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Rt that was the same thing I’m wondering I had the revision from sleeve to rny because of severe gerd

Please much needed help with still always thinking about food still feel hungry to me could be in my head I can still eat a nice of things that work others make me sick so I leave it alone it’s trial and error now after my revision seem like I don’t have the full effect, I’m just now able to get my shakes down without nausea but only certain premier protein ones and it’s still hard the nausea omg why almost like with everything weight is fluctuating but not by much then it seems like I get stuck in a plateau I’m frustrated now I’m two months out and only lost like 30 lbs what gives should I just stick to liquids oh and I don’t sleep much which makes me want to eat in my head that is I want to drop more weight this is my last chance to do this I know protein is key so I’m trying to get it in help please

I’m glad we have the revision forum. Is it addressing some of the things you listed?

Congrats on the initial loss. I also had a removal due to a slip. My loss was a consistent 89lbs. After the removal, i gained 30 over the next 2.5 years. Just revised to the sleeve Aug 28th. I've lost 29lbs. I only have 1 more to get back to where i was the day the band was removed. The sleeve is all still very new. I guess my question is, how did the hysterectomy make you gain weight? I also had that and gallbladder removal. Was it the change in your diet? quantity? hormones? These are things i'm trying to look out for. And how will the GB/DS be different from the sleeve? I'm not wanting this to come out the wrong way as i am very interested. I turned 51 last july and started menopause this past March... ish... If there is something i can watch out for.... i'm all for it.

I am a little nuts too, but didn't have to do any psych evaluation because I was a revision with many repairs to make. If they only knew..... 🤪

other than my immediate family I only told 3 people. It isn't anyone else's business and like you I can't be doing with the judgement that this has been an 'easy' way out because it has been very difficult for me and even though I am now healed from my op, then my emergency revision a week later, I have ongoing awful nausea and that is with being on antiemetics for it so after, so you know....tell who you are comfortable with. No right or wrong, our own choice

If I were younger getting Sexy Back would be a prime motivator. But at this point I just want to be more physically able and not have people judge me because of my size. That happened for me initially at 200lbs and I want it back. I am dieting and hoping for a revision soon if my insurance will allow it.

My surgeon says that DS/SIPS is more conducive to weight loss in a revision situation. I can't give you any first hand experience. I am hoping to have SIPS if for weight regain soon if my insurance okays it. I have read articles backing up the information given me by the surgeon.

I'm considering a revision as well. I'm 8.5 months out and stalling. My Dr reccomend the ds, but I chose the sleeve. Wondering @GreenTealael are you asking about the other surgeries ds/sips because it is a better choice than rny? Good luck on future decisions!

Had sleeve 2015, lost 60 lbs, gained back 25 lbs. Considering revision, but unable to decide between MGB or RNY. As all surgeries, they both have pros and cons. Revisions typically lose slower. Looking for experiences with either surgery. Please share!

I’m not the OP but looking at something similar and I WAS successful with the band (lost 115 lbs and was within 15 lbs of my goal) until I had a major slip and revised to the sleeve. I never had restriction with the revision to the sleeve but managed not to gain weight for 2 years until 3 years ago when I had a hysterectomy. Now I’ve gained back 50 of my original loss and am exploring a new surgical alternative after trying many other things for the last 3 years to get back on track. Looking at GB or DS now.

Is there a reason you're not losing? are you have trouble? are is it just to lose more? I would start by looking at why it's not working. Is it your food choices? Overeating? Not exercising? The reason i'm saying this is because if its those things, a new WLS won't fix it for the long term. You have to start within. I would suggest, if you haven't already, get the myfitnesspal app. it showed me how much i was really eating vs what i thought i was eating. I had the band for 7+ years and maintained 89lbs.... but when the band was removed due to a slip.... i gained 30lbs. Sure it took 2.5 years... but i couldn't lose it. I thought i was doing everything right.....Then when i started the process of revising to the sleeve, i started logging everything.... I found i was making bad choices, overeating and not exercising as much as i thought i was. That was in July, i got sleeved Aug 28th...... and things are back on track.... but i'm still logging in my food and exercise. Keeps me accountable. Band 2009 SW: 232, LW: 130, weight at removal 143... Sleeve 2019 SW: 173.5 , Today 144.4..... Goal is to get back to 143 (1 more lb to go) or 140 if poss.

I think your friend possibly got the wrong WLS from the start. 500lbs seems like a lot for the sleeve.... But, i'm new to the sleeve, so i don't know. What i do know is, he needs a better Dr. and/or Phy. Dr. Before he gets another WLS. My ex sister in law had 3 WLS's. Her first was Lapband in Mex, then Lapband in the states, then GB in the states. No counseling for the first, regained and revised, but she regained yet again. The last dr did the GB.... and yes, regain again. The dr.'s need to make sure patients are getting more counseling.

sorry i meant to put 2017 its been 2 years since my surgery ,i want to revise it to any procedure to loose more weight

My surgery is Dec 6 and I still have not decided what I will be revising to, as soon as I make up my mind, I will find more information and change it again. Lol...I am so lost! I dont want this to be another failed surgery for me.

In Germany there is the possibility of a planned second surgery in the case of very heavy patients. So it's not seen as a revision but an already planned second surgery. People get a sleeve resection first as the initial part of a BPD/DS, lose some weight with that and then a year later get the full DS. I don't know how common that really is though.

I'm confused.... you had the sleeve and want to revise to the sleeve?

Again, being nosy--are you using advanced surgical partners? I saw them when I started having problems with my 10 year old lap band. I liked the doctor but his office staff was a mess- wouldn't return calls when they said they would, no follow through for scheduling tests, etc. And they incorrectly told me that since I've already had a bariatric procedure that Medicare won't pay for a revision. Medicare didn't pay for the first one so why would they balk at a revision? Anyway I knew I needed the band removed regardless of whether or not I could get a revision and was unhappy with ASPs office, so I did some "doctor shopping" on the internet and found Virginia Bariatric Surgery Center in Reston and their office is so helpful and better informed and helpful than the other. I've said before that there are lots of good doctors out there, but if the "front half" of the practice is a disaster it doesn't matter how good the "back half" is! Laura

Hi this is my first time posting in a while ,wanted some opinion had my gastric sleeve on 7-24-17 sw was 289 lowest weight i got to 224 cw 230 i have pcos i did everything by the book . sometimes i fell of the wagon but got back on it .gained 6 pounds because i was on fertility meds but im here working on loosing them back ,will i qualify for a revision to my sleeve. I felt like a failure with my surgery while other people were eating more unhealthy then i was . I know everone is different but i feel like deserved better 

Also I would LOVE to see threads where people who need/want revisions and don't have medical complications explain how they were able to get it done. Too often you see GERD + weight gain = revisions but not everyone develops reflux and regains. It can be either/or/none. What about the percentage of patients with no issues at all and the band/sleeve/etc just wasnt very effective on them. Or start at a very high weight with the sleeve then need to go on to the DS/SIPS. I think that could help others see that sometimes is no just about you doing everything right or wrong

I asked about revision surgery on another forum and I had a similar reaction to the responses. They made me angry because I felt that they were condemning me for weight regain. I went back and realized that they weren't condemning me. They were just telling of there experience of getting back on track without surgery as the surgery is not as helpful the second time around. But it is a very touchy subject and I was extremely hurt and I did not get any answers to my question which was have you had revision surgery and what was it like. Which is a difficult question to get answered. I advise people to approach people seeking revision for weight regain with extra compassion. It is a very painful subject.

Hello Everyone! I now 53, I had revision done from lapband to gastric bypass 12.10.18. Thus far I have lost 100 lbs. Sad to say i wish it would stop. Lol. No major complication, now I am dealing with a lot of snagging skin, butt look like elephant legs, breast look like IV bags and arms look like a turkey neck.🙄. Health wise I feel pretty good. Wishing everyone the best of luck, please, please follow your doctor instructions.

I’m 51 and having revision from band to rny November 26th.

It is difficult to compare the two directly as few surgeons do both, (Mitchell Roslin in NYC is the main one I can think of that actively performs both) so there a lot of variables that get in the way. The DS is indeed the most powerful procedure commonly available, but it is also the most complicated to do, which is why few surgeons offer it. It has been around since the late '80's, it is one of the procedures endorsed by the ASMBS (along with the VSG, RNY and bands) and accepted by US insurance as a mainstream WLS procedure (they can't call it "investigational" any more since Medicare started paying for it.,) The SIPS (SADI, Loop DS, and other names that it goes by,) is newer and not as well established, nor quite as standardized, as everyone is still figuring out the optimum configuration. It is being promoted as being "almost as good as" the traditional DS, but "more accessible" - simpler so more surgeons can offer it. The hope is that it will fall somewhere between the RNY and DS in performance, with fewer side effects and limitations than either. If that holds true, then it will earn a spot in the WLS world, and if not, it will be another procedure that doesn't quite make it, like the "mini" bypass. Most of the BPD/DS surgeons don't offer the SIPS as they don't need a simpler procedure, and already have the VSG for the less challenging patients. Here is one very biased opinion on it from one of those surgeons: https://www.dssurgery.com/weight-loss-surgery/sadi-sips/ The position of the ASMBS on the matter: https://asmbs.org/resources/position-statement-single-anastomosis-duodenal-switch and, here is Dr. Roslin's take on it: https://www.nycbariatrics.com/weight-loss-surgery-options/sips-procedure Dr. Roslin is well quaiified on the BPD/DS (and is one of the few with the skills to do the very complex RNY/DS revision) but it seems that he is actively working on the SIPS for the greater good of the WLS community as a whole - that "almost as good as, but more accessible" concept that can hopefully benefit more patients over the long run. At this point, only time will tell. As an individual decision for right now, that's a tough one. With your regain history, I would be inclined to go the the well established BPD?DS, as that has proven to have the best regain resistance, but that would likely involve travelling for you (I don't know of any DS docs in MA, but there are several in the NY/NJ/PA area.) It is good to see that you are doing the "head work" as that is an essential part of any of these procedures - one can "eat around" any of them, though it is harder to do with the DS. One of the things that I have found to be helpful is what this doc covered here - One of the things that doesn't get covered much by other surgeons is that our eating capacity does increase slowly over time, and this is something we have to compensate for. One may or may not get along with this doc's prescription for a veg first diet, but it does make sense from the perspective of filling in that added capacity with bulky, low calorie veg. Think about it, discuss it with your therapist, and maybe you find a different approach to handling this problem. Good luck!

Sure! I love talking about this stuff with people I know won't judge me. My friends all look at me like I'm crazy... Anyway, I know if I have my band removed my weight will explode. So the surgeon I'm seeing says I could have a revision done in one surgery--right after removing the band he could do a sleeve or an RNY. He said the sleeve was a bit more difficult to do because of the scar tissue the lap band will leave behind after the removal, but could be done. But the main reason I'm going with the RNY is I used to have terrible acid reflux before I got my band. The band all but cured it. And many people who have never even had trouble with reflux develop it after getting a sleeve so that sounded too risky. And I've developed a touch of maturity onset diabetes, and a RNY is supposed to really help with that. So that's why the RNY. If you need to know more, just ask! WLS isn't for the faint of heart and it's great to find like-minded individuals to discuss this with.😁