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I'm a little over a year post-op revision and I still have "dumping" episodes a couple times a week. It was MUCH WORSE the first couple months after surgery. Unfortunately, there isn't really any rhyme or reason to when I dump. Yes, high sugar and high fat items are sometimes a trigger, but overeating anything can have the same result. I get hot flashes, then severe bloating followed by diarrhea. But, dumping does keep me honest when it comes to watching what I eat. And I have to be super careful about my eating when I'm not at home!

Until about 18 months ago I did not know that RNY revisions were even possible. Had I known I would have had done it long ago. Medical science has come a long way in 30 years! My original RNY was done in 1990. It failed after 6 months and a 75-lb weight loss. I regained the weight lost at about 10 lbs a year, returned to my original high weight of 300+ lbs, and stayed there for over 20 years despite many efforts to lose. Over the years my pouch stretched from 2 oz to 9 oz, the anastomosis stretched, and a fistula developed between pouch and stomach (which was not separated at that time). The revision will reduce the size of the pouch and anastomosis, and will separate the remnant stomach. My surgeon estimates I'll lose another 60 lbs over the 50 I've lost pre-surgery. I'm hoping for another 75 lbs. Either way, I'll still be obese, but in better shape than I am now.

How are you doing since your revision? I hope all is well ☺️

If you don’t mind me asking, why do you have to get revision?

I'm 2 months post-op, I'm on 80mg of pantoprazole, not on puree stage yet. I just got off of my PICC line yesterday. It seems like for the past 1-2 weeks the GERD has gotten worse, which is also when I started drinking a regular amount. I'm only drinking gatorade zero and 2 shakes. I have so much flem and saliva now and it also hurts. I had GERD, gastritis, and a small hernia prior to surgery. Does it get better as time goes on? Is it just worse in the beginning months or do I need to start looking at options (revision etc)?

I agree with tek. Your surgeons office will be the advice you should follow. However, after I had my revision (for gerd) I drank liquids pretty well right after. I managed broth, crystal light and water for my meals in the hospital the first couple days with no problem. After that I was on full liquids (including pudding and jello) for 2 weeks then purées for 2 weeks. With a revision you won’t have a pyloric valve so liquids will likely be easier but as you move on you’ll feel restriction from food.

I don't know about revisions, but at my clinic, they had the sleevers and the bypassers on the same eating plan.

there are food restrictions the first few months, but after that, there aren't any limitations as long as you can tolerate whatever the food is (I can no longer tolerate really high-fat meals - and it's not uncommon for people to develop things like lactose intolerance after surgery - but you won't have any restrictions per se. I'm "allowed" to eat anything - and have been for a long time). I was never a big drinker even before surgery - I'd just have an occasional glass or two of wine. We weren't supposed to drink for the first year (according to my clinic, anyway), and I didn't at all for the first three years. Now I'm back to having my occasional glass or two of wine - by which I mean, maybe four or five times a year. So for ME, I don't notice any difference...other than alcohol hits me a lot faster than it did pre-surgery. taking vitamins becomes pretty automatic after the first few weeks. I don't even think about it anymore. I take a small handful when I get up in the morning, a smaller handful around dinner time - and my iron and vitamin C before I go to bed. complications aren't common and most are minor and "fixable". The most common one with sleeve is reflux, which in most cases (if you happen to develop it) can be managed medically. In severe cases, there's always the option of revising to RNY - although I don't know how common it is for it to get to that point. Might be worth asking if you're concerned. I didn't mind the puree stage. It was a relief after being on all liquids. If you're not crazy about the puree stage, just keep in mind that it doesn't last very long. You'll be on soft foods - and then solid - before you know it. it'll be pretty obvious to others the first month or two by how little you can eat that something is "up". I mostly just tried to avoid going out with people so the question wouldn't come up - or I'd suggest meeting up for coffee or tea or some activity instead of a meal. After that, for several months I'd just claim I wasn't very hungry and order an appetizer or some soup or chili. Now I'll sometimes still order that - or if I do get an entree, I'll eat half of it and have the rest boxed up. Pretty much the same as a lot of my never-been-obese women friends. No one can tell anymore that I've had surgery. Basically, this will all take some getting used to - it can be overwhelming at first - but after the first few weeks, it really isn't. And you're right - pre-surgery nervousness is pretty common. I've had four surgeries in my life, and I get nervous every time - but they've all gone off without a hitch!

You're just over a year out from your revision. How are you doing? I'm looking at a sleeve to RNY revision just after the first of the year. What should I expect? Thank you!

My revision was for GERD not regain so I can’t speak to that, sorry. What I have heard is that the weight loss from VSG to RNY can be slower and lower but every body reacts differently. I initially lost about 10/12 lbs but I have bounced back into my pre surgery range (I was already at my goal) I am happy to say that the symptoms of GERD have not come back so I’m very happy about that.

I'm going in next Wednesday for revision from sleeve to bypass, very excited to start this journey again! For those who went through this already, I was curious about eating/drinking after the surgery. After my sleeve, they had me eating real food the next day, starting with eggs for Breakfast and then for other meals chicken salad, egg salad, tuna salad, blended very smooth. I was able to take in about 4-6 oz per meal with no problem, also got my liquids and Protein in. I know that the bypass pouch is significantly smaller than the sleeve, so I was wondering what the diet is like after surgery. I know they want us to drink 64 oz of Water a day, but is that even possible with such a small pouch? Thanks!

I'm going in next Wednesday for revision from sleeve to bypass, very excited to start this journey again! For those who went through this already, I was curious about eating/drinking after the surgery. After my sleeve, they had me eating real food the next day, starting with eggs for breakfast and then for other meals chicken salad, egg salad, tuna salad, blended very smooth. I was able to take in about 4-6 oz per meal with no problem, also got my liquids and protein in. I know that the bypass pouch is significantly smaller than the sleeve, so I was wondering what the diet is like after surgery. I know they want us to drink 64 oz of water a day, but is that even possible with such a small pouch? Thanks!

Thank you so much for this post. I'm planning on a sleeve to RNY revision right after the first of the year. I was wondering if I'd lose some of my regain (45 lbs), I have severe reflux and a hiatial hernia. If I can lose some weight on top of hopefully fixing the reflux and non-cardiac heart pain from the hernia, it will be a great 2022!! I am with you, dumping and not worrying about regain, at least not much, is worth the trade off!! Again, thank you. If you have any helpful hints about eating/getting through the first couple of months, I'd appreciate it. I cannot imagine eating baby food. What protein did you find easy to get down the first two weeks? Again, thank you!

Did you have surgery due to regain or for medical a medical reason like reflux? How much have you lost since RNY? I'd like to lose some of what I've regained, but the reflux is the main reason I'm planning on getting a revision. I just want to get an idea of what to expect.

That is odd! I am having revision to bypass to alleviate my severe GERD so this doesn't make me feel entirely too good! I hope you find answers with you endo/contact with your surgeon, good luck!

First of all, I just want to say I'm sorry you're struggling and I hope you know you're not alone. The last 2 years have been brutal for a lot of us and there is no shame in any if it. That being said, before you move on to revision/bypass, have you reached out to your surgery center and/or dietitian? They should be able to offer some guidance on how to get back on track. Most suggest going back to the basics: weigh and track everything, prioritize protein, get your fluids in, move your body everyday, etc. If they aren't helpful or available to you, maybe ask your PCP for a referral to an RD? Sometimes we just need someone to point us in the right direction. Also, have you gotten support for your mental health & wellbeing? Making sure you've dealt with the junk internally is SO important. If not, that might be a really good place to start. A few sessions of therapy can go a LONG way. Maybe do some reading on emotional eating or whatever patterns you find yourself falling into. Knowledge is power! Revision is always an option, and there is absolutely no shame in pursuing it. But it's not the only option. You already have the tools, maybe you could benefit from some guidance in how to start using them again? Whatever you decide, we wish you the best! Sent from my SM-A205U using BariatricPal mobile app

I received gastric sleeve in 2019 and was doing really well until covid hit. I lost my job and staying home when it first hit really made me depressed. Now I cant lose any weight i just keep gaining and gaining. Im trying to get some advice on if i should get revision surgery or bypass.

I am scheduled for Dec. 17th in Mexico at OCC. I had gastric plication there 9 years ago and I'm getting a revision to a gastric sleeve.

My surgery date is Dec. 17th in Mexico... Plication to sleeve revision at OCC

I am having a RNY revision on Dec 13. I had my first RNY in 2010, lost about 130 lbs. I’ve gained about 40 back and have developed a hiatal hernia, so I’m getting the hernia repair and he will be further reducing my pouch and tightening my stoma.

Me! I’m having surgery Dec 3 in Atlanta. I had lapband in 2010, lost 90 lbs. It slipped and almost killed me in 2014. Had revision to VSG in 2014 and now revision to bypass bc of severe GERD. Have Grade D esophagitis and been on protonix for years. Can’t wait to not have GERD anymore. Have gained about 10 lbs since 2014 and my weight right now is 154. Hoping to get down to 130’s. We will see if that happens!

@shopgirl Maybe.. I was there so I figured might as well. Fears? Complications. For sure. Fear of getting VSG and having to revise to RNY. Fear of something so permanent and not being able to go back. Like, if something does go wrong, I can't have a "re do." I was panicking thinking of them sucking my stomach out through my belly. I asked in my pre-op if I could pre-medicate and was told no, that they'd give me something in my IV. I told them I might not make it to the hospital. I wasn't joking. My husband was concerned that they wouldn't even operate on me considering I was in a huge panic.

I know every surgeon is different, but I to- went in to speak with my original surgeon about a resleeve procedure and he advised that is was a bit of a tricky procedure and heavily weighed on whether there was dilation of the pouch and/or scar tissue. We decided against it and I'm currently in pre-op for revision to RNY (GERD, weight gain) Of course, do what you feel is appropriate for you, but make sure to ask a lot of questions because I didn't take a lot of things into consideration when bringing the idea forward. Good luck!!!

I'm heading into month two of my initial consult on revision with my surgeon with being self pay. I'm hoping I can get a surgery date soon but really the time has been scheduling discrepancies. So like many have said, I think it really all depends on your surgeon/scheduling. Good luck!!!

Underwent a revision and hernia repair on Nov 5th. Lots of bloating but it’s getting better. Good luck everyone!