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Sleeve to Bypass, NO NO NO?



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Short and sweet, I had the gastric sleeve on Jan 9th 2013. Lost all my weight, but below my goal and can’t keep anything down. Tummy hurts and has heart burn a LOT. Surgeon wants to do a GI scoop tomorrow, and possible do a Bypass revision….I am so sad…. I did not want the bypass, I was set on sleeve have had sleeve and been sick.....Need your thoughts, what do you think about your Bypass>>

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I opted for the bypass because of dumping and malabsorption .... Mainly because I doubt myself and my ability to stay away from carbs....I'm supposed to get RNY Nov/Dec but found out today my surgeon has a $1100 fee above and beyond what insurance will pay, must have $500 up front..... The office is two hours away so I'm already out that extra expense....I chose them because they are a center of excellence ....but there's no way I can come up with $500 and then January 1st my $2000 deductible starts again......long story short I found a surgeon closer to me (no fee) but he will only do a sleeve or DS.... Ill get the sleeve because of no fee....from what I have heard the bypass helps with heartburn issues. Tell me how your sleeve went? how were carb cravings?

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I had the bypass in april. My son had the sleeve today. I can say that pain wise, the bypass was much worse. He hardly has any at all. However he is very nauseous and I wasnt with the bypass. Just some early observations on the actual surgery part.

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I'm very happy with my bypass. Sailed through surgery and recovery. Pain meds for 24 hours after surgery and didn't need anything after that. It requires a good deal of focus and planning to meet my requirements, but it is working well for me.

Good luck tomorow!

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I opted for the bypass because of dumping and malabsorption .... Mainly because I doubt myself and my ability to stay away from carbs....I'm supposed to get RNY Nov/Dec but found out today my surgeon has a $1100 fee above and beyond what insurance will pay, must have $500 up front..... The office is two hours away so I'm already out that extra expense....I chose them because they are a center of excellence ....but there's no way I can come up with $500 and then January 1st my $2000 deductible starts again......long story short I found a surgeon closer to me (no fee) but he will only do a sleeve or DS.... Ill get the sleeve because of no fee....from what I have heard the bypass helps with heartburn issues. Tell me how your sleeve went? how were carb cravings?

I have HAD no CRAVINGS at all, I have NOT even been hungry. Lost my weight and as at goal in appx 9months. I was loving my sleeve until the heart burn and stomach pain has gotten worse. Going in for a GI tomorrow to see if I have to switch to Bypass for heartburn issues. Best of Luck with you Sleeve, I loved mine until the issues with heart burn got so bad.

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I had the bypass in april. My son had the sleeve today. I can say that pain wise, the bypass was much worse. He hardly has any at all. However he is very nauseous and I wasnt with the bypass. Just some early observations on the actual surgery part.

I am 10 months out and still having issues with being Nauseous and heartburn.. That is why I am having the upper GI this morning, and may have to be switched to the Bypass....It just seems like such a much bigger surgery ,I am scared.....

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I am post op RNY almost 9 years but will be having a revision next week. I never wanted to have the sleeve but I have always been under the impression that the sleeve was an absolute no-no for those with GERD issues. The sleeve will make it worse or you can develop problems.

If you have a strong addiction to carbs a sleeve will not be a good surgery for you. It doesn't have the restriction or malabsorption that RNY. It is really easy to graze since food slips right down w/o feeling full.

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I was sleeved last Oct 25th I can relate to your issues, I have terrible heartburn, reflux, and nausea. I originally though that it would go away but has only stayed the same and is worse at times. I have been following up with my doctor and it was determined after an endoscopy that I have Bile Reflux. The only believed to correct it is to have RNY. RNY will cause the bile to not be so close to the stomach and having RNY relieves the pressure that is in your stomach that can contribute to GERD or reflux. I am schedule for surgery Oct 31 to have a revision to RNY. I hope that this will be it for surgeries. I like the sleeve and it has done well with a total loss of 106lbs. I hate to get rid of it but need to have RNY done to prevent further issues.

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I was sleeved last Oct 25th I can relate to your issues, I have terrible heartburn, reflux, and nausea. I originally though that it would go away but has only stayed the same and is worse at times. I have been following up with my doctor and it was determined after an endoscopy that I have Bile Reflux. The only believed to correct it is to have RNY. RNY will cause the bile to not be so close to the stomach and having RNY relieves the pressure that is in your stomach that can contribute to GERD or reflux. I am schedule for surgery Oct 31 to have a revision to RNY. I hope that this will be it for surgeries. I like the sleeve and it has done well with a total loss of 106lbs. I hate to get rid of it but need to have RNY done to prevent further issues.

Thanks SO much for you post, that is what he said I have Bile Reflux, please lets keep in touch, They submitted the RNY to insurance on Tuesday, did you have any insurance issues...WOW, someone that has the same issue as me sorry you are going through this but We can keep in touch and help each other.

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No issues with insurance. The Dr. did however make me redo some qualifying items such as meeting with the NUT and a Psych Eval. The Dr. also did some additional testing, gastric emptying study, and tried conventional medicines, reglan and erythromycin first to speed the stomach emptying process to try to correct the issue. All failed but was documented and provided to the insurance to support the approval. Bile Reflux is a rare complication of the Sleeve that is not documented, however it may be corrected with medication first prior to taking a drastic route to have a revision surgery. I hope that all works out for you. Reach out if you have questions.

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Please dont "settle" for something you dont want. In da long run you'll probably get the bypass anyway. Just pray, that money will come.

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No issues with insurance. The Dr. did however make me redo some qualifying items such as meeting with the NUT and a Psych Eval. The Dr. also did some additional testing, gastric emptying study, and tried conventional medicines, reglan and erythromycin first to speed the stomach emptying process to try to correct the issue. All failed but was documented and provided to the insurance to support the approval. Bile Reflux is a rare complication of the Sleeve that is not documented, however it may be corrected with medication first prior to taking a drastic route to have a revision surgery. I hope that all works out for you. Reach out if you have questions.

Thanks for your input, I have been on different Meds for 6 months now, and NOTHING is working....Let me know how your Bypass goes...Hope it solves your troubles.

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Short and sweet, I had the gastric sleeve on Jan 9th 2013. Lost all my weight, but below my goal and can’t keep anything down. Tummy hurts and has heart burn a LOT. Surgeon wants to do a GI scoop tomorrow, and possible do a Bypass revision….I am so sad…. I did not want the bypass, I was set on sleeve have had sleeve and been sick.....Need your thoughts, what do you think about your Bypass>>

I understand your problem completely! I was sleeved in March and have lost nearly 100 pounds, just a few pounds from my goal, BUT I had a stricture, then a stomach stent, and found out today after a scope procedure and thriing up for about 6 weeks that my stomach has closed up again. Doctor balloon stretched it open today but I go back Nov 11 to see if he will try to fix my problem with a bypass. Like you, I did NOT wanta bypass. I liked my sleeve but my sleeve just will not stay open. You and I may be on this journey together. I will pray for you.

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I understand your problem completely! I was sleeved in March and have lost nearly 100 pounds, just a few pounds from my goal, BUT I had a stricture, then a stomach stent, and found out today after a scope procedure and thriing up for about 6 weeks that my stomach has closed up again. Doctor balloon stretched it open today but I go back Nov 11 to see if he will try to fix my problem with a bypass. Like you, I did NOT wanta bypass. I liked my sleeve but my sleeve just will not stay open. You and I may be on this journey together. I will pray for you.

Wow, I am sorry to hear you are going through this also. Good Luck on your bypass, and keep me posted, I will do the same....I can now say the word Bypass without Crying, so I guess that is a step..I am Scared and Depressed, and ready to start living my life again.....

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I have not had surgery yet but I have reflux now. I was originally wanting the sleeve but after my consult with dr he informed me of the reflux that happens with the sleeve! I hope all goes well for both of you!

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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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