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Hello, I had the lap band in 2008 and lost 63 pounds. I began to have problems (I.e. vomiting, erosion of the band) and had it removed. Gained back all that I lost and more. In 2020 I had the sleeve and 7.5 months later I have lost 80 pounds and still going. When having a revision my Dr explained that you will lose slower. Let me know if you have any other questions.

I did A LOT of research on this and I found my best option was R&Y & Im so glad I did it. I wanted the extra restrictive requirements, responsibilities and accountability for attention to my diet requirements. It's quite a commitment either way, a lifelong change to better your health. However R&Y route is a bit more intricate and to go that route does require some discipline and commitments like the taking of supplements for the rest of your life, I don't mind because they don't bother me and I've found affordable ones I like. I lose about 2.7 lbs a week and I have very little that I cannot eat, real sugar and snacking are my 2 nono's.. Dumping syndrome is no joke and makes you feel quite crappy, like the flu but worse and verry sudden, so the knowledge that if you eat too much, too fast, drink with food or the wrong foods you'll feel like absolute crap keeps me in line and accountable as well. I seem to see a lot more ppl getting revisions these days too that had Sleeve vs R&Y (In my opinion) so its really about looking honestly at your personal relationship with food, discipline level and weighing out the pros and cons of each procedure for you Personally. Msg me anytime!

How much does it cost for sleeve revision?

I had the gastric bypass in 2004 lost 100 pounds and unfortunately have gained them back. I’m looking into getting a revision surgery. It’s just revising my gastric bypass I’m not switching to any kind of different weight loss surgery. I would like to know of anyone that has had this same thing done and how much weight did you lose

I have been wanting to do this for a while any info anyone can share

I had hunger and cravings early on with my bypass, but the restriction and religiously following the protein first mantra prevented me from indulging. The physical hunger is unpleasant now with a shaky, nauseous, generally yucky feeling. Head hunger is real and annoying. I mostly choose to not listen to the head hunger. 🤷‍♀️ If you follow the protein first rule, it is almost impossible not to be in ketosis at first. As soon as I had room I added in some carbs though (mostly fruit), as I did not want to stay in ketosis. I can’t stand the body odor when I am in ketosis 😂 I exercise a lot and lost 100% of my excess body weight in just over 6 months. I am in what I will label as the vanity phase, as I work towards my chosen goal of 150 pounds. Ultimately, I actually want to get to 135-ish so I have a little cushion for bounce back. I chose bypass due to a 15 year history of GERD. My surgeon generally pushes for sleeve, but agreed with my desire for bypass due to GERD. I think either surgery would have been effective, but I did not want to have a revision if my GERD got worse. I hope some of that helps. 😊

Revision from sleeve to bypass due to severe GERD and lack of weight loss was 9/19. I'm down almost 74 from the start of the process and almost 50 from the date of the revision. Still having trouble with a bunch of foods, but I otherwise feel great! No GERD since revision to bypass, which is totally wild to me considering I had horrible GERD from the moment I woke up from sleeve surgery.

Hello, Looking for others that have Anthem Blue Cross PPO in California. At my initial visit with the surgeons office they instructed me to have 6 months of dietician visits. Anthem had sent me links to their policy document cg-surg-83 that (to my reading!) looked like 6 months wasn't required as of August 2020. The policy states: Documentation of all of the following: Past participation in a weight loss program; and Inadequate weight loss despite a committed attempt at conservative medical therapy (for example, comprehensive lifestyle interventions, including a combination of diet, exercise, and behavioral modifications); and Also: Revised 08/13/2020 Medical Policy & Technology Assessment Committee (MPTAC) review. Revised criteria requiring participation of at least 6 months in a weight reduction program. Revised not medically necessary indications to remove examples of devices which are no longer available. Updated Discussion and References sections. Reformatted Coding section. I have all of my clearances except for another 2 months of dietician visits. What I'd like to do is ask my surgeons office to just submit to insurance now with the hopes that I will get surgery end of Feb/early March. Has anyone got any recent experience I can draw on to help inform my decision and make my case!

those percentages are averages. And as with all averages, there are people who fall on either side of that range. You'll find people on here who've lost 90% or 100% (with either surgery) and you'll find people who've lost 20% or 30% (with either surgery). It all comes down to how closely you stick to your program. If you stick to it and don't let bad habits creep back in, you'll do fine and will likely lose more than average. as for missing hunger control when revised to bypass - I definitely had hunger control with my bypass. I don't think you can compare a revision to a "virgin" surgery.

I was excited and inpatient waiting. I finally had it on 1/11/21. Overall I’m doing good. I have been drinking and I’m already on phase 2 which seems fast to me. When I had the sleeve and left the hospital I was 15 pounds. As of now the scale hasn’t moved. Hoping I’m doing everything right.

Well I never had GERD, and really thats the primary reason for a revision. I may develop it later on, but only 30% of sleevers have this issue.My sleeve was done right, so it definitely isnt an inferior surgery. Actually, the weight loss between GB and GS is very very similar at 5 years post op. Because it is so similar and the rate of complications with a sleeve is lower than with a bypass, this is why my doc recommended it. Weight regain is not a side effect of the surgery (either one...regains happen with bypass just as often), but rather choices made by the patient. I am still losing. I'm confident in myself and my choices. I will check back in July 😊

most often, it's revised to bypass due to GERD. Most sleevers don't get GERD, but there's a significant minority who do. Often it can be controlled by meds, but sometimes a revision is the only option for dealing with it. I chose bypass from the start because I had GERD even before I had surgery - didn't want to risk it getting any worse.

Hey guys ive had the sleeve done roughly 10 years ago when i was 21 years of age, did well lost all of my weight was in the best shape of my life and in the last 3 years now at 32 years of age I have suffered from extreme gerd 2 hital hernias repaies and now on my 3rd hital hernia and have gained 35 lbs back . Intermittent shoulder and left under armpit/rib pain I have seen a new bariatric doctor who seems very understanding and knowledgeable and has offered me to options. 1 revise to gastric bypass Or 2 repair the hital hernia and put in a linx magnet system to help with gerd. I really don't know what to do here. I have regained some of my weight and in the last 3 years have been in pain with shoulder and chest due to what I belive is my hital hernias and Gerd. I wanted to get with the community and ask you guys/gals first hand what you recommend and why. One topic that came up was ulcers with the bypass and medications that i take such as meloxicam. Which i can switch to something else. I currently take omeperazole, temazpam,meloxicam and duloxetine. A big part of me wants to get the bypass just becuase I have regained the weight but he kind of scared me with complications that some people can have with bypass. I dont see much talk her about the linx system for sleevers is this something new that most people just don't know about or doctors just performing for bariatric patients? Please give me your thoughts

I had an ESG in Oct 2018, I had a VSG revision in March 2020. I do regret having an ESG, in Australia its not covered by medicare thus not covered by health insurance, I self funded. It was a waste of my money and. The sutures did not anchor properly and/or loosened. Looks like Dr Blosser has been around for awhile and hopefully well experienced with ESG. Questions I would ask are how many ESG procedures has he done? Success / failure rate after a year? Complication rate? What can you expect for recovery? What medication prior to and post procedure? What was the heaviest an ESG patient has weighed (his patient that is) and how much did they lose? How many of his ESG patients that he knows of have had a surgical revision? What is the average excess weight loss (EWL) % (it used to be about 20% it may have changed) vs EWL % for his patients. What is the post op program? How much on top of the procedure expenses will this cost? if you have to attend dietician and/or behavioural coach appointments)? One of the selling points of ESG is less complications and quicker recovery, however, this is generally offset by lower weight loss. If you have a lot of weight to lose (BMI 40 and over) you may be better off going with a surgical option. Typically a ESG leaves a stomach with more volume than the surgical option, hence, weight loss will not be as significant as for surgery. LIke the surgical options, many people have had success with ESG and many people haven't.

@mswillis5 I have dabbled with the idea of seeing a therapist. Years ago I used to see a therapist for other things going on in my life and she helped me tremendously. I think it could be beneficial to have someone disconnected from my everyday that I can bounce things like that off of. @S@ssen@ch Thank you for sharing your experience! After reading your comment, I think I really need to practice eating without drinking so much. Since the band will no longer hold fluid, it sometimes feels like a moot point at times. However, it’s a habit I need to create again to better my chances of success if I’m able to get the revision. I appreciate everyone’s input!

I'm looking into getting a revision and no longer have insurance that will cover it. Has anyone gone through Dr.Elias Ortiz or Dr. Almanza in Tijuana for their revision? What was your experience?

Hello, I'm getting the SIPS procedure as a revision from my gastric sleeve. It’s a fairly new procedure compared to other weight loss surgeries. Has anyone gotten this procedure, if so, Pls share your progress and experience 😊

Hello, I’m brand new to this forum so forgive me if I post in the wrong place or anything. I got Lapband back in 2013, and due to some recent issues with the band and less-than-stellar results in general, I am looking into having a revision to the sleeve. Long story short, my band no longer holds fluid, so it’s essentially just a foreign object sitting in my body and providing no real use. However, I have some concerns when it comes to potentially switching to the sleeve... In all brutal honesty, I was/am guilty of “eating through” the band. At times, I would drink too much liquid during meals thus negating the point of the band (disclaimer: this is not what caused the band to no longer hold fluid). Even though the band and sleeve are very different surgeries, I worry my bad habit will cause me to fail with the sleeve. Anyone gone through this and have advice?

GERD after sleeve doesn't happen to everyone, or even to the majority, but there's a fairly significant minority who develop it after surgery - enough so that they usually recommend people go with RNY if they have GERD prior to surgery. Losing weight may help with that - but then again, it might not since it IS a known potential side effect. You could always try to lose the weight first and see if that does the trick - and if not, go for the revision (if that's what you want to do - you may be able to control it with meds, too...)

Hello everyone. I was wondering the same thing. I had my sleeve in 2016. I had issues with GERD from the beginning since I had heartburn from time to time before my surgery. I was 207 on day of and 147 at my lowest 11 months later, and I was skeletal! I did love being so lean yet I still had horrible acid. My surgeon had suggested I had the gastric bypass but I worried that as I aged I would waste away in my senior years. Then COVID hit. No gym, just hunkering down at home. I have gained 25 lbs during quarantine. I also had a baby in September. I’m 5’1 and hate the weight on me. And the GERD keeps me from sleeping. Would I be able to get a revision that Medicaid will cover? Also, my sleep apnea is back.

Hi I haven't been on one of these forums in a looong time. I had a sleeve done in 11/2010. It has gone well and MOST of the time I hovered between 185-210 (which was fine with me as I was nowhere near my high of 300). about 1.5 yrs ago I started having trouble keeping some foods down...I figured I was just eating too fast or too much. I was losing weight but not too fast. I had post-menopausal bleeding in 12/2019 so we did the whole cancer check thing (esp with the vomiting becoming more of an issue). Everything came out fine so I was referred to a GI who found a hernia. Had this repaired in 6/2020. Since then I have done well to keep anything but liquids down. I had an upper GI done and my stomach is the shape of a barbell. (1/3 normal sleeve, middle 1/3 severely narrowed, last 1/3 normal sleeve). Referred to another GI who did another EGD and colonoscopy and found I had almost a complete blockage in my stomach (11/2020) (he also got a good view of how I look like skin and bones without clothes which I think REALLY concerned him). He sent me straight to the ER to be admitted and I had surgery 2 days later which ended up being them taking the scar tissue that was wrapped around my stomach out. Still no improvement. My new GI had his nurse call me because he wanted to have an appointment (12/28) and see how I was doing post surgery (5 weeks out). He immediately ordered ANOTHER upper GI (12/30) which looked exactly like the one from October. We discussed going to a different surgeon and I picked a new bariatric surgeon (I tried a few but they wouldn't take me since they didn't do my original surgery in 2010 and the one who did is no longer in network). Once the surgeon saw my upper gi results he had his nurse move my appointment up a week. (1/5). My GI sent a message to the surgeon prior to my appointment so he had a heads up about me. First he wasn't happy I hadn't been referred earlier to him by my first GI. He said there is no fixing the middle part of my stomach and the only thing to do is revise to an RNY. He wants to do it as soon as ins approves. (Today I spoke with them and it is marked high priority and I should have an answer by tomorrow). I made sure they knew I could only keep liquids down and it had been thing way since June. I also mentioned I have gone from a size 14/16 in Dec 2019 to 4/6 now. (I just bought a size 4 straight skirt and it fits perfectly). I have a TON of loose skin but clothes hide it. In July I just bought a new bra 36 B now I am a 32A. The guy on the phone at Aetna took these notes to add to my file in addition to the ones my surgeon sent (the upper gi series, etc). Originally my file wasn't marked high priority until someone on the clinical team looked at it. SO, now you have my LOOONG backstory. I am kind of scared about the RNY. How is the recovery? This will be my 3rd surgery in 7 months. My body has not been getting the calories it needs for quite a while now (even protein shakes take a long time to get through). It's actually probably a miracle that I am still able to function as well as I have been at work. All of the covid changes have been kicking my rear but it has been a very productive year for me despite this whole mess. Thankfully I have an amazing admin assistant and colleagues who have been pitching in here and there to help when I absolutely needed it...but I am a workaholic so I have taken very little time off for recoveries. What can I expect of an RNY rather than the sleeve? Has anyone had any complications like this so far out from the original surgery? Obviously I am not doing this to lose weight...I am actually doing it to gain weight. This has really been crazy mentally after all those years worried about losing weight. sorry for the book. I would love input from anyone :)

Thats the great thing with Kaiser, they have everything under your MRN. I am in a similar situation, husband on unemployment due to covid and now we are on medicaid too, I have gotten the sleeve, but starting process for revision. When you select Kaiser as your MCO, call them or go online and select your primary that you already had, (you might have to get an updated referral) then schedule the appointments with a rep and it wouldnt even be any sort of issue, usually they dont see the part of your file with eligibility/insurance status, but either way, it shouldnt change anything. You will more then likely go to Holy Cross Hospital for your surgery since your in VA. I am in Baltimore and they sent me there.

I don't have a revision of the Bypass but this Information fell into my hands a while ago : Consider researching and asking about other methou such as sclerotherapy of the stoma and plication of the stoma or pouch using Endoscopic Operating System (EOS USGI) Good Luck ♥️

I don't know about this particular surgery, but I know I've read mixed reviews of revisions like TORe, overstitch, etc. Some people don't lose much weight - but some do, but it's almost always slower than it was with the original surgery.

Is your surgeon doing a standard ESG (reducing the size of the stomach) or a TORe - Transoral outlet reduction? The facebook group ESG failures has a high number of Australian users, it seems that there is a higher rate of failure for the standard ESG in Australia, perhaps because ESG hasn't been in Australia as long as it has been in USA and some other countries, so the doctors (majority are not surgeons) are not as skilled/experienced as those doing ESG in other countries. There have been some very successful Australian ESGers but for some reason the facebook groups have gone quiet, perhaps new members have been reduced because it is not covered by medicare so not so many questions on the groups (there has been an application pending for it to be covered, but it seems to be in limbo at the moment) http://www.msac.gov.au/internet/msac/publishing.nsf/Content/1555-public Standard ESG is not covered by medicare or private health insurance in Australia, you are probably looking at least being about $14k to $17k out of pocket. I looked at some of the outomes for TORe which is an ESG revision on bypass when the gastric outlet is reduced by endscopic stitching. There seems to be a better success rate for that (none of the studies I read were for Australia). It doesn't like like this is covered by medicare or private health insurance either. Some questions to be asked of your doctor - how many ESGs have then done? Or TORe if that is what is intended for you? Success and failure rate? If a standard ESG if they have done less than 50 I would consider finding someone who has done at least 150/200 ESGs or more. There are some out there who have done at least 250 or 300. In general, weight loss from an ESG is typically lower the surgical options. https://www.facebook.com/groups/238431870408750