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Revision surgery: Sleeve to Gastric Bypass-Need Help



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I am 36years old and after almost 7 years post-op from my sleeve surgery, I've gained ALL the weight back over the course of these years. I know..how? Well, I had two jobs and school and no time for "myself." Managing all three of these commitments, I also started by old eating habits in eating junk food and fast food since there was no time for cooking and meal-prepping.

So after my first visit, I asked my doctor if it was possible to get a re-sleeve. He discouraged me and said he strongly recommends a revision to the gastric bypass. I am a little nervous since I've heard so many things from my friends about malnutrition, having to randomly use the bathroom any type you eat, and possible depression. Not sure if anyone here can help me in making this decision. I have a meeting with my doctor on July 7th and I want to be ready to tell him with confidence that I am ready to have a revision to the Gastric Bypass.

Please tell me what should I be expecting, any concerns, any questions that I should raise?

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I did it I had bad reflux from the sleeve but I wasn’t nervous I should have done this in the beginning ,you will be ok especially for health reasons it was worth it always take you Vitamins as directed you will be just fine

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26 minutes ago, Memaw1 said:

I did it I had bad reflux from the sleeve but I wasn’t nervous I should have done this in the beginning ,you will be ok especially for health reasons it was worth it always take you Vitamins as directed you will be just fine

Curious, how much weight did you lose from the revision? I'm going to have one, pending insurance approval. Thanks!

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So far 65 lbs I had it done in august it’s a slower process because of the sleeve they said but if I were to exercise regularly it won’t be higher but at this time it’s kind of hard and I work in a plant so I’m tired when I get home from doing cars all day lol but I think I could do better but yes it’s a bit slower this time around

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A bypass such as a SADI would be a good choice. That's what I did. I haven't had any unexpected negative side effects post surgery. Another option to try is just to do the sleeve reset, a dietary change that may reduce the current size of your stomach.

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3 hours ago, California Guy said:

A bypass such as a SADI would be a good choice. That's what I did. I haven't had any unexpected negative side effects post surgery. Another option to try is just to do the sleeve reset, a dietary change that may reduce the current size of your stomach.

I think the OP meant a gastric bypass (RNY)

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if you're referring to the RNY, then malnutrition is rare as long as you keep on top of your supplements.

the "bathroom thing after you eat" is uncommon with the RNY. The vast majority of us deal with the opposite problem - Constipation.

if you meant something like a SADI or DS (which is not the same as the RNY gastric bypass. SADI and DS are a sleeve stomach with a bypassed small intestine), then those things are more of an issue. But even with that, I think malnutrition is uncommon as long as you keep on top of your supplements.

ADDENDUM: I just rechecked and you said gastric bypass (which is the RNY). So no, those things aren't common issues. You just have to be more diligent about taking your Vitamins than you would be with the sleeve.

Edited by catwoman7

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11 hours ago, PerezL84 said:

I am 36years old and after almost 7 years post-op from my sleeve surgery, I've gained ALL the weight back over the course of these years. I know..how? Well, I had two jobs and school and no time for "myself." Managing all three of these commitments, I also started by old eating habits in eating junk food and fast food since there was no time for cooking and meal-prepping.

So after my first visit, I asked my doctor if it was possible to get a re-sleeve. He discouraged me and said he strongly recommends a revision to the gastric bypass. I am a little nervous since I've heard so many things from my friends about malnutrition, having to randomly use the bathroom any type you eat, and possible depression. Not sure if anyone here can help me in making this decision. I have a meeting with my doctor on July 7th and I want to be ready to tell him with confidence that I am ready to have a revision to the Gastric Bypass.

Please tell me what should I be expecting, any concerns, any questions that I should raise?

Hopefully your life is more under control now so that you have time to commit to the bypass surgery otherwise If you face similar issues you may face the same challenges.

But I only dump if I have something high sugar or fatty content which is obviously rarely. You need to learn to eat clean and healthy again.

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On 7/1/2020 at 12:23 PM, Memaw1 said:

I did it I had bad reflux from the sleeve but I wasn’t nervous I should have done this in the beginning ,you will be ok especially for health reasons it was worth it always take you Vitamins as directed you will be just fine

Thank you. Already feeling better.

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    • 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

      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

        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

        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

      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

        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

      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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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