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I am getting a revision and I was approved first thing. I am in complete shock about it. I thought for sure I would have to fight for it. But the revision that my surgeon doing has now become part of the standard of care for bariatric surgeons.

Hey mountaingirl! I am a RNY patient looking for a revision due to weight regain. I have decided on SADI. I think that is the same thing as the SIPS. It is the option that my doctor recommends and I have read some research that it is a better option for RNY patients because it has proven to give better initial weightloss. Bypass does give you restriction but you can eat your way out of it. I think in your situation any of these options would be a good call accept I believe the DS requires more vigilant attention to vitamins and supplements. I found it hard to find revision patients on forums who could give me much information. I suggest you do some research on the web and maybe at a college library on the revision surgeries. Good Luck!

I really think that a lot of these post op books are just never updated. I had sleeve surgery plus just revised to bypass. I talked to my surgeon both times about the leak test. I was told both times that I would be thoroughly tested during surgery and that there was no need for the other leak test. I never had a second test either.

How did your revision go? I’m going from band to sleeve on December 2. Anxiety is a little high just not sure what to expect.

I’m currently going through the process for a sleeve revision (tests, insurance clearance,etc.). Originally I was thinking duodenal switch (DS) or SIPS/DS loop but now I’m also looking into the possibility of a revision to bypass. I lost the majority of my weight with the band in 2010, revised to sleeve due to band slip in 2014 but never felt any restriction with the sleeve, and now have gained back almost half of my original loss following a hysterectomy about 2 years ago. I think I will likely be able to lose at least some if not all of my excess weight with any of these revision options but am most concerned about keeping the weight off long term. Any recommendations based on your own revision experiences would be greatly appreciated. Every time I think I’ve made a decision on the right path forward I start to reconsider again and need to make a decision soon. Thank you!

If you go to the revision section of this website, you will see a whole lot of us with the same problem. Yes, I just had my band taken out last week and sleeve done. I am so happy. It's something to think about. Good luck with making a decision.

Good morning everyone, Somehow I missed this forum when I first joined. I posted in the pre-surgery Q & A and felt like a loner, but I included the post on my profile too. I am scheduled for a gastric sleeve revision on December 2, 2019. Someone asked why I did not choose to a have a bypass the second time and the reason is that I have a form of anemia that make the bypass too dangerous to manage. The irony is not only was my last surgery December 3, 2013, I am at the exact pre-surgery weight I was back then. I had quick early success and dropped 80 pounds in the first three months. That was both scary and exciting and I had this fairy tale belief that I could eat very small amount of my favorite foods and still be successful. Not to mention, I was drinking tequila probably every other Friday night. I do not have those misconceptions and gave up most of my vices - coffee with splenda is the last vestige to go...as a sheepishly sip my last cup. My weight crept up drastically between 2015-2016 as I battled depression and suicide attempts, not specifically because of my weight. In 2017, I started thinking about having surgery again, but it would be another year before I was even emotionally stable enough to have a real conversation about it. I knew in 2017 I would not get back on that table until I was ready to change my life, not just my weight. I languished a bit in the last couple of months after finishing my preoperative testing. I still had not made my an appointment for my final surgery review and scheduling a date. Although I am more spiritual than religious, I asked God to give me a sign of what the right was for me. Well, my answer came when I fell out of the shower (can't believe I said hospital before) and had no choice but to struggle to get off the floor. My knees hurt terribly when I finally got to them and in that moment I thought 'I am 46 and there is no reason I should not be able to get off the floor.' I made it up off the floor, went to the ER to make sure I did not have any new broken bones, and scheduled my appointment the next day. When I finally had a surgery date three weeks ago, I felt empowered and excited for the first time. I have traveled down this road before and I know the hard work begins after Monday. I have stumbled a bit this week, but I am ready. Mya

Hi guys- This is a long rambling post because I wanted to journal my story, so if it's of no interest to you you won't hurt my feelings!😁 I just got a lab band to RNY revision a week ago. I've an old band that was making me vomit quite often, and even though the xrays show the band to be perfect the surgeon said it still had to come out. I was lucky that he only requires a three day liquid diet since that was tough. When they admitted my the morning of my surgery the nurses asked if I was suicidal and I told them that it wasn't a good time to ask me that. When I got my band the nurses in the recovery room saw me groping my stomach after I awoke, and they asked me what was wrong. I told them I was sure that they had put me to sleep and then found something wrong and woke me right back up so I was checking for bandages. Nothing hurt-there wasn't any gas pain. This time I awoke in the recovery room to hear a woman moaning piteously and it took me a second to realize it was me. This hurt WAAAAY more than I expected. But the nurses immediately gave me a painkiller and that helped a lot. Part of the problem was when the surgeon actually got inside me, he found not only had my band slipped, but I had a hiatal hernia to repair also. Surprise! That added to the excessive pain. Then they get you back to your room and the drinking game commences. They line this little cups in front of you like shots at a bar and expect you to sip them down. This is while you have raging chest and neck pain from the gas and just want to sleep. The nurses where nice and not giving me a hard time about my lack of effort, but I sipped at a less than stellar rate. What I DID rule at was the walking. The first time they made a nurse walk with me but after that I was free to go as I chose. I walked long and fast (as I could, dragging an IV pole with me..) lapping other walkers in the hall. I wanted these gas pains gone!! So I walked and walked--even at 4 in the morning. And after lapping one lady twice she hailed me to slow down and walk with her. Her surgery had been two days ago, and she was astounded that mine had been less than 14 hours ago. But then back in my room all I wanted to do was sleep. They kept waking my up for vital signs, and even though I only had a small touch of the diabetes they kept doing the fingerstick blood sugars. But they didn't really hurt so I didn't mind. What I hated was they kept giving me all sorts of pills to take. Choking down a pill on a sip of water with raging neck pain was not fun. And my BP was only slightly elevated, actually normal for me, but most of those pills were for HBP. The next morning I got up to take a walk and then broke out into a cold sweat and felt faint and nauseated, so I rang for a nurse. They took my BP and found it as 90/50. So at least I didn't have to take those pills for a while. I'm glad my surgeon said I could stay two nights. I couldn't have left after the first night if they'd have kicked me out. But I was being able to drink an ounce of fluid in an hour finally. I was proud of that until they came back into the room and said "now we want you to drink 4 ounces an hour. By the next day I think I only accomplished this feat once, but they agreed to discharge me late the second day. Here's where it got interesting. I live 5 hours away from where my surgery was. One of the disadvantages of living in a rural area. My husband isn't in good health and we have three dogs, so he stayed behind while I took Amtrak to get to the hospital. After they discharged me I thought (correctly) that riding the train back the same day could be bad, so I laid up in a hotel 1/2 from the hospital until I went back the next day. I didn't want something to spring a leak while I was on a train. I should have known it was going to be a tough trip when the Uber dropped me off, and the Metro station was closed! Luckily there was a free shuttle to the next station down the line. I got on the train, and for the first time in my 20+ train trips, the dang thing lurches to a stop where they find a problem. So we were delayed 4 hours on a already 5 hour tip. At least we didn't have to switch trains--they brought a new engine to us. So my advice is if you can get surgery closer to home, do it. Of course it could have been worse--I understand many self-pay people have to go out of the country. I should consider myself lucky that it was only 5 hours away. I had the terrible "buyers remorse" that you read about here but think it won't happen to you. But in only lasted about 3 days and I turned the corner about two days ago when miraculously I could drink down amounts more than I could before. It's still not 64 ounces, but much better than it was. So I think I've lost the "buyers remorse", especially since I weighted for the first time and I'm already down 10 pounds... So read this, if you wish, and for all the griping I did here, it was worse than I expected but that feeling only lasted about 4 or 5 days. So if your considering WLS go for it, but don't have unrealistic expectations, prepare for the worst and you'll be happy if it isn't that bad! And hang in there if you are recovering..it WILL get better, I promise!

I had two barium swallow tests that showed my band was in perfect position, but I was still tossing up most of what I ate, so my surgeon said I had to get it removed, and he would do an RNY in the same surgery. He likes to do it in one surgery if he can...less cost and one less chance for anaesthesia complications. He thinks the bypass is actually better to do than the sleeve on a one-surgery revision. Well, he got in there, and my band HAD slipped, and on top of that I had a hiatal hernia! When he cam to see me after the procedure I asked him why everything looked good on the xrays, he said it's not uncommon for slips and hernias not to show up on the xrays.

Dr Snyder also did my band in 2010, revision to sleeve in 2014 and I literally just left his office to discuss various options available now (revision to bypass, mini bypass, DS, SIPS (DS loop)). Dr Snyder does revisions from sleeve to bypass or mini bypass himself and one of his partners, Dr. Metz, does revisions to DS or SIPS. Right now I’m considering all of my options.

I was banded in 2008, lost a bit of a weight, struggled with finding the perfect fill for me. Eventually I became so miserable with the band that I gave up, ate what was easy to get down, and gained all the weight back. Over the last 2 years or so I was getting so miserable, everything would get stuck and I was having reflux, which I never had. I kept telling the doctors I was slipped, but my X-ray showed everything was in a normal position, so I decided to start the process for a revision. I just revised to the bypass on October 24 and I certainly was slipped, my band was around my esophagus with my stomach incarcerated inside the band. They don't know how I was managing to eat anything, but I was! So far I am SO glad to have revised. The pain was approximately the same as band surgery, I did not need narcotics, my surgery was Thursday, I went back the next Thursday and likely felt good enough to go back sooner. But I can eat comfortably and that was the ultimate goal. If I don't lose another pound, I'd be sad, but I'd be fine because it's so freeing not to have that band anymore. Now, just to get back to reality, I did have complications from anesthesia, so not everything has been rainbows and sunshine, but I'd still do it all over. Your mileage may vary, but based off of my short month long experience, I'd recommend at least talking to a surgeon about revising and seeing how you feel about it after that.

I had lap band in 2005. I lost about 80 pounds but was miserable almost the entire time. I later found that my band slipped probably in the 1st 6 months due to violent vomiting secondary to gall bladder dysfunction. In 2009, when my surgeon discovered the slip (FINALLY), he removed the lap band and offered to convert me to sleeve then. I chose not to for various personal reasons. Skip ahead to 2015. I have gained all of my weight back and can't seem to get back on track. A friend, who had also been banded and converted to the sleeve, got me thinking and I finally decided to get sleeved. I underwent gastric sleeve in April 2018. The pre-op and immediate post-op is nearly identical. The pain I had with the sleeve was similar to the port pain with the band, although I couldn't sleep laying down on my side for about a month. My weight loss was much slower with the sleeve. They say it's because I've been down the bariatric path before and my body is slower to respond (metabolism remembers). Besides, I'm a little older. Today, I've lost 86 lbs. At this point, I'll stall for 2-3 weeks then lose a pound or 2. I have more energy and I don't feel deprived, at all. The only negative is that I have a bit of nighttime reflux. It's a battle I wage every day and am seeing a gastroenterologist to monitor and treat. So far, it's not significant enough to consider any kind of revision and my plan is that the sleeve is my last stop on the bariatric train.

Check in: My personal goal: I want to lose 100 and 25 lbs. I have already lost 25 lbs the old fashioned way. Dieting. I joined Noom and went on Jenny Craig along with moving out of my mother's bread infested apartment. Surgery type: I had a gastric bypass in 2012 but gained a lot of weight taking care of my mom. Now I am having a revision from RNY to SADI on December 4th. I here good things about it. The weightloss is supposed to be better than distalization. My weight: I started out at 350. Due to RNY I went done to 200. I regained 75lbs and lost 25 after I got control of my life again. Now my current weight is 250. I am hoping to get down to 150. That would be awesome.

Maybe if you look around in the Revision forum you'll find someone with this experience.

When I first saw my doctor, he and I had already discussed doing the surgery all-in-one. (Revised to sleeve) I was having a lot of problems. My band had slipped so from February until my surgery last Monday, my band has been unfilled. We didn't know that my port slipped down two inches as well until he went in. My surgery took longer than anticipated, but it was sooooo worth it. Good luck to you! I hope you don't have to wait.

Hi. I couldn’t imagine any bariatric surgeon not requiring their patient to get protein in post op. It is very important for healing. The cardinal rule for bariatric patients post op and for life is “protein first” i had sleeve in 2018 and revision to bypass last Friday. Both surgeons required 60grams of protein post op. Good luck with your research and hope that helped.

I’m currently starting the process to revise mine to bypass but in waiting room now for tests to see if slipped so may need removed as separate surgery. What is recovery from removal surgery? I’ve had mine since 2009 and feel similarly to all of you. I’m really ready to get this removed!

That is a tricky question. Some dr. will do the removal and revision at the same time..... but it all depends on what he finds when they open you up. Some times the scaring it too bad to do all at once. Some make you wait 3-6 months. Removal was a piece of cake. I had to have mine removed march 23, 2017. I was at 143lbs and had been there for 7+ years. So when they removed it, he would not do a revision because insurance didn't cover the removal and for sure would not cover a revision. Plus.... I didn't weigh enough. I'm 5'2". I searched tons of places and got the same response. I was about to head to Mexico for revision when i happen to find a dr. right here 10 mins from my work....... No, the insurance still didn't cover it and i was now at 173.5lbs and 31 BMI. But because i was a "revision" (2.5+ years later) and i was cash pay ($14k)... the sleeve was done 8/28/19. He said when he opened me up.... my stomach looked great. Very very little scarring. I did, however, have a hiatal hernia i didn't know about. Since i have lost 31.5lbs... and i'm sitting at 142 which is 1lbs less then when i had the band removed. The SX was the easiest i ever had. Zero pain and was back to work on Monday.

I haven't been participating a lot lately but I did read some beautiful thanksgiving stories that made me want to cry. The one about the grandpa with schizophrenia really touched me. Today's question is what food am I most grateful for today. Well all of them because I am about to embark on a pre op diet. My doc allows meat and veg in the diet but I am going to try to stick to protein shakes. I am having revision surgery 12/4.

when i first started my journey back in 2009 with the band. I was 232lbs with 44G/H boobs. Lost 89lbs and went to a 34H. My boobs stayed exactly the same, my band changed 10". Lost the band in 2017, had gone up to a 36H..... fast forward, revised to sleeve 8/28/19.....back to the 34H. Yes the sag a little, but the nips are still looking forward and not at my toes.

Actually, Fluffy was concerned about your volume. What volume/meal is your doctor advising? I know I was still only eating a couple of tablespoons of soft foods at a month out. (I had a sleeve at that point, revised to bypass later)

You don't see sleeve patients who don't have GERD and don't want revisions because why would we talk about that? Congratulations on your successful surgery. Since you are calling other people out on "lies" when they disagree with you, please cite a credible source that the sleeve gives you a 50% chance of GERD getting worse. Most good doctors would not give someone a sleeve if they HAD GERD knowing what we now know.

Lies.. There's maybe 5% chance of those issues where sleeve is like 50% chance of either getting gerd or making gerd worse. Everyday I see ppl complaining about gerd and needing revisions.. I'm 4 weeks post op from RNY with not one single issue

@Chris NH thank you! I did not realize that they had a specific customer service team for this. I did meet with my surgeon’s office and they did confirm that they just revised the requirements and that it is no longer 6 months but that they would not give her a specific amount of time. She said basically for me to do 2 months followed by my physician and then they will send in the prior auth and see what they say. But I’m going to call back tomorrow and see if I can get the bariatric team and try to get a specific answer. thank you again for your help!

I had my Band removed on 5/31. Dr. wouldn’t even talk Gastric Bypass until after 3 months. Then two weeks after my first appointment to talk about revision , I had my first really awful Gallstone attack. I ended up having it removed on 10/18. So now I’m going to get all my pre-submission appts. I’ve met with the Dietician, have Sleep Study scheduled for 12/16. Waiting to hear on Psych visit. Once all of those are done, he’ll review and the submit to insurance. I have no clue how long it takes to be approved. I’ve got to start making headway on weight loss. He never gave me a % to lose.