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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.

I'm so interested in what folks have to say about this. I too had the sleeve and my Gerd disappeared but now 3 yrs later and almost all my weight gained back in the past year due to personal loss that caused depression my Gerd is back worse then ever before. So I've been thinking about revision surgery.

I am curious as well and will be converting from lap band to a gastric bypass. So I am looking for information on anyone who had a revision.

Having my Lap-Band converted to a sleeve. I had to have all the fluid taken out a few years ago due to a hiatal hernia. Anyone else have the revision? How different is it afterward?

Hey everyone! I'm sure there are many posts on here for revision but I'm in need of some help. I'm 7 years out of VSG surgery and am embarrassed to say I've gained everything back. The only excuse I have is life got in the way. I've been in touch with my surgeon and have been discussing revision surgery. My issue is, I do not have the same insurance (Aetna) now that I did when I had my original surgery. I'm having a hard time finding an insurance that will cover a revision. My current employers' plan does not even remotely cover anything bariatric wise so I'm hoping you fine people can give me some info of where I can turn. I thought I found a decent multiplan but I've since been told they do not cover bariatric surgery either. Thank you all for your time.

I wasn't a sleeve but my insurance only pays for one surgery so I felt I had to make the best decision the first time. I knew there would be no revisions. I finally decided since already had severe GERD the RNY gastric bypass was the right surgery for me. My doctor asked about a DS and I decided I didn't want that. I've never regretted my decision.

I wasn't a revision, but I chose bypass from the start because I had GERD pre-op. I'm still happy with my decision and i'd make the same choice if I had to make it today. As you said, bypass usually (not always, but usually) greatly improves if not outright cures GERD. Sleeve has about 30% risk of making it worse. I didn't want to take the risk.

I had my original sleeve done in 2016, went from 290 pre-surgery to 195, felt fantastic, no problems at all, they even invited me to have my picture taken for the doctor's advertising! Then I had some personal and professional problems and managed to gain EVERYTHING back. I met with my doctor and he recommended revision, which I am scheduled for some time in November, currently getting my clearances. He said after my endoscopy we'd discuss whether to re-sleeve or convert to bypass. He said if my sleeve was still intact it would have to be a bypass, but if it was dilated I could choose. I had my endoscopy last week and the sleeve is indeed dilated so now I have to make a decision. Another factor is I've had GERD for over 10 years and take esomeprazole daily which helps a lot but I've heard it's not great to take that forever either. I've also heard that bypass usually cures GERD, so that's another consideration. I'd love to hear thoughts from anyone who has either been re-sleeved or converted to bypass so I can have a better understanding of both options before I meet with my doctor again, Thanks!

I'm doing all the jumping through hoops for the insurance company before I can get a sleeve to RNY revision. Looks like tomorrow is the big day for you!!! Congratulations!

I was converted from VSG to RNY at my goal weight. I initially loss weight from the surgery because of lack of appetite and stricture. As soon as I could after dilation I went back to my normal calories and eating routine. I bounced back up to my pre revision weight and have maintained close to it for over 2 years.

I am scheduled for a revision in December. I am so encouraged by this. I have always been hungry. And I know my stomach empties fast. I pray that I lose the hungry feeling. Glad you're doing well.

It sounds to me like the revision is really to correct the "turn" in your pouch so that you can actually digest your food and get adequate nutrition instead of vomiting it back up. That should allow you to eat more so you don't continue to lose weight. Good luck with your surgery and congratulations on your weight loss. You look great in your picture.

Hey everyone! I'm Elliot. In 32 and from Warrington UK. ...sorry if I've posted this in the wrong place. I had a sleeve on September 8th and I'm feeling great. Before the pre op diet I was 22 stone and I'm not 20.01stone This was actually a revision sleeve for me. I first had thr procedure back in 2010 in Prague but I later found out that they only did 2/3 of the sleeve and left the bottom part which allowed it to stretch back and not be as restrictive. Feeling great and motivated and looking forward to reading the forums. Sent from my SM-G986B using Tapatalk

I'm just wondering if there's anyone out there in the same boat, or who has gone through something similar. I had Lap Band surgery in 2014. Ultimately gained back all my weight and more. After the birth of my youngest daughter, I underwent a revision to Duodenal Switch in August of 2019 at 285 pounds. Over the course of the next 6 months, I also got sober, and ultimately, at this point, I'm down to 130-135, having lost 150 pounds. I was sitting at about 160 pounds in January, and have lost the additional 25-30 since then. In January of this year, I started struggling with dysphagia. For the most part, I would vomit solid food back up, no matter how slow I ate, if I drank or didn't drink. Protein, veggies, carbs, you name it, I tried to make it work. With Covid and such, it was April of this year before I managed to get an endoscopy, which showed a severe hiatal hernia (which had not been present at the time of my lap band, or my revision surgery). Had that corrected in May, went about 8 weeks of glorious being able to eat again, and then it was like someone slammed on the brakes. Back to being unable to keep solid food down. Worse than before. Many, many days vomiting liquid too. The day I had my most recent endoscopy I was so dehydrated the anesthesiologist ultimately had to do the IV on me, after 3 nurses tried and failed, even with ultrasound. During that procedure, they found that my gastric pouch has a greater than 90 degree turn in it, resulting in the upper part of my stomach being dilated and food being unable to travel back up, in order to go down. I'm having another revision surgery tomorrow to correct the issue. My understanding is it is just a revision of my stomach pouch, which with duodenal switch, is basically similar to the gastric sleeve. Has anyone else had a revision surgery for medical reasons, while at a normal weight? I've struggled to maintain my weight at 130-135 for the last several months. And by struggled I mean I've been trying not to lose too much more weight. I am definitely down to what I would call a healthy weight on my frame. I'm wearing a size 6 pant, small/medium tops, etc. Any problem areas are really skin based at this point I think, not weight. If anyone has gotten this far, and has in fact had a revision while at a normal weight, what was your diet like after surgery? I'm obviously going to discuss this with my surgeon as well, but all the literature I've been provided with thus far is for weight loss patients. The goal being to keep calories low, protein high, jump start weight loss, all that jazz. I'm just interested in how it will work for me, being as my weight goal is maintenance, not loss.

Oh my gosh! You wrote back! Thank you! Thank you! yes it’s done by endoscopy now - totally out patient. I was wondering if you did it as a first surgery or revision I’m doing it as a first - surgeons okay with this! Did you notice weight loss right away, same as other surgeries or is it slower but more permanent ( this is how I understand it) What do you wish you had known Before? Did you loose your hair? I’m paying for it out of pocket so 🤦‍♀️ Yikes! Would you still choose this one over any other surgeries! I was pretty much sold on the outpatient aspect but I’m wondering why not many places do it? I have to fly out of the state I live in to get it done! Still within the Us but I would have liked for there to be something closer to me! thank you again for getting back to me! neeta 😌

I also have RA (was diagnosed post-VSG) and am headed toward a revision for GERD in the next few months. My rheumatologist automatically put me on injectable methotrexate so i didn't have to deal with any GI side effects. It's really easy and cheap - I still have to draw it up myself from the vial with an insulin needle. But I have no side effects from it. My bigger problem will probably be figuring out what i can take for as-needed pain relief...

I'll be 61 soon. I had revision from VSG to bypass early last month, in August. I'm 30 lbs. down from my 10 day pre-op to the last time I weighed. Recent metabolism study says that our metabolism doesn't change until 60 years old, and after that 0.7% decrease every year after. https://www.studyfinds.org/human-metabolism-age-60/#:~:text=The study finds humans burn,only 0.7 percent per year.

I had it done for Gerd/esophagitis. My surgeon didn't touch my sleeve either, he also did a standard procedure (RL 150cm, BPL 60cm) when I asked him about length. My insurance would not cover it if he did anything out of standard procedure. Since my 10 day pre-op and surgery early August 2021, I've lost 30 lbs. It is currently faster than my weight loss with my sleeve. Some say they have far more restriction with their VSG than RNY after revision. That is definitely NOT the case for me. I have far more restriction now. My VSG surgeon was conservative and made a larger sleeve (~300ml), every surgeon/person is different.

I had my revision surgery on 9/8, and the gas pain was insane. It took three days for it to subside. Shortly after that, I had a sharp pain near one of my incisions, which has finally started to go away as of yesterday. I have lost 13 lbs, and I feel pretty good. I plan to keep this thread updated for people who are thinking of revising.

I have a gastric bypass revision in the morning at hospital Angeles with Dr. Corvala due to some anatomical issues and I am so incredibly nervous. I feel terrible for leaving my toddler and partner. The hospital and surgeon are highly accredited and great reviews but I’m still terrified. Please say nice things to help me relax lol

No regrets. Coming up on 6 weeks post op. No gerd from my vsg after the revision to bypass. Weight loss satisfactory. Equivalent to the sleeve. I just broke a one week stall, and dropped another 1.8 lbs. What is interesting is I had heard horror stories about "never trust a fart" lol and bowel problems. I almost decided against it but surgeon said I had to fix my gerd... But maybe cause I no longer have severe gerd, everything is literally normal. I feel no difference than before any of my WLS except I get full after a few bites. Having said that, I am early on and hope this positive trend of health continues. I can handle stalls and working to get the weight off but am always scared of leaks and other serious complications down the road. Sent from my SM-N986U using BariatricPal mobile app

Things are going very well. No goals since it was more about my Gerd which seems to be resolved (Yay lol). I'm 28 lbs. down now, and I think the revision was the best thing I could have done for myself. As my surgeon said after my post-op appointment... It's already a win then if my Gerd is gone. I did bring up the fact that I can't eat very much and my calories are 500-700 cal. at best and he said "Good. Keep it that way for awhile to lose more weight." That's about all he said lol. One thing that has helped my appetite or lack thereof, is I can sleep much better because I'm not constantly waking up with acid in my throat anymore. Waking up and not being able to sleep always tempted me to munch on something for energy instead of sleep. Thank you so much for asking!

Hey fellow Wisconsinite! I just had to say I can relate to many things you are saying. I had my band removed 3 years ago after 10 years. I was amazing to to eat a cheeseburger with a bun! I couldn’t have a revision at the time because my BMI was too low, but after too many cheeseburgers I am scheduled for RNY in October. I also had/have issues with acid reflux. If I could have done it 3 years ago I would have and not had to go through all of the weight gain.

Hi, I have had the lap band for a little over 10 years. I had lost 100 lbs but gained 30 back. I recently found out my band migrated. I was having severe acid reflux, regurgitation, and sleepless nights of choking and puking. I finally had some testing done & they found my band migrated and there was a hernia above it and my lower esophagus was having issues pushing food through. I got my fluid taken out on Friday & I am finally able to sleep again. I am really shocked about how strange it is to be able to eat things I wasn't able to for 10 years, I am also enjoying taking a drink while eating. I am going to revise to the gastric bypass surgery & was wondering if anyone has had better success after a revision from the band to bypass? I can't do the sleeve because of my acid reflux issues. I tried to avoid bypass, as to why I had the band to begin with. Something about moving my insides around didn't sit well with me. I also see horror stories about dumping and blood sugar issues. I don't want to gain all my weight back because of a band issue & also don't want to have a removal of one thing and nothing to replace it. I am not sure how fast this will all go, they said they could do emergency surgery if I was still having issues, or do it as a normal surgery. My insurance covers revision. Hopefully soon before I gain all this weight back. I'm enjoying trying different foods I had to avoid for the past 10 yrs. hahahaha.

This was over a month ago. How are things going? Did your surgeon give you goals? Do you still believe that your decision to have revision was sound? Thanks for sharing so much info already. Sent from my SM-G965U using BariatricPal mobile app