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Im the odd one out perhaps since I was hoping for RNY to have some amount of calorie malabsorption due to extremely slow metabolism. Turned out the doctor agreed anyway since I had severe GERD so bad my ears would burn from it. Both have similar surgeries and recovery, the only difference is more initial restriction with RNY. Better to have RNY now than have sleeve and end up needing revision later. RNY is seen as the gold standard.

No brainer. RNY. I've seen WAY too many revisions from sleeve to RNY because of worsening GERD. Yes of course there's a chance that that wouldn't happen to you, but the risk is real. Go with RNY.

Definitely go for RNY if you have GERD, the sleeve is notorious for worsening symptoms, just do a search on 'sleeve revision GERD' and see how many people have had to change to RNY. I had both ops in a space of 2 weeks and I wasn't any more uncomfortable after the RNY than I was with the sleeve. All the same bits get moved around, bits still get cut stitched etc etc and you still have the same laparoscopic scars

Both are major surgeries! It blows my mind that people still think the sleeve is the “easier” surgery. if you have any problems with Gerd then Bypass is your best option, otherwise you’ll most likely need a revision anyway

I'm having the revision from the sleeve to the bypass due to serious reflux and a hiatal hernia. I had the sleeve 3 years ago and I still have restrictions on how much I can eat so it's still working very well but the bypass does help you lose a little more weight so if I lose another 20 pounds I'll be happy. My surgery date is on Oct 15th. Sent from my SM-J337P using BariatricPal mobile app

I consulted two surgeons for my revision and they both advised bypass for people with reflux. It is a pretty common story that people get the sleeve and their GERD gets so bad that they then revise to a bypass. I am sure there are stories on both side of the spectrum where GERD gets better or worse, but just from the outside looking in, it appears it gets worse more often than not. I think your doctor is trying to just give you the best option he can to avoid two surgeries. 😃 Ultimately it is your decision and your surgeon is there to serve you! I'm hope by the end of six months you'll have a clear decision!

agree with "Fluffychix" "you have to your health a priority." I was pushing and fighting for revision "due to GERD, gastritis, a hernia and weight gain." I fought for revision. Lost some battles and now on the road to winning. I can possibly get revised. However, when I achieved my goals over the mandatory next 6 months waiting period? I will no longer need revision. Well, I hope with medical support my weight loss and health goals will be achieved. Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

Please DO NOT stop taking reflux meds without speaking to your doctor. The damage that can be done in stopping FAR OUTWEIGHS any potential (and the link is definitely not proven yet) harm. I’m the person who had been a life-long GERD sufferer. My surgeon did an endoscopy and luckily I didn’t have damage so I was sleeved almost 8 months ago. I still take a PPI a couple times weekly because if I stop altogether my reflux hits. Take them every day for the first 6 months, then discuss the next step with your surgical team. For me, the risk of still having the GERD was worth the sleeve vs bypass because I really didn’t want to have to deal with all of the malabsorption issues. That being said, everyone has to choose their type of surgery based off of many factors and each kind has its pros and cons. There just might be a day when my body decides it doesn’t need to produce an insane amount of acid anymore, but there could just as easily be a day when the PPIs don’t work anymore and I have to be revised. Either way I’m willing to roll with it and do what needs to be done to maintain as healthy status for myself as I possibly can

I was sleeved October 2016. I had horrible reflux daily and was on several meds. I still gagged and vomited up acid daily. I also gained back 25 pounds I had lost. I was snacking all the time because if my stomach was empty I threw up. I had my revision last Monday, September 2019. So far so good. No reflux.

I haven't had mine done yet, but I am going from band to bypass on October 24, so I'll be right behind you. My office said it typically takes about 2.5 to 3 hours for a revision surgery, this wasn't directly from the surgeon's mouth though, just office staff, so I'll be sure to ask him at my next pre-op appointment. All I know, is I think this will be so much better for us than the band! If your experience from the band has been anything like mine, almost anything would be better

Congrats! It's going to be an exciting journey! I go in for my band to bypass revision just a few days after you on the 24th! I'm trying to hustle and get everything I need for the post-op diet. Hope to see you following up on here about your progress!

I am revising from band to bypass on October 24. Unfortunately, despite insane nausea, heartburn, the pain with eating, I had nothing that looked to be an emergency, so I had to start back from the beginning with weigh-ins and nutrition visits. Without anything showing the band had to come out in an emergency situation, insurance would not cover the revision. I hope you have better luck, but just be prepared that it might not happen right away! It's a bummer, but I'm certain it will be worth not dealing with the band anymore 😃

My insurance approval for revision took less than 24 hours with my surgery scheduled exactly a month out. 😃 My surgeon's practice has a pretty extensive list of things we have to do after approval, but before surgery, so I don't think it's often they schedule earlier than a month out. It is hard to guess when your surgery will be, so I wouldn't request time off until you have an exact date. However, if you are going to do FMLA like the previous poster, I'd get started on that! Good luck!

Mine revision to bypass is scheduled for October 24! October 1 -@Panda333 @lingre @Lizzie @JessTucker04 @ypease October 2 October 3 October 4 October 5 October 6 October 7@MwtRBP @Joyfuljourney @LaLasQuest October 8@DaisyJane @aurilove @Ng4345 @Me! October 9@grammie @SandyH October 10@alyons23 October 11@Little Debbie 77@Nonnaof4 @antodd October 12 October 13 October 14 October 15 )@pssk @sferen @nomorefattypatty October 16 October 17@Sheila62 @FORTHELOVEOFLIFE October 18@SassyTwin October 19 October 20 October 21 October 22 October 23@JamieSH @MIchelle Rosanna @veisor October 24@Sarah1216 @SorryNameTaken October 25 October 26 October 27 October 28@Losing for Jack@Cherylmilla @Mikeyy October 29 @@Peggymacb @vanessalongano2 October 30@Tiffgarcia22 October 31 @stacyguerra

So 4-1/2 years ago, I had the sleeve. Within 3 months, I dropped 60 of the 100 pounds I wanted to lose. I was off all blood pressure meds (and still am). Within the year following my sleeve, I developed abdominal hernias that my bariatric surgeon repaired. At that point, my weight loss stopped and I never reached "goal". Also at the time, I was working a 12 hour, physically demanding (not with heavy lifting but with a lot of walking), night shift 7p-730a which was one of my first saboteurs to my weight loss success -- I wasn't getting enough sleep. I also didn't exercise at all because of my physically demanding job. I decided to leave my night shift job, which I loved very much, for a "day job" but there was a 1 hour commute each way to this job. Exercising was now an even bigger challenge, but I got a gym membership near my home and I would drive my hour commute to the gym, work out and by the time I got home it was 8 p.m. 3 nights a week. Then I was eating dinner late. Enter REFLUX. I started with 20 mg of omeprazole, which didn't quite do the trick with my symptoms. Moving on to 40 mg was better but as time went on even the 40 mg of omeprazole wasn't cutting it so I supplemented with OTC omeprazole 20 mg for a total of 60 mg a day. That's where I am now. A recent EGD revealed I have yet another hernia. Lessons Learned: 1) Lifestyle matters. Prepare a lifestyle to accommodate your surgery so that you can take care of you. I didn't do this. I tried to be superwoman. I am humbled. 2) Follow up with your doctor's office more frequently than your program requires. Accountability is everything. Don't wander off and think you don't need follow up because you most certainly do. 3) Bloodwork. I can't emphasize this enough. I always keep my bloodwork in check -- I didn't want to lose my hair -- and I didn't. 4) Get plenty of sleep. Sleep needs to be as necessary as water to your well being. With these lessons learned, I will be getting the Roux-en-Y revision surgery to end my GERD and hopefully put me back on track with the 70 pounds I want to lose. I have created a lifestyle now that allows me to take care of me. I have a gym membership that includes a pool. I work a day job that allows me to work at home one day a week. I finally realized that being good to me is not a selfish thing, but a necessary thing.

Yes, I have seen the nutritionist. I do chew and eat slowly. I can soft scramble an egg and eat at 8AM and late after noon some of the egg still comes up. I also have problems with liquids at time. I try not to drink a lot before eating and wait a while after eating. I've stopped drinking the protein shakes because they apparently sit in the little pocket and sour. I know that when I have the surgery I will go through different stages of food and I know they want me to have the protein shakes. That's why I stopped trying to get them down. I'm afraid I'm going to turn myself against them and won't be able to stomach them when I need them to heal from the surgery. I live in a very small city. My GI doctor said there wasn't a surgeon in our area that he would feel comfortable sending me to because I am a high risk patient. I have other medical issues. He referred me to a larger hospital that's a teaching hospital and they agreed I needed to be converted, but none were willing to do the surgery. The larger hospital is over an hour away. They referred me to Mayo Clinic and they are over 1000 miles away. I have had multiple EGD's, manometry test, Barrium Swallows, Acid test, etc. Mayo repaired my hernia and diaphragm a few months back and we were hoping that would do the trick, but I continued to throw up. Mayo did the same test again and when I did the Barrium Swallows it shows the liquid spontaneously coming back up. The EGD shows the pocket that's formed in my sleeve. Basically, some food trickles down, but a lot of it backs up in the pocket and then it has no where to go, but to come back up. TMI, but I've actually had food coming back up through my nose and throat. I can't remember when I've eaten something and it not come right back up or several hours later. We have spent thousands of dollars out of our pocket to pay for the trips to the different hospitals and for test that weren't covered by my insurance. The airline tickets and motels are several thousand dollars each time we go to the Mayo Clinic. I'm 63, but will be eligible for Medicare on 12/1/19. My current insurance will not cover the revision because I was self pay 12 years ago. I didn't have their insurance at that time, but they said that doesn't matter. They even said that if I was eligible for the revision I would still have to follow the 7 month protocol for the WLS. I can't afford to lose anymore weight and my doctor nor I can not understand why they would even say that. I could probably fight them in court, but to be honest with you I feel like I'm running out of time. My state does not offer Medicare Supplements for people under 65. Therefore, I will be paying my Medicare deductibles and the 20% out of my pocket. So, I have nerves about all of our retirement going out the window and then I'm scared to death to have the surgery, but scared not to have it. I'm sure I've repeated a lot of what I've already written. I hope all goes well with you and you can resolve your problem without surgery. I wish I could.

Hi, Looking for individuals who have been revised for over 3 years! What is your story? Thanks in advance. Your testimony will help alot of people! Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

Ditto what AZHiker said. I'm back on keto with exception of fat %. I use vinaigrettes for salads and some salad dressings that straddle line between low carb and low fat. I use spray butter instead of butter, avocado mayo mixed with low fat mayo or greek yogurt and I use sparingly. Instead of full fat heavy cream, I opt for a splash fat free 1/2 and 1/2 )or vanilla protein drink). On rare occasions if overall carbs are low, I will use 1 TBSP of heavy cream in something but that is rare. I use fat free cream cheese, etc. - I think you get the picture. On top of this, since my calories are between 700-800 a day I still can be in ketosis sometimes partly from lower calories & part from low carbs. I notice when I stick to this, I lose weight faster. If I do some of the 'low glycemic carbs' like oatmeal, sweet baked potato, beans, I notice slow down in loss but I've had these items sparingly.. My surgeon is a keto fan after full healing when he lets his us start eating "regular food" . On the ongoing nutrition plan I just received, they had the macros as follows: 800 calories with 40% of total calories from protein, 30% from fat, and 30% from carbohydrates this should help increase your rate of weight loss. I can understand 800 cals & biggest % being protein but I was a bit surprised by 30% from fat part although I know they mean healthy kinds of fat like avocado, etc. Here is what plan says about fat: Limit fats to 2-3 servings a day; avoid unhealthy fats such as cream, lard, butter. 1 serving of fat should = 5g fat. Some examples include: 1 tsp. oil, 1 Tbsp. regular salad dressing, 2 Tbsp. reduced-fat salad dressings, 1/8 avocado, 6 almonds, 1 Tbsp. peanut butter. In looking at sample meal plans, I will revise it for me by removing some of the bigger carbs that the list has like once a day having oatmeal or 1 pc whole wheat toast as I need to keep overall carbs down to lose more quickly.

10/10 band to sleeve revision! Wish me luck! :)

I did fine converting from the band to the sleeve for 12 years. I've lost over 100 lbs and I've kept it off. However, now I'm going to have my sleeve converted to an RNY. I don't know why you are converting, but the reason I am is to sustain life due to reflux. My sleeve has formed a little pocket and I have spontaneous reflux. My surgeon at Mayo said I should have never converted to the sleeve because I had reflux with it also. He said that if you have reflux with the band the studies shows you will more than likely have reflux with the sleeve. My sleeve worked well for 12 years and I'm actually a little underweight right now because I'm not holding food down too well. BTW, I had very little pain with the conversion. I had the procedure on a Thursday and was back at work on Monday morning. It was a desk job and I will admit I was tired, but I never had a great deal of pain. Just make sure you walk a lot to get the gas out of your tummy. I think that's what causes a lot of people pain. Also, follow your doctor's diet plan. The first few weeks are rough, but you will get through it and on top of that you will lose weight. When I convert to the RNY I have to do the same diet as you will follow for the first few weeks. IMO, that was the hardest part about the sleeve surgery. I ate a lot of won ton soup without the won tons. Good luck on your revision!

The latest, my GERD is getting better by my change in eating habits. Most days, I feel like a perpetual science experiment! I am afraid to eat. I don't want to have acid. My first visit to the nutritionalist is this week. I will have a clear plan at that point. If I am revised? It will occur in late March. Time will surely tell! Sent from my SAMSUNG-SM-G935A using BariatricPal mobile app

I've lost 83 pounds, but can eat more and seem to be losing very slow. I told my PA I would reevaluate at my 1 year post-op appt. I'm almost 7 months post-op and close to going below a 40 BMI, so not sure if that could interfere with having a revision. I still have diabetes and take BP medicine.

people with acid reflux usually revise to RNY. It usually improves - if not outright cures - reflux.

No problems. Just want to make sure that I communicated that from what I have been told and personal experience there is no dumping syndrome with DS surgery. I did an experiment after my RNY to DS revision, I ate something that would have put me down garunteed for a half hour with dumping syndrome. Didn't happen. I don't miss dumping syndrome. For me it was like an intense flu that came on hard and fast. Sweating, nausea, the works. Lasted for me about half and hour to a hour depending on what I ate and how much. Now it just hurts to eat too much and the bowl thing is something I'm re-evaluating my diet and supplements to help with. If OP is experiencing something similar to dumping syndrome, then probably should go talk to the surgeon asap.

I had the sleeve in March 2018 with hernia repair. The hernia failed and my stomach is in chest . I have acid reflux really bad, has anybody been through this and what revision surgery would be best. Thanks