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Question For My Fellow Revisionistas!
CowgirlJane replied to comfortably numb's topic in Revision Weight Loss Surgery Forums (NEW!)
I felt that during certain periods early on that my body was not sending the "full message" early enough. I suspect it was lapband caused espophagus dialation. Like you have similiar capacity to other sleevers, but your body doesn't send the "enough" signal as early. According to my NUT, this is the reason they theorize that some revision patients don't lose as well as "virgin sleevers". My solution was to use the itty bitty dishes and silverware. Focus on eating slow. When I would eat my 2-3 oz portion, but didn't feel satiated, I would wait at least 15-20 minutes before deciding I needed more food. Pretty much always, I was actually satiated, it just took time for the brain to catch up. Then, I went through several months of just having very little interest in food - the forgetting to eat type thing. Now, I am having more hunger and just wanting to eat more. I think this is a fairly typical pattern. I stil use a little 4oz dessert dish as my bowl, and a tiny salad plate as my "plate" and even though I am hungrier/wanting more now, it is still pretty small portions! -
Revision from Lap-band to gastric sleeve.
Alex_1990! replied to Alex_1990!'s topic in Revision Weight Loss Surgery Forums (NEW!)
Yes, I did read that about avoiding the sleeve with reflux and I did ask my surgeon about it. Once they removed the fluid from my Lap Band I have had zero reflux or heartburn since. He said the band was so tight it was pushing up whatever I consumed into my esophagus which caused the reflux. He said he thinks the sleeve is my best option for revision. I really hope it is the right decision! I honestly just want the band out at this point as I have been struggling with it for a long time now. -
I couldn't understand the "reversibility" of the band, like "ah, this skinny thing isn't really for me... I think I liked being fat and unhealthy better. Take it out!" Why would reversibility be a good thing unless there was a high rate of revision caused by complications? Bypass and DS were too extreme.
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My revision is scheduled for January 25th. I will have the band removed and then have RNY done at the same time. Please keep us updated on your progress!
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Obsessive dynamic with food...
stacyrg2 replied to cassandramarie93's topic in Weight Loss Surgery Success Stories
I agree. I met with my program's dietitian on Friday (I'm a sleeve to bypass revision because of severe reflux) and she feels I'm walking down the slippery slope again. since my revision in July, my calories have been below 1000. With my activity level and the fact that my surgery didn't really change my capacity much, she's concerned I'm not eating enough. So, it looks like I'm going down the path I walked last year and hoping to reign in my eating disorder before it again starts to impact my health. It was really eye opening to talk to the program's therapist the first time. I can't remember the exact conversation, but I said something and his response was "and there it is . . . would you like to say hello to your eating disorder??" It took that conversation to shake me mentally awake and realize all I was doing was exchanging one eating disorder (overeating) for another (exercise bulimia/severe calorie restriction) I do believe, and have expressed this to my surgeon, that patients should be required to have some sort of therapy post surgery (if not required, then it should definitely be made available.) The program's therapist said that approximately 15% of patients end up with some form of disordered eating after surgery. In my mind, this number is too high. -
How to tell your friends and family that you are having WLS surgery
jodie1961 replied to Mellie May's topic in PRE-Operation Weight Loss Surgery Q&A
I have not told all yet. Of course my husband and grown children know. They all are supportive. I have 1 friend and one co-worker/friend that I nearly had to tell, as she is who I report to for time off, and the many doctor appts I have been to. My hesitation is that I had the lap band several years ago (which I will have taken out, then revision to RNY) and it didn't work. Even had a revision surgery on it. After the first surgery, I did tell all, and nearly all were supportive. But, now I am afraid some will judge me because it did not work, and this is even more intrusive surgery (and the easy way out as I have heard some of them say about others). So, I haven't even told my mother this time. I guess they will find out at some time, but would like to learn my new way of eating and dealing with food/emotions/situations without the eyes of the world on me. -
How to tell your friends and family that you are having WLS surgery
Tgarden replied to Mellie May's topic in PRE-Operation Weight Loss Surgery Q&A
Hi there! You all have such great advice and insight as to who to tell and when. I had lap band several years ago and mine did not work at all. The only people who knew were my husband, my mom, and two friends. I didn't want many people to know because I didn't want them constantly "monitoring" my weight as time went on, and didn't want their assumed judgement if I should fail. Well, I did fail with the band. Or, the band failed me, depending on what research you look at. Now that I am about a month away from my revision to bypass, I feel like I'm in the same boat. My husband and mom are supportive, and I need to tell my children next. I worry about how to present this to my 16 year old daughter, who has a precarious view of her own weight right now, even though she is very thin and healthy. I think she worries that she will turn out like me. I know what that feels like, as I have spent a lot of my life worrying that I would end up like my sweet mom. She is close to 300 pounds now, and I just don't want that for my life. I need to find a positive way to present things to my daughter and focus on the HEALTH aspect instead of the outward appearance part. As for my other friends and family, I think I might wait until people start to notice my weight loss, then begin to tell people. I just don't think I could handle my (well meaning) friends always checking on me and wondering how much I have lost from the very beginning. I need to get a handle on it myself first. -
SIPS Procedure 5 Years After VSG
Fat Brando replied to Fat Brando's topic in General Weight Loss Surgery Discussions
Well, I had the procedure on Tuesday. Woke up in the ICU so they could monitor bleeding issues. Pain was pretty intense when I woke up. They had me stay an extra night in the hospital, but eventually moved me to a regular room once i pooped and had a positive upper GI xray. I'm back on a clear liquid diet for the next couple weeks, then it's into full liquids. Christmas is gonna be a pain in the ass. Since I wasn't resleeved, and can't find many people who have had SIPS as a revision to VSG, so I'll try to post my experience here. Day 2 post op... 6 incisions, painful shoulder gas, hurts to stand, get a little nauseous and tired when walking... but I'm doing it . 6'2" 354lbs going into surgery. 356 today, but I think that's normal. The drop should start in a day or two. I'm currently coughing and hicupping a lot, which hurts like hell. Also, I wasn't given pain meds (for reasons listed above). I'll post more as it happens. -
CAN I GET "RE-SLEEVED"???
Tiffykins replied to soontobelovely's topic in Gastric Sleeve Surgery Forums
It's a very tricky surgery, and only a good revision surgery should evaluate your sleeve and see if it's possible. It would be interesting to know what you can eat, and how much you can eat only because it's good for the research stats. Do you know what size bougie your surgeon used? Was he/she experienced? Those are some things that would need to be answered, and I wouldn't go back to the same surgeon if they didn't perform the surgery properly. Getting the sleeve smaller is very risky, and is not recommended. Typically, a revision to the full DS or RNY is a better option if a restrictive only procedure did not give you the results you were seeking. -
With erosion there is no choice, you have to remove the band. The issue you want to consider here is if you want to revise to something else and if so, what. The only other "restrictive only" procedure is a sleeve and quite frankly, it's a lot safer than bands long term. It is far easier for a weight loss journey as well, I know... I've had them both. ;o) Something you will want to discuss with your doctor is if you do want to revise to something else (sleeve, bypass, DS) can it be done at the same time. The answer is likely to be no. Please do not get another band, if you erode once you are very likely to do so again. The new bands not eroding or having less chance for erosion is a sales pitch only, not proven. Consider this, unless someone is wayyyy too tight for wayyyy too long, they don't even know what causes erosion. If they do not know what causes erosion how can they prevent it? The claims about the new bands are bogus. Slips are increasing just as they were with the old bands and erosion is the same. They used to think that smoking caused erosion but then they figured out non smokers were eroding at the same rates as smokers. Then they thought it was NSAIDs. That turned out to be untrue. Then they blamed caffeine. Considering erosion happens from the outside of the stomach I'm not clear on why they ever considered NSAIDs and caffeine. One line of thinking is the stuff they use to sterilize surgical instruments. Some believe the residue is caustic and when they use that instrument on the next person it burns the tissue on the stomach a bit and that is the start of erosion.
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Worried About How Little I Can Eat 4 Months Out.
Wheetsin replied to TMyers1471's topic in Gastric Sleeve Surgery Forums
A few more things to keep in mind. The density of the food absolutely matters. Your body size matters. I thought restriction with my sleeve would be consistent - but it's not really. So things like day, time of day, etc. really matter. I've pretty much given up dinner. It's just not comfortable for me to eat at night and I don't want to risk the reflux by pushing it (that's part of why I'm still not up to a realiable 600 cals/day even at 5 months out). Size of your stomach matters. They remove the fundus/greater curvature, but some stomachs are longer than others. Volume-wise - probably under 1/4C for me most of the time. There have been a few exceptions. I also do not count my intake as "what I can eat in 20 minutes". I count it as "however long it takes, until I'm satisfied or think I just need to stop." It can matter if you're a revision, too. And the location of your scar tissue. -
@@jhayden1 Had a successful band for 7 years, and just recently revised to a sleeve (preventive more than necessary) but yes, unfortunately I remember those days before the first fill. Some people had restriction with just the band alone, unfortunately, I was not one of them lol. You'll also be having quite a bit of false hunger sensations and that's from the inside healing and/or acid. Congratz and am excited for you. I loved my band
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2 days post op liquid intake?
CheLss182 replied to jennybeck78's topic in Post-op Diets and Questions
And I'm also a band to sleeve revision -
I've been in a 2 1/2 week stall, it's driving me crazy. I'm trying to be patient because I've read enough threads to know its common but that crazy voice in my head keeps saying "this isn't going to work like the band" I'm going to have my husband put the scale in his car so I can't weigh every morning! Revision 1/31/13 by Dr Cabrera and Venezuela in MX
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That's good news for your husband! I am sorry that you are going through all this. Would you be denied from your surgeon or insurance? I thought it was pretty common these days to have the revision. I started at 40 bmi (back in August) and was so nervous I was going to drop below and get denied - that I unintentionally gained more weight over the course of 9 months. My process was a bit longer than most, because I was on anti-depressants, but not seeing a therapist. They wanted me to do 12 weeks of therapy. When that was completed, I was weighed in and was told I needed to lose 15lbs to before I was even allowed to meet with my surgeon. It never dawned on me that sleep apnea (I had just been diagnosed) would be considered a co-morbidity, until my nurse confirmed it. Extra anxiety over nothing. You should contact your insurance/surgeon and ask, just in case. Keep me posted on how you both are doing!
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Deffanatly get your band checked there have been many bad side affects from it and many revisions to the sleeve or rny due to weight gain and your body not tolerating it. The only able to take 2 bites at a time sounds like that. I am currently going for a revision to rny cause I have gained back all my weight and now have GERD from the band. I have an intolerance to the band as well regular PBing no fun. Good luck and msg me if you have any questions. Sent from my SM-N910V using the BariatricPal App
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While some posters are recommending revisions, I'd say that your issues are emotional rather than the band not working. You've learned how to eat around it and that's the problem. Talk to the doctor, be honest with him or her, and see what he/she says about fills vs. a mind reset so to speak. It might behoove you to consider working with a therapist. I do. She had been banded at one time and understands better than most, how to help me to navigate the world of successful WLS and more importantly, how to maintain that success. Good luck and keep us posted.
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surgery switch not welcome news
DLCoggin replied to rhfactor272's topic in General Weight Loss Surgery Discussions
There are approximately 160,000 bariatric surgeries performed in the U.S. every year. If you personally knew 1,600 friends that had the same experience, that would be 1% of the U.S. surgery population for a single year. Consider re-visiting your logic. Do you really want to make a decision as important as this one based on one person's experience? The majority of doctors do not recommend the sleeve for patients who have a history of GERD, even in the absence of Barrett's. You don't have to look any further than this forum to read stories from folks who have had the sleeve and are now having revisions to the bypass because of severe reflux issues. The sleeve is a highly successful, safe and effective option with a slightly lower complication rate than the bypass. But in your case, your doctor is making a medically based recommendation that the bypass would be a better choice. If you're not comfortable with that recommendation, then by all means seek a second opinion. To walk away from this life-changing opportunity to live a happier, healthier and longer life, free of obesity, is a terribly high price to pay based on one friend's experience. Go for it! You're gonna love the new you!! -
The website is www.TrinityMedical.org. I understand there's a new, revised website in the works. I know that they're running a New Year special for $3999.00 - offer ending soon. My Uncle had surgery there and is down 34 pounds his first month. Everything is clean, each patient has a private room with a private bathroom, and there was no pain, no vomiting, no nausea post-op and saw Dr. Gutierrez before surgery and 5 times post-op! Dr. Gutierrez personally pulled my Uncle's drain tube and reviewed his X-ray. Couldn't ask for better service, professionalism and a great quality surgery. His incisions look like paper cuts because all the stitching was done from the inside out and not Frankenstein style stitches like I've seen from patients that came from Almanza while were waiting in X-Ray and sharing experiences. All the staff at Trinity Medical speak English, and super accommodating. This is Obesity Control Center quality at Almanza prices. I am definitely recommending my friends and family to Trinity Medical. I also hear they do Plastics, too. Dr. Gutierrez does a maximum of 5 surgeries per day and we had our nurse/concierge, named Nathan with us 24/7 during our stay. He even went with us to X-ray.
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Georgia Surgeons - where did you go??
_kimGA_ posted a topic in General Weight Loss Surgery Discussions
I am from atlanta and looking to get a revision ! I previously had the sleeve. Any suggestions on surgeons?? I will be self paying as my insurance does not cover 😞😭 Has anyone else had surgery in Georgia and have a surgeon they love?? Anyone had revision surgery here in Georgia? I previously had my sleeve surgery done with Dr Richards at Gwinnett but wasn’t too thrilled. -
Laying here in the hospital trying to sip my oz of Water. My surgery lasted like 4 1/2 hours. Turns out my prolapse had adhered itself to my liver, so they had to remove scar tissue from my liver Andy stomach. Just got my catheter out, o2 turned down to one, now if I could just stay awake b Pain is still pretty bad when I try to get out of bed. The pain is just on by side. The big incision they take everything out of that corresponds with the liver repair.
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What are the magic words you need to say to get approved for revision?
peacheeie replied to OldMomOf3's topic in Revision Weight Loss Surgery Forums (NEW!)
First of all, anything is,possible...trust me. My story is very similar to yours although I really didn't have any issues with the band. My doc said that the band failed me, I did not fail the band! Lost about 100 lbs starting in 2007. It took many fills and tweeking to get me to my sweet spot. Found it and worked with it. In the summer my port started shifting so I went in for a port replacement and woke up with the entire band being removed due to erosion!!!! I was shocked, sad and feel like someone took the only thing that had ever worked for me in 30 years away just like that, snap!! I immediately began the revision proceed but with a BMI of 26, there was no way. I tried, I truly did to keep the weight off but at 50 lbs additional and 2 co mortalities I was approved for the sleeve. Had it done 1 week ago from tonight and it was the best thing ever. I have CIGNA and I had a tough time, but other people have had smooth sailing with CIGNA...I just can't figure them out. Make sure you find out if your ins will only cover 1 bariatric proceedure a lifetime. Sleeve is fantastic so far -
Thinking about revision
thinblueline replied to Ms. Thompson's topic in Revision Weight Loss Surgery Forums (NEW!)
Can someone tell me what is "revision" mean is it a surgery of some type i am just curious. -
That is amazing. I am 3 weeks out and am on track for a similar loss (but since my pre-op diet). My experience from the sleeve (I had a revision) is that it is a slow and steady loss. It doesn’t drop off rapidly. Just keep up the good work!
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Sleeve revision to mini vs full bypass
gabybab replied to Missynik's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm considering a revision as well. I'm 8.5 months out and stalling. My Dr reccomend the ds, but I chose the sleeve. Wondering @GreenTealael are you asking about the other surgeries ds/sips because it is a better choice than rny? Good luck on future decisions!
