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I think 21days post op and losing 16-18lbs is great! I just learned in this community that revision surgery have slowly weight loss. My doctor and me doing my own research never came up till I found this site. i am also feeling that I am having multiple stalls. Before pre op diet I lose 15lbs on my own, then during pre op diet I lost 8 lbs on the first week of liquid diet and stall for one week have no weight loss. Then went into surgery while having the stall. After the surgery, I gained 7 lbs of water retention from the iv I got from the hospital. It took a few days and get back to my surgery day weight, then I loss about 5 lbs in a week. so almost 2 weeks after surgery only loss 5 lbs. So 16-18lbs is great! I am jelly here. But like many said everyone is different, although it’s hard, but I am trying to positive.

I just had bypass as a revision as well about 10 days ago. The last two morning I woke up with feeling something in my throat accompanied with sore throat feeling? But no acid taste. I really hope it’s not reflux!

I wouldn't hesitate to look into a revision. You had such great success with your first WLS. I've read the weight will come off slower second time around, but it beats developing later in life co-morbidities. Many are going for the Ozempic shot nowadays in lieu of surgery, but recent studies show a lot of downsides to using it. I had a few people ask me why I didn't go that route with those shots available. It's the wave of the future they say. Maybe one day improvements will be made. I heard the other day they are working on a pill form. I hope for future generations they can perfect it and make it safe and available to all those who need it. Believe me.. I did my research before getting my RNY. But for now, no regrets. Good luck in your decision making.

Thank you! Everyone’s messages is making me clammed down with my sad emotions. I feel the same about the sleeve surgery, I was pretty much ok after 2 -3 days after the sleeve, and didn’t have allergic reaction to the glue. The feeling after the revision was completely different so I guess I was shocked of how much I am going through. I was under the anesthesia much longer this time and I am still feeling dizzy, sweating from doing nothing right now. The nurse said my body is trying to get rid of the anesthesia from aspiration. Hoping to feel better soon.

I was fine after the sleeve as far as the surgical glue goes. But after my revision from the sleeve to bypass due to a lot of complications, I developed a major allergy to the glue. So when I had my hernia surgery, they had to do a lot of internal stitches, which was A LOT more painful. But overall, even though the first week or so after your revision has been rough, I promise you it WILL get better.

I found I was allergic to derma bond after having skin removal surgery. Yea - the itchiness is awful. They put me on prednisone for ten days, and it cleared it up. weight loss is always slower after a revision than it is after a "virgin" surgery. Five lbs is great, though. And actually a 20 lb loss the first week would be very unusual, even with a virgin surgery. Maybe for folks on "My 600 lb Life", but not a for an average WLS patient. I lost 16 lbs the whole first MONTH. emotions can be wild the first few weeks after surgery - and so can regrets. This will pass - just hang in there!

Menopause is the worst. It’s when I gained my weight. Went from 60 to 75kg very quickly during perimenopause. This was my usual fluctuation so I didn’t worry that much. Then entered full menopause & bam another 15kgs. I swear I gained it overnight. Several of my friends were the same - gained 10-15kgs very quickly with menopause. Couldn't really shift a kilo of it. Drop a couple & put them straight back on. I had hoped that being on HRT might balance out my hormones & help me lose some weight but nope. Struggled for a couple of years. Wasn’t happy. That’s when I decided to have my sleeve. Why don’t you try getting in contact with a bariatric surgeon to discuss your revision options like to a DS. Does your surgeon who did your RNY still practice? Have you considered whether the new GLP - 1 medications might be an option? Certainly worth a conversation with a surgeon. PS Congratulations on your long term success with your original surgery. Such an achievement.

A little back ground with me. I had gastric sleeve 10 years ago because of my over weight issue I wasn’t getting my period and I wasn’t able to get pregnant. After the sleeve I loss total of 60 lbs, and got pregnant. The first pregnancy ended in miscarriage. I was very depressed about it. So my next 2 pregnancies I made sure I eat and gave enough nutrients for my babies. Also I didn’t keep up with the weight loss after I gave birth. Now after 10 years of the surgery I regained almost all my weight. My issue with pcos such as no having period came back… didn’t have period for like 2 years. Also have other issue like cholesterol, foot pain and Gerd. I thought about having revision for almost 3 years and I took action and had gastric bypass about a week ago. I am feeling some emotional up and down…been crying for the last few days. I feel such a failure of having to have to get the revision when the doctor gave me a chance. My surgery also didn’t go perfect. I was under the anesthesia for over 4-5 hours, (I didn’t get an exact time from the doctor when I came out from surgery. Family was inform about the equipment issue and didn’t see me untill the afternoon) because one of the equipment broke and the medical team had to wait for the replacement. I went into surgery 7am and woke up 4pm. when I woke up they had me take a walk and tried drinking sips of water. I vomited right back with 2 big chunks of clogged blood. And I tried drinking again but kept vomiting dark brown color liquid out, like old blood. ( sorry if it’s too much description) it was quite a lot of it even I didn’t drink so much water. The nurse informed the doctor and they said it’s normal and they did just literally cut my stomach. So some amount of blood is normal, but because I was under the anesthesia for so long maybe I am feeling sick from it. So they told me not to drink anything for the first day and started me on liquid the next day. The next day I was fine and went home. I felt horrible the first day and the pain in my stomach is there everywhere probably gas. The feeling after the revision surgery is completely different than how I felt the first time. I am aware it’s a bigger operation, but I just didn’t expect it to be like that. When I return home my stomach pain was still there, but eventually it did get better, but after a few days my whole stomach was so itchy, I thought the incisions were healing and that why I am feeling this way. The next day all my incisions were swollen red. BTW I had 6 big incision and 2 small needle punctures. When it got swollen, red and itchy it was at night and I waited another day and called my doctor asap in the morning. They told me I am having an allergic reaction to the dermabond. I am just feeling itchy, my incisions are raised and lumpy, it’s been over a week and I lose only 5 lbs. ( comparing to other people who loss 10-20lbs, i think to myself why am I not loss it?) and when I look at scars from the mirror I just broke down and cried. Thinking what did I do to myself…. I know I should stop being so bitter, and stop complaining. But I just feel like such a failure because I failed the first surgery, and I put myself in this journey again and things are not going so great… there are the positive side that I should look at, but I just can’t help it. *note- goal weight 150lbs pre op weight 273lbs started liquid diet 258lbs I had a stall during liquid diet for 1 week. Most people loss 10-15 lbs during liquid diet. I loss 8lbs. I followed everything my nutritionist told me and had 1 lean protein 3oz and 3 oz vegetable for lunch for 2 weeks. i w so hungry that the morning of surgery the nurse told me my blood pressure was actually very low. Surgery day 250lbs 1week post op 245lbs I don’t know what type of response I am waiting to get here. Maybe I am just venting and hoping to feel better.

I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

If you haven't had surgery yet, you may want to join the support group "Duodenal Switch SUPPORT Group" on FB for SADI/DS patients. https://www.facebook.com/groups/1799552573392212 There are a number of patients on there who have had the RNY and done revisions to SADI or DS. Honestly, the choice is up to you and how comfortable you are with your surgeon's opinion. There are plenty of lightweights who get SADI surgeries, especially those with pre-existing conditions. But some insurance companies still consider the SADI to be experimental, so be sure yours doesn't if you decide on it. You can get vomiting with any bariatric surgery. You can get diarrhea with any surgery. And while RNY can be good for GERD patients, there are plenty of people with GERD who still end up with a SADI or DS. I'm one of those patients, I have had GERD issues for years, but I wanted a more robust surgery than the RNY and two surgeons both agreed the DS would be the better option for me because I'm diabetic. The surgery normalized my blood sugar within 24 hours, as well as my blood pressure, and my cholesterol and triglycerides are normal now. It packs a huge metabolic punch. but I do have to watch carbs and sugars or I get diarrhea. My starting weight at surgery was 307, my goal is 180/170. But I regularly see lighter starting weights in my FB support group... Surgery type is a really individual decision!

Jan 22, now one week out and still in significant pain. I had revision sleeve to gastric bypass.

I think most doctors tell their revision patients not to expect much weight loss. It disappoints many. I remember mine telling me 20 lbs. at most and only in the beginning since hunger comes back by year 2. Something like that. I had my revision done due to complications of the lapband, and then gerd from the sleeve. I think you'll find the RNY much more comfortable to live with compared to the lapband. For one, it's a lot easier to eat. I remember I couldn't eat bread and many things without gagging when I had the lapband. I can eat anything I want now without that feeling. I think if one wants to lose a lot of weight after a revision, they have to really follow the rules and work at it. Especially after the hunger comes back. I really think you'll be able to maintain the weight that you are happy with.

i think many people on here will tell you any revision surgery results in a much slower rate of weight loss than the first time around.

Hi! I was banded with a Realize band in 2008. Went from 235 to 150 and I've been between 150 and 165 for years. I'm now having serious complications with the band. Lots of complications but the worst is an "oozing sore" around 75% of my Esophagus. I've had such great success with the band and I'm nervous about going to a RNY. I really don't want to weigh less than 150. Is a revision just going to put me back into rapid weight loss? Any revision weight loss/gain stories are greatly appreciated. I need someone to hold my hand!

I am so glad they recommended you for revision!! It is sad that a lot of insurance companies have a "one bariatric surgery per lifetime" clause, or will cover revisions but make it near impossible to qualify for them. The sleeve surgery is the first stage in a classic DS surgery, it should always be up for revision to a DS/SADI if the results from it aren't lasting! I had a modified traditional DS done on November 1st. I'm so happy I did it. My diabetes and high blood pressure went into immediate remission. My weight loss has been slower than I'd like, but that isn't unusual for a DS because we lose for a lot longer than other surgeries (if we are lucky!). Your sidebar says you are pre-op, you should adjust it so it shows you post-op! How are you feeling?? I've heard the recovery from revision from sleeve to SIPS is not too bad since they don't normally touch your sleeve again unless it was improperly done the first time. Do they still have you on a strict post-op diet progression? I look forward to seeing how your weight loss goes, revision patients to this surgery usually do well! It just goes a little slower than before. ❤️

Hello, I am new and want to introduce myself. I’m Gina and I am 13 days post op. I had the SIPS procedure and hiatal hernia repair. I had Gastric Sleeve in 2019. Reached a plateau, switched from Kaiser to United Health Care - Sutter Health (N. Ca). Five years ago my pre surgery weight was 286. My pre-op weight on January 10 is was 230. When I was still under Kaiser, I contacted my bariatric team about having revision surgery and they advised me to just stick to a thousand calorie diet and that I was not eligible for revision surgery. My family and I had to switch healthcare providers and I joined the weight management in nutrition program at Sutter Health, and I was immediately referred to a Bariatric surgeon who recommended a revision! I was pleasantly surprised, because I was not even going to ask because of my experience with Kaiser. So here I am 13 days post surgery and looking forward to reading about your experiences. 🙂👍🏼

I agree with this. At your starting weight you should have been offered a Duodenal Switch or a SADI procedure. If you weren't, I'm assuming it is because your surgeon can't perform those surgeries, so just offered you the sleeve? If you were offered these options, why did you opt for just the sleeve? My highest weight was 320. Two surgeons agreed I should have a traditional duodenal switch. I did the research and agreed with them, though originally I just wanted the sleeve. I was terrified of the switch portion of the surgery, especially because I've had ulcerations of the small intestines due to my autoimmune disease. So my surgeon called and consulted with my GI doctor and together they decided the DS was the best option for me and worth the risk because of how many benefits it would offer me. So I decided to accept my fear and go with the DS anyway. I'm so thankful I did and that it was an option offered to me. It has changed my life in so many ways for the better... The sleeve is the first part of a duodenal switch, that's where the sleeve operation actually came from. The intestinal part can be added at any stage by a surgeon qualified to do it, but only a small percentage of surgeons can perform it, as it can be rather complex. We see revisions from sleeve to DS all the time in my support group.

I can't help from any specific experience, but on the East coast, I would suggest talking to Dr. Mitchell Roslin in NYC. He is one of the big promoter/developers of the SADI (modified DS) but is also long experienced with the traditional Hess DS along with the RNY and VSG. Having all of the major procedures in his toolbox, he can give you better advice as to which procedure best fits your specific needs; certainly better than your corner "WLS R Us" practice that just does the RNY and VSG. While he may not be a big fan of the RNY (common amongst DS capable surgeons who find that procedure better in most circumstances,) I have seen him actively refusing to do a DS to a lapband revision patient because the RNY was the more appropriate procedure in his case. Unfortunately, many surgeons will recommend whatever procedure they do as the best one, as it is the best for them even if it may not be the best for the patient. Finding someone skilled with all of the major procedures if very helpful when one has special needs.

I had revision May2023 due to stage 2 esophagitis the herd was extremely bad. Since May I’m down 74 lbs it’s definitely much different from the sleeve . I HAVE NO HEARTBURN!. I went to a new dr for this and his program has helped me tremendously. I just stick to their guidelines and exercise 4-6 days a week.

I did. That's why I had to have a revision. What side effects are you having? What surgery did you have?

I'm obviously not a professional and can only speak on my experience as a bypass patient - I have not experienced vomiting or dumping syndrome and I'm a little over 9 months post-op. Even when meeting with my surgeon and he asked me what I was considering and why - before providing his own assessment - I said bypass as sleeve wasn't enough and SADI is too much - and he agreed. I have only experienced occasional mild acid reflux previous to surgery and did not want to put myself in a place to make it worse. My food portions are obviously smaller than prior (that's why we have these procedures), but it is not just a spoon or two at this point. That was only closer out from surgery. I am at about a half cup to a cup depending on density of what I'm consuming and that will still evolve even more further down the line. In my opinion, SADI is better for those who need to lose a lot more and may be diabetic as it is quick to reverse that. It may not be everyone's assessment and you have to choose what is best for you with your doctor's suggestion. I've heard and read it is difficult to revise should the need arise and it's mainly too many fats and/or sugars is what causes the diarrhea. Both require to be on vitamins/supplements for life, but it's even more important with the SADI as there is far more malabsorption. You will know what's best for yourself and your body and I wish you much luck.

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot

Your surgeon is right it is your decision, but, your surgeon also knows based on past patients experience and your health background, stats etc., what she feels based on her experience what would be the best for you. The surgery itself, the aftercare and long term outcome. I've never had to throw up, get the runs or any issues with my bypass. I feel most ppl don't have issues, but you hear about these that do, because why post everything is great I have no issues or questions? I chose the bypass because I have the worst luck known to mankind and I just knew I'd start getting acid refux/GERD if I didn't and I'd be back for a revision later. I've had no issues - none! I'm not sure why you think getting a SADI wouldn't have a chance to effect you the same way a standard bypass would. There is still the possibility of nausea/vomiting etc. I think if you only have 100 lbs to lose ....I agree with your surgeon, it might be a bit much unless you have diabetes or a BMI of 50% or higher. Just my two cents..although with todays economy..maybe its only worth a half cent! Finally, you won't spend your entire life only eating a spoonful of food at each meal, just smaller portions.

I'm so sorry this happened to you. I originally had a sleeve and had several very rare complications that led to needing 7 surgeries in a year to correct everything. I had a revision to the bypass, which made all the difference and was life changing. I hate that the bypass wasn't the same for you. I'm glad you're home and starting on the road to getting better.