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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)

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?

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?

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?

@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?

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

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

Best of luck to you. I really would like to know all about this. I’m considering the same thing. My vsg was done in 2015. I have since gained all my weight back. I’m currently on Ozempic. I’m taking it off slowly. But only 20 pounds lost so far. I inquired about the revision and am just nervous. Would love to hear all about it and what it intails as far as a hospital stay. Care afterwards and etc.

Good luck with your revision surgery. Let us know how it goes.

I had another endoscopy yesterday and the GERD hasn't gotten any better. At least the 2 ulcers have healed though. The doctor who did the scope yesterday recommends surgical intervention for the GERD. I can't expect her to know my medical history so she probably doesn't know surgery is already scheduled for March 1st. Hiatal hernia repair and revision of sleeve to bypass. 30 days!! Sent from my Z6201V using BariatricPal mobile app

Howdy from Mankato! I'm using Mayo Clinic Health System down here. Same surgeon as my vsg 7 years ago. I'm revising to bypass due to severe GERD Sent from my Z6201V using BariatricPal mobile app

I had a sleeve 7 years ago and wish I would have known about the high prevalence of damage due to acid reflux after the sleeve. I now need to revise to bypass to stop the damage from getting worse. If you have any history at all of reflux, I'd be talking to your doctor about doing a bypass instead Sent from my Z6201V using BariatricPal mobile app

March 1st here. I'm revising from sleeve to bypass due to severe GERD. Sent from my Z6201V using BariatricPal mobile app

Hi Jerald, thanks for reading all that I hope you'll get over COVID and back to good health soon. So a few things on this. First of all, there can be numerous reasons for making a shorter bypass (see below), and a 90 cm BPL is still longer than many RNY'ers bilio-pancreatic limb bypass (it turns out their afferent limb still absorbs calories). However, while the RNY ends up being almost only a restrictive surgery, the MGB remains a malabsorptive surgery. Most MGBers can eat all kinds of food at reasonable volume pretty quickly. So if we have a malabsorptive procedure, more malabsorption is better, right? Well, generally it's not the malabsorption that helps us. Sure, it's nice to not absorb 300-400 calories or whatever, but it's primarily the fact that the food gets to the lower intestine really fast that makes us lose weight. You know that feeling of 'oh man I had a big meal' you get pretty much immediately after eating anything a little heavier? At least many MGB'ers describe this as tool #1. Why a shorter bypass? Some surgeons want to make sure older patients don't get malnourished (I don't know how old you are). Some surgeons believe a shorter bypass is almost as effective (again, the difference between 150 cm and 250 cm in the studies is pretty small in terms of weight loss. It's the fact that there's a bypass that helps). What if it is too short? Well, then enjoy you had a surgery that's easily revisable. It shouldn't take more than 10-15 minutes in general anesthesia to move your connection further down. Your weight loss seems fine, btw! But if you need to, the inventor of MGB, Dr Rutledge, is very responsive on Facebook and even does free consultations for MGBers as far as I've seen. He really is in it for the health and for the surgery. PROTEIN! Btw: really, really, really try to get that protein in. Especially with a surgery like ours. I also completely lost my appetite during COVID but 60g isn't a lot. Get some of the hot protein cocoa on the BariatricPal Store, the protein muffins, the quest protein chips, the oatmeal ... something. At any age over 40, you want to preserve as much muscle mass as humanly possible. Even a week of atrophy (wasting away muscle tissue) will measurably lower your burn rate. You will regret that later.

The best feeling ever eh after struggling with weight almost all our lives and the same daunting feeling of being watched. Seriously you look great, feel great. What else is there to it. Congrats on your journey. It's funny how this section is right in the corner. 🤦🏻‍♀️ Didn't know this info. It sounds weird considering both RYN and miniRYN have similar routing of the digestive track. 🤷🏻‍♀️ But from some of reviews out here, it does seem like mini has been doing great work. In Canada, surgeries are covered under our medical insurance, but we only have an option of Sleeve or RYN. Not sure why this isn't on the table yet when RYN is. Regardless, I was kinda confused with sleeve vs RNY. But given my PCOS history and ofc GERD associated revision, I ended up choosing RYN. And I think I am glad I did that cuz having gone through post-Op, I don't think I ever want to go back to an OR unless for extrutiating circumstances. Again, well done with your journey 👍🏼 Your advises and posts have been very helpful out here. 🤩

Sorry it took me so long to answer you. I ended up having thighs, gluteal fold excision and revision of bilateral brachioplasty. I came home on Saturday. I’ve basically been laying on the couch, flat with my legs elevated. My incisions go from the front of my groin, all the way down past the lady parts and across the gluteal fold and then vertically down the middle of my thigh and 1/2 way across my knee- that was to help pull up the skin on my lower leg. He asked me if I wanted him to go that far and I said yes. I have 2 drains, one in each leg. Hope I get them out on Friday. I’m glad I did this when it’s cold because I have compression garments from wait to ankles and full length arms. I can’t believe I forgot to take a before picture. I know the doctor has some, I’ll ask him if I can have copies at some point. Pain has been well controlled. I’m impressed with how my thighs look but they are pretty bruised and swollen. I thought my arms looked ok before but they look even better now.

Hello, I’m in the process of getting a revision to my RNY (2004). It’s a “trans-oral” procedure. My stomach pouch has expanded at the junction of the pouch and the intestine that’s connected to it, so food doesn’t stay in it which makes me eat more, leading to regain. They’ll go down like an endoscopy and sew up the pouch, leaving a smaller hole. It costs less than a surgical procedure ( the insurance companies like that).

Loridee, did you lose all of your weight while you had your band? Or did you have more to lose after you revised to bypass? And if so, did you lose your weight slower with the bypass? I'm in the process of revising to bypass from band. My band was removed 4/2021 and now I'm in the process of revising and I'm trying to get an understanding how exactly the bypass is different from the band. I see a lot of people saying it's different and better, but I'm still not exactly sure what makes it different and better. Other than the obvious lack of reflux a lot of banders experienced, myself included.

I am getting RNY on 2/3/2022 in Denver CO. I had lap band in 2014 and worked for a few years but it was causing problems so had it removed in October, 2021 and now getting ready for this revision. I am anxious but nervous that I won't know what to eat, not eat and how fast/slow - I've been so distracted lately. I need to re-read my surgery handbook...

Looking for advice, will try to be brief. Thank you for allowing me to join your community! As the title explains, I have had two operations in the last 12 years. I have had issues with alcohol in the past which led to my revision. Anyway, I will complete a 'my story' post soon. Today I am trying to determine if what I am experiencing is normal or not. Thank you, in advance, for your candid advice. I developed GERD-like symptoms about nine months ago. I tried to moderate it with diet (less spicy / tomato), a few rounds of Prilosec. About seven months ago I gave up all alcohol in-part due to the painful symptoms. I had greatly moderated from my two bottle a day heyday, but I still drank. I am proud of my progress, but meetings may be in my future. At three months, Dr. ordered an endoscopy. I had the procedure October 30, 2021. Results showed that I was inflamed, but no ulcers. 'Just stay on Prilosec, forever if you have to' is the advice I received. After endoscopy, I decided to give up all carbonated drinks (I was hooked on about 100+ ounces a day of Diet Dr. Pepper). My go-to drink is now water. Also have added a lot of unsweetened iced tea and some coffee. A few days after New Year, my appetite started to decline. Just the thought of food was making me not feel well. I work from home and I fell into a habit of: one yogurt in the AM, protein drink at noon if hunger strikes, then just maybe 10 bites of anything around 4pm. Dinner at 7, maybe 20 bites over two hours. Hunger pains come on strong at times, but go away fast with 2-4 bites of anything.. As of today, Jan 23, my appetite is still just about 30% / 40% of what it was. I still find myself feeling like I have to 'force' myself to eat sometimes. Nothing sounds or tastes very good. I had a colonoscopy in December. Came back normal with one non-issue polyup (sp). Last week, I ran out of Prilosec. I decided to see if maybe I could get away with an as-needed solution. Big mistake. For the last three nights I have been awakened with extreme pain in my stomach. I have been taking Pepcid and Rolaids / Tums as needed. I plan to restart Prilosec tomorrow. Not sure why my stomach is still on fire??? I have a rather bland meat and potato diet. I quit alcohol and all carbonated drinks. Maybe a liquid fast and 100 Hail Mary's? This is my theory about my appetite issue: I think giving up the pop has resulted in far less bloating in my small stomach. Perhaps this has allowed it to heal back to a normal, or less inflamed, size. I cannot eat as much, but if I space out my eating, I'm sort of fine. I'm not sure about the mental aspects of this situation or how they corollate in parallel to the physical issues. However, the last time I felt this way (loss of appetite, could barely eat) was just before my emergency revision. Thankfully I have not developed the abdominal pains of that episode, just the eating issue. Just for context: I am a 47 year old male, about 260 pounds. I worry about constriction due to scar tissue, I was warned to look out for this. Thank you for any thoughts or advice! Matt

My doc had a goal of 60% excess weight loss, which was 175 lbs. I chose the mid-point of “normal” BMI range for my height: 120 lbs. I ended up revising my goal and ceased weight loss efforts at 127 because I felt I was looking too gaunt when I reached that number. Am 3+ years post op now and weighed 117.2 this morning. My insignificant opinion is to set a reasonable goal weight and adjust as necessary given how you feel, how YOU think you look, and the efforts you are willing to put in. Good Luck! ❤️

I’m scheduled for RNY Revision Feb 8th from a sleeve March 2016. Wish I would have just gotten the RNY in the first place. But I’m excited and ready.

I started out with Lap Band in 2013 and eventually developed horrible GERD. I was on Protonix 2x daily and it didn't help at all. My overuse of Protonix lead to a kidney stone in 11/2020, so at that point I decided that the band had to go, I didn't want another kidney stone. So the band was removed 4/2021. So now I'm looking at revision to RNY. I wish I had never chose the Lap Band. I was going for the least invasive surgery. And now I have a permanently altered esophagus even with the band removed. I wish I would've known then what I know now about WLS's and the options. I would've chose RNY or Mini RNY from the beginning. My surgeon says that RNY is my only option now, thanks to my history of GERD.

I had the sleeve then due to reflux I had to get a revision to a gastric bypass. I wish I knew that gastric bypass is far more effective for me in regards to weight loss, no reflux and no bowel issues. I would've gone straight to having the gastric bypass. I haven't had any problem maintaining my nutrition. Like the others, I take my MV every day and calcium supplements if I don't get enough calcium from my diet. My sleeve was on the large side so if you do decide to go this route, ask your surgeon what size your stomach will be. Mine started off at 10 ounces. I never stretched it but it was difficult to maintain a calorie deficiency. With the bypass, everything seems so natural for me. I feel great, small amounts satisfy me and literally zero side effects as far as bowel, acid reflux... Etc. Hope this helps.

if you have issues with reflux, then the bypass is the better option. Otherwise, it comes down to personal preference. vitamin deficiencies with the bypass are rare as long as you keep on top of your vitamins. most common complication with the sleeve is GERD. Happens to about 30% of sleevers. Usually it can be controlled medically (by taking PPIs), but there are a minority who have severe cases that only a revision to bypass will cure. most common complication with bypass is dumping. Also happens to about 30% of patients. It can be controlled by limiting or avoiding sugar (and for some people, fat). I had bypass almost seven years ago. Like many of us, I've never had any issues with it, and I would do it again if I had to make that choice today. I've been very happy with it. they're both good surgeries and you'll find many people on here who've had a lot of success with both. Unless you have a medical condition that would make one more appropriate than the other, I think either option would be a good one.