Search the Community

Revisions are different for everyone. I had a lot of anxiety afterwards because of not having restriction like I had with the sleeve. It has taken me a long while to finally get use to it. Part of that anxiety was me thinking I would have problems with regain because of not having the restriction. I dump and get violently ill from eating wrong thing or too much food, so I am very careful now. You will lose the weight just make sure you follow the plan like you did with VSG. I was at goal with my revision but I lost 12 lbs the first month. I weighed in on Dr scale yesterday at 157. I am down 23 lbs and holding. I will say this. It is a lot easier for me to maintain my weight now then with the VSG and I stay 10 to 15 lbs lower then with VSG. Good luck and PM me anytime

hi there question, so you had the sleeve, then they did the REVISION to the BYPASS?

My surgeon didn't have a goal weight for me, only that he said he would consider me a "success" if I lost 60lbs in the first year (This was calculated as 60% of excess weight, based on BMI 25 ideal weight). I had different ideas: I aimed for 120, which was just about the mid-range of "healthy" BMI for my height, AND was the weight I was when I met Mr. back in my 20's. I later changed this to 127 as I felt it was enough at the time. Anyhoo...I got to surgeon's goal at 3 months. I got to my revised goal at 7, then to my original goal anyway at 8.

Hi everyone. I am one year and six months post op gastric bypass surgery. I originally had a sleeve but got a revision due to bile reflux and a hiatal hernia. It seems like I am constantly nauseous off and one. Some days nothing and other days it's terrible. I have had a lot of testing done and I was told some can just have this post op. I have tried a ton of different medications and no luck. Any advice or suggestions would be greatly helpful and appreciated. Thank you! Sent from my LM-Q730 using BariatricPal mobile app

For treating a regain problem, I prefer the DS as it is stronger metabolically than either the VSG or RNY - the RNY is too close to the VSG in strength to reliably offer a significant improvement in weight loss, from what I have seen over the years. Figure maybe 20lb loss on average - about what one would expect from going through all the intense dieting associated with going through surgery again. (There are some who do significantly better, bit it seems to be more a function of their determination to "make this work" or "not screw it up again" than the actual surgery itself. Call it something like a surgical placebo, lol.) By your surgeons not finding the codes for the DS implies that they are talking about the newer SIPS/SADI/"loop DS" which is a single anastomosis adaptation of the traditional BPD/DS (biliopancreatic diversion) which has been routinely covered by US insurance and Medicare for the past 14-15 years, but is a more complex procedure that relatively few bariatric surgeons perform. Some practices that do the SIPS/SADI use the BPD/DS billing codes which is technically insurance fraud, but if they're comfortable doing it, that's their concern. Revising the VSG to a DS, of either flavor, is straightforward as each use the VSG as its basis (some don't even consider it a revision, more a "completion" of the ultimate configuration.) The strong point of the BPD/DS is its regain resistance - regain is possible as it is with any of these procedures, but it is harder. I know many with the DS who are 10-20 years out (my wife included) who are still maintaining a healthy weight; some are up a bit more and working on losing their "Covid 19" - just like "normal" people but major regains are relatively uncommon. The SIPS/SADI type of DS seems to fall somewhere in between the VSG/RNY and the BPD/DS - I have seen a few in the various forums who have had it and seem to be doing well with it, but it doesn't have as long a history. Any of these procedures - the RNY, DS or SIPS - will be somewhat fussier and less care-free than your VSG when it comes to supplements and follow up; the RNY is maybe a bit less so, but one can get into some serious trouble with any of them if one slacks off. If keeping up with supplements and annual labs is not an issue with you, then any of them should be fine.

I got the sleeve in 2011 and I lost about 100 lbs after.. since then I have gained about 60 back. I had a many complications with the surgery and had my staples pop and had to have follow up surgeries. Since then I have found an amazing doctor who I trust and he spoke to me about a revision surgery for weightloss. He recommended the DS but apparently their was not a surgery code to bill it yet * this was last January 2020 * . He then recommended the bypass. I agreed and started everything with hopes of getting the surgery by June 2020 before he retired. Due to covid my surgery got pushed indefinitely and he retired. In august when they started to do elective surgeries again a Doctor from his group reached and said that my original doctor asked this new Dr. to take me on as a patient moving forward with the surgery. I had decided that I did not know him that well and would not proceed at that time. Well I am still struggling with weight loss. A huge amount it is effecting my daily life I work in trauma and psych in the hospital and I am in nursing school and having issues keeping up due to my energy and weight. I have recently made the decision to continue with the pre op tests and get my chest xray and labwork redone to see if I can fast forward this surgery and get it by end of march beginning of april. I was just wondering for people who have had the revision surgery --- sleeve to bypass or sleeve to ds - how it ended up for them. I doubt I will be able to get the DS even though that is what I want due to the insurance issues so bypass is the way it looks. Also recovering times and everything else please. I am doing this one solo only 1-2 friends will know I am having the revision due to so much stress and people giving me their opinions about the situation the first time I do not feel like dealing with again.

I had a revision on 1/11 and I am going back on 2/1 , so 3 weeks with no lifting required job. I wanted 2 but Md said no, and I'm glad because I still get tired. Sent from my SM-G965U using BariatricPal mobile app

So i got my authorization for an appointment with the Biatric team. Its next week. I just really hope they approve me for my REVISION.

This is the most recent comparison that I have. SW (5/1/19) 327, VSG (12/17/19)- 264, RNY revision (8/11/20)- 211, Thanksgiving weight- 185 I had emergency surgery 12/26/20 so I haven’t taken a current photo lately but my current weight is 157, so 7lbs from goal.

I have RNY Gastric Bypass 16 years ago. Due to the complications listed below, I am having revision surgery. Has anyone gone through this procedure? How much weight did you lose after the surgery?

Curious. I have seen a couple of sleevers over the years have that problem, but doe seem to be unusual, particularly compared to acid reflux (isn't it nice to be "special"?) but it doesn't seem to be any more prevalent with us than with the general population. It seems that most anyone can be subject to it on an occasional basis; it's the chronic condition that is problematic, so I guess that you continue to monitor things and see how it goes. There are tests that they can do to determine if this is a chronic thing and if something needs to be done, so keep on them about it if it continues to be a bother. There was one gal a few years ago whos surgeon revised her to an RNY to treat it, which seemed odd given its' predisposition toward it, but it seemed to work (at least initially - like most, she dropped off the forums after a few months) so presumably the surgeon did everything in the RNY toolkit to avoid it. The better approach if things are that bad is to revise it to a DS as that is as good of a cure as one can find (it puts the stomach and bile ducts at near opposite ends of the GI tract, so it's virtually impossible for the two to mix), but most bariatric surgeons don't know how to do that one. Hopefully, you don't need to go so far as a surgical solution. Good luck!

lucky you !!! i am happy for you. That is literally my next option if my insurance doesn't approve my revision. I am going to just pay out of pocket. ugh !! don't really want to do that since i have 2 insurance policies. but it is what it is. I need my REVISION ASAP !!

Girl you got this. those are all normal fears. Let me tell you the pain is not all that bad. I wish i was going through it again. I had my surgery 8 years ago and i am trying to get a REVISiON. Just got authorization for appointment. Now i am hoping they approve my REVISION. You will be fine.

I just got my authorization for an appointment with the biatric team. Now its up to the case manager. I am crossing my fingers and hope she approves my revision !!! i really hope my Gerd and weight gain qualifies me to get REVISION !

I too would suggest that they look at your abdominal area and see what is going on. 110 since July seems great. However, I have a friend had emergency surgery because something happened with her revision. . Sent from my SM-G965U using BariatricPal mobile app

I know this is not really going to get answers but maybe someone might have some insight. I have lifelong chronic illness and disability. A challenge is being sensitive to medications and side effects and having allergic reactions (my list of antibiotics I am allergic to is growing) It started with Umbilical area pain that radiated upward to the right shoulder blade area like spasms. Admittedly I am also dealing with diverticulitis issues, bleeding and pain I'm not sure the source as well as Interstitial cystitis. My gastric bypass surgery inadvertently revealed a form of neurological dysphagia I have difficulty drinking thin liquids. landing in hospital with aspiration pneumonia a day after I got home, I found out that was why. started before surgery but I didnt know why I was having difficulty drinking water. normally i could chug it no issues. For a while I had trouble with eating which turned out to be stricture. I had history of ulcers prior to my gastric bypass surgery. and they found it afterward as well. I had dilations. and eating got a bit easier I just had to be careful what types of foods I ate. But then some weeks back it got really bad I found myself feeling sick just taking nibbles of my lunch. I always meal plan daily and prepare portion control sizes so I know how much calories and protein I am getting and what my portion is so its never too much for my pouch. But Id get partway through nibbling slowly and at times depending what Im eating Id just have to stop. and then feel the need to throw up but cant at times heaving but only a thick mucus comes up. I saw my general practitioner and had a CT scan and bloodwork. I also made some appointments. She told me to see my Bariatric surgeon. I had to wait until just recently to have a Endoscopy. I am just frustrated. because the CT scan showed Hepatic Steatosis. My one liver level is high it was not high when I was losing weight. Only when it was stable already. I did not have fatty liver prior to surgery. But they want to assume I did and that no one told me. But that's something they check for because its a co-morbidity! Also my gallbladder was checked at the time it had to be removed due to chronic inflammation. People have gastric bypass to get rid of fatty liver ... I have only read of maybe a rare case of liver disease post surgery. Anyway. back in June I had a enteroscopy to check the remnant portion of stomach and dilation. no mention of ulcer then. I have trouble with proton pump inhibitors not working and they just seem to deplete my vitamin levels too much. plus trigger my migraines. Ive had ulcers go away without the PPI and gotten ulcers while on them so they just dont seem effective. Then there is carafate. one side effect is constipation and with diverticulitis I cant afford that especially since the CT also showed inflammation and narrowing of my colon ... and I am trying to get iron and even the supposed non constipating kind in my whole foods based multivitamin is throwing my system off. so I had the Endoscopy this month and it showed Jejunal ulcer so the doctor just prescribes proton pump inhibitor and carafate (my insurance decided to not pay for carafate) but what other options are there besides these? and what could be causing the ulcers if Im not taking motrin or similar meds even though I do need them. Ulcer at the junction between the pouch and small intestine can happen in the first months post op and common treatment is PPI and carafate but not nearly two years out. Hard to believe April will be two years ... my gut keeps telling me its issue with my remnant stomach. perhaps even with the staples used. but I dont know how to get answers. I have seen when these things dont work doctors do a surgical revision of some kind. my surgeon is great but yet he seems to address it as it too simply and its not that simple anymore. Also I cant figure out the fatty liver aka hepatic statosis and the high ALT (liver enzymes) they assumed it was high before but no not really. Also I had blood transfusions in June and the levels went down due to the transfusion but then went back up again. so one would assume if it had to do with the weight loss the levels would have stayed down. I cant sort out what move to take next. I kind of sat on this post a while and didnt post it. I still hesitate. I know its probably not something anyone can answer. I am just getting frustrated. I am also retaining fluid in my abdomen along with a lot of pain.

for some it gets better, but for about 30%, it gets worse. I'm surprised your surgeon is recommending it, to be honest. He may be more comfortable doing that surgery - it's less complicated. But I don't really like his comment about how you can always revise to bypass. Yea, but... I had GERD before surgery. I didn't want to take the risk of it getting worse.

It totally will depend on how your surgeon explains the need for the revision during the insurance submission and if your insurance requires the waiting period matter what. Call your insurance a d ask where you can find the information on Bariatric revision surgery. If possible ask for it in writing. Also find out if that particular revision procedure is covered. Good Luck ❤️

that is so cool you were able to get a REVISION. That is what i am trying to get. I have a phone appointment with my primary dr to give authorization to schedule and appointment with my surgeon. I really hope i get approved for REVISION since i have gained 40 lbs and have really bad Gerd. I have Kaiser. I already had an endoscopy and cat scan. I just really hope my surgeon approves me for REVISION. i had bypass surgery 8 years ago.

OMG !! you are so lucky, i have kaiser insurance. I need a revision. I gained 40 lbs and have terrible Gerd. I am praying i get an authorization today for an appointment with my surgeon. I really hope my surgeon approves me to get a REVSION. I already got all the test needed, endoscopy a cat scan . Everything is in my chart showing i have bad Gerdd. Honestly i just need another shot to try and get this right. I really hope my surgeon approves me for revision. I don't want to gain all my weight back. That would be horrible

I was set to do the bypass but my doctor is really pushing for the sleeve. He said that most of his patients have less reflux after the sleeve and if it does get worse they can do a revision or put a magnetic band around my diaphragm which is something I had never heard of. I do not want to have a revision, especially since I’ll be paying out of pocket, but he was pretty sure the reflux wouldn’t be a problem. The sleeve is definitely a less scary sounding procedure and as I’m 22 I have a lot more time for long-term complications to happen and the sleeve has a much lower risk of those than the bypass. Decisions decisions

My surgery has a sleeved stomach and although I didn't have GERD I DO have EOS which causes acid issues. I have less acid then I did pre-surgery (I'm 1 year out), but my case is also not typical as generally speaking acid tends to get worse with the sleeve. I mean, it may not happen to you, but you also have to take the chance that you may end up having to have a bypass revision somewhere down the line. If you don't mind the risk then go for it. If you don't want to potentially do things all over again then do the bypass. In the end, it's very much your own choice. Just do what makes you happiest.

Looking hot!! And healthy! Great job! What did you revise from? You did amazing!

Hi- I had gastric bypass in 2016. Lost 100lbs. Since then, I’ve gained 60 of that weight. I have an appt in couple of weeks for a revision. From what I’ve looked, they do an endoscopic revision and it’s a 15 min procedure. My question is- do we have to wait the 6 months that we did for the original gastric (per insurance) or will this not be that long of a wait? How much have you lost since the revision? Thanks everyone!