Search the Community

Hi there, I’m also planning to do a revision later this year due to GERD. Do you still have no reflux after your revision? How are you doing?

Yikes! I am having my Nissen Fundoplication with metal banding revised to an RnY on Wednesday. I had severe GERD and a large Hiatal Hernia. The Fundoplication worked for about 2.5 years but now the GERD is back and I have another hernia that developed above the fundoplication. This sounds like it's going to be...not fun.😰

I had my revision done on August 27. Absolutely no pain. The only problem I had was nausea afterward. I don’t handle narcotics well. I ended up dry heaving for the first day. But day 2 hit and it was all forgotten. I’m doing well, following the all the rules therefore swelling is going down and a few pounds down already. Starting to get energy. Looking forward to the next 3 weeks.

good morning.... Pretty much the same status i started with .... it was 2009 and at 5'2" and 232lbs. I had NO self confidence and NO sense of self. My x brought me to nothing. He (6'4" not overweight) is the most self-centered, selfish, controlling, norcicistic man you will ever met. I took it for 26 years... technically 29, we dated for 3 years. It was a gradual thing... At first it was my friends, then my co-workers, then my family. We would only do things with his friends and family. I could never do anything with friends and co-workers only if he was there. Family, i could on holidays and he would never come. He controlled everything even though i work all the time (2-3 jobs sometimes). He took all of my main jobs money. I was able to keep the cash of the other (waitress). This is what i used to buy personal stuff and my kids things. I couldn't even buy underwear without his approval. I would sew up the holes just to avoid an argument. Cut my kids pants for shorts for school.... it was ruff. I thought all those years ago, if only i were skinny i could make him happy. Make him love me again, make him want to be with me sexually... and life would be fine. But NO, life after the band got worse. From day one he hated the thought of me losing weight. He was very degrading to me and one of the biggest was my weight. Of course, he told me all the "normal" things you tell a large person..... Your fat, no one will ever want you, you are disgusting, Lazy.... that i was ugly... But when i tried to lose weight he would always sabotage it. He knew and would still make me bring him home cake, pie, ice cream...., Then say, you don't have to eat it. Well when i decided to have WLS, he fitted out... he did everything in his power to get me to change my mind, and when i didn't and was doing my 2 week liquid diet..... he decided to go on a 4 day bike drive to the mountains. I stood strong and didn't cheat not once. As it would turn out, that trip saved me.... My company did a massive lay off and i was to be part of the over 100 to be let go. But because i wasn't there they couldn't lay me off. That Tuesday i had the band sx and went back to work the following Monday and lost my job and insurance.... It was a blessing in disguise. Over the next year, i lost 69lbs. the next year i lost 20lbs and that's pretty much where i stayed. In 2012 without him know till two day before i had a TT w/MR and lipo to the flanks..... HOLY HELL was he mad. I thought i didn't come all this way to be left with saggy skin... As my confidence grew my tolerance of him got less and less. Even with him still degrading me.... I was too skinny, looked like a bag of bones, still ugly, but now he pointed out the wrinkles. And through it all...... Why are you losing weight? You must be cheating... NO. In 2014ish.... i got to the point where i hated going home. My oldest was out the house and married and my youngest was on his way. There was nothing at home except my dog and a hateful miserable husband. I asked him so many times for counseling... he said, if you pay for it, i'll go, but i don't need that, there is nothing wrong with me.... It's all you. That was it, the last straw... i started preparing my self to be on my own. In July of 2015 i told him that if things didn't change, i was filing for divorce come January. He of course didn't believe me, well January came and i filed. He still didn't believe i would go through with it.... but when i started going out and leaving him home he finally got it. I was gone forever. I made him move out July 4th.... My independence day..... It was like the world was lifted off me. I could breathe. And i figured if i had too, i would work 3 jobs again... My weight went up and down over the years, but never more than 20lbs.... i was at my lowest when he left 130ish. But got back to my normal 143lbs. Dating was exhausting and fun all in one. Then in Oct i signed up for Match on a "free" week just to see what was out there in crazy land. And i met the man of my dreams.... we talk, texted for a few weeks and then met in person. I never knew men could be like this. Opened doors, pulled out chairs, walk nearest the road, carried my luggage, complimented me, listen to all my crap... Including that i was dating others and was NOT interested in a relationship. But i found myself comparing all the other men to him... and my friend said, men like him and one in a billion, take him before someone else does..... and i did. He is the most incredible man, supports me in everything including my revision to the sleeve a year ago..... and our 1 year wedding is on the 28th...

I haven't had revision, but I've been hanging out on bariatric sites for the last 5-7 years. It does seem to work for most people, but of course you'll find outliers. Sorry to hear about the above responder's complications, although fortunately, as with virgin surgeries, those seem to be pretty rare.

That is exactly what happened to me. I had horrible gerd and had a revision 4 years after surgery. Sent from my SM-N975U using BariatricPal mobile app

I dont know about the insurance part unless you have GERD or something that is causing you issues. Do you not have restriction to help you lose the weight? I do have a friend that had the revision that did well losing the weight, but there have been many people saying how much harder it is the 2nd time around. I was my original goal weight when I had the revision. I had gotten down in the high 160s and gained back to my original goal weight of 180. I dropped 12lbs the first month and I have lost a few more but that is it for me. I rarely feel anything when I eat but will get sick if I over eat or eat sugar or heavy carbs. Good luck to you and whatever you decide to do, but truthfully if you still have restriction keep your sleeve of course unless you are having bad reflux.

You could talk to them about switching to an H2 blocker (Pepcid) instead of a PPI (Protonix). I had to take both (and tums for breakthrough reflux) for about a month because the reflux was so bad before my VSG to RNY revision I was having hiccups I couldn’t deal with anymore.

I just had my revision done 8/25! This one seems more painful than the first one!

I’m sorry you had such a hard time! I just had my revision as well on the 8/25 and also had my hiatel hernia repaired. I also noticed that I have more pain after this surgery in relation to my original surgery!

If you have GERD and take a PPI. I dont know of other reasons. I do know some people are able to get a revision for weight gain, but you even have to be more diligent if you are doing it for weight loss. It is not like your original surgery where you had lots of restriction and the weight came off. Personally I liked the sleeve better I had way more restriction with it. I rarely feel anything with this bypass.

What are the requirements for revision

Today is my one-year revision sleeve-iversary..... So happy I chose to do this. Banded 2009 @232lbs. size 18-20 down to 143 size 6, ER band removal 2017 @143lbs (slip due to stomach virus). Sleeved 8/28/19 @173lbs size 10ish, today 120lbs size 0

You biggest obstacle my be yourself. And it's not just you, but lots of people feel the way you do. But if you want this SX you probably need to see the phyc dr. first. Without get your emotions fixed you are for an uphill battle. First place is to start with your insurance. If they do cover, ask what the requirements are. If not, you may need to look into self pay. Every person's insurance is different. I didn't have to go to my primary dr at all. The WLS RN called my GYN and had them send over my last few years of weight history. I showed a steady climb. I also had been on WW for a while and show that in all the months going i had only lost like 2lbs... I had no co mobidity. My insurance required a 40bmi with no co's. or a 35+ with two. I was the 40+. That was for the lapband. Sleeve i only went to the WLS.... i was considered a "revision" even though my band was removed 2.5 years before. Plus i was a cash pay. (14K) Be positive.... and start to do things for you that makes you feel proud to be you.

Good! Be grateful you can eat fruit and vegetables without problems! I never had that either. I especially don't understand how people are still feeling sick and full after two bites even months out. You wouldn't want to get it. So what's the problem? Eat your fruits and vegetables. Most people don't eat enough of that post-WLS when looking at some of the daily meal plans people are occasionally posting. And no, "pills" can't make up for that. Both dumping syndrome and other repercussions are not educational tools of WLS (it makes me a special kind of sick when people look at it this way) and in every other surgical department they would be seen as problems to be solved after gastrointestinal surgery. These things are normal. Patients respond very differently. I had five abdominal surgeries (yes, all WLS related) and never had much pain and always easy recovery. The last time building up my food tolerance was harder than before though. I was cleared for everything after 3 weeks instead of 4 this time but had to be more careful with introducing new foods this time, had some stomach cramps and aches I never had before, even several weeks after surgery etc. - and nope, you wouldn't want to have these. In general patients at the hospital I had surgery at are cleared for all foods after 4 weeks (as stated above after my revision I was cleared for all foods after 3 weeks, so even earlier than this). After these 4 weeks it was advised to introduce new foods with caution but apart from "get your protein in" there was also "get your vegetables and healthy fats in" and immediate post-op nutrition (starting day 2 post-op) contained e. g. apple sauce and blended bananas in yoghurt/quark. However, people are also advised to take it slowly and to get back to lighter foods if eating more heavy solids causes problems. So plans vary big. Pre-op. Immediate post-op. Mid-term. Long-term. It depends on the treatment team. Maybe because you've been driven crazy by lots of things. You looked at fellow patients in the hospital. You read success stories on the internet. You're comparing yourself to other users on here. All of these things can raise anxiety levels big time.

I read a study that said that 38 percent of people who get the sleeve end up revising it to RNY later. I’m self-pay and I want to get it right the first time.

Not sure if it common, but i met with the SX first with both. Two different dr. With the band (2009) i actually had to go to his seminar, call about insurance, then i made an appt with him. After he felt i would qualify and felt i would be a great candidate, his staff made all the other pre op appointments. Sleeve (one year tomorrow) i called and met with him to talk to see if he would do a revision. It had been 2.5 years since that band had been removed and i gained 30lbs (paid 14k). I had to do a NUT & Phyic appt.

I only saw the dietician for about 10 minutes while I was in the hospital. I was a revision from sleeve to RNY for GERD, and my BMI was 21. I had discussed my hope I would not lose too much more weight with my surgeon, who said that with proper diet I shouldn't lose much, so I was looking forward to talking with her. It turns out that she had really nothing to say. Her caseload is obese people, like I used to be, and so I'm saying things like "So I could add peanut butter to my shakes?" and she is nodding yes. Well, it turns out that too much fat in one meal (like peanut butter added to a shake) makes for watery poop the next day. I mean, she meant well, but had no experience with someone in my position. I ended up Googling "Bilroth II diet" which is the closest non-bariatric surgery to RNY and is done for stomach cancer. I figured diet advice for cancer patients would be closer to my circumstances, but really it's trial and error for me right now. When I see my surgeon in October I'm going to ask for another dietician appointment with somebody else if I'm still struggling.

I have not been here in quite some time so Iittle update -background. I was sleeved 12/27/17. Starting weight was 256, I managed to lose 61 pounds and got to a low of 195, ( this was May of 2019)then I started to regain. I refocused, got back on the right eating plan/exercise but continued to gain weight. Went to see the nutritionist last fall for help. We went over my food logs and by the numbers I was a little low in calories for the amount of exercise I was doing so we adjusted my plan but still no weight loss. I was 242 in Jan/Feb. I was prescribed the generic form of Contrave in March for a 3 month trial, managed to lose all of 5 pounds down to 237. Labs have been decent- except now I developed high cholesterol and my primary prescribed Atorvastin(Lipitor) and I have been on that since May. I consistently tell the dietician that I feel no restriction and can eat way more than I think I should. However in all this time, not once have I had a scope to check to see if my pouch has been stretched out. My primary thinks I am eating to much, the nutritionist thinks I'm not eating enough so I'm just trying to eat enough protein and stay low on the carbs. I have gone as low as 900 calories and as high as 1500. carbs as low as 20 and high as 75. All of that to say I found out my original surgeon does not believe in performing revisions so I have a consultation in 2 weeks with a surgeon that does perform revisions just so I can get answers. I still have sleep apnea, that has improved some but not enough for me to come off my CPAP. Recently I have had mild cases of heartburn late at night so I have altered my diet again, cutting out dairy, coffee, spicy foods to see what could be triggering it. I did intermittent fasting in July of just watermelon and water and managed to get down to 224. I know this was not healthy but hey I was willing to try anything. So all of that to say, with my weight as it is now, my BMI is 36. I meet insurance requirements for BMI with my sleep apnea as comorbidity but the surgeon must find it medically necessary for revision- but if surgeon requires weight loss and lose weight that puts my BMI under requirements, would insurance deny the revision?

Thank you.. i didnt know that there was already a group here for revisions [emoji1787], and thats the thing after my endoscopy they found I had h.pylori and after the antibiotics my stomach felt HORRIBLEEEEE reflux galore and I know that can be something to develop with sleeve and I DONT WANT IT[emoji1787] plus im all in it now so I might as well go balls deep... thank you again for your input♡♡ Sent from my SM-N950U using BariatricPal mobile app

I had my heart and soul set on the sleeve, but my endoscopy showed bile reflux so I opted for bypass. I was freaking out, but after I did more research on RNY- I felt more secure in my decision. I didn't want to risk the chance of needing a revision later down the line if I developed reflux with the sleeve. Also, the overall weight loss of RNY is greater long term. Check out the revision group on here too and maybe ask them their thoughts as well. Most will say they wish they would've went with bypass from the beginning. I know folks that have had success with both surgeries, both excellent tools- but my best advice to you would be to do more research and then go with your gut. You got this, and good luck to you on your journey babe!!

Hey good day all old & new. I havent been in the forum for some time... I had my sleeve done back in 2014 as of now i have gain majority of my weight back. Im looking to get a revision.. question was it hard to get insurance to approve for a revision to a bypass? I suffer from acid reflux in the middle of the night it will shoot up through my nose uncontrollably. Not often but i just dont enjoy it when it does.. Also did it help with loosing weight and keeping it off Sent from my SM-N960U using BariatricPal mobile app

Day 6 Postop....[Revision surgery from sleeve to bypass] Today I feel much better. I have to be honest the pain from VSG versus the RNY bypass is much severe at least for the first couple of days. This didn't happen to me when I was sleeved. The good part now is, I am feeling much better. No complications here. I take in my daily vitamins, get my 40 to 60 grams of protein [isopure] and my water intake is about 40 to 50ounces. To those who are in the process or will be having surgery...stay strong and think positive. The pain will go away...and by watching so many videos I think 2 to 3 weeks at most. I wi be concern if there are any complications after this period. Location: NJ Age: 37yrs Male Height: 5'11" Surgery Date: August 17th 2020 Weight at Surgery: 281lbs Weight as of today [Aug 23rd]: 269lbs Concerns: No complications. What I've Learned: 1) [emoji2211] walks for 30 minutes really help me out. 2) Rest and sip on water whenever you can. This really helps. 3) pain meds help me recover on the first 3 days and I will take them at night time purposely to sleep through the night. 4) don't compare your results to anyone on this platform. NO JOURNEY IS THE SAME...and every body metabolic system works different and their gastroenterology works different. Will post again once I go into my 2nd phase of my eating diet. Sent from my SM-N975U using BariatricPal mobile app