Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Loss of restriction from VSG to bypass



Recommended Posts

Hey, I have had a rxy bypass 2 weeks ago and I was on liquids for one week and puree now. I have felt no restriction even with Water I am gulping a glass down easily and having puree very easy with no pain or restriction.
I have tried eggs and a few other little things because I freaked out with no restriction. Can I have people please help with their own story about this… does the restriction comeback?? Has anyone spoken to their surgeon as to why they lost it??? Any information and support would be appreciated I have been really low and upset about this worrying I’ll never feel full again

Share this post


Link to post
Share on other sites

I'm interested in this since I just found out I have to have a revision from sleeve to bypass. It kind of worries me, so I'm interested to see what people say.

Share this post


Link to post
Share on other sites

I’m 3 weeks post op on the same VSG ago RYN Bypass and I’m wondering the same thing. I too have had no feelings of restriction but I’ve also been super careful and kept my intake to 1/2-3/4 cup of full liquids. Just this week they added cottage cheese, ricotta, runny oatmeal and apple sauce. Next week is purée. I have been doing 3/4 cup cottage at 3 table spoons in 10min intervals and had no issues. I’ll admit I’ve tasted an olive size piece of cheese or veg here and there this week and had no issues. I tend to think unless I stuffed myself I wouldn’t feel restriction but I’m so freaked out about rupturing my pouch that I’m being super careful. Bottom line: 3 weeks out and I don’t feel any different than I did 10 years after my VSG, except no more GERD!!!

Share this post


Link to post
Share on other sites

2 hours ago, SleeveDiva2022 said:

I'm interested in this since I just found out I have to have a revision from sleeve to bypass. It kind of worries me, so I'm interested to see what people say.

Oh, can I ask how come? You seemed to be doing so well

Share this post


Link to post
Share on other sites

Fluids and purees go straight through the pouch, which is why most people are put on liquids and/or purees. Your pouch is healing and it's a way not to stress everything.

You won't really notice your level of restriction until you get to actual chewable food.

Good Luck,

Tek

Share this post


Link to post
Share on other sites

6 hours ago, SleeverSk said:

Oh, can I ask how come? You seemed to be doing so well

I have gastritis and GERD, plus I had to have several biopsies because my stomach is full of different kinds of polyps. I have to have 3 more endoscopies to remove them all. I was told I have to have a revision to bypass because the polyps are coming from the gerd and gastritis. So once all the polyps are removed, then we go in and do the bypass.

Share this post


Link to post
Share on other sites

9 minutes ago, SleeveDiva2022 said:

I have gastritis and GERD, plus I had to have several biopsies because my stomach is full of different kinds of polyps. I have to have 3 more endoscopies to remove them all. I was told I have to have a revision to bypass because the polyps are coming from the gerd and gastritis. So once all the polyps are removed, then we go in and do the bypass.

Thank you for sharing, the reason I ask is last

Share this post


Link to post
Share on other sites

Sorry, I don't know what going on with my tablet every time I choose quote to reply the text highlights blue and I can type anymore. The reason I asked was last year I had a contrast ct scan done which showed a mass the radiologist wanted further investigation but my surgeon and gp both agree it was just scar tissue from the sleeve. I also had polyps before surgery. I think I will go back and ask for further investigation just to be safe. Thank you for sharing SleeveDiva2022

Share this post


Link to post
Share on other sites

1 hour ago, SleeverSk said:

Sorry, I don't know what going on with my tablet every time I choose quote to reply the text highlights blue and I can type anymore. The reason I asked was last year I had a contrast ct scan done which showed a mass the radiologist wanted further investigation but my surgeon and gp both agree it was just scar tissue from the sleeve. I also had polyps before surgery. I think I will go back and ask for further investigation just to be safe. Thank you for sharing SleeveDiva2022

Of course!! The concerning thing was that I had no polyps at all before or right after surgery. Something happened in 8 1/2 months to cause this. And the gastritis and GERD became off the charts in the last 6 months, so I was told once all the polyps are gone (I have a few different kinds of polyps) then I'll go in for my revision.

Share this post


Link to post
Share on other sites

The restrictions will come when your onto more substantial foods. I had the same thing after my revision happen.

Share this post


Link to post
Share on other sites

yes - like others have said, you normally won't feel the restrictions until you move to solid food. Liquids and purees go right through you.

Share this post


Link to post
Share on other sites

I just had a revision from Lapband to RYN on January 10th. My surgeon told me I wouldn’t get restriction from the revision. I have to really focus on weighing and measuring my food intake so I don’t gain weight. He said people who had restrictions from their previous surgery do not feel the restriction. I measure my food and I can only tell when the food hits my intestines and I feel full there in my lower belly.

Share this post


Link to post
Share on other sites

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.

Here's my explanation for what's going on:

  1. The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller.
  2. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that.
  3. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to.

So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.

Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

Share this post


Link to post
Share on other sites

@ryan_86 Thanks so much for this. I was not going to do the revision from sleeve to bypass due to all the posts of people mentioning that there was no restriction with the bypass. I am terrified of regaining weight. I had my sleeve done in 2017 and had regained about 30 pounds back during the last 3 years due to a serious back injury in 2020 during COVID. I also have been having some Water retention this past year. Even with this I am still down 103lbs from my original weight.

My GERD is out of control...I had the Upper GI and the EGD with Bravo recently...my Bravo tested acid at 50 when per doc it should be below 15. When they told me to go back on my meds during the test the numbers dropped and they uped my meds from 20mg to now 40mg per day. I go back in to meet with the surgeon soon.

Although I am now back in the gym and eat considerably well/healthy...my portion sizes are still small too I would love relief from GERD and the higher probability of health issues with my esophagus later. However with the scare folks are putting in the forums about no restriction I would rather live with GERD than to not have this tool to help me stay on track.

Your post helped to relieve "some" of my concerns. Please let me know how you continue to do on your path. You can send a DM if you like to stay in touch. I woukld love to know your progress and how you're doing with the malabsorption.

Share this post


Link to post
Share on other sites

On 1/28/2023 at 9:11 AM, Pouchify said:

I just had a revision from Lapband to RYN on January 10th. My surgeon told me I wouldn’t get restriction from the revision. I have to really focus on weighing and measuring my food intake so I don’t gain weight. He said people who had restrictions from their previous surgery do not feel the restriction. I measure my food and I can only tell when the food hits my intestines and I feel full there in my lower belly.

Thank you very much, Ryan, for the complete and thorough response.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.

    • CaseyP1011

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

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×