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4 years post op nightmare



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Four years out from gastric sleeve surgery. Lost 96 lbs. Went back for a check up. Did barium swallow. PA told me that my sleeve had returned to pre op size. Anyone have this problem? I'm trying to get back on track with the diet journal but feeling like a failure. Advise welcome. I was told by the PA that I would need to get bypass now.

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Yeah I have heard of this happening after 4 or 5 years and lot of it is food intake. I know my surgeon has started something call the 5 year plan to help patients who encounter this you may want to ask about that option before doing the bypass..

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Why are you concerned, have you starting regaining weight or have you not lost enough to get to goal yet. 96lb lost seems pretty good

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Why are you concerned, have you starting regaining weight or have you not lost enough to get to goal yet. 96lb lost seems pretty good
I gained 30 lbs since losing 96. I was told by the PA after my last barium swallow that the reason for the weight gain was because my sleeve is stretched out to the size it was before surgery.

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Yeah I have heard of this happening after 4 or 5 years and lot of it is food intake. I know my surgeon has started something call the 5 year plan to help patients who encounter this you may want to ask about that option before doing the bypass..

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Was is the 5 year plan? I don't want to have another surgery.

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On ‎4‎/‎7‎/‎2019 at 9:06 AM, pattisue said:

I followed all of the rules but I think I started eating larger quantities.

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That will do it. It does not take long to stretch it out and if you do it repeatedly by overeating it will be back to normal size. Good luck!

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Was is the 5 year plan? I don't want to have another surgery.

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I don't know alot of the details about it but apparently it's a new program to help weight loss patients stay on track. It is very new and I'm not sure how many Surgeons are apart of it. My surgery was at Woman's in Louisiana if that helps

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I don't comment that much anymore, but there is so much misinformation in this thread that it needs to be addressed.

A sleeved stomach will never "stretch out" to normal size. Swelling will subside, scar tissue will soften, but stretching out just doesn't happen. It can't. The fundus was removed. However; frequent and constant over eating can weaken the esophageal sphincter and/or the pylorus.

With the esophageal sphincter weakening you would experience frequent heartburn. With the weakened pylorus, food just gets pushed out of the stomach before the bulk of digestion can happen. This leads to a decrease in satiety and more frequent eating.

Either your doctor doesn't know what he is talking about, or he is just telling you something in "layman terms". But that does neither you nor the community any good since it just perpetuates the belief that a sleeve can be stretched.

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