. I was confused: how do you break a liver? He likened a fatty live to a marblized piece of beef and the fat makes it stiff/vunerable during retraction. It will be handled alot during surgery. I begrudgingly followed my 2 week diet (except 1 day) because i didn't want any extra issues Good Luck with the rest of your preop 💜

Also stuck in a stall. VGS on 12th August Bypass on 20th August Lost 15kg=33lbs and the scale hasn't moved for about 4 or 5 days now Frustrating for us all because I think our poor brains are so wired to our past failures a stall can feel like we are failing again. Luckily we have all the long term members here who have 'been there done that' who can reassure us

2weeks ago, I went to see my Naturopath, has successfully helped me with an number of health issues through diet ( ie. yeast infections, urinary tract infections, anxiety). I had not seen her since before my Gastric Bypass procedure in May 2019. When I weighed in with her, I was down to 253 from 302. My presenting concern was I feeling very muddled and disorganized in my daily living. After tearfully describing my struggles, my Naturopath immediately told me that she wants me to start the Keto diet. She encouraged to be mindful of the guidelines I was given at the Bariatric clinic and incorporate them into the diet plan that I was encouraged to follow. So far so good, I have not been exactly perfect, however the majority of the food I eat is Keto friendly. I feel really good about this lifestyle and follow up with my Naturopath tomorrow. Sent from my Pixel 2 XL using BariatricPal mobile app

What can I use for gaining weight? I'm 17 MOS out gastric bypass and I lost almost 40 pounds being sick on top of the 120 lb from my surgery 1/18/18 I'm barely over 100 I lost my c cup boobs pneumonia and I got powder from GNC yuck I paid 40$ a bag whey protein the one body builders use. Sent from my moto e6 using BariatricPal mobile app

Strange thing is, I just had someone ask me recently if I had gout...like it goes with gastric bypass. I don’t have it, but I’m curious now.

Hey Kaiser crew, lol. I'm now surgery approved and called to get my date this morning for January and was advised to wait until November for my date. Kaiser doesn't book 4 months in advance, only 2 max. The scheduler was also able to answer a few questions for me. The surgeons generally have 5 surgeries a day, the bypass being first then up to 4 sleeves. My surgeon is the Chief of the Bariatric surgeons and etc., the sleeve w/o complications takes about 30-45 minutes. He does answer his emails , so any questions missed during our appointment he will answer via email.

I'm not a revision so some of this I can't really answer, but as far as what you can eat, I can eat pretty much anything at four years out. I can't eat a ton of fat or sugar at one sitting, though, or I'll feel like crap -- but then again, we're not supposed to be eating that way *anyway*, so... btw - I went through UW as well

I don't think fat soluble vitamin deficiencies are a "thing" with gastric bypass. They ARE with the DS, though - those folks have to take supplements of those vitamins (A, E, etc)