I a vertical gastric sleeve in 2006. I weighed about 400 at the time and got down to 250, then plateaud at 285 for 10 years. I was happy with that. In the last 10 years, I've gained it all back and am at 400 lbs again. I am close to my pre-op visit to discuss the revision. The weight loss nurse I am working with said this time, my weight loss might not be as significant. I said I was shooting for 300 lbs, and she said that was doable. I'd be happy with that. What I want to know is what type of revisions you've had, and how your experience is different after a revision than with your first surgery. Also, I am concerned if I have the bypass or the DS about dumping. I didn't have that with the first surgery. I could manage if it was occasional and I could control it by the types of foods I eat, but I have heard it can become a constant, lifelong problem.

It always makes me a bit sad when medical professionals that should know better tell you what you can expect from surgery based on averages. Please know, there are no limits on weight loss after bariatric surgery of any kind, thus saying that you'll only get to 300 is in my opinion doing you a huge disservice. Whether you get to 300, 200, or beyond is all up to you and your behaviors post surgery.

As you leaned the first time around, bariatric surgery does not fix your brain, so I would strongly encourage you to work with a mental health professional to understand your eating behaviors and how to address your unhealthy relationship with food. It would really be a shame to go through with a revision to bypass, and end up back at 400 again.

As far as dumping, some people dump, and others don't. For some, dumping can be a blessing in disguise because it forces them to eat better. Most people that dump tend to dump on either simple sugars and/or fats. The vast majority of people that do have an issue with dumping can manage it well with diet modifications alone. For those that need it, there are some medications that can help, and in the worst cases, there are even surgeries that can help dramatically.

My advice would be to not continue to put your life at risk by staying at your current weight simply because you're worried about something that may not even happen.

I had bypass ten years ago, and I've never dumped. Lots of others I know have never dumped, either. I used to know the percentages (I don't live and breathe this stuff like I did the first few years post-surgery), but I seem to recall it was something like 30% dump. You can control that by not eating a bunch of sugar or fat at one sitting, since that's what sets it off.

DSers have a sleeved stomach, so I would think dumping would be pretty rare with them.

Edited May 15, 20251 yr by catwoman7

In 2006, I had a sleeve, lost it to 250, and then got it back. Looking at a revision now. According to my nurse, I might not lose as much this time—perhaps as little as 300, which would satisfy me. How did the weight loss from the initial operation compare to individuals who changed to a bypass or DS? And did you cope with dumping? Was it more frequent or manageable?