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Gastric Sleeve to Bypass revision

My name is Michaela I am 29 I am considering getting a revision to the gastric bypass.

I had the sleeve exactly 3 years ago. I am 5’4 at my heaviest I was 272 and got down to 174 now I’m back up to 222. I am super depressed because I don’t know how I let this get this bad.

I’m looking for stories of people who have had this revision and what made them decided to do it and how much the have lost so far. Also people who are looking into getting the surgery and what made you decide to look into it.
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  • I had the sleeve for 3 years before my revision. I lost twenty lbs initially then re-gained 60 lbs. There was no restriction at all. I also developed Barrett's Esophagus from the gerd. Since gett

  • CharlotteWebb
    CharlotteWebb

    I am super stoked that I am Revising from VSG to RNY this coming Friday. I am not doing it for weight loss alone. I have terrible bleeding reflux and 2 hiatal hernias. I am optimistic this will fix if

  • New&Improved
    New&Improved

    Hey girl looking good... Feel free to search forums plenty of success stories out there with bypass!!

Featured Replies

Hey girl looking good...

Feel free to search forums plenty of success stories out there with bypass!!

I had the sleeve for 3 years before my revision. I lost twenty lbs initially then re-gained 60 lbs. There was no restriction at all. I also developed Barrett's Esophagus from the gerd. Since getting the revision in December, I have lost 42 lbs and the reflux is gone. Don't hesitate to do it.

I am super stoked that I am Revising from VSG to RNY this coming Friday. I am not doing it for weight loss alone. I have terrible bleeding reflux and 2 hiatal hernias. I am optimistic this will fix if not eliminate the majority of these issues.
After the VSG I experienced esophageal strictures as well as 2 bowel obstructions. Ready for the VSG nightmare to be over!

11 hours ago, CharlotteWebb said:

I am super stoked that I am Revising from VSG to RNY this coming Friday. I am not doing it for weight loss alone. I have terrible bleeding reflux and 2 hiatal hernias. I am optimistic this will fix if not eliminate the majority of these issues.
After the VSG I experienced esophageal strictures as well as 2 bowel obstructions. Ready for the VSG nightmare to be over!

Yes RNY will fix many things. My dr said it's great for those who suffer from type2 diabetes so that's a big reason for me to go RNY

  • Author
On 04/25/2019 at 14:26, krash11 said:



I had the sleeve for 3 years before my revision. I lost twenty lbs initially then re-gained 60 lbs. There was no restriction at all. I also developed Barrett's Esophagus from the gerd. Since getting the revision in December, I have lost 42 lbs and the reflux is gone. Don't hesitate to do it.


I as well am 3 years and have regained 55lbs I don’t know where I went wrong but I just wanna get back on track . What are the biggest differences that you see ?

Goodluck to everyone.. I'll be having RNY in September my first surgery can't wait

My surgery is tomorrow morning and this has been a long journey but its finally here and am excited to start this new chapter in my life. Better changes are in my future but as they say one day at a time.

I am having a revision of my gastric bypass on may 14. I am having it done by endoscopy. Not alot of info out there. Look it up, it could help you.

I had sleeve surgery in October 2016,lost 87 lbs but( gained back 30 and have lost 11 recently),my reflux (GERD),has gotten so much worse than it already was.Instead of 2 pills a day I am taking 4 medications a total of 10 pills a day just for the reflux. I also had a hernia repair at the same time which almost immediately came back.
That's why I am waiting for approval from my insurance companies for the RYN surgery.
I am absolutely miserable all the time not sorry I had surgery at all as I am no longer type 2 diabetic, no high blood pressure, no high cholesterol and the weight loss is a great plus.
Just want the reflux gone.

Interesting...I wonder if this is a long-term outcome that was unanticipated. I had a Lap-Band that slipped within 2 months and I waited almost 1 year until insurance would pay to fix it. It was ridiculous-I had to lie down to eat without throwing up. I had the sleeve revision on 12/27/11. It was actually pretty good for the first 2-3 years although I am now 100% reliant on Prevacid daily. It is AWFUL if I am even a few hours later with the dosage. Some days the 1 Prevacid won't cut it and I need to chew on Tums or something because it feels like a heart attack. Fast forward 7 years out. The GERD is over the top ridiculous and I find myself eating things to just keep my tummy from throwing up the food I eat.

Last year I started having huge problems with malabsorption. My surgeon told me I was crazy because the sleeve doesn't cause that. My typical "blame it on myself" alongside my "I am embarrassed I have gained weight back" self just went quietly on while watching my blood chemistry get all jacked up. When I had to get IV transfusions of iron I knew I had to get answers.

I have bounced from specialist to specialist. I do not have a disease based issue. It has to be anatomical. I am seeking an opinion from a new surgeon to get a new point of view. Hope she is worth her salt because I am truly sick and tired of being sick and tired. I am starving nutritionally even though the sleeve isn't supposed to do that. I can only pray that answers are found and insurance will pay for a revision.

I have been reading quite a few peer-reviewed journal articles about this phenomena. They correlate what I am finding and say what I am claiming is indeed real and a duodenal switch or RNY is my answer. I avoided bypass due to malabsorption but I think I need to stop crying over spilled milk because I am indeed here and the issues need to be addressed.

I am currently 33.8 BMI so "obese" but nowhere near where I started. I have read that RNY is a better bet than the switch for my situation. The duodenal switch promises permanent weight loss but GERD is still prevalent in those revisions. All I can say is: NOOOOO! Bad road!

Long post to ask if anyone has had similar issues and found success with RNY revision from their sleeve? Is anyone in the same place I am and just trying to find answers? I feel so dumb that all of my initial research was worthless because here I am with basically a self-inflicted life long problem. Add in the "I failed" thoughts and psychologically I have regressed to the blame game stage. Ugh!

Would love to hear from you if you can relate to this posting. Please tell me if you are RNY patient and love it. I really fear it for the exact reason I am seeking help-the malabsorption and GERD.

Teachkdz0507

Hey you're not alone at all.
Also not your fault.
My gastrointestinal doctor should of been consulted before my surgeon decided sleeve was best for me.
Right after I had the sleeve surgery my gastrointestinal doctor said I should of had the RNY. I have gone from 40 mg twice a day of Zegrid with Bicarb to now I take that plus zantac 300 mg twice a day, Carafate 4 xs a day and zofran for nausea.
Just diagnosed with barrett's esophagus due to the GERD being so bad.
I constantly feel sick because of my Reflux.
I am sick of feeling like crap too.
Good luck with your new doctor.
Allie in SC

  • 2 weeks later...

I had the sleeve 5 years ago. Only lost 100 pounds and have since gained 50 back. I never was satisfied with my restriction and I feel that has a huge play in my failure! I’m doing the bypass this fall and I can’t wait. Reflux is an issue too but at least it’s not a daily thing for me. I still have about 175-200 to lose so wish me luck please!!!!

Hi Friends-

I am so grateful for this community and the friends I made along the way when this journey first started. I should have reached out when all the trouble became serious but I hunkered down and surrounded myself with blame and embarrassment. I am glad I reached out because I have found out WE ARE NOT ALONE!

People that I knew from my initial surgery support group (7 years ago) are having the same issues! It is a relief to know it isn't just me on the struggle bus. The reflux and malabsorption are huge for way more than I ever thought. The regain of 50% or more is quite a common story. We all admit that we fell off the ride but we also maintain that our tool wasn't all that it was cracked up to be.

My personal opinion is that we all were on the early end of the adoption of using the sleeve as a stand-alone procedure. It used to be a step before RNY for the heaviest of patients. I think they are finding out that many of us need to do the RNY, after all, to meet our weight goal and get rid of those pesky side effects. Honestly, making goal does sound good but fixing the way I feel daily is a much bigger incentive. If I get some weight off along the way then that is a nice benefit.

My one "down" side is that my new surgeon is part of a practice that I am getting the feeling likes to do a lot of suggestive selling. I think they make you do things before they will get the insurance done. I am an avid tennis player. Seeing their exercise person is not what I need but they are going to make me lift weights. I would much rather spend my money to buy tennis clinics to help me shape up at something I enjoy doing. They do have monthly nights with local chefs to learn how to cook healthy and bariatric friendly meals. I can get behind that 100%. Teach me how and I can do it. I will try my best to get on board with their plan. The old plan obviously didn't work for me.

Finally on the calendar for my first visit on June 6. Wish me luck at the appointment.

I did want to ask them about what a functional doc said to me. Tell me if any of you have heard this before. The functional doc believes my issue (and other gastric patients) is LOW acid not too much acid. He said it will mimic the same feeling as heartburn because my food isn't digesting properly due to a lack of acid and breaking down naturally as it should. Thus the malabsorption. He believes that in turn causes inflammation of the stomach and intestines which makes eating even that much harder. Enter the gas, belching, feeling full too soon, diarrhea issues... IF he is right, he wants me to add a supplement that will increase the acid in my stomach. I am so afraid to do that because I feel so awful now. Has anyone else heard this explanation? Did you try this? He said any brand of Betaine HCL Pepsin will work. I might try it this weekend to see if it works.

Heads up...we can turn our ships around and be victorious. I am so glad I am not the sole person on this journey.

Happy Memorial Day!

Teachkdz0507

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