I had VSG in November 2016. I never really lost the weight I had hoped (lost about 30 pounds). I'm sure a lot of it has to do with my choices because I really want to get the extra weight off. I recently met with my surgeon to discuss my options and after having a Bravo Endoscopy, we learned I have extremely bad acid reflux (I didn't need a procedure to learn that but whatever). He also stated that I have a hiatal hernia.

Today he advised me to undergo gastric bypass which will completely eradicate the reflux. I was hoping to go in for a duodenal switch but he stated that wasn't a good option for me.

Does anyone have any experience on vsg to rny with great weight loss results?

Same concept with the lap band. It lost favor due to GERD... maybe sort of the same thing, but not to the extent of making VSG extinct which is what happened with the lap band.

9 minutes ago, BypassingMyPhatAss said:

I have a theory that since VSG is having so many issues with revision due to GERD, that Mexico is now picking up MGB as a new surgery option. But what the hell do I know? ?

Hopefully the future successes with MGB in Mexico will catch on here in the US.

could be..

2 minutes ago, catwoman7 said:

could be..

Stay tuned to find out!

8 minutes ago, BypassingMyPhatAss said:

Same concept with the lap band. It lost favor due to GERD... maybe sort of the same thing, but not to the extent of making VSG extinct which is what happened with the lap band.

VSG pretty much replaced the lapband a few years ago as the non-RNY option. It was still pretty new when I had my surgery, so I wasn't sure I wanted to go there (besides the fact I had GERD...). I was a little worried it might become "Lapband 2". I think at this point it's been around long enough to have proven itself - but yes, there do some to be a lot of people who end up revising.

I am - not "may be", am - biased, but there's no way MGB won't overtake RNY at some point. Higher weight loss, fewer complications, simpler surgery, easily revisable and reversible in study after study over a 25 year period.

Just now, catwoman7 said:

VSG pretty much replaced the lapband a few years ago as the non-RNY option. It was still pretty new when I had my surgery, so I wasn't sure I wanted to go there (besides the fact I had GERD...). I was a little worried it might become "Lapband 2". I think at this point it's been around long enough to have proven itself - but yes, there do some to be a lot of people who end up revising.

Yeah same here, it was still newish. And I wasn't crazy about having part of my stomach sent to the incinerator. And I was against RNY for years because I didn't think I would be a candidate for it due to autoimmune disease, but now my Rheumy says oh no go for it. So I'm diving in head first soon.

1 minute ago, MiniGastricBypassDude said:

I am - not "may be", am - biased, but there's no way MGB won't overtake RNY at some point. Higher weight loss, fewer complications, simpler surgery, easily revisable and reversible in study after study over a 25 year period.

Yeah I sense that you have zero buyers remorse, lol.

42 minutes ago, MiniGastricBypassDude said:

I am - not "may be", am - biased, but there's no way MGB won't overtake RNY at some point. Higher weight loss, fewer complications, simpler surgery, easily revisable and reversible in study after study over a 25 year period.

Not that MGB was an option for me in Las Vegas, but lack of reversibility was one of the selling points for RNY for me, as I feared I would take that "out" if the going got tough. I'm an "all in" kinda guy, and I had a long row to hoe.

Just now, The Greater Fool said:

Not that MGB was an option for me in Las Vegas, but lack of reversibility was one of the selling points for RNY for me, as I feared I would take that "out" if the going got tough. I'm an "all in" kinda guy, and I had a long row to hoe.

LOL, I super don't get that. It's not like you wake up and think "oh, today I won't have bariatric surgery' - why would you do that? I can eat a full meal with MGB if I wanted to, I'll just feel satisfied a lot sooner than that. Notice I said satisfied, not "in pain".

It's awesome they can move my bypass point 50 cm in the future if need be (say, regain). Or if I need surgery on the remnant stomach, they can stitch me back up, do it, and then re-do the bypass.

Just now, MiniGastricBypassDude said:

LOL, I super don't get that. It's not like you wake up and think "oh, today I won't have bariatric surgery' - why would you do that? I can eat a full meal with MGB if I wanted to, I'll just feel satisfied a lot sooner than that. Notice I said satisfied, not "in pain".

It's awesome they can move my bypass point 50 cm in the future if need be (say, regain). Or if I need surgery on the remnant stomach, they can stitch me back up, do it, and then re-do the bypass.

I get that you don't get it. You don't need to.

Good luck,

Tek

Just now, The Greater Fool said:

I get that you don't get it. You don't need to.

Good luck,

Tek

Meow. :D

Whoa, I missed a lot I see. Take the flirting to PM, boys. ? Jk, lol.

1 minute ago, MiniGastricBypassDude said:

Meow.

To put less [apparently] catty.

We each obviously have different requirements and situations.

I had far, far, FAR more weight to lose, "Eating a full meal" obviously meant something very different to you than to me. I needed to change what "eating a full meal" meant. I wanted to change every last eating habit, other than my preferences for protein and cheese.

I had people try to sell DS to me on much the same terms you use, "eat a full meal", "no restriction", etc. Honestly there was a large appeal to it, but I knew I could easily (EASILY) out eat any such surgery.

You may have been sure you would never wake up and decide you wanted out. I wasn't so sure, as I knew my path wouldn't take months, but years to get to goal, if in fact I ever got near it. As I said, I had a long row to hoe. When I lost 200 pounds, it was a promising start.

RNY's are often modified, not that I counted on nor cared about that option.

I am every bit as enthusiastic about my choice and my reasons as you are yours. I was once even as evangelical as you are. I've mellowed, which surprises me somewhat.

Good luck and continued success.

Tek

4 minutes ago, The Greater Fool said:

"Eating a full meal" obviously meant something very different to you than to me.

Yeah, as I have shared several times here, eating a full meal to me meant eating so much I physically almost passed out from my severe binge eating disorder. Which nearly killed me in the end.

I did the work. I fought and won against that demon. Not on any surgery table, that's not where eating disorders are fixed.

Am now using that knowledge to influence national health policy so fewer teenagers go down the same path and end up like I did as adults.

Let's not jump up on crosses. Because we may find everyone here has their own to bear.

Edited March 29, 20224 yr by Guest

Reversal is important to me but for a different reason. If I get very sick with my autoimmune disease again (which is what caused me to need wls ~ 7 years of daily steroid use) I may need it reversed because I will have to go back on daily steroids again. We don't think that's going to happen, but it's there if it's necessary.