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I'm wanting to get a revision to the sleeve I had in 2015 I've gained roughly 70lb and I feel like I or the sleeve failed me. So I want the bypass now. Any input on this

I could have sworn i checked into this thread... if i did I can't find it. So here i am... Checking in now... Late to the party. I "originally" got to this site back in 2009 when it was called LapbandTalk.... I was banded back 11/10/2009. I am 5'2" and that SW was 232lbs. I was 42 years old and married. Lost and stayed at 143lbs for Yearsssss... well until my beloved Tina had to be removed. I got a bad case of the flu and threw up violently and slipped my band... it was a terrible day. So March 23, 2017 I became WLS...less... No more tool. Up till then i was a model bandmember.... Over the last few years, I regained 30lbs.... I had started looking for a dr. to do a revision, but kept being told i didn't "weigh enough"... I was fixing to head to Mex when i stumbled on the dr. i have now.... He said the fact that I was a previous WLS pt he could do a revision.... Yeahhhhh... So Aug 21, 2019 I started my liquid diet... at 173.5lbs. 31.7BMI. SX was August 28, 2019. SX weight 165. Today, almost 24 weeks PO I weighed in this am at 133.4..... down 40lbs.... Lost the 30 i had gained post band removal and another 10..... so happy. After 26 years of marriage, it fell apart. A lot due to the WL and his NEVER supporting my SX. Then he got very jealous... He couldn't handle the men hitting on me.... and i couldn't handle it either.... the attention was intoxicating. I have since met and remarried the most amazing man.... Our last conversation... Me: i can cook a meal at home for Valentine's day. Him: no, i want you to get all dressed up so i can show you off... Band sizes.... 20 pants, 2xl shirt, 7.5 shoe, 44H bra..... After, 6 pants, lg/xlg shirt, 7 shoe, 34H/G bra Sleeve.... 10 pants, lxg shirt, 7 shoe, 36H/G bra..... Today... SIZE 4 PANTS, SMALL/MED SHIRT, 6.5 SHOE & 32G BRA..... I'm having trouble eating the amount of cal/prot. i should be... i find i can eat about 4 bits and i'm done. My hair is falling a bit (thank god i have a lot). Please tell me how yall are doing... Today i go for a check-up and talk with the dr. on my progress. can't wait to see what he says.

Nearly the same as with my VSG, but every case will be different because specific revision techniques will vary surgeon to surgeon.

I had RNY bypass revision after lapband done in 2013 so going into 2 weeks ago (Jan 27th) and I am able to drink Water, only core power protein shakes bc I’m allergic to Whey protein I discovered without sipping also and I am on Presoft foods already per my doctor stating in paperwork if I felt ok to move to Presoft go forward so that consist of Soups, unsweetened applesauce and Oikos Triple Zero yogurt and I have been fine I have appt today for my two week follow up but I had a very bad allergic reaction and I am on three meds to help me not get a ulcer and prednisone(which has not made me hungry😊) to help with the itchy, red breakout. It’s been only two days since I been on the prednisone but I can tell it’s working already still a little itchy but the rash is fading. I think it’s just us healing but the food part is weird bc I thought it would feel major restrictive like the band was but it’s not been that way so far hopefully my pouch is fine. Praying that the doctor states I can start back exercising today I have a treadmill at home and weights but I’ve already lost in two weeks a good amount so you guys are giving me hope! Go Jan Surgery tribe✨💕Thanks for sharing😊

I had RNY bypass revision after lapband done in 2013 about 2 weeks ago and I am able to drink water without sipping also and I am on Presoft foods already per my doctor stating in paperwork if I felt ok to move to Presoft go forward so that consist of soups, unsweetened applesauce and Oikos Triple Zero yogurt and I have been fine I have appt today for my two week follow up but I had a very bad allergic reaction and I am on three meds to help me not get a ulcer and prednisone to help with the itchy, red breakout. It’s been only two days since I been on the prednisone but I can tell it’s working already still a little itchy but the rash is fading. I think it’s just us healing but the food part is weird bc I thought it would feel major restrictive like the band was but it’s not been so far hopefully our pouch is fine.. I’ll let you know what the doctor states today about us being able to drink n soups two weeks in a no restriction feeling yet? Thanks for sharing also I really can relate.😊

Anytime that I see someone contemplating a revision, I would advise getting a second (and even third) opinion, both from the perspective that revisions are typically more complicated than a virgin surgery, and also the reasons for the revisions are more varied, and this is where the perspectives of different surgeons with different experiences is most valuable. Strictures and twists like you are describing are an indicator of technique problems (which isn't to say that there is something particularly quirky with your individual anatomy that would have caused problems with any surgeon, just that they are frequently associated) so it is quite possible that another surgeon who is more experienced specifically with the sleeve and sleeve related surgeries may have some other ideas of how to tackle your problem. There are some surgeons out there who routinely perform some very complex revisions (such as converting a problematic RNY to a DS) and this is the type of doc that you would like to consult with, as they would be best able to straighten out your sleeve (and if they concur that an RNY is the best approach for your particular problem, that provides a lot of confidence in deciding to go that route.) I tend to like DS surgeons for sleeve problems as they typically have a lot more experience with the sleeve and correcting sleeve problems (as the sleeve is a part of the DS, most of them have been doing sleeves for over twenty years, while most bariatric surgeons have been doing them part time for 5-10 years, and some less. https://www.dsfacts.com/duodenal-switch-surgeons.php gives a very incomplete listing of DS surgeons, and unfortunately, there aren't any very close to you - NY/NJ/PA area is the closest, but probably worth the effort; most can do initial consults over phone and email. Dr. Roslin in NYC and Dr. Greenbaum in NJ both have good reputations in the DS world for complex revisions. As a side note, the mini bypass isn't often done in the States as US insurance rarely approves it, and it has never been accepted by the ASMBS.

I'm so sorry to hear about all your complications. Can I ask where you and your sister had surgery? You've both had a lot of problems. I had the sleeve in 2011 and then had horrible acid reflux. I revised to the mini bypass because I was told that would fix it. I'm one of the few unfortunate ones that it didn't fix and got way worse. I'm 6 days post op with a revision to rny. So far no complications and no acid reflux. If I were you I'd probably get the rny with a different surgeon than you had the first time. Good luck.

I had revision surgery Feb 3rd (6 days ago) from mgb to full bypass due to acid reflux. I have felt from the beginning I could probably drink as much as I want and don't have to take tiny sips like I did with the mgb. I even had a protein shake and some cream soup today, a day early, with no problems. The doctor said he didn't do anything to my pouch other than fix the hiatal hernia. I'm guessing that's why I'm having such an easy time drinking whatever I want. I'm not complaining but just wondering if anyone else with the same revision has had this experience.

Hello everyone this is probably going to be long but really could use the input. Nov 2019 I had the gastric sleeve done. Since this I have had nothing but troubles. 10 days after surgery I was admitted due to blood in my belly and a hematoma on my spleen. They fixed that and discharged 3 days later. I have not been able to eat much more then let's say a chicken nugget(less then an ounce of anything including liquids) I got dehydrated was admitted again 29 days post op. Stayed for 12 days got a picc line with tpn since I can not eat or drink much. During this stay had endoscopy and they stretched a stricture lower part of stomach to intestines from 15mm to 25ish mm. Went home no change still not able to eat. Had another endoscopy and stretch this time my stomach was twisted and she tried stretching to 30mm but was only able to get to about 28mm. Went home still no change to eating and drinking. On the 16th of January I had another endoscopy stretch. Stomach was twisted again and was barely able to stretch it at all. I aspirated during the procedure. I woke up to them telling me to keep coughing to get it up. They observed me for 3hrs was on 4liters of oxygen at first then 2. I got up to pee with help my oxygen corrected itself. They said there was no need to keep me I only aspirated a tiny amount. They let me go home (2 hr drive home) I was freezing hole way hubby cranked up heat. Took temp when I got home and found I had a fever of 102.6 went to local er where they did xray and ct found I had developed pneumonia and I also had a pulmonary embolism. They felt I should go back to hospital where this happened and I stayed there for 6 days. 5 days of iv antibiotics and heparin for embolism then discharged on lovonox to continue for 6 months to a yr. I still have no change so now its crunch time it has been 3 months since and cant eat or drink much at all. They want to do another stretch which I would need to come off the lovanox which is putting my life at risk. Not to mention I have had it done 3 times and it has not helped. Also if it doesnt work i would need to have the bypass revision which means 2 procedures putting me at risk 2 times) Surgeon says only other option is revision to bypass(unless he sees scar tissue and can fix. But i have to agree to bypass incase there is no scar tissue or it cant be fixed) My family is up in arms it's hard either way. I dont want anymore procedures but I need to get stomach fixed and I need to get back to work. 3 months no pay we cant take this financially anymore. So for me I feel like they need to do the bypass and I hope for the best and have minimal complications. However the rest of family is worried I will have more complications than I have currently. Plus my sister had bypass and has had to have 15 different repairs(this makes them more worried) I could really use some insight on this what would you do? What do you think I should do?

I just had a revision from mgb to full bypass on Monday Feb 3rd. I just flew home last night. I went to Dr. Illan and he and his staff are amazing. They are very good about answering all your questions and catering to your companion if you bring one. All my husbands meals were brought right to my room. The hospital is sparkling clean and very modern. You can check it out on facebook at Hospital BC. There are videos of the hospital and testimonials from patients. Dr. Illan and his staff are the best!

I originally went with sleeve for the same reasons many have posted here - I didn't like the idea of my intestines being rerouted, I didn't want the vitamin regimen for the rest of my life, and it just seemed more extreme than what I needed. However, I'm now less than a month away from getting a revision to gastric bypass, and I try not to feel angry that I didn't do that from the start (mostly because I've paid for 2 surgeries). Unfortunately I had to self-pay in Mexico, and my experience with that is that the doctors will basically agree with what you want and rarely take the time to consider your own personal needs. I live in Japan and there really isn't any doctor or program for me to use here, so I was stuck. The reality was even though I didn't have any co-morbidities, I had 150 pounds to lose and was a sugar addict. Bypass was probably the option I should have gone with from the beginning. But now I'm getting my surgery done in Tallinn (Estonia) from a very reputable place, and one of the reasons why I chose it is because the surgeon had a very specific plan for ME, as opposed to himself, like so many other surgeons. One thing I know from my failed sleeve is that being (or having been) obese is like being an alcoholic - once one, always one (your fat cells never disappear, they just shrink, waiting to be filled again). You have to be vigilant about what your triggers are and how to avoid them. There will never be a time in the future when you can go back to how you were - it's just too easy to fall off the wagon. I know now that it's normal to always feel a little bit hungry, that if I feel full then I've eaten too much, and that I can never eat sweet things - once I start it's hard to stop. It's just better if I never start.

My lap band had slipped and a large hiatal hernia resulted. Rather than to try to reposition the band my surgeon suggested a revision to RNY. I'm glad I took his suggestion--I'm not quite three months out and am already down 36 pounds!

I regained seventy pounds after my weightloss. It took me two years to lose 40lbs. Still working on the next 30. You can get a revision to RNY but first you should work on why you started eating again and how to address that. I am not on board with super restrictive dieting. It doesn't work for me. I just rebel. It is part of my eating disorder to binge if I am too restrictive. I just watch what I eat and only eat 4 times a day. This is why my weightloss has been so slow since the regain. But you need to find out what works for you. I am a big believer in out of sight, out of mind. So I do not keep any trigger foods in my house. Living with my Mom and her house of trigger foods was what caused my regain. I have to take care of her but I can not live with her. so I moved nearby. Good luck with your weightloss. If I can do it, I feel certain you can.

I'm the 24th, going for revision as well.

since you have reflux, this decision should be a no-brainer. RNY. I would not even consider sleeve. P.S. I had gastric bypass for that very reason. I had GERD pre-surgery, and there's no way I wanted to risk it getting worse. I see a lot of people revising from sleeve to RNY for that very reasons - sometimes people who never even had GERD prior to surgery. I hav no regrets at all - I'm very happy with my RNY.

Hi, I had a slipped lap band that needed to come out. I thought I wanted a sleeve until my doc explained that it was easier to revise a lap band to a bypass because of the scar tissue the lap band causes. Then he explained about the GERD the sleeve can cause and that clinched it, because before I got the band I had TERRIBLE GERD. So I went with the bypass. I stayed two nights in the hospital. They were willing to let me go late in the day after the first night, but I live five hours away by train, and was afraid of something popping up on the way back home, so they (and my insurance!) let me stay an extra night to make sure everything was OK.

Your Surgeon is absolutely spot on, IMHO go with the RNY bypass I chose VSG originally as I had no precursors to GERD/Reflux but I developed it along the way. I had to be converted to RNY. *Please note: It doesn't happen that way for everyone* The decision you may have to weight is if you are at a higher risk (which you are) will you be comfortable having a second surgery (revision/conversion) Good Luck❤

Never heard of this but it makes better sense recoverywise than the starvation one usually has initially with weightloss surgery. Yes, There are no more self administered pain meds. They are very concerned with patients becoming addicted. This drove me crazy as I was in a lot of pain (which believe me poster is not usual at all) and oxycodone did nothing to stop it. I would have killed for a morphine drip. Don't worry poster my situation is very different from yours I was getting a revision from RNY to SADI and I am sure you will be fine.

VRox33, Hello, and I’m a newbie as well😅. When I saw surgeon last Oct. my mindset was same as yours—set on sleeve, and only sleeve. He asked re: acid reflux and yes, I do have it at times. His explanation and picture drawing of what happens to GERD/reflux after sleeve was a major let down, but I (secretly) still held hope for sleeve. As I researched more, and especially the very real experiences on these support boards, I realized he’s SO on target. The risks/dangers/incidents of increased reflux after sleeve seem far riskier to my situation than RYN. Yes, we’ll perhaps have a few more challenges with absorption and medication adjustment, but hopefully, ideally, our surgery will not only be a “one and done” requiring no revisions, but our acid reflux will be greatly alleviated, as well. I also feel great trust and confidence that RYN has been around the longest, and still considered the gold standard by many people. Just my experience...Best Wishes in your decision!

March 3rd, sleeve to bypass revision. I started my pre-op diet this week (I don't need to for another 2 weeks but I wanted to get a head start). The hard part for me is that I will be travelling for 3 weeks before my surgery, so I hope that I can deal with all the different foods while away. I'm an outlier here as I'll be getting my surgery done in Estonia (!). I live in Japan and there's only one really expensive place in Tokyo to get it done -- it's just easier and cheaper for me to go abroad, since no matter what I choose, I have to self-pay. I had my last surgery in Mexico, so this will definitely be a change. It's really interesting how different the recommendations between the US/Mexico and Europe are for eating both pre- and post-op. I get to have a full meal (carb-heavy) the day before surgery!

I'm scheduled for my bypass revision (like you, my second surgery after a sleeve 3 years ago) in early March. Good luck!

The band didn't perform up to advertised / reported specs. Ended up with some minor issues and struggled to keep the weight off. Revised to Bypass, dropped the rest of my weight and have kept it off for over a year now. Coming up on 2 years post revision in March.

I had revision due to weight regain. But I think I am an outlier. If I had to do it again I wouldn't. I have had no weightloss due to the surgery. Just my usual two pounds a month due to dieting. I had a surgery that isn't done very often. It was from RNY to a gastric sleeve and SADI. I think most people who have WLS revision due to weight regain after an RNY have a distal revision. But I'll let them talk about there surgery, if they are lurking around.

What prompted most people to do the revision surgery?

I am having a hiatal hernia repair, sleeve revision and epiphrenic gastric diverticulum resection. I have never heard of the last part. Has anybody had this before?