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Revision 6 months after VSG
Tomo replied to starstevenson's topic in Revision Weight Loss Surgery Forums (NEW!)
I would talk to a bariatric surgeon and have them see how serious your reflux is and if it they believe it warrants a revision, they will tell you. As far as the poor choices and no weight loss, it could be due to having gerd. I didn't get reflux from my sleeve till years later, long after I had lost most of my weight. I saw a few surgeons, and they all said that I have to get a revision to RNY, otherwise I was risking getting esophageal cancer. I also started having difficulties keeping the weight off. I couldn't sleep at all, hence I ate more for energy. Other times, I ate when my stomach hurt just to temporary pacify the gnawing pain... Etc. It's all related. -
Revision 6 months after VSG
Spinoza replied to starstevenson's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm so sorry you're having to consider revision so soon after your original surgery. Do you think it might be useful to think about the weight loss you've managed to achieve with your current surgery, and the reflux you've unfortunately experienced separately? I have had reflux symptoms for years. They always improved when I lost weight, so after a long discussion with my surgeon I decided to go for sleeve gastrectomy as opposed to bypass. In my case the gamble (calculated) paid off. I DID in fact improve as soon as I lost a significant amount of weight again. With regards to losing weight after a VSG that is an issue you might want to address completely separately. If you can eat around a sleeve then you may be able to eat around a bypass. Do you have food addiction issues or other psychological issues that might benefit from discussion with a bariatric therapist? Having had my sleeve 9 months ago I can't imagine how I would have approached it other than how I did - as a tool to help me lose weight if I stuck to certain (hard) rules. I wish you all the best in your journey. There are many many roads to successful long-term weight loss. Seems like you've already taken a big step along one of those roads. -
VSG to ESG Surgery??-Why??
RickM replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Second guessing and some regret is normal when one runs into problems. It is well to realize that whatever road you chose in the past was likely to be bumpy, even if the bumps might have been different. The bypass, in addition to having its own quirks (someone just showed up on today's recent topics column who is having reactive hypoglycemia problems - that's one of those quirks,) that can cause regrets, would not likely have been any better on helping you with your regain (RNY and VSG are very similar in that regard,) and is also more difficult to revise should you have had problems. So, there is (and was) no easy, straight answer. We follow what looks like the best road for us and take what life throws at us over time.. -
My RNY experience
Tomo replied to 15 years post-op's topic in General Weight Loss Surgery Discussions
Thank you for sharing this. I got the bypass a little over a year ago. I am one of those people that if something can go wrong, I'd be in that minority. With the band (slip/erosion), and then the sleeve (esophagitis and severe gerd). Many people have both of those for life, but unfortunately, each time I was forced to revise or live in pain. I am extremely happy with my RNY, and I sure hope I will be able to look back 15 years from now and still be healthy. -
lol what a catch 22! Ummmmm I’d say I’m excited about surgery I’m a revision so there’s a bit of been there done that . I just want to fast forward to when I’m recovering at home. I felt overwhelmed with how much new information is out/products since I had my first surgery in 2010 . I’m naturally a worry wart so I’m going through the motions of overly researching duodenal switch . I know it’s best for me due to my metabolism disorders. I read somewhere you could lose a pound a day ! Like that’s crazy to me lol ! (Also I’m making you my accountability partner lol there will be meltdowns FYI !)
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Revision 6 months after VSG
starstevenson posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I’m looking for others who’ve had a revision WITHIN the first year of their original VSG? My reflux is AWFUL! And my weight has been at a stall since month 4. A lot of that due to food choices. The worst the reflux has gotten, the worse the carbs have gotten. Anyone had a revision so soon and was able to get back on track? My revision is due to reflux. -
Hey Kara which vitamins are you purchasing? Due to getting the DS I’ll have to take 4 pills in the am and 4 at pm the brand is barilife . Also another question what made you pick the sleeve as your revision choice?
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VSG to ESG Surgery??-Why??
Tomo replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
So basically they want to re-sleeve you which doesn't make sense if you have gerd. A few years ago, I originally asked my surgeon who regularly does ESG if I can have that instead of the bypass (I was still worried about getting a bypass back then) and he adamantly said no, and it'll make my gerd worse if they tighten my sleeve. He said the sleeve puts pressure on the lower esophageal sphincter which causes reflux. Once he found out I had a gerd, he pushed for a revision to RNY for a couple of years and I kept trying different PPIs instead but to no avail. It got so bad, I finally had to get the revision to RNY last August. -
VSG to ESG Surgery??-Why??
SleeveToBypass2023 replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Everything I've seen on here about getting a revision from sleeve because of GERD has been to the bypass. I've heard the bypass actually greatly diminishes or even eliminates GERD. And gives additional weight loss (although less than initial surgery, it still gives some). It might take another year, but you should be able to get that last 65 pounds down with the bypass, and have relief from the GERD. I would talk to your doctor again, and if he still won't budge from the ESG, find another doctor. -
VSG to ESG Surgery??-Why??
RickM replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
Likewise, I don't see the sense of it The ESG by its nature is more limited in what it can do by virtue of its limited surgical procedure - they just can't do as much endoscopically as they can do by going in laproscopically. And, from what I have seen the ESG doesn't have as good results as the basic VSG, either. A few other random considerations: Revisions of any kind tend to have less performance than a virgin procedure - my simple minded picture is that you have already had your stomach reduced from 32-64 oz capacity down to 2-4 oz and you have learned to eat around that; even if it has stretched out some, cutting it back to 1-2 oz isn't going to do much. The RNY isn't markedly different than the VSG in weight loss or regain performance, so don't expect a lot from that, maybe 20 lb would be typical, mostly from a return to the extreme dieting one has to go through around surgery time. If you have had significant regain, first step is to evaluate the cause and treat that; as noted above, the RNY isn't markedly better than the sleeve, so unless you correct what went wrong in the first place, you will be back here again in a couple of years, but with fewer options (the RNY is a trickier thing to revise once you get it, so consider it to be a one way street.) Are you insured, but not covered for WLS, or not insured at all? if you have a significant GERD problem, then correcting it may/should not be considered WLS. but correcting a threatening health condition, possibly the result of an earlier surgery. Check it out before giving up on that avenue. How severe is your GERD? have you had it evaluated? If it is beyond treatment with meds and lifestyle changes, then surgery may be called for. It might be an RNY type procedure (don't refer to it as an RNY to your insurance as that will guarantee a negative answer if they don't cover WLS; there are a number of procedures that derive from the same procedure that gave rise to the RNY, and they are used for treating multiple problems; but they may go under a different name, so let your chosen surgeon work that out with the insurance company. Again, have your issue evaluated - if surgery is needed, a resleeve may do the job without going to the RNY, or it may not as it depends on what's going on with your sleeve. -
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VSG to ESG Surgery??-Why??
liveaboard15 replied to teedsg's topic in Revision Weight Loss Surgery Forums (NEW!)
never heard of a revision from sleeve to ESG... which ESG is basically the sleeve. They sew thru your mouth into your stomach... Every revision i have seen on here is from sleeve to bypass or some form of bypass like mini bypass or that Duodenial switch or however you spell it. -
Does this make sense? I live in Atlanta, GA and I've had two consultations for sleeve revisions. Both doctors are pushing for an ESG. To me it doesn't make sense. Sure it's less invasive and through the endoscopy route, but, I'm a little apprehensive. Neither of them said it will help GERD nor did they mention a good weight loss. An average of 15-20% weight loss is not good stats to me because it'll only give me approximately 40 lb weight loss. It seems like a quick fix that won't last long. Can anyone suggest any good Atlanta surgeons for a sleeve to bypass surgery? My google search is coming up short. There's one surgeon in Johns Creek I would like to try but it's out of reach monetarily because I'm self-pay. I'm 223, 5'4 and 5 years out of VSG. I want a revision because of GERD and weight re-gain. Any insight is helpful.
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Oh yeah, definitely with a job like that you should take your time. I’m having a revision, from lap band to sleeve. I’m so ready to get this done, so I understand you not wanting to jeopardize that.
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Hi there 6 weeks actually starting next week! It’s very hard following my pre-op diet while at work and stressing about possible exposure to COVID-19. I really don’t want to take any chances of having my surgery postponed. I feel like if I get stir crazy I’ll go back to work. I hope your recovery goes well and you’re able to function at work easily. I work at a prison so there’s a lot of walking unsure if I should rush back? Which surgery are you having? I’m a revision sleeve to DS due to hypothyroidism & pcos.
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I had the sleeve done in 2020. Completely failed due to poor choices. Talked to my dr today about a revision. She is going to refer me to someone. Pros/cons? I read that you can do it nonsurgically?
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I agree. I had the Lapband in 2011, lost 60 lbs but needed to lose about 180 at that point. I've kept it off, haven't really had any issues with GERD or anything else but I've never felt comfortable knowing this foreign object is in me. Plus my husband at the time absolutely refused to even consider having my insides rearranged, so the band it was. The sleeve really wasn't known much back then, and now I'm doing a revision to get the band out and get the bypass (I have long ago kicked that man to the curb). My doctor also wants to do the sleeve, because he says the band and the sleeve kind of do the same thing and there's no point if the band didn't get me where I needed to be.
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Lost about revision
CarleneD replied to RachelShepherd's topic in Revision Weight Loss Surgery Forums (NEW!)
I don't think you should be at all concerned with doctor shopping - we look at different cars/dealerships, different realtors when we buy a home. A doctor should be no different. But it looks like you have made your way through and yay for getting a revision! I had the Lapband in 2011. I never really felt restriction after my pouch healed (2 weeks or so) and I lost 60 lbs. I've kept it off but every time I try to lose more weight I end up gaining it right back. I've gone vegan for 2 years, then went keto and promptly had to have my gallbladder removed last summer - doc said it was directly related to keto. I've lost 40 lbs on my own and gained it right back. So in July I decided that since my insurance now covers bariatric I'd see what could be done. Boy have things moved fast. I went to my PCP (also a NP and I love her) and she referred me to a bariatric surgeon. I had my first consult with him on July 12th and he scheduled me for all the tests. I got them done in record time, sometimes two doctor appointments a day, and got done last week. Had my 30 day follow up today and although they're just submitting to insurance now, he's confident they're going to approve so I have my surgery date for October 24th. Here's to revision and another chance! -
Hey everyone! I'm scheduled for October 24th for revision from Lapband to Bypass. Just got my date today. Still have a few of my results that need to come in so they can submit to insurance but my doctor seems pretty confident I'll have no problem getting approved. It's all happened pretty fast. First consult was on July 7th and I got all my testing done in the last 30 days. I was happy that I was down 4 lbs (not a lot but at least I was down) from that original appointment, my blood pressure was in a really good range and it seems everything is going well. Glad to meet you all and have some friends on this journey!
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I had that a bit of that after my VSG and they gave me a muscle relaxant that dissolved on my tongue, and when I chewed on gas chews, it helped a lot too. I learned from it when I got my revision last year. I chewed on Mylanta mini pills, fruit flavored, as soon as I got home.
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This seems too easy...
Tomo replied to simplysmile's topic in POST-Operation Weight Loss Surgery Q&A
Nope, I had very easy recoveries as well. Many posts are usually when they are worried something is wrong and I, like others, read them and get worried. I avoided the gastric bypass for years and now that I had the revision, I feel so silly in retrospect. The majority of WLS are very smooth due to the laparoscopic procedures being so efficient and safe. Congrats to your great recovery and sounds like you are on the right path with great success. -
Sleeve or Bypass Regrets?
Arabesque replied to maintenanceman's topic in General Weight Loss Surgery Discussions
First, congrats on your weight loss. Yay! If you’re losing at a great pace why do you want to lose faster? We all lose at our own rate & what is right for us. And you’ll end up at a weight that is right for you too. Sure you may lose a little faster at the beginning with a bypass but it slows just like any other surgery as you progress. So at this stage you’d probably be losing at exactly the same rate. You also didn’t start at a very high BMI so your rate of loss wouldn’t be like someone weighing 400, 500+lbs. But their rate of loss slows too. In five months you’ve almost reached your goal. Can’t complain about that. As @RickM said the average weight loss at about 3 yrs post surgery is about the same regardless of whether the surgery is sleeve or bypass (about 65% of the weight you had to lose). I’m glad I got the sleeve. I exceeded my weight loss goal & happily sit at a weight I never thought I would weigh as an adult let alone to have basically maintained. And to me that’s the biggest win: maintaining. Generally I’m healthy. I don’t need to take any vitamins like you would with bypass. And while I have a malabsorption (protein) issue, which are possible with bypass, it occurred as a result of my gall removal last year & had nothing to do with my sleeve surgery 3 years ago. I had mild managed reflux before surgery & I still have reflux now. It manifests differently but again it’s managed through diet & meds. If it worsens & I need a revision in the future I’ll deal with that then. I have to be careful to eat slowly & to avoid dry or coarse food but that’s me & my sleeve. I had a bit of a fussy digestive system before anyway so there’s nothing that’s harder to manage or limits me in any way. Celebrate every pound you’ve lost & enjoy the life you can have now. Don’t worry or question how fast you’re losing. -
Sleeve or Bypass Regrets?
Tomo replied to maintenanceman's topic in General Weight Loss Surgery Discussions
Only regret for me is not to go straight to the Bypass. Over a year ago, I had a revision from sleeve to bypass due to my acid reflux spiraling out of control in the later years of my VSG. Nothing worked. No PPIs, no H2 blockers, nothing. Nights were long from coughing up acid and days were longer from a literally constant burning esophagus. At first, of course, the PPIs worked but through the years it got worse, hence the need for revision. This past year has been a wonderful and easy going experience, in both weight loss and finally no gerd. I wanted to add that most RNYs do not dump and most VSG people do not get reflux as I did so I'm not here to bash either of the surgeries. They are a lifesaver for most of us. -
Hello I am not sure if the revision to a mini gastric bypass will work but I am 100% committed to making it work. I got cocky after slimming down and got off track. Regretful to say the least. I found out that the procedure does not call for a reduction of the stomach because the sleeve already did that. Doing research now to look deeper into the physiological effects of the MGB and the difference between my GSS. If anyone can share their experience with the same surgery path I'd appreciate it. Thank you MJ
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Mine did too. For both the sleeve and then revision. I think it is safe practice since both are major surgeries.
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This doesn’t happen to me, but I feel I can eat/drink more than many when I read others’ posts here. I can take a big gulp or a big bite without any issue for the most part. If I do eat or drink too quickly I do experience a slight pressure sensation but it passes. I will add though that I had a band for 11 years and thus I likely have already assimilated to eating and drinking a LOT slower than most. For the last 7 years or so if I didn’t I’d bring it back up. That is the reason for my revising to the sleeve and so far I’m already able to eat denser and different food than I have been able to before (4 weeks post op on Wednesday)
