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Found 17,501 results

  1. RickM

    Final Choice

    I went with the sleeve because, fundamentally it does the same thing as an RNY - amount of weight loss, regain resistance, etc., but "costs" less in terms of trade offs and potential problems. The sleeve is predisposed toward GERD problems (that simply means that more people in that population will suffer from that problem than in the genera; population. In contrast, the RNY is predisposed to marginal ulcers, dumping and reactive hypoglycemia.. It is also fussier in supplement need - you can get into more trouble if you are lazy about your supplements with an RNY, while a sleeve can be closer to that ideal of getting all of your nutrition from your food, if one is so inclined (and your natural body cooperates.) Even with all the supplements in line, there is still a greater risk of iron issues or osteoporosis with the RNY as its malabsorption is focused on minerals. And, the marginal ulcer risk makes it more limited with some medications (it is the origin of the "no NSAID" rule in bariatrics - the sleeve based procedures are more tolerant in that area. If I need something stronger than the VSG, then the DS is readily available, as it starts with a sleeve and adds a stronger malabsorbing component than the RNY offers, so there is better weight loss and most importantly, regain resistance provided there if needed. Finally, there is the "Plan B" factor of what if it doesn't work for me and I have/want to revise? The sleeve is readily revisable to either the RNY or the stronger DS, while the RNY is something of a dead end procedure which is very difficult to revise (it can be done, but there are few surgeons around who are qualified to do so.) Overall, that is why I would start with the VSG and move up later if needed (or if I was starting from a very high BMI or otherwise challenging metabolic situation, I would go straight to the DS and avoid the risk of having to revise the bypass if it wasn't strong enough.)
  2. LaoDaBeirut

    Final Choice

    I was open for either but my surgeon chose sleeve for me. The reasoning was that if I didn't lose enough or had issues, I would still have the option for a revision to lose more if I needed whereas bypass is a one shot deal. Also I'm an athlete and the malabsorption issues might have caused a problem with a high activity level. I think sleeve was the right choice for me and while my loss has been slower than some I've been able to maintain muscle mass which I don't think I could have done with the bypass.
  3. DaisyAndSunshine

    Final Choice

    I have PCOS and slow metabolism but I wanted something that had better stats in the long run and RYN has that. Not to say sleeve doesn't since many have been successful on it as well. But personally given my medical history and plethora of PCOS related side effects, I opted for bypass. Plus chances of revision is also high with sleeve because of reflux issue. And I didn't want take the route of having to have a second surgery if revision was needed. "ONE surgery and that should be the end of it" was my thought process. Hence even after being confused, I finally opted for bypass. I know many prefer sleeve because of less chances of dumping and malnutrition, so it depends if those look tempting for you. Though there are 70% of by-passers who also don't dump, myself including. I always wanted a weight loss route that didn't restrict my diet (reason why I hated Keto and other carbs restrictive diets, my binge eating always worsened with them). Even then I took my chance with bypass thinking I shall see when I cross the bridge. And fortunately, I don't dump (at least with some of the sugary and fatty foods I have tried till now). So give consideration to your medical history, your metabolism, stats and pros and cons of each and go with your gut feeling. That's what I did and so far I haven't regretted it *fingers crossed*
  4. catwoman7

    Acid Reflux :(

    acid reflux is the most common complication of sleeve. It happens to about 30% of people. And yes - it can definitely happen that far out from surgery. Usually it can be controlled through medication (like PPI's), but for some people, revision to bypass is the best way to improve or resolve it. And yes - there are some people on here who have done this - hopefully some will chime in...
  5. Percheronfan

    February 2022 Surgery Buddies

    February 2nd was my day. So far, minimal pain. Nothing needed more than Tylenol. I’m surprised. I had the revision from the sleeve to the roux-en-y. Best decision I’ve made ever for myself. This is definitely different in feelings for food-not hungry even the slightest and still cooked breakfast for my Mr with no nausea or desire for a bite. I’ll be full liquid diet for 2 weeks. After the sleeve I kept saying I was hungry and they called it head hunger, I tried to convince myself that’s what it was, lol, but no-i was genuinely hungry. Now working on 64 ounces of water a day and taking my needed meds throughout the day so I can get them all in. Need 60-80 grams protein but not there yet. 10 grams is all I’ve gotten in since surgery. Have been reads it this is only temporary and I’ll be able to drink more of the protein drink eventually. I’ll be honest, the stings from the shots to prevent blood clots is worse than my belly pain. I’ll do those for two weeks twice a day. Done in Iowa and so excited. Oh and I’m in a wheelchair because of fractures in my pelvis. Got an upright walker and am able to start taking steps!! It’s all so new, I’m loving the excitement this has brought with it. Good luck everyone!!!
  6. I had my VSG on 4/8/2013. I lost @50 pounds and gained back about 20. I have several underlying medical issues which complicate my exercise but overall I am usually good with my food intake. Over the last year, I have developed what I think is acid reflux. It is so bad that I can't lie down and my healthy eating is now becoming more bland carb-focused because that's what I tolerate best. Even drinking a protein shake can be bothersome. I have NEVER experienced this before, not during any of my 3 pregnancies or at my heaviest weight. I am miserable! I have tried over-the-counter acid reducers and eat tums like candy. I finally talked to my PCP about this yesterday, she is sending me to a GI doctor. She mentioned she wasn't sure what my anatomy would be like now. That caused me to wonder if I should actually see a bariatric surgeon? I of course started to google and found that this can happen even so long out of surgery and that sometimes revision can fix it. Honestly, I don't hate this idea as id like to lose more weight but more so I just want to feel better. My BMI is 32.1 and I have the same insurance as I did 9 years ago. I'm clearly jumping ahead of myself but was wondering if anyone has experience with anything like this?
  7. liveaboard15

    Lapband to VSG now to RNY

    Yea my insurance specifically excludes bariatric surgery and any complications that it may arise including needing revision or whatever. It sucks.
  8. shriner37

    Hiatal hernia and EGD

    Did your surgeon revise your surgery when they did the hernia repair? Mine said they almost always revise the sleeve to a bypass when they do a hernia repair. I wasn't told why, but am thinking this might prevent recurrence of the hernia in the future, as well as addressing GERD issues that might be more prevalent with the sleeve.
  9. StratusPhr

    Stomach Pain

    I had a revision from sleeve to RNY 11 weeks ago tomorrow. I was severely dehydrated a month ago, uncontrolled vomiting, BAD headache. I should have gone to the ER, but the wait was hours. It took four days before I was feeling better. I am back to drinking Pedialyte again, I was up at 4:30 AM vomiting. I have Phenergan suppositories, it knocked me out but I finally was able to rest. Even when this isn't going on, I can only eat an oz or 1.5 oz at a time. I weigh and/or measure my food. Several times a week an hour or more AFTER eating I'll have been gurgling and then it starts churning right above my breastbone. I know I'll have to throw up. Sure enough I do, and I'll feel better. I am going to contact the doctor; my bloodwork and my next follow-up visit is the second week in March. I want to know if I'm overreacting, if not, how do I word this to him where it makes sense? I am only getting in 30 - sometimes 70 grams of the 100 he wants me to get. I am not taking all my supplements. I took my iron and multi this morning and threw it up.
  10. StratusPhr

    Eating too fast maybe?

    I had sleeve to RNY revision the day after Thanksgiving. I still can only eat 1 oz safely and up to 1.5 oz depending on what it is. Even then sometimes 1.5 hours later my chest start churning and gurgling, and I end up throwing up. I feel better after, but this is happening on a regular basis. Any ideas, doctor is in Dallas, 2 hours away. I'm not even sure how to explain this to him. I was severely dehydrated a month ago and talked to him and had an appointment soon after, a scheduled follow-up after surgery. He doesn't know what is going on now. I'm not able to take my supplement like I must do. Eating is iffy and liquids feels like a full-time job! I'm overwhelmed.
  11. Ephemeral

    January 2022 Surgery Buddies

    Hello everyone! I had my revision surgery on 01/19/2022. I went from lap band to sleeve. Today officially marks 2 weeks post-surgery and I have lost 20 lbs! I dealt with severe nausea, but it's much better now. I feel good overall. Just a bit tired still. Happy to have found this place! ♥
  12. My RNY surgery is tomorrow morning (I have to be at hospital at 0530 for 0730 surgery date!). My Bariatric Surgeon was supposed to do the whole shabang - remove lap band and revise to RNY - in October, 2021 but he only took out the band. He said it was "safer" this way but I was super disappointed. Now I'm just hoping it all goes according to plan tomorrow. Please send prayers for those who pray. This is a game changer for me.
  13. Can’t wait my revision is scheduled for 2/6/22 I’m ready to go through the first hard 3 months of my life, but it’s well worth it.
  14. I had revision from VSG TO BYPASS on 01/17/22 at 3 weeks post op my dr wants me to stop all protein shakes and only eat once a day. Maybe one egg and a little cottage cheese. He says protein doesn’t matter and the shakes will work against me. What do you guys think??
  15. soulfiremama

    January 2022 Surgery Buddies

    I had surgery 01/17/22 revision from VSG to bypass
  16. Flab-U-Less Forever

    What I wish i knew before I had surgery

    I'm sorry you've had such bad GERD. I suffer from it too now which is why I told my surgeon that I wanted the bypass instead of the sleeve. This forum is where I found out about the prevalence of GERD worsening after sleeve. Good luck with your revision!
  17. I♡BypassedMyPhatAss♡

    Getting past the gatekeeper

    I can't believe how much run around some offices are giving y'all! I have my "first" appointment with my surgeon today for revision purposes. Albeit, I'm not a new patient at this office, I want to share how this office works. Yesterday, the patient coordinator called me to let me know what my insurance requires as far as how many visitis, etc., and what costs I'll be responsible for. She said that the way things look right now, I could possibly be scheduled for surgery by the end of March or early April.
  18. Happened to me after VBG I 2004. 12-03-2021 I had a revision to RNY do to complications with Gerd hernias and me closed esophagus. They did not repair hernias. I've lost 40lbs and can barely feel either hernia anymore and can eat without issues!
  19. I've read it's because sleeve surgery can cause high-volume pressure on your remaining stomach, whatever that means. and OP - yes, from what I've heard, the revision can resolve type 2 diabetes and you can lose another 20 lbs or so (most people do lose 20-30 lbs after revision - although some have lost more than that)
  20. I see this a lot on here with GERD after sleeve. It hasn't happened to me . . . yet. I'm wondering why that's a known issue, what causes it? I had GERD pre-WLS and now I don't have it since losing weight. Can I be nosy? If the revision is to correct GERD caused by VSG, does it cost you anything/does insurance cover it?
  21. I was sleeved in September of 2015. Weight loss was moderately successful with some regain. High weight was 300, surgery weight 277, got down to 210 and I'm currently at 233. Goal was 185. I have had some issues with GERD like others. Recently though my hiatal hernia has worsened and I am only able to eat very small amounts of food at any given meal. It seems like I'm back to eating like I did 6-8 weeks after my initial surgery. I reached out to my bariatric surgeon and have scheduled an EGD for next week. From what his PA told me if they do a hernia repair they will want to do a revision to RNY at the same time. He said they do this in most all cases. I was also told that their practice (a high volume bariatric surgery facility) does 80-90% RNY these days with very few sleeves. I've noticed that my type 2 diabetes was initially resolved by the sleeve surgery but my A1C has crept back up to 6.0 and my fasting glucose teeters right around 100. I wonder if the revision will resolve the metabolic issues as well as perhaps helping me lose another 20 pounds or so. Does anyone have any insight into the reasoning behind doing the revision with the hernia repair?
  22. I am in the process of getting a surgery date for revision, sleeve to bypass - & this time around I feel a bit more scared than I did previously with my first surgery. I am worried of complications after surgery, did anyone run into any crazy complications after their revision?
  23. @MAQ You brought up a great point. I’m on low carb/600 calories, 7 weeks out from revision vsg to rny, and my weight loss has been sooooo slow! Only 5 pounds lost in January! I don’t know what to do and my surgeon’s office has been less than helpful. Since I’m in ketosis, I thought the weight would fall off. I didn’t wanna eat too much fat that’s why I didn’t do Keto and figured I have more than enough stored body fat to use. May I ask what your daily macros are How many grams of fat, carbs, protein do you eat daily?
  24. Had revision back in March. Flatulence has been awful. Intolerant to dairy now. So trying Lactose prods when I can. How about you? How are you fairing Sent from my SM-G970U using BariatricPal mobile app
  25. So, now am 3 months out with sleeve to roux n y revision and may have learned a couple things. Was originally on super low calorie low carb diet

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