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I have seen many videos of the revision and all do the band removal and sleeve in same surgery. Why is my doctor not doing this? Is he not good enough to do it? The scare tissue removal is just extra time and procedure and to check for hernia. Should I be getting a second opinion? Last visit he never tried a fill or see if it leaked or fluoroscope, just said let's take it out. I just hate to do all the fasting and being put under twice if not needed.

I don’t have a date yet but I think I have pretty well settled on the SADI surgery for my revision. I meet with him the end of next month to ask my final questions and then I guess it’s a waiting game. I am hesitant to post on the regular pre op boards and say I’m pending revision because I gained it all back. I feel like I may discourage someone from trying.

Hello all. I am a little over 3 years post gastric sleeve and considering revision after gaining all my weight back. I met with my surgeon today and he suggested that I do some research on the SADI and I thought I would start here. I don’t see a whole lot of posts about this procedure, though. I am just looking for information from people who actually had it rather than all the scary statistics. I am interested in the pros and cons and how has it changed your day to day life?

I hope someone will be able to comment on a scenario similar to my own. I underwent a mini gastric bypass procedure several years ago. I have lost 60-70% of my original body weight and now look very emaciated! The mini gastric bypass procedure has proven to be too powerful in its malabsorptive nature. Scans revealed no anomalies to the index procedure or other parts of my anatomy that would contribute to why I am not putting on weight, despite eating like a horse. My only option now is to have a conversion of the mini gastric bypass to RYGB, and the surgeon will be looking at the limb lengths, to help increase my absorption so that I look healthy. Currently, I am not even absorbing nutrients or vitamins to a satisfactory level. My body aches and I have next to no energy. Original weight 130kg. Now 55kg. Does anyone have experience of a revision to RYGB where the desired outcome was to achieve absorption and weight gain? Most revision posts are geared towards achieving weight loss, which is understandable. But there must be cases of MGB or even RYGB whereby it has proven too powerful to the detriment of achieving a good quality of life. My message to all those who are considering MGB/OAGB, please do not be fooled by the “mini” part. This procedure is much more powerful than RYGB. Unless a patient is excessively excessively overweight, the safest bet in my opinion would be to go for RYGB over MGB. I chose MGB because it was a safer procedure over the RYGB and I erred on the side of caution, thinking that I may not lose sufficient weight. I could not have been more wrong.

TORe is a relatively recent revision for RNY. Essentially, they go in through your mouth and esophagus and stitch your pouch and the opening to your pouch back into the tight little basket It was when you first got gastric bypass. I’m looking into it as I was very successful for 20 years, but regained most of my weight in the last three from life, stress and menopause. Has anyone had an experience with this?

Hey everyone i have a question. Has anyone been required to have a feeding tube after sleeve to bypass revision? Was it temporary, did it help? Any information anyone has would be super super helpful. Thank you!

Short update: I had my gastric sleeve procedure done in November 2019. I lost around 85 lbs and then stalled eventually regaining around 50 lbs back and a horrible case of GERD. I had never had symptoms of GERD before my surgery and about 3 months later, I had to begin taking omeprezole daily to deal with it. If I forget a dose I can tell by the afternoon. During the first year post surgery, I lost my husband (not unexpectedly but it DID happen 10 days post-op for me), moved across country from Florida to New Mexico, bought a new house and started a new job. My daughter is 1 year post-op and lost approx. 150 ibs on the DS. l just started the process to obtain a revisional surgery. Will be discussing the benefits of either the DS or ByPass. I had the upper GI completed which showed a small hiatal hernia with evidence of GERD. It also showed mild cricopharyngeal hypertrophy. Any suggestions regarding which of the 2 procedures would help with the GERD and to help lose the 130 lbs. that I still need to drop to get to my goal weight?

I had gastric sleeve 3/9/2021 and I lose quite a bit of weight but as soon as the hunger came back I started gaining and didn’t stop. I recently revisited the surgeon and he thinks I may be a good candidate for the SADI. I am trying to research but I am not finding alot if good information about anything except the scary statistics. am hoping to find someone who had this procedure or has at least heard of it.

I'm hoping to get a revision to a bypass for gerd and sleep apnea if that is a possible. I called tricare and the lady said that they only cover 1 weight loss surgery in the lifetime or the person. Any experience with getting approved with tricare select?

Hello All, Long time a member but have been away a long time. I was banded in April 2012 at 488lbs. My lowest weight attained was 170. I have since over the years climbed back up to 328. Monday, Jan 8th I am scheduled for a conversion to bypass. Removing my band as well as my gallbladder. Any advice would be appreciated. It's been 10 years. I imagine somethings have changed while some haven't. I know it's a tool. I know the weight doesn't fall off overnight. The band saved my life. I hope bypass gets me back on track. Thanks, Jim.

I was sleeved in 2017. In hindsight, bypass would have been better given my history of GERD. Fast forward years later, COVID piled the weight on (working from home, lockdown, job stress (worked in healthcare during pandemic) and I'm up 65 lbs. That i can deal with though. I know the bariatric lifestyle, and I know what I need to do to lose the weight healthily and such. It's the GERD. I'm up to 60-80 mgs of Prilosec daily, plus antacids and other H2 blockers as needed. I sleep elevated and just always generally feel like I have a pit in my sternum. I've subsequently relocated to a new state since my surgery, so I feel like I'm starting all over. I have an appointment with my PCC this week to discuss the GERD issue. Given what people are stating on this board, it seems like that a RNY may be an option. Honestly, I just want to know why it has escalated so bad over the last several years. It doesn't matter what it is; it comes up. I drank some unsweetened almond milk two hours after dinner, and about 10 mins later I literally burped it up like a baby. No warning, nothing... All over my bed. Other times, it's that hor burning awful acidic in my throat and chest. Makes me cough. I try to eat crackers to help absorb the acid, which is not healthy. I'm really quite scared that's something serious. What have your experiences been like? Will I go through a whole program again? I just want relief. What questions should I bring up with my doctor. What tests will they run? This is still a fairly new PCC relationship and several thousand miles away from where I first was treated/sleeved.

Long story short - had gastric bypass in July of 2019. Highest weight 400. Current weight 167 to 173. I still feel some restriction to this day. Meals are small and I don't eat high fat, high sugar food. 2 yrs ago, I started having right sided pain. It felt like ovarian pain so saw OB & had 2 ultrasounds nothing showed up there. Pain worsened & had gall bladder removed 1.5 yrs ago. Adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after the right sided pain returned. About 4 mos ago, pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. Nothing found. findings. Then he referred me for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, we know what dumping is. Thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. & you had dumping. Is the type of dumping they mention different from post surgery dumping? They recommend I see revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this. Even it if does pay, I dread what this means - more hair loss? If I do this, will I need another in 5 yrs?. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest weight right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? ANYONE have a revision specialist in the North Texas area they can recommend so I can at least get a consultation (north texas = Fort Worth, Dallas, Arlington, Keller, Bedford, Euless, Hurst and Denton) I've also wondered if there is a chance of some straggler/stone from gallbladder surgery 1.5 yrs ago that should be considered? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I am just now starting the journey and trying to get used to dietary changes. The guidelines I was given them were very very broad in general, and I kind of like a more specific idea of what I need to change and what my calorie account should be in my macro should be, and that really wasn’t given to me so I’m struggling. Is there anyone who has any tips and tricks for dietary visions while I go through the approval process?

Is there anybody else that has had a revision. I went from VBG to Gastric Bypass

Welp! I’m 4 days post op. I had a revision from lapband to RNY and it was much more than anticipated! My surgeon told me I needed to have my gallbladder out at the same time (I had gallstones) so I was prepared for that but once he got in there he found A LOT of scar tissue from the lapband (mind you, it’s been 20yrs since I got it) and then a hernia!!!! So I was in surgery for 4 hours! I feel as good as expected I guess but wanted to give everyone a heads up… just be prepared for the unexpected! ❤️

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started having right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian. Saw OB & had 2 ultrasounds and they couldn't even see right ovary (and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed ok. A few months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to ER (which I HATE doing). Went back to primary got CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy & upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing prep was bad yrs ago, but much harder having had bypass surgery. Good news is no polyps or other concerning things. Bad news is main finding was on bypass "Patient's surgical anastomosis noted to be widely dilated, raising possibility of Dumping Syndrome as a cause". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast, etc. and you had dumping. Is the type of dumping they are alluding to different from our post surgery dumping? They recommended I see gastric bypass revision specialist. Has anyone else had revision NOT due to 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I also still feel restriction kick in although yes, nothing like 1st 2 years My highest right now hovers at 173. I hoped I'd get to 150 but closest I've come is 167-168. Is revision another 'nuclear detonation option'? I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

Good morning! I am so happy that I found this group! I have been lurking for a month or so. There is a lot of information to be gained here😁. I had VSG Nov 2014 and lost 80 lbs. I was down to 170 lbs. I am 5’9 so I was quite content there. As we all know life throws curveballs and my weight has steadily climbed. I am now 60 years old and weigh 225. My A1c is high and I have been diagnosed with type 2 dm. I have been nauseated for months and last month I had an upper GI that showed severe acid reflux and a moderate hiatal hernia. Omeprazole has not helped at all. I have an EGD scheduled this coming Friday. Revision to bypass has been brought up by the nurse practitioner at the bariatric surgeon’s office. I also just met with my new PCP who gave me a prescription for Mounjaro. Bariatric surgeon said not to start the Mounjaro until we resolve my reflux issues (due to the possible side effects of nausea). I am unsure if I should go with the revision to bypass with hernia repair or just get the hernia repair and hope that fixes my reflux issue and use the Mounjaro to help with weight loss and lowering my A1c. I am not sure if just repairing the hernia will fix my relax issue. I will discuss all these options with my surgeon after the EGD. What are your thoughts/experiences?

Surgery went well - it took me the rest of the day of surgery to have some conciousness. I do not understand why they begin to attempt to get you out of bed when you are still under the influence of the anesthesia and can barely keep your eyes open. The next day was much better and I was able to walk slow laps around the floor. My surgeon had the staff provide me with a stomach band that wraps around and closes with velcro which helps tremendously hold my abdomen stable when up and walking around. I still have lots of swelling and I am about 7 lbs heavier (per scale) than on surgery day due to the swelling, fluid etc. I hope that within this next week most of that will subside. Weight DOS - 195 Today - 202 I am staying on target with protein/fluid requirements 60g/64 oz - I was given Boost Glucose Control Max in the hospital and decided to get a pack of that as well as a pack of the Premier Protein Shakes both 160 cal/11oz/30g protein. I had an issue of jaundice while in hospital and upon coming home my face and body had a distinct yellow tone. My blood work had elevated as well a low levels due to surgery. I looked up my pain meds which all had an effect on the liver and could cause levels to increase. I made the decision to stop these pain meds. I was also given liquid Oxy which I was able to take a couple half dose to help with the pain. This morning I was able to get away with Tylenol (powdered). My skin looks like it is getting back to narmal as well. I am not saying it was the medicine, it could have been just the trauma of the surgery and or a combo of both, I followed what I thought was best for me. I don't have an appetite which I am not complaining about at all & I am consuming my nutrition one sip at a time. I'm anxious to hear how you guys felt 2-3 weeks after surgery with the swelling , fluid weight etc. ❤️

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Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec, some days didn’t have to take it at all, has now been more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia without revision to bypass etc. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

Hello, I am new and want to introduce myself. I’m Gina and I am 13 days post op. I had the SIPS procedure and hiatal hernia repair. I had Gastric Sleeve in 2019. Reached a plateau, switched from Kaiser to United Health Care - Sutter Health (N. Ca). Five years ago my pre surgery weight was 286. My pre-op weight on January 10 is was 230. When I was still under Kaiser, I contacted my bariatric team about having revision surgery and they advised me to just stick to a thousand calorie diet and that I was not eligible for revision surgery. My family and I had to switch healthcare providers and I joined the weight management in nutrition program at Sutter Health, and I was immediately referred to a Bariatric surgeon who recommended a revision! I was pleasantly surprised, because I was not even going to ask because of my experience with Kaiser. So here I am 13 days post surgery and looking forward to reading about your experiences. 🙂👍🏼

Hello everyone, I’ve gone through the long process of trying to get a revision surgery after gaining most of the weight back after having the sleeve in 2014. I’ve had mental health issues in the years following and also developed GERD and High blood pressure in the recent years since. The insurance company (BCBS of North Carolina) has been giving me issues from the start first saying that my surgeon wasn’t in network so they wouldn’t cover the surgery. Upon further investigation from my doctors office the real issue was them denying my claim for a revision because there was a lack of evidence showing that I followed proper diet and exercise after my first surgery. Has any experienced something similar? I have the two comorbidities and my bmi is currently 45 so I’m just kinda in shock they denied me especially without even informing me.

Hi! I was banded with a Realize band in 2008. Went from 235 to 150 and I've been between 150 and 165 for years. I'm now having serious complications with the band. Lots of complications but the worst is an "oozing sore" around 75% of my Esophagus. I've had such great success with the band and I'm nervous about going to a RNY. I really don't want to weigh less than 150. Is a revision just going to put me back into rapid weight loss? Any revision weight loss/gain stories are greatly appreciated. I need someone to hold my hand!

Sleeve in 2017 to revision Gastric Bypass Aug 2023 - Update Hi All! I can't believe how fast time has gone! I will be going to my 6 mth check up tomorrow 2/20/24. Everything is a lot better! As of today I am 173lbs, I'll update my ticker it's still at 183. I am able to eat more varieties that I cook at home. Can't tolerate beef to well but I was never a big red meat person. I am still on the fence with salads/raw vegs though I can tolerate raw onions and tomatoes. I CANNOT eat take out! Purchased chinese for my son as he was going back to college... tried a little and was bringing it back up the rest of the night! If I eat out it has to be at a place that actually cooks food like salmon, veggies, no added anything. Food prepared at home is MUCH beter because you know what's in it. I am not doing too well with my multi because I purchased capsules that I open to put in my protein smoothies (Unjury Vanilla) which I don't take every day anymore. I just purchase the multi-vitamin patch from the bariatric store, I'll update you on that later My food is mostly a diet consistency of pescatarian due to the low cal/high protein and the ease of my system digesting the food. I would occassionally eat chicken as well (ground, poached breast etc), turkey hardly ever because the meat is not as soft as chicken. My veggies are fine steamed, some legumes & beans (occasional), as far as grains or potatoes etc I try to not do carbs at all or keep them at a bare minimum (jasmine or basati brown rice) with an occasional meal...I've really gotten into sweet potatoes as I didn't eat them a lot before. Swelling is gone, skin is good, and I can visually see the difference in pounds and inches loss especially from a side view lol. I still have work to do (vitamins, eat more, move more) and I am working on it. BTW!!!! I am back in the health & wellness field as I start my new position next week. I took a pause last summer. Now as I am on my health journey I'll be helping my patients with weight loss and adopting healthier lifestyles. My goal is to lose 13 more lbs and as you all know after running so long and you can see the finish line in sight....your legs get weary and that last sprint is the hardest. It is good to move from "morbidly obese", to "obese", to now "overweight"...do you guys feel the same? Let me know how you all are doing!

I had GS nine years ago. Lost a lot. During lockdown I transfer addicted to alcohol. Now I'm sober, but, transfer addicted back to food to get there and have regained over half my loss back in the last year. So, what to do? I'd appreciate thoughts from those who got revisions and how they think it has helped them. Thanks.