It has been a while since I was posting regularly here. I had vsg in May 2013, reached my goal weight and a healthy BMI in about 16 months, and have had no trouble maintaining. I've been very happy with the sleeve overall.

But I have had some trouble the whole time. Basically I dump (severe diarrhea and sometimes severe hypoglycemia too) after almost every meal. We are talking agonizing, clear-the-ladies-room, stuff. I actually experienced it right after surgery in the hospital and they said it was normal and would go away. It never has. I've worked with my surgeon, dietitians, other gastroenterologists, I've had all kinds of tests including numerous endoscopes and colonoscopies. I tried going dairy free, gluten free, low carb, low fat. I had my gall bladder removed after a severe attack and hoped it might help. I took Questran at 4x the normal dose. I tried calcium. I tried eating g things that tend to block other people up. I ate 120+ grams of low fat Protein a day. Nothing helped.

Now I have another problem too. Despite being on nexium since surgery, I have severe acid reflux and bile reflux that have caused my stomach and upper bowel to develop severe ulcers. The acid reflux is a relatively common long term complication of the sleeve. The bike reflux is often genetic and doesn't cause a lot of trouble with a full size stomach apparently. My current gastroenterologist is going to revise my sleeve to a bypass, which will eliminate both types of reflux because it will be impossible for the acid and bile to reach the pouch from the blind stomach. He also thinks that the bile reflux is causing the dumping because it is impeding the break-down of food, which is passing through me only partially digested.

So I will be having the revision Monday morning and I get to re-experience the joy of the 6 week post-op diet. My surgeon is confident that any weight I lose will only be temporary, since I really don't need to lose more. I may actually gain a bit because I will be absorbing more nutrients.

I don't know how many sleeve to bypass revisions there are, so I wasn't sure where to post this. Hopefully it is helpful to someone.

@@mistysj I sure hope this fixes things for you. I remember I had diarrhea for the first 5-6 weeks after surgery, and I was panicked it would be that way for the rest of my life. It felt like it lasted forever, and it wasn't pleasant. No one ever said it was a possibility, and I was shocked by it. I hope it can be over for you, too!

Misty... I am having the same problem with reflux only mine isn't silent anymore. In the stages of pre op testing. Gastric emptying scan in the morning then nutrition in the afternoon. I am scared. I could stand to lose more weight but I did lose a lot after my sleeve. Very happy actually where I am weight wise. Hope your doing well. Keep the updates coming please!

Hi Misty just wondering how you are ?

How are you misty?

I hope all goes well for you! The thought of doing this surgery again scares the heck out me! I was recently diagnosed with a hiatal hernia three years post op and I pray it doesn't get worse.