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The learning curve is steep for me this time around. I was revised from VSG to bypass recently. I really have to watch the size of my bites now, it has to be really super super suuuper tiny or I risk feeling plugged or get pressure in my throat. If I do that, I'm good to go. I know that as time goes on, I'll be able to eat more at one sitting (I fear that actually lol) but those of you who are further out, do the size of the bites also change? No complaints here, I'm so glad I did this but I'm curious how things will change with time. Thanks in advance.

My surgeon gave me ondansetron sublingual pills, and many refills. I didn't need it but it was nice having it available if I did. I needed it when I had my VSG but not for the revision. It worked within minutes back then. Perhaps you can give your team a call and see if they can give that to you. As far as restriction, I felt it as soon as I went to solids.

Hello I'm 3 weeks post op sleeve revision to bypass. I don't feel any restriction and am able to get in all my protein. On to pureed and yesterday I tried some pureed chili and have felt awful since. I am very nauseated. I don't think it's the chili anymore but perhaps I'm moving too quickly to pureed foods. With the sleeve, I could tell right away if I was full. With bypass, I'm not feeling restriction so it's difficult. I have been weighing and tracking everything. I'm hoping once I'm healed I will feel some restriction. I'm not getting in 64oz of fluid and I'm wondering if this could be the issue. Why are we so dehydrated after WLS? UGH. I love bypass as I had complications with the sleeve right out of surgery. Is there anything I can do for this nausea? I have read some older posts that the 3 week mark tends to be like this but improves around 6 to 8 weeks. I hope so cause I feel pukey. TIA ❤️

Hi! I am having lapband to gastric bypass revision done this Thursday September 30. Anybody within a few days of that date? I need a surgery buddy! 🤗

Hi! I am having revision from Lapband to gastric bypass this Thursday sept 30. Would love a buddy to go on this journey with! I am so beyond excited for my surgery

As others have indicated, there isn't a lot of difference, once beyond the first few months' transition period, between the two as far as eating and socializing. We eat out monthly with a group of DS patients (somewhat more extreme malabsorption than the RNY - no dumping tendencies but sometimes reputed to be worse on potential bathroom issues) and you can't tell who is who - DS, RNY, VSG or no WLS. There is a transition period the first few months or year where the body is adjusting to the changes, both physical and dietary, where GI issues are not uncommon (do a search for the Al Roker White House SHART story; yeah, he pooped himself at the WH.) The VSG leans more toward constipation for a while (RNY can, too) but that's primarily from the limited diet - lots of protein and minimal carbohydrate/fiber and fats to keep things moving,) Fiber supplements are the order of the day for a while, and probiotics can help with general adaptation of the gut. The RNY will be somewhat fussier on supplement need, all things being equal, to counter the malabsorption. That usually isn't a problem if people are reasonably diligent on such things, but can be problematic if one tends toward being overly casual on such things. Some things may not respond to normal oral supplements; infusions to maintain iron levels are not unusual with the RNY (or DS) but are uncommon with a sleeve. You may run into medication tolerance issues - NSAIDs are the most common class of drugs that are sited (a big NONO with the RNY, but a better tolerated little nono with the sleeve or DS) but one may run into other drugs during ones life that may be restricted with the bypass (some of the osteoporosis drugs come to mind.) Other things that may be of concern, particularly as we get older, that aren't specifically lifestyle oriented are some common medical treatments and diagnostics are off the table with a bypass - owing to the blind remnant stomach and upper GI, a number of common endoscopic procedures aren't available (they're available by normal surgical means, but not endoscopically.) You mention longevity, which I assume you are referring to longevity of weight loss or resistance to regain. From what I have seen over the years, there doesn't seem to be a significant difference between the two - people seem to be as prone to major regain problems with either, to a roughly equal degree. The caloric malabsorption of the RNY tends to dissipate after a year or two, so metabolically, one is left in about the same position as one who had a sleeve (though the bypass patient may have lost weight a bit more easily.) To get a significant difference in regain resistance, one needs to look into the DS, particularly the "traditional" BPD/DS. It has a somewhat different set of trade offs, but is worth considering (particularly since the bypass is so difficult to revise if it doesn't yield the desired results.) Good luck - lots to think about, and none of it is easy!

Yes. Every year after my vsg surgery, I did two things: Full blood test and have a check up visit with my team including a barium swallow to check my sleeve. I was always paranoid I had stretched it. I will probably do the same now with my revision. Sent from my SM-N986U using BariatricPal mobile app

I usually try to get 1.5 servings of fruit per day and I always try to get some veggies in. Right now since I'm close to 7 weeks post-op revision to RNY, I am still keeping it in liquid form so I make a protein shake. I put a tablespoon of Genepro, baby spinach, 1/2 frozen banana, 4-6 strawberries (sometimes add plums and/or mango) with unsweetened almond milk (or lowfat kefir) and ice in a blender. Vegetables I've been either air frying zucchini or putting napa cabbage, spinach... Etc. in my broths.

Here’s the thing…the smaller u get the less your caloric needs get. If you want to lose more weight, you are going to need to cut your calories. I don’t know what ur cal level is now, but 1500 cals on a 300 lbs frame will lose weight faster and more consistently than the same amount of cals on a 145 lbs frame. (Not counting activity level, of course) I originally set a goal of 120. I revised that to 127 as I wasn’t liking how i was looking (think: Skelator). I ended up losing a bit more in my attempts to adjust to maintenance calories, and this was due to the fact that I just wasn’t eating enough to sustain 127 lbs. I got to 127 in 7 months, and stabilized at 115 around 9-10 months post op. Im still 115 now at 3 yrs out (and actually happy with it as my skeletal look has more or less gone away…thanks carbs, lol), and i average 1800-2000 cals a day, with moderate to slightly high exercise. Edited to add: im boringly “average” in the sense that i have no medical conditions that would impede weight loss nor do i have an abnormal metabolism given my size or activity levels.

No problem with sleeve recovery. A few days of gas (took GasX which helped tremendously), sore stomach feeling like you did a zillion sit-ups, and sleepiness is what I remember of that surgery. My mistake was that I had reflux before VSG, hence my reflux got much worse and I had to get a recent revision because of it. That side affect wasn't well known when I got my VSG like it is now. My sleeve was done by a conservative surgeon who made the pouch 10 ounces which is much bigger than most but it still affected my appetite and definitely affected how much I could eat at one sitting. One cup of food was always my max throughout the years. I recommend all WLS once you find which one suits your needs. They are a great tool. I always feel blessed that I had the option.

Unfortunately, I lived that way for years and just recently got a revision from sleeve to rny because of it. If you haven't already, please see a doctor to see if they can help you. Maybe a PPI can help you. It is a hard way to live longterm. Sent from my SM-N986U using BariatricPal mobile app

You can try "lifestyle remedies" like elevating the head of your bed on bricks or whatever, not eating for the 4 hours before bed, avoiding foods that may be a trigger (tomatoes, greasy food, spicy food, alcohol, chocolate, peppermint, etc). If none of this works (there are other lifestyle remedies that I may have forgotten - try googling) you may need a revision to bypass unfortunately. It's a very common problem. Good luck!

Highest weight (sleeve 2017 ) 285 I only got down to 210. Bypass revision due to GERD and regain (dec 2020) 242. Current weight 160. Those are my stats. I have found that with my revision surgery, I am losing weight slowly but steadily. I’m happy with this though and I’m at my lowest I’ve ever been in my adult life. Also, my GERD is gone :) All the best to you

I will be undergoing sleeve revision to roux en y. One because of reflux but more importantly for weight loss. I lost 90 lbs. 7 years ago with sleeve and gained back 65. How much should I expect to lose? I have a new surgeon who I like much better and he is more concerned with my health and I can already see their follow ups will be much better. I am not screwing this one up. SW 250 Lowest 159 CW 225 GW 185

Easy recovery here (both VSG and revision to RNY for gerd) and I was so paranoid that every year I went in for a barium swallow to look at my sleeve. I kept thinking I stretched it or injured it blahblahblah even though I could never eat more than a cup, even years later lol. You're good. Once you hit solids, it'll be a whole different ballgame.

Sounds good to me. When people have pain drinking fluids, sometimes it is a red flag of something potentially wrong since liquids go right through all of us. I was like you with my VSG and I was that way right after my recent revision to RNY. I think the reason we hear about those having difficulty is because they are prone to write and ask about it here and I certainly don't blame them because for example, when I had a huge lump under one of my incisions, I mentioned it here. You're good. Congrats on your surgery!

If you have GERD, RNY gastric bypass is the preferred revision. It usually cures GERD.

It’s up to the discretion of the surgeon (and severity of the GERD) I think the weight requirement is not the main qualifier when revising for GERD.

Did you also gain some of the weight back? Don’t you have to be a certain size to qualify for revision? Especially with insurance? I mean will a dr do it even for gerd if you are near a healthy BMI?

that seems to be a fairly common revision for GERD sufferers. I'm sure some others will chime in, too (I've never had a revision - but several people on here have)

Hi all, I had VSG back in 2014, and have been good. I developed bad GERD and am converting to bypass on October 1st. Does anyone have experience with this type of surgery? I would like to lose my remaining weight too, but don’t know how much a conversation will actually help you lose. Not having regurgitation will be with all of it though!!

What a wonderful outcome! The 56lbs you lost was that after the revision? I go in for revision next week and have been looking for others experiences. Thank you for sharing and congratulations!

Interested in this as a possible revision option. I had my VSG in January 2016 and have had a regain of 20 pounds but never actually reached my goal weight. Wondering about the insurance coverage though. Don't want to pay out of pocket if at all possible. Sounds like recovery is much like VSG just without the abdominal incision. Going to get in touch with my surgeon and see if its a possibility for me.

I don't think most policies cover revision unless there's some sort of mechanical failure with the first surgery, or if there's some medical issue like severe GERD. And some won't even cover things like that - I have a friend who's had horrible problems with her 10-year-old lapband the last couple of years (constant vomiting, etc), and her policy refuses to cover a revision. Although keep checking around - hopefully you'll find one that does. A majority don't seem to - maybe a few do...

I’m almost 2yrs out from my VSG and a little over 13 months out from a VSG to RNY (gerd) revision and the hunger pangs do get better after being on more solid foods. With VSG it doesn’t take away all the receptors for ghrelin because they’re all over the stomach but does remove most of them as the stomach is greatly reduced in size. Staying hydrated really helps as does trying to keep yourself distracted. I also found saving a meal or snack for about 30 minutes before bed really helped me stay asleep longer so I wasn’t waking up hungry.