Revision

[Rashi 16]

As I am just a few days away from surgery I've come across many stories of revision procedures. For those who have had to do this or know someone who has... I'm curious what some of the reasons were ?

[catwoman7 11,151]

the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD.

a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to

I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often

and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare

Edited August 30 by catwoman7

[ShoppGirl 4,306]

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me.

I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

Edited August 30 by ShoppGirl

[SleeveToBypass2023 2,475]

Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.

[tinyforks 8]

On 9/1/2024 at 11:29 AM, SleeveToBypass2023 said:

Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.

Can you tell me more about your symptoms? What did the gastritis and esophagitis feel like? How long did it take you to develop polyps and how did you know? Thank you so much in advance!

[SleeveToBypass2023 2,475]

9 hours ago, tinyforks said:

Can you tell me more about your symptoms? What did the gastritis and esophagitis feel like? How long did it take you to develop polyps and how did you know? Thank you so much in advance!

I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and Water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.

[tinyforks 8]

6 hours ago, SleeveToBypass2023 said:

I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and Water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.

Thank you for sharing your experience. I'm sorry you had to go through that.

[SleeveToBypass2023 2,475]

5 hours ago, tinyforks said:

Thank you for sharing your experience. I'm sorry you had to go through that.

I'm curious why you wanted to know the details. Are you having issues with your sleeve?