My Sleeve To Bypass Journey

I am almost 3 years post op from gastric sleeve surgery. My surgery was 10/1/12. I was a slow loser from the start. When I was ready, I was working out 5-6x a week. I saw my surgeon and nut at required times. They thought my progress was great. I had my surgery in Bogota. I lost 53lbs pre/post op from Oct 2012 until July 2013. We moved back to the US and I gained about 7lbs. We were living in a hotel and I started a new job.

We found out we were expecting a baby in Sept 2013. My weight loss slowed between July and August of 2013 leading up to pregnancy. I had a difficult pregnancy but gained weight just like I did in my pre-sleeve pregnancy. After my delivery in 2014, I noticed an increase in reflux and my weightloss was nonexistent. I consulted with a new doctor. He ordered a barium swallow. That showed a hiatal hernia and confirmed gerd. At that time the doctor told me he had several post pregnancy sleeve patients with dilated sleeves.

I had my follow up endoscopy which confirmed a nice size hiatal hernia and I have an angulated sleeve (it's twisted).The food is not exiting properly or timely. It causes the back up in the sleeve and the gerd. It is also like I have a pouch at end of sleeve.

I have Federal BCBS, so I am in the process of meeting all insurance requirements. I have had my first of three nut visits. I also had my first part of psych eval. I also need my last two years of non pregnancy weights and a letter from my PCP.