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I've been reading through this thread and have a question. Im having revision surgery next week. Went from sleeve to MGB and now to RNY because i have horrible reflux. I had excessive weight gain in the years of trying to get to a solution, so I'd love to lose some weight with this as well, but it is not the reason Im having surgery. I see a lot of people asking for stories of success and mostly Im reading that "it's just not as fast" or "I miss my sleeve" but you guys still lost weight right? Just took longer, so had success, but not as fast as you wanted?

I originally had a sleeve that I was told was done incorrectly. That info has still been upheld with current scans. The original surgeon did not cut enough of my stomach away to have enough effective weight loss. A couple of years later, I approached a surgeon in MX for a revision and they talked me into a MGB as opposed to the full bypass. So now I have two problems, one, my stomach is still too large and the bile duct is "basically dumping bile into my stomach" (dr's words, not mine). Only 2 months after the MGB, I started having reflux issues, but was just told to take medicine and it would pass. I saw Dr's while living in CA for almost 2 years before deciding to move to WA to be closer to family because I was in such bad shape over this and the CA surgeons were shady as hell and trying to just immediately push me into a revision without insurance approval. It still took almost a year for diagnosis and surgery scheduling in WA, but I have a huge amount of faith in the dr's I have here. It's been a long road and I definitely didn't want another weight loss surgery after the first two, but I've been assured that this will fix the issue and even help me shed some of the weight gain that I experienced. I did gain over the last couple of years because consistently eating food was the only thing that kept the acid at bay.

I am so sorry you're going through this and experiencing the pain that I'm going through. I've been having some severe pain since the revision on October 6th. I'm going to a follow up appointment today so I'm going to see what they say . I hope you don't have to go back into surgery again... it all becomes a little discouraging. You go in to have surgery to fix one problem and come out having numerous. Good luck with everything and please keep me posted. ❤️

Wow, that’s rough. I don’t think I’ve ever heard of anyone being outright denied surgery because of the psychological evaluation (not that it’s never happened; I just haven’t heard about it). I have heard of people being required to get psychological treatment before getting approval for surgery. Did the psychologist say anything about that? Maybe you can wait until he sends the full report and see what it says, because it seems very strange that he would just say you’re a lost cause and will never be able to get the surgery. A lot of us have a bad relationship with food and issues with emotional eating and still get the surgery. Is it possible to get a second opinion From another psychologist? That said, you probably shouldn’t get the surgery until you’re mentally and emotionally ready for it. It’s a big commitment and a hard journey, and you pretty much only have one shot (ok, you can get a revision, but even that doesn’t usually work as well as the original surgery) and you don’t want to waste it. So it might be worth getting some treatment for your emotional eating before you get surgery.

Yes, very true. Thank you Ms sss and Stella. Very true. And the shrinking Chef - I agree - doing this revision, I will give it my all. 2020 is a such a bad year as it is....2021 will be amazing!

Thanks Ms. sss - it certainly is a tough call. I paid $16,000 in 2009 for the lap band that is now being taken out. MGB will be an additional $19,000. Believe me, I am all for investing in myself but its a hard pill to swallow if it is only for another 5-10 years. The trend seems to be after a certain amount of time, people are following low cal, exercise, feel like they are starving themselves and nothing is happening. Weirdly enough, weight gain is my least worry. Sure, it will frustrate me, but any medical complications scare the bejesus out of me! I'm hearing ulcers and yet more revisions? I'm 50 now; I don't really want to be having surgeries in my 60's and 70's when the risks become greater. My surgeon/clinic provides support etc for 5 years. I think that says a lot as well. Its not lifetime. One side of me says, just do it - you have read enough to know it will help you stay on a healthy lifestyle. And the other says, get a personal trainer and have him/her weigh you in 3 days/week to be accountable. I don't have to make the decision today. I am grateful for site's like these that can assist in decision making. Back in 2009 there wasnt much support for the lap band.

Briar Rose - yes, its a huge decision and major surgery. I hope we can make the best decisions for our health and well being and not think we are taking the easy way out. Reading these posts there is no easy way about it and can have some long term ramifications. Don't get me wrong, I am still intrigued by the surgery; however have fears of complications and weight gain of course. It will cost me $19,000 to get the revision done. So it needs to make sense to me.

Hi Everyone, I am a 10 year lap bander that is now getting it removed for various reasons. I am trying to decide if I get a revision to mini gastric bypass or just leave it alone. I too have gained - not all, but I have. I want to lose 50 pounds in total. So deciding if I just do it myself by healthy diet and exercise or go to the next level of surgery. What I am reading here is with the surgery, you have to do it yourself anyway - healthy diet and exercise. And that is a problem for most. We did not have surgery because we found it easy to eat healthy, small meals and exercise. Its an addiction to food for a reason - comfort food. It makes us feel good. Until it doesn't. Its a love/hate relationship. if we all had great motivation we would not be overweight and need surgery to lose weight. Its not that simple. It's psychological. What these clinics are not providing is mental support. We all know what to eat. So why are we all still challenged? Our patterns are inherent in us. Once we get over that food = everything will be better, we will be better. Just like any other addiction. I'm not sold on this surgery.

I went into my initial consultation thinking that I wanted the sleeve, but my surgeon pushed me to get gastric bypass instead because I had a very high starting BMI (over 60). I had gotten the impression that the sleeve was a more modern, less risky, less extreme surgery, but my surgeon explained that the risks are about equal (although there are different risks), and gastric bypass typically results in more weight loss. I was unsure at the time, but as I learned more about both surgeries, I became more confident that gastric bypass was the right surgery. It might just be confirmation bias, but I've seen a lot of people talk about getting severe GERD with the sleeve, and/or not losing enough weight, and getting a revision to bypass. What surgery you get is YOUR decision, though, so if you are not comfortable with it, you have the right to cancel. However, it's best to avoid making big decisions when you're in a heightened emotional state, so what were your thoughts a few weeks ago when the surgery was a little farther in the distance and you were in a calmer state of mind?

I am having revision due to gurd, gastritis, esophagitis and not losing enough weight. GS 12/02/2014. RNY 10/23/2020.

I had rny gastric bypass and am wondering if I can have a revision surgery done.

Jean! I have my surgery scheduled 11/2. I met with my surgeon last week and he said as long as I stick to my no carb, protein and physical activity I will lose the weight and go back down to my lowest. Today is my first day no coffee and I’m dying but ready to get back into track. I also follow some on IG that has revision for weight loss and she said it takes longer but possible if we follow the diet and don’t go back to our old habits. I totally know how much this sucks to have come so far only to gain lol but we got this!!!

I had a sleeve July 2019 due to a lot of issues had a revision to gastric bypass 2/2020 had not had any candy at all in that timeframe. We had a 21st birthday celebration for my daughter and I avoided all cake, soda and other goodies at the party but while cleaning up there was one leftover peanut butter cup left in the candy dish and I rationalized it in my head that well it’s peanut butter and peanut butter is a source of protein (I know I was making excuses to myself to eat it) so I popped it in my mouth and chewed it up. About 5-10 minutes afterward I started feeling sweaty and nauseated (not like I need to vomit just an icky feeling). My family has a history of diabetes (not me personally but my dad and brother are both insulin dependent. Do you think since I had the surgery I better get checked for diabetes? (I don’t plan to try and eat candy again but wasn’t sure if this is a “normal” reaction to introducing sugar to my new body or something else)

I had revision from sleeve to bypass on Sept 18 due to severe GERD. I had also not lost much due to maladaptive eating I had developed due to the GERD symptoms (the symptoms were WAY worse when my stomach was empty, so I had to eat something every 1-2 hours). After sleeve surgery, I woke up with GERD symptoms and they never really stopped. Since the revision to bypass I have had zero GERD symptoms and it has been glorious! I have absolutely no regrets for going through the revision. My only hiccup has been in the transition from pureed food to mashed food, but I think it's mostly me just needing to adjust to the new way my stomach/system works. Good luck! I hope it goes as well for you as it has for me!

My biggest fears are: 1. Dying- I am the breadwinner for my family, have two young children, and two elderly parents with dementia I take care of. I need to be here because there are a lot of people counting on me for pretty much everything. 2. It not working- I feel like I hear so many horror stories of it not working, or people losing only a small amount of weight before nothing happening. I know it generally works, but you can’t help but be concerned that you might go through all this for nothing. 3. Regain. This is not my first rodeo with weight loss. Over 10 years ago I lost 150 lbs (without surgery) and had an amazing experience being “thin” for the first time in my life with all the accolades, pride, etc that comes with it. Only to gain it all back plus a lot more. I am doing everything I can to try to make this time different but I’ve done it to myself before and I’m terrified I’ll do it again. 4. My freaking insurance finding some dumb loophole to deny my surgery that they submitted for last week! Or Covid causing elective surgeries to be cancelled again and my husband losing his job that has the Bariatric coverage medical insurance before they resume surgery. Or basically some new reason that I get denied after so many years trying to make this work. 5. Complications: a leak, chronic issues, being nauseous forever, a clot, having to have the surgery revised later due to gerd, or any other issues that I can think of. So basically what are my greatest fears? Everything, it looks like. Ha!

I would really love some success stories as well. Had sleeve 8 years ago. Went from 260 down to 166. After about a year started gaining it right back and with this crazy year I'm back to 250. I'm going for a sleeve to bypass revision but the doctor said the results typically aren't as good. I'm having trouble finding much on the internet specific to that. Thanks Jean

VSG - 3+ yrs ago so slightly different than what maybe happening this year: I called the local Bariatric Surgery practice to inquire about how to start the process and was told to attend an in person seminar where all of the information would be discussed After the seminar I called to set up an appointment with the surgeon. At the appointment my insurance was processed, weight taken then official first meeting with the surgeon where we discussed my health & medical history as well as my options. I chose to move forward with surgery ASAP. The head nurse/office manager set up my first nutritionist appointment for the same day because the NUT was available right after my consult. I was given info on the diet I needed to begin to follow (I needed to meet just once or twice more with the NUT prior to surgery for more instructions and weigh ins). At checkout from the initial consult, I was handed a huge packet of info on the next steps/appointments. There were some the office set up and some I needed to do on my own. I needed to meet with my primary for insurance authorization & prior weight loss history. Next was the psychologist, cardiologist, gastroenterologist , sleep study, and my neurologist (case specific) Final steps were endoscopy and barium swallow test then the final required WLS seminar. Once it was all complete, all materials were submitted and I waited for insurance approval. Once approval arrived I was given options on surgery dates. Prior to surgery I needed to complete pre-op lab/paper work including meeting with the anesthesiologist about 1 week before surgery. No pre-op diet required but I did one for ~ 5 days because I was nervous. Day of surgery (5 am) was just more paperwork then briefly meeting with the team one more time. Administered light sedation then headed into the OR suite, met the surgerical team, placed on surgerical table, wired with monitors/leads, IV placed and then placed under general anesthesia. From initial call to surgery day ~4 months. *Revision to RNY (1+ yr ago): At one of my regular follow up appointments I told my AMAZING Surgical PA that my GERD symptoms had increased significantly. I was scheduled to see the new Surgeon immediately (original one left the practice). At the appointment with my new Surgeon it was suggested to conduct an endoscopy immediately. It was scheduled for the same week. My new Surgeon conducted the endoscopy to have first hand info on my anatomy since they were not the original Surgeon. A few days later we met again to discuss my options (revision or several months of repeated balloon dilatations) I choose revision and was scheduled for 12 days later. Please note that I was "fast tracked" and I didn't need to repeat any of the initial prerequisites because I was at goal weight and demonstrated significant need for the procedure. No insurance issues either for the same reasons. But this time I had to do the 2 week pre-op diet. The day of revision surgery the same as first surgery. Good Luck with your journey ❤️

wow.... congrats. You are a success. We have the same status.. pretty much. I'm 5'2" and started my journey with LB 2009 @ 232lbs. Got and stayed at 143lbs for years.... band removal 2017. Was able to keep my weight with in 10-15 till i hit menopause at 50-51. I tried everything to get it off. Didn't have much luck. I had been looking for a dr. that would do a revision, but they all said i didn't weigh enough. The end of 2018 beginning of 2019 i packed on more weight. Got to 173lbs. I was at my wits end when i found my dr. here that agree to do the Sleeve at a 31Bmi. In May we took a pre-honeymoon to Italy and i felt terrible. (plus i had hurt my ankle 4 weeks earlier at crossfit falling off the ab machine). That same May i finally got my property settlement from my ex and i took 14k and invested it in ME..... So 8/28/19 i had the sleeve done and i went from 173 to 120 in 10 months. I sure hope i have the continued success you have. I can honestly say that i think if you do the liq diet for one week you will lose that 10lbs..... but you should go to your GYN and maybe look into hormone replacement. I'm on Estradiol tab. 1mg

I dumped a couple weeks post RNY revision with a protein shake. I’ve also dumped on eggs. I don’t have any experience with bananas because I developed an allergy a few years ago but I do miss them.

First, whenever we see some reference to "WLS patients" in either the general media or even the general medical media. it is (unless specificallyl stated to the contrary) invariably referring to the RNY gastric bypass, as that has been the most common, and most commonly studied, WLS procedure over the past 30-40 years. Even most doctors (non-bariatric) whom we may consult over time will often confuse the procedures, or lump them all together as "the bypass". Something to keep in mind in later years if some doc suggests that "I can't prescribe that for you because of your WLS..." Ask questions and verify if that really applies to you. The RNY imposes a number of limitations that don't apply to other procedures. Aa few years ago we did discuss in our support group (in full HIPAA compliance) a patient of theirs who, after consults with many different types of doctors, had been diagnosed with ALS. As it turned out, after going back and consulting with the bariatric practice (as he had not done in years) it was found to be one of those nutritional problems that you mentioned. This patient, in his 70's if not 80's by then, had a Duodenal Switch, which is more malabsorbing than an RNY, and also somewhat fussier when it comes to supplementing, nutrition and lab follow up. This guy had not done his labs in several years, so things had skewed out on him. Once they got his supplements and nutrition in order, he was fine. The lesson here was that it was (is) imperative, particularly with these malabsorbing procedures, to stay on top of lab follow ups, as weird things can happen. Given that the RNY is also malabsorbing to a somewhat lesser degree, but much more common, I would expect that the medical field would see some of these problems in a population that may be fairly casual about following up on their health. I could certainly buy that there is some association over time with some increase in some of these symptoms owing to odd nutritional problems As to your brother with his sleeve, one of the reasons that many prefer the VSG is that there is no malabsorption, and is much more forgiving - less supplementing need, and hence less intensive follow up requirements -than the malabsorbing procedures. Further, the problem that the above patient had manifested itself over years of neglect, rather than a few months of normal WLS recovery, so I don't see that this is a likely situation for your brother; as above, it is likely simple coincidence. As with taking your car in for service and it breaks down a few days later - there is always a suspicion that they did something there - yet sometimes it is indeed simple coincidence. It looks like you are doing all the right things as far as second (and third, fourth, etc.) opinions, and this is vital when we get into situations that are beyond the normal. Another possible consult may be Dr. Ara Keshishian, also in the LA area, who is long experienced with sleeves and the DS; he may have run across something like this if there is any real connection to find. He does a lot of distance consults for revisions, so if distance is a problem, an initial consult can usually be done by phone/email/skype. All the hope in finding a good outcome,

Hello I am getting a revision from a lap-band to sleeve and don't drink dairy. I'm sensitive to milk proteins and lactose, I get an immediate breakout of cystic acne and bloating. The hospital I'll be going to mainly stocks premier protein post-op. I currently use a protein powder KOS, its vegan and offers 20g of protein with minimal carbs, fat and is low calorie, it is just very thick for post-op. I've looked around on amazon and found some already made vegan shakes but many have a ton of carbs, are high in fat, high calorie and don't offer at least 20g of protein. What I'm looking for is a protein shake that doesn't have milk or lactose. These tend to be vegan. At least 20 g of protein per serving, 5 or less carbs, no more than 180 calories, and low to no fat. Oh and if it used a natural sweetener like stevia or monk fruit instead of artificial would be great. I don't think this shake exists but any suggestions would be great.

So glad I have found this community, it’s exactly what I have been looking for. Surgery date 17 Nov. revision from 15 yr old lapband to sleeve.

Resolution rates per Research for both diabetes and hypertension are also best with it. These factored in for my decision as well., Another thing I learned in the process I asked almost this exact question of my surgeon the morning of at the hospital. Basically I said is this too much?? His reply made a lot of sense, he gave his reasons (partly due to this being a revision and therefore not going full deal right out the gate at my lower BMI. Etc The main point I wanted to give is that he explained that he was going to titrate my DS to match my specific current goals and needs per my BMI. In the end I agreed and went ahead and had it done that day.

I am finally feeling like myself again. I was expecting to recover much quicker than I did. My revision surgery was done 9.17.20 and I was so uncomfortable and in pain. Now I can sleep on my side (with pillows, I'm a belly sleeper and this is a struggle lol), the Omerparzole has helped so far with GERD, and I can stand and walk for longer periods. I have been doing good on staying hydrated and continue to work on my eating habits and meeting my protein goal (120g). The Premier Protein water taste like chalky cough syrup, as I thought this would be a hack to meet my goal and the unflavored powders do have flavor if that makes sense lol. I can finally bend down and tie my shoes (but it has to be quick lol). The weight loss is slower this time around as we all know with revision but my main focus is my eating habits, exercise, and mental health. Sent from my SM-N950U using BariatricPal mobile app

I had my sleeve surgery in 2013 and have had GERD 6 months after the surgery. I have been on omeprazole for 7 yrs. I went from 40 mg once a day to twice a day. My surgeon now feels that a revision is necessary to resolve this issue. I just meet with him on 10/14 and I am scheduled for surgery for 11/19 upon approval from my insurance company. I will have the revision and repair the hiatal hernia I have too. I did not think it would be this soon. I'm a little worried but looking forward to not having to worry about taking these pills and the effects if I dont. Alot of my family does not know I had the sleeve so now Im concerned about Thanksgiving when I will still be on pureed foods. Not sure what I will do but just praying all works out well. Sent from my SM-A205U using BariatricPal mobile app