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I have always had a dilemma about the sleeve, because patients can expand their stomach pouch, by poor compliance. The majority of people who have bariatric surgery experience psychological problems with their relationship with food rather than a physiological problem. Therefore, not withstanding a brain transplant, I don't think a sleeve would be successful for such individuals. I think that's one of the main reasons for revision from sleeve to bypass. With bypass, this is my own experience, you can eat as much as you want, but you don't put on the weight. I feel sleeve is suited to people who need a helping hand to lose weight but are strong enough to comply with a lifestyle diet change. Those of us who would continue to struggle with our relationship with food regardless, I think are better candidates for the bypass. The bypass comes in various strengths. There are several variations of the bariatric gastric bypass surgery, including: 1. Roux-en-Y gastric bypass (RYGB) 2. Mini gastric bypass (MGB) 3. Biliopancreatic diversion with duodenal switch (BPD/DS) and While Roux-en-Y gastric bypass, mini gastric bypass, and biliopancreatic diversion with duodenal switch are the most well-known variations, there are other less common types of gastric bypass surgeries, including: 1. Single Anastomosis Gastric Bypass (SAGB) 2. Loop Gastric Bypass 3. Sleeve Gastrectomy with Transit Bipartition

Hi everyone. I know there's another theead like this under the Gastric Sleeve part of the forum, but I thought I'd start a thread here to be more inclusive to people who are having a variety of surgeries. I'm scheduled to have my VSG on October 2nd. I'm looking forward to a new start. I'm 5'5" and 235 pounds. I have lost 25 pounds so far. My pre-op diet starts on September 11th. It's protein drinks plus up to 7 ounces of protein only foods. Not looking forward to that. Back in 2010 I had a lap band. I lost 122 pounds and kept about 65 pounds off. I had to have it removed last year because it slipped, but I had already decided to have a revision to the sleeve. Anyone else scheduled for October surgeries?

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

I have a feeding tube currently. I had surgery 6/13/24 for revision to RNY. I had 2 emergency surgeries 3 days later. I had a leak and had 7liters of toxic fluids cleaned out of me then ICU 6 days and hospital until the end of July. It has been 10 months + with wound vac, Gtube, and now a stricture that I've had 3 balloon procedures and still not halfway there. Total of 6 hospital stays, 4 ER visits, 7 surgeries since June 2023. I'm getting better. Feeding tube helps but also causes alot of pain and granulated tissue which has to be burned off. I have found 4 people who have talked about the same issues. A leak like this and a stricture is very uncommon. Most people with leaks end up dying. It's why you don't hear about them. I'm not sure why anyone would require a feeding tube other than a major stricture or leak. Maybe due to already having so much scar tissue. They think that is why I had a leak but nobody knows. For reference. I had lapband 2008. Lapband Removal 2019 due to Gerd. RNY 2023. I was 238lbs 5'6 at the time. I'm 170 now.

Congratulations! You got this!! Good luck on your 2nd Bariatric journey! I'm in the same boat. I had my sleeve to RNY revision with a hiatal hernia repair on 9/11/23.

Hey all! Hope everyone is doing well. I have my revision from a sleeve to a bypass yesterday. I’m hoping my severe GERD will be done now. This recovering even just one day post op is way worse than my sleeve was. He also fixed my hernia which had almost my whole stomach in my chest wall. I’m just super sore and ready to go home to recover!

I wouldn't hesitate to look into a revision. You had such great success with your first WLS. I've read the weight will come off slower second time around, but it beats developing later in life co-morbidities. Many are going for the Ozempic shot nowadays in lieu of surgery, but recent studies show a lot of downsides to using it. I had a few people ask me why I didn't go that route with those shots available. It's the wave of the future they say. Maybe one day improvements will be made. I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it. Believe me.. I did my research before getting my RNY. But for now, no regrets. Good luck in your decision making.

Congratulations! You got this!! Good luck on your 2nd Bariatric journey! I'm in the same boat. I had my sleeve to RNY revision with a hiatal hernia repair on 9/11/23.

Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

Hi there!!! I have been summoned, I see lol Ok, so a little about what I've been through, and then I'll give any advice I can. I had the sleeve in May 2022. Initially, I was doing awesome. Lost a lot of weight, got off several meds, health issues corrected, it was awesome. Right up until it wasn't. Around 6 months post op, I started noticing some reflux issues (which I had never had before). It steadily got worse and I had to have a barium swallow (NASTY!!!) to see what was happening. I had severe GERD, gastritis, and esophagitis. I also had a narrowing esophagus. So I was put on Nexium (40mg once per day). The GERD steadily got worse and worse until I was put on 80mg of Nexium daily as well as Pepcid for break through (which I took daily). It still didn't completely help. I was on such a high amount of PPI for such a long time that I ended up developing an OBSCENE amount of polyps all through my stomach and duodenum. This year, I had 7 surgeries to remove all of the polyps, stretch my esophagus, and have a revision to a bypass. I also had to have the part of the stomach that's bypassed removed because that's where so many of the polyps were forming. When I had the sleeve, I had so much pain, trouble tolerating anything cold, trouble taking pills, trouble getting in enough water. It was completely miserable. With my revision to bypass, it was like the heavens opened up and the angels started singing to me. No pain meds at all beyond Tylenol. Up and around within 4 days. Was able to take pills from day 1. No GERD at all. No constipation like with the sleeve. Able to get my fluids in from day 1 (drank a 20 oz of water in the hospital within 2 hours of getting back to my room from recovery), no issues with temps of liquids. My only regret is that I didn't just get the bypass to begin with. Because of all the surgeries, my abdominal wall weakened and I developed a ventral hernia that was repaired 3 weeks ago. Still recovering from that one. I was freaked out at first at the thought of getting a bypass. It's why I opted for the sleeve to begin with. I was afraid of dumping, I was afraid of malabsorption, I was afraid of getting a stricture. Well, I only dump if I have too many carbs, so I just avoid them for the most part (I never even get to my allotted amount, I'm always way under). I haven't had any stricture, but if I do, it's a super easy fix (and after everything I've already been through, I'm not even a tiny bit worried). And malabsorption is only an issue with extended release meds (I don't take those now) and vitamins (take bariatric ones or double up on the regular ones). There was nothing to be worried about, but I let the chatter from those that weren't in my position freak me out and cause me to choose the sleeve instead of the bypass. My advice to you is to not listen to anyone else. You and your doctor know what's best for you. The revision will give you your life back. Being pain and complication free is worth its weight in...well...everything. When you look at everything you've been through up until this point, the recovery from the revision will be a walk in the park. It's better for your health (physically and mentally) and it will allow you to get back to your life. This surgery is supposed to afford us the chance to have the life and health we've always been meant to, and complications can really do a number on us. The revision will be a godsend to you, mark my words. I don't have a single regret.

I had a band. Wish I never had. They are only temporary, have to be replaced in 10 years. Mine caused permanent stomach and liver damage. Ended up having to revise to RNY. Good luck.

Good luck to those having surgery tomorrow and the next few days! I started my pre-op diet today, which I am not complaining about because you do get to eat some real food. Though all of it aggravates my GERD. Ugh I cannot wait for my revision. I hope it works and I wake up reflux free.

Revision weight loss is definitely slower than the original weight loss. I'm almost 11 weeks out from my revision and I've only lost 23 pounds. But at this time when I had my original surgery, I had lost 70 pounds. It's just the nature of things. I had my revision because of complications, not for additional weight loss.

I had it done, and honestly, the recovery was SO SO SO much easier with the bypass than the sleeve for me. I had a ton of complications and the revision was the best thing possible. My only regret is that I wish I had just done the bypass to begin with. Losing weight with a revision goes A LOT slower, and you don't lose nearly as much as you do with the initial surgery. But you'll feel so much better and be able to get back to living your life.

Hello and welcome in the forum. Yes its awful. I got this after the sleeve too. After 2 years I have found foods and drinks that trigger it for me. Wine, orange juice, spicy food etc. My issues are mainly in the night. I don't know if my symptoms are better than before or I just manage them more efficiently. I wish I had zero problems and could eat curries again You might already be doing these things but I will mention them just in case..... Use a wedge pillow under your normal pillow Sleepy on my left side is better than the right ? Don't eat 3 hours before bed and no fruit after 6pm I take Lansoprazole twice a day, religiously at 4pm, 2 hours before my evening meal and at Midnight, the time I go to bed. These times work ok for me. I have the liquid and tablet form of Gaviscon, yuck. I swig it in bed if I have it and have woken with a half sucked tablet stuck to the top of my mouth. Never heard of blowing air in a stomach ? Would it not just stretch a stomach ? I have read of one person on here who had the revision and still had issues. Lots have been cured

I get that way too. I was like that after my sleeve, and now after my revision. I should be happy, I don’t have any GERD thus far but it’s like I’m just sad. I think this is almost just normal hormonal shifts. I feel down and out after every surgery I’ve ever had, as well as after my kids with postpartum depression. I wonder if it is just something that’s ingrained in me. Hoping you are getting back to yourself soon.

Hi all, Im 37 and injust got my MGB revision 20 days ago. I was sleeved 10 years ago and never reached my goal weight. After babies and hormonal BC i gained a lot back. I feel surprised now tho. I feel i havent loose much these days. I just started Phase 3 and where i live (Middle east) is very hard to find sugar free, fat free products and im wondering if is the greek yogurt (flavored) and the protein drink the ones that arent helping. Both say they dont have added sugar but have sugars at the end. Also i dont feel there is really a restriction in my stomach. Im still hungry, i can eat half cup of food, i can drink a whole glass of water with no issues... such a different experience than the sleeve. Im scared of failure. Im passing very light yellow stools i dont know why and is so painful. Sometimes i wonder if there was a surgery after all. Any ideas of why this weight loss is so slow?

Wow that’s amazing progress! I’m so thankful you responded back to me! Sounds like you’re having a happy ending. Any advice on the revision? Anything you would change or prepare for? What would you tell yourself before the surgery?

Wow, you've been through a lot! I've never heard of a revision like that before, nor that they did further revisions once you had the rny! What you described is my major fear, to have the surgery then have it creep back on despite me following all the rules! Thank you for sharing, yes it is maddening..I have my 6 week next week, I plan on discussing it with them at that time!

I am three years post op and I can drink while eating but I don’t recommend it. For one, I’m pretty confident my pouch was left bigger than most since I was always able to eat more than expected from day one. For two, I gained my weight back and this could have contributed. I am thinking I am doing a revision and the PA reminded me I should be doing all those things such as the 30:30:30 (30 before and after with no water and take at least 30 minutes to eat your meal). They haven’t checked it yet but if it is possible to stretch the sleeve in any way, I worry that I have stretched mine. Regardless, he explained that the purpose of not doing both even once you have room is because the liquid flushes the food through your system quicker so you don’t feel full as long. In terms of the size bites you can take they will gradually increase BUT, ideally you will still stay with “normal” sized bites but with time in between so that full signal can get to your brain. Hopefully others can Learn from my mistakes. Apparently they make these rules for a reason 😔

I am 7 weeks out of revision. Things are getting better each day. It took 5.5 weeks before the pain went away. Additionally, I have stalled and lost over these weeks. However, I am at my lowest weight in 8 years. No GERD and no current regrets. I am 53 years old. Sent from my SM-G996U1 using BariatricPal mobile app

That is really good to know. My particular situation is I had a baby eariler this year and gained 80lbs from pregnany. I"m 6months post partum and still breastfeeding so that makes me super nervous but docs say I should get the revision.

I haven't had that revision, but a lot of people have - mostly because of reflux. I had reflux before I had surgery, so I went with bypass the first time.

So frustrating. It's less than 4 months since your revision though - this could be a long stall as opposed to the end of your losses. I hope you start losing again soon. You've done so well, you're an inspiration.

While this is true, it's important to keep insurance in mind unless you're in a position to be able to afford the surgery out of pocket. Initially, I was going to do a staged DuoDenal Switch but after reviewing my insurance-- turns out they would not cover a revision. Both my surgeon and I agreed that it would be much better to go with Roux-en-Y if we had to choose between the VSG only or the RNY only.