Revise Sleeve to Bypass

[Alex123 18]

Hello Sleevers, has anyone revised their sleeve to a bypass surgery? Can you explain how it went and how was the journey?

I am seriously considering this due to a major increase in reflux after my sleeve. I went from taking a prilosec once in a while or when needed (before sleeve) to 2 doses everyday (post surgery) to stay reflux free. I feel I would had been a good bypass candidate due to my Gerd history something my surgeon did not inform me of nor did I know until further investigating. The bypass surgery disables gastric juices from flowing back up instantly relieving the need for PPI. I am overall satisfied with the sleeve however I am not too thrilled about the amount of PPI medication I now have to take due to its longterm side effects.

[Bastian 458]

2 minutes ago, Alex123 said:

Hello Sleevers, has anyone revised their sleeve to a bypass surgery? Can you explain how it went and how was the journey?

I am seriously considering this due to a major increase in reflux after my sleeve. I went from taking a prilosec once in a while or when needed (before sleeve) to 2 doses everyday (post surgery) to stay reflux free. I feel I would had been a good bypass candidate due to my Gerd history something my surgeon did not inform me of nor did I know until further investigating. The bypass surgery disables gastric juices from flowing back up instantly relieving the need for PPI. I am overall satisfied with the sleeve however I am not too thrilled about the amount of PPI medication I now have to take due to its longterm side effects.

hey, sorry you are so uncomfortable with the reflux and yeah why did they not say about it and suggest a bypass initially? I had a sleeve on Aug 12th then a bypass on 21st due to a volvulus forming, so altho i have had it all done, it happened in a morphine cloud of agony. Good luck

[Orchids&Dragons 9,047]

I was sleeved in Feb. 2018, revised to RnY Oct. 2018 for reflux. I was taking the max dose of prescription omeprazole twice a day plus Tums, as needed. Still woke up sometimes with acid in my nose. I had not had reflux prior to the sleeve surgery. The RnY did completely resolve the GERD issue, but I miss the restriction I had with my sleeve. It was really tight, which I considered a good thing. I do have restriction with the RnY, but nowhere near as much. Regardless, I am happy I had the revision before I destroyed my esophagus and teeth.

[Alex123 18]

Hi Orchid thanks for your feed back. I always thought bypass was stronger than the sleeve and it was more effective with longterm weight-loss. Its good to know it instantly resolved your reflux issues though. Do you take nsaids with the RnY? I have my 1 year follow up next month with my surgeon to talk about these things.

[Orchids&Dragons 9,047]

49 minutes ago, Alex123 said:

Hi Orchid thanks for your feed back. I always thought bypass was stronger than the sleeve and it was more effective with longterm weight-loss. Its good to know it instantly resolved your reflux issues though. Do you take nsaids with the RnY? I have my 1 year follow up next month with my surgeon to talk about these things.

My surgeon said that an RnY on a "virgin" stomach is more restrictive than on a revision. However, adding the malabsorption is what would improve weight loss. This was why I chose the sleeve initially. I really didn't want to deal with malabsorption issues, but you gotta take it as it comes.

Still no nsaids, though. Good luck with your surgeon appointment. Let us know how it goes.

[Tracyringo 503]

I had also read that the sleeve was more restrictive then the RNY, which was one of the bigger reasons I switched to sleeve, but the acid issues are still daily for me 2 years out. The meds do keep me from waking up choking on acid, which is good as you can imagine. Good luck