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Revisional Surgery Approved, Sleeve or Bypass....?



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Having had a lap band for 9 years, and it failing quite spectacularly! I have just been approved for revisional surgery.

I have been given the option of Gastric Sleeve or Gastric Bypass.... and I am struggling to decide which will be best for me.

I understand both have their pro's and con's...

Im aware of all the post surgery risks, but Im more concerned / would like to hear from people who have had sleeve / bypass for a number of years... at least 5 years ideally.....

I would really appreciate any feedback on the following points that are worrying me:

Bypass -

Very little / No revisional options... has anyone had anything go wrong after a number of years?

Dumping... How often does this actually effect people?

Ive heard you get very 'noisy' digestion.. and a lot of wind!! Is this the same for everyone who has had bypass?

Sleeve -

Given this is relatively 'new' Im very interested in long term satisfaction / issues, if any?

Ive heard after a few years the stomach can stretch and revision is likely to maintain restriction?

Ive heard people revising from lapband to sleeve, often feel no restriction? it this common?

Ive also heard the chances of getting heartburn are high with a sleeve? Are there many people who never had heartburn before surgery, who were effected post surgery?

I am naturally a bit nervous having to have surgery again, and would appreciate your feedback.

Look forward to any help from anyone.

Thanks!

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I am also maybe doing a revision with my band. I have gone back and am researching all the surgeries available. I am really liking the ds. my gi doctor who doesn't have anything invested in my wls said that the ds was a very good surgery very successful wt. loss and maintaining the wt. loss with little or no complications. you don't get the dumping with ds. and no reflux as some experience with the sleeve. I have a appointment with my wls early part of may. good luck on your revision. it is a nerve racking decision.

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I have had a sleeve its been 3 yrs now ive lost 98 pounds. but, it I had it to do over I would have went with the bypass! I will be looking into trying trying to get it. Please don't do like I did and pass up your chance. the sleeve is NOT what people make it out to be. you are still hungry but you do loose weight but its very SLOW. it took me 3 YRS to loose 98 pds and I worked hard to get that off. Good luck to you!

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I'm also currently in the process of revising to a different surgery from the band. I chose the RNY bypass over the sleeve. Here are my reasons:

  • I've already had to have my band replaced once, so I want to give myself the best chance of success and the least chance of having to have yet ANOTHER surgery. I'm tired of surgery!
  • I know I have metabolic issues from both PCOS and from the limited way the band forced me to eat, so I think I need the metabolic boost of malabsorbtion that the RNY will provide.
  • The sleeve as a stand-alone surgery is still too new to have much information about long-term statistics available. After being burned with the band, I'm very wary about "projected" outcomes, since the band was projected to have similar long-term results as the bypass when I was first banded.
  • After suffering from SEVERE acid reflux with my first band, and having it when my second band started giving me trouble, I don't want to take the risk of having it again. The sleeve is known to cause or worsen acid reflux. I've already experienced choking on stomach acid at night even though I was sleeping upright, and I don't want to do it again.

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    • 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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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