Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Anyone had sleeve then had to revise to bypass

Heidi.E

Recommended Posts

Heidi.E    10

Heidi.E
Posted

I am still preop but have heard about a lot of people having sleeve and winding up having to get it revised, but not sure why? I'm leaning more towards the sleeve but am now second guessing myself worried I'd have to get it revised

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

Sophie74656    1,572

Sophie74656
Posted

The sleeve was originally step one in a two step process where you would get sleeved then after a while get bypass. But after a while it was seen that weight loss with the sleeve was pretty much the same as with bypass so the sleeve was approved as a stand-alone surgery

From my own experience with the sleeve...since being sleeved this past September I have lost 150 pounds

Share this post

Link to post
Share on other sites

Bufflehead    6,358

Bufflehead
Posted

Actually the sleeve is the first step, for lots of patients, in the duodenal switch surgery,* not the gastric bypass. Many people do revise to bypass, mostly because acid reflux can be caused or exacerbated by the sleeve, while bypass usually cures acid reflux.]

*most DS patients have their stomachs sleeved and their intestines re-routed at the same time, not in a two-step procedure, but for some patients it is safer to do the sleeve first, lose more weight and get healthier, then complete the second step of the DS.

Share this post

Link to post
Share on other sites

Cervidae    2,389

Cervidae
Posted

I often see people who get the sleeve revising to bypass because they are unhappy with their weightloss or feel like they don't have the restriction they need to be successful. I also see people who get the sleeve, lose the weight, and then gain it back and want the bypass, though I suspect that is more an emotional issue than an anatomical one. Personally, I first wanted the sleeve but chose the bypass because I wanted more bang for my buck, no chance of being cut open again for a second surgery (barring complications, of which I had none) and the highest amount of accountability possible. My surgeon's office doesn't do the DS, so bypass it was. I'm nearing my 200 pounds lost milestone, over 140 since surgery in August, still losing pretty consistently. Really, it's all about what you want. Either will be a great tool for you.

Share this post

Link to post
Share on other sites

bikerchick519    202

bikerchick519
Posted

I was sleeved in 2011 and after losing 88 pounds I gained about 30. An egd revealed my sleeve was stretched and I had a lot of acid reflux. I just had the revision to mini bypass in March. I wish I had done this from the beginning and not the sleeve. For some people the sleeve works great but for me it was not enough and if I had it to do over again I would do the mini or full bypass from the beginning. Good luck with your decision.

Share this post

Link to post
Share on other sites

LabCop    1

LabCop
Posted

I had the sleeve in 2012, lost all the weight and developed refulx/GERD so I'm now going in for bypass on the 5th. I hate to go through all this again, the loss of energy and Hair loss was the worst, but I can't handle sleeping sitting up anymore.

Share this post

Link to post
Share on other sites

stacyrg2    350

stacyrg2
Posted (edited)

I'm in the process of deciding if I'm going to convert to a bypass from a sleeve. After my sleeve, I developed significant GERD. It's so bad that, even on maximum dosage, PPIs don't provide me much relief. I swear, breathing air can give me heartburn. I had an endoscopy last week and my surgeon told me my sleeve is anatomically perfect, I was just one of the unlucky few to develop GERD as a result. At this point I may be leaning towards bypass as my Dr. told me it has a 99% chance of curing my GERD and getting me off PPIs as opposed to the non-surgical treatment (Stretta) which only gives me a 50% chance of symptom relief. This is only my opinion, and others who were sleeved with GERD as a preexisting condition have had their problem resolve and would disagree with me, but knowing what I know now, if I had GERD prior to surgery I would not go with the sleeve. The acid is miserable and impacts every part of my life from sleeping (I sleep sitting up or I choke on acid), to exercising (I've had acid come out my nose when I run) to eating. Anyway, if I end up converting, I'm going to miss my sleeve . . . we've grown quite fond of each other. Good luck whatever decision you make!

Edited to add, I lost all my weight (130 lbs) with the sleeve and still have amazing restriction, so my decision isn't based on a desire to lose additional weight. Just wanted to make that clear!

Edited by stacyrg2

Share this post

Link to post
Share on other sites

Ele marie    92

Ele marie
Posted

That is why I had gastric bypass instead of doing all of that dr. Really wanted me to have the sleeve but it was my money and I chose the gastric bypass. I have two friends that are married one had gastric bypass the other had the sleeve. The one with gastric bypass can not eat fried food a lot of fat or sugar. The one that had the sleeve after a couple months out she's all kinds of stuff Donuts Fried chicken he looks great and she's gaining weight back. macaroni and cheese as health food to her in her case she really should have had the gastric bypass I can't even tell by looking at her if she lost any weight. She learned nothing.

Sent from my SAMSUNG-SM-G930A using the BariatricPal App

Share this post

Link to post
Share on other sites

bikerchick519    202

bikerchick519
Posted

@@stacyrg2 I 100% agree with you that I wish I had done the bypass of mini bypass in the first place and not the sleeve. I never would have had to go through a second surgery. Oh well, better late than never.

Share this post

Link to post
Share on other sites

stacyrg2    350

stacyrg2
Posted

That is why I had gastric bypass instead of doing all of that dr. Really wanted me to have the sleeve but it was my money and I chose the gastric bypass. I have two friends that are married one had gastric bypass the other had the sleeve. The one with gastric bypass can not eat fried food a lot of fat or sugar. The one that had the sleeve after a couple months out she's all kinds of stuff Donuts Fried chicken he looks great and she's gaining weight back. macaroni and cheese as health food to her in her case she really should have had the gastric bypass I can't even tell by looking at her if she lost any weight. She learned nothing.

Sent from my SAMSUNG-SM-G930A using the BariatricPal App

Posts lie these drive me craaaazzzzyyyyy. Just because a person had VSG does not doom them to failure and choosing RNY does not mean you will successfully lose all your weight and keep it off. Both surgeries are nothing more than a TOOL. If you don't learn proper nutrition and develop good eating habits, you WILL NOT succeed. I lost more than 120lbs with my sleeve. I LOVE my sleeve and would give anything in the world to keep it. I'm not revising because I suddenly woke up and saw the light and realized I chose the wrong surgery. I'm revising because I need to to maintain esophageal health

While RNY might be the right decision for you, it is not the right decision for everyone and I don't want anyone choosing between the two procedures to be swayed by your one "friend" who didn't succeed with the sleeve. From what you said, it's because she didn't develop good habits, not because the surgery failed her.

I guess I'm just cranky today. I am a successful sleever and proud of it!!

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

1Day1Life4Now    882

1Day1Life4Now
Posted

I had the gastric sleeve done 2 and 1/2 years ago and I lost 70 pounds. I have kept it off and I love my sleeve. I follow my diet and I'm very comfortable with the sleeve but unfortunately I have developed severe Reflux and Gerd and no amount of medications helps me. I am going to do a revision to a bypass just to keep from getting esophageal cancer. I prefer the Sleeve and I'm sad I'm having to get the bypass but I have no choice at this point. For all of you who are undecided, if you have heartburn or acid reflux, go with the bypass, otherwise the sleeve is awesome. I'll be doing my revision in August.

Share this post

Link to post
Share on other sites

Heidi.E    10

Heidi.E
Posted

I had the gastric sleeve done 2 and 1/2 years ago and I lost 70 pounds. I have kept it off and I love my sleeve. I follow my diet and I'm very comfortable with the sleeve but unfortunately I have developed severe Reflux and Gerd and no amount of medications helps me. I am going to do a revision to a bypass just to keep from getting esophageal cancer. I prefer the Sleeve and I'm sad I'm having to get the bypass but I have no choice at this point. For all of you who are undecided, if you have heartburn or acid reflux, go with the bypass, otherwise the sleeve is awesome. I'll be doing my revision in August.

Did you have reflex prior to surgery?

Sent from my iPhone using the BariatricPal App

Share this post

Link to post
Share on other sites

1Day1Life4Now    882

1Day1Life4Now
Posted

I had the gastric sleeve done 2 and 1/2 years ago and I lost 70 pounds. I have kept it off and I love my sleeve. I follow my diet and I'm very comfortable with the sleeve but unfortunately I have developed severe Reflux and Gerd and no amount of medications helps me. I am going to do a revision to a bypass just to keep from getting esophageal cancer. I prefer the Sleeve and I'm sad I'm having to get the bypass but I have no choice at this point. For all of you who are undecided, if you have heartburn or acid reflux, go with the bypass, otherwise the sleeve is awesome. I'll be doing my revision in August.

Did you have reflex prior to surgery?

Sent from my iPhone using the BariatricPal App

Yes, I did.but I didn't think it would continue.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing General Weight Loss Surgery Discussions

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Doughgurl

      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

      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!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      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

        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

        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

      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

        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

      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

        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.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×