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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)
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VSG to RNY: please give me your stats
IrishKatieKat replied to Heather0811's topic in Revision Weight Loss Surgery Forums (NEW!)
Good luck with your surgery in the AM. I got revised 4/15. Highest weight 311, Surgery weight 288, Current weight 243. I did good with my sleeve till the I fractured my spine. I developed a hernia and my GERD was rediculous. Then I got a pregnant a year later and only continued the weight gain with post partum depression. Doing great mentally and physically now, steady weight loss but I am right on par considering the meds I have to take slow it down. Sent from my SM-G973U1 using BariatricPal mobile app -
Acid reflux at nightime
catwoman7 replied to skinny44's topic in PRE-Operation Weight Loss Surgery Q&A
most surgeons will recommend that patients who have reflux issues go the bypass route rather than the sleeve route. Bypass usually improves if not outright cures reflux. Sleeve can make it worse. It doesn't happen to everyone - in fact, some sleevers have said theirs improved, but for about 30%, it does get worse. Those odds were too high for me, so i went with bypass (like you, I had issues with it before surgery). Many cases can be controlled medically (by taking PPI's), but some people end up revising to bypass. regardless of which surgery you get, a lot surgeons automatically put their patients on PPI's for the first 3-6 months post surgery just so any potential acid issues don't affect the healing. If yours doesn't, and if you start having issues, ask. They'll probably put you on one. -
Any tips on recovering from surgery alone?
Tomo replied to lussa's topic in POST-Operation Weight Loss Surgery Q&A
Since most surgeries are done laparoscopically, and most go home the next morning, other than someone driving you home, it's very doable to recover alone. They had me walking the hospital aisles every few hours right after the surgery till I was released at 11 am the next morning. I walked around a lot the day I got home doing light chores... Etc. Back to desk work on day 3 but you do feel very tired for a week or so. Again, as everyone will tell you, everyone is different. These are my experiences (both with vsg and revision to rny). -
New Here! Looking for Friends!
Dogmom68 replied to athrash87's topic in PRE-Operation Weight Loss Surgery Q&A
Welcome, Amanda! What type of surgery are you considering? I had a VSG a year and a half ago and am getting ready to have a revision to RNY. There are a lot of really great and knowledgeable people on here so be sure to ask questions that will help you on your WL journey! You’ll find that once you decide on the type of surgery you want to have you should join more specific groups. People are very happy to share their thoughts and answer questions. So…. glad you’ve joined us!😁 -
Full liquids - Veggie Soup
Tomo replied to MrsPinedo's topic in POST-Operation Weight Loss Surgery Q&A
Some surgeons will tell you to stay away from tomatoes at first if you've had a history of gerd or is susceptible to getting gerd. I had severe gerd and had a revision because of it but I was allowed tomato soup "with caution". -
Revision after only a year of Gastric Sleeve
Starwarsandcupcakes replied to nidvia's topic in Revision Weight Loss Surgery Forums (NEW!)
I actually had a hiatal hernia of my sleeve which is what lead to my revision. I’m pretty happy with my results from it. The only complications I’ve had have stemmed from my uncanny ability to develop hernias leading to one of my mesentery followed by 2 more of my mesentery and intestines that lead to a small bowel obstruction with necrotic tissue after developing 2 seromas from the first mesentery hernia repair. Plus, I already had a hiatal hernia repaired when I had my sleeve (this is totally genetic for me- being hernia prone and is totally atypical of most revision surgery patients). -
Lost about revision
RachelShepherd replied to RachelShepherd's topic in Revision Weight Loss Surgery Forums (NEW!)
Hey there you all! Sorry for not replying until now. Thank you all so much for replying back to me! So I got a made another appointment with my doctor and she referred me to the medical doctor who works with my previous surgeon (which I really did like). This lady was absolutely wonderful. First of all she got me a new sleep study, the one I had I told her about she said they were idiots. So I am going for that but we are going ahead with a revision. We are going to wait on my sleep study results. The lady that I met with about the sleep study was the most interesting lady I have ever met. I never knew so much about sleep disorders and I was thankful to be sent to someone with such knowledge. Again thank you al! I will be uploading more because God knows I need buddies. My only one recently got taken away, so throughout this journey I will be alone. have a wonderful night!
