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9 months out-VSG Fundus Complications
Cia2020 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I'm 9 months out from VSG, saw the bariatric clinic follow up staff, and am so GRR now. I never had that "I'm never hungry" feeling once I recovered from the surgery but shrugged it off. I could drink 2 oz. fluids at once literally the day of surgery so I was like... OK, cool. Weight loss was slow despite being diet compliant and exercising, stopped at 25 pounds after 3 months, then gained 10 back after a foot injury (off again since getting back to my daily 5k jog). I've been having reflux for ages despite avoiding trigger foods/drinks and I get hiccups 20+ times a day regardless of how I'm eating, drinking, or not doing either. So they referred me back to the surgeon's office. Last week I had an upper GI study. The radiology report says I have mild decreased lower esophageal motility and mild outpouching at the fundus... um, I shouldn't HAVE a fundus after gastric sleeve. The weakened esophageal muscles explains the fluid that backs up when I drink sometimes, especially if not sitting straight up or standing, and the chest lock I feel when eating dryer foods or meats. I'm confused about the fundus. Is the radiologist mistaken and unfamiliar with VSG anatomy? Did the surgeon leave part of my fundus? The surgeon's office is awful at communicating so I'm in limbo. They didn't even call me before ordering the upper GI, they just had the radiology department call to schedule me without notice. All I can think about is where I go from here. Meds for the reflux and live with the hiccups? Revision surgery for the reflux and basically start over (the big GRR)? Anyone else have anything similar like a retained fundus, outpouching, or GERD with esophageal motility disorders like weakened muscles after VSG surgery? -
I dont know what to do!
SleeveandRNYchica replied to ThinnerTiff's topic in POST-Operation Weight Loss Surgery Q&A
I remember you from the forums, I had my surgery 10/1/12. I lost about 53lbs pre and post op. My weight loss was SUPER slow!!! I got pregnant a year post surgery and gained 40lbs. After the baby, I started experiencing horrible GERD. I also was not losing weight at all. Slider foods like crackers much easier(not good I know) but something didn't seem right. So I consulted a new bariatric dr. as my first surgery was in S. America. He told me he has seen stretched sleeve post-pregnancy. Now mind you I was very diligent when pregnant. So he sent me for a barium swallow. It was discovered I did have GERD and a hiatal hernia. I went for an endoscopy last week. My sleeve is angulated (twisted) and has a bit if a pouch so food does not exit the way it should backs up in sleeve which can cause stretching and GERD. I am in the process of a revision. Get checked. I do not believe there is enough data about pregnancy and the sleeve IMO. I think there is still a lot they do not know. -
Happily Not Looking Back
BrandonKea replied to BrandonKea's topic in Tell Your Weight Loss Surgery Story
Hi all, Wanted to drop an update on here. I've run in to some more complications post-op than I'd like. I'm that low percentage of patients who apparently have issues. When I actually had my operation, my stomach pouch leaked, so they did a revision on the spot, which basically just means they stapled more off. This resulted in an even smaller pouch than the standard RnY patient. It also meant some very deep stitches to keep everything from moving around. So, post-op, the stitches (which were sealed in place on the surface with staples) were the source of tremendous amounts of pain. I have a high pain tolerance, and hydrocodone wasn't even touching my pain. I ended up going back in, they ran some labs, gave me IV fluids, took the staples out, and told me to continue to lie low, it should heal on its own. After a few more days of my pain being at a 12 on a 10 scale, it did finally get better. Then, earlier this week, I started having an issue with the pureed food I was eating just sitting in my stomach. The only way I could move it was to throw it up. This was happening with food and liquid/water. So I went back in again, and after an upper GI, they determined my stomach was very, very slow to empty. Now I'm waiting for 2 weeks to have them go in with a scope and balloon open my connection from my pouch to my intestine. In the meantime, I'm back on a liquid diet. So, I guess my update isn't really that positive, but there it is. My weight continues to fall off. I'm down 36 pounds from surgery just over 4 weeks ago, and soooo close to being below 300 for the first time in I don't know how long. Those are positive. But I'd really like to be semi-normal now... -
Wow cant afford that long! Man im have to tlk to my surgeon! Sent from my LG-K540 using the BariatricPal App After my lap band surgery. I went back in one week. I'm a vet tech. I'm on my feet all day in and out of cages. Bending into lower cages. At the time I was a little sore and I managed to avoid lifting any animals over like 25#. I absolutely cannot afford to be out for a long time. I'm planning on revising to the sleeve. Cross my fingers I could have surgery if I get approved end of February/beginning of March. I plan on taking maybe 10 days off. I'm not one who is able to stay at home. I remember by day 4 I was bored crazy last time. I probably was lucky since I didn't have lasting pain. Day one I was like wtf did I do I'm dying? Day 2 I was like ok not so bad, and say 3 I only took pain meds because I had bad cramps. After that I may have taken one or two doses of tyelenol. I imagine the pain will be the same this time.
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Advice re Gastric Balloon vs. LapBand Surgery
vita428 replied to rosedagal's topic in Gastric Balloon Forum
I had lap band. It slipped and could not go back into place. It eroded and I had to have revision too much scarring. In 2009 I was so scared and elected band. I've not had one complication after bypass and am kicking myself that I didn't do that surgery first. I was miserable w band. Never was restricted if I was too tight I would regurgitate in sleep. Sorry just my story. I went in so often to take fluid in and out regardless of what you do make sure you choose surgeon near by. Sent from my XT1254 using BariatricPal mobile app -
I need a little help from others that have been approved with CIGNA. THIS Is the most up to date policy (see below). They actually update their policy on the 15th of July so it was revised and updated today. No changes were really made. Anyways, I do meet the requirements but my question is regarding Cigna coverage. Most plans require a monitored 3, 6 or 12 month diet/nutrition/weight loss management through PCP or somewhere similar. Cigna's policy says NOTHING about this, only that "a statement from a physician other than the surgeon, that the individual has failed previous attempts to achieve and maintain weight loss by medical management" - it gives no other requirements or indicators. I called Cigna and two different reps confirmed that it is not required. Although when I went to my Drs appointment they told me they thought it was six months worth of supervised diet! I think they are confused bc of the “within the last six months” part. SIGH! They said they will look into it more So, for those of you that have been approved in the past few months, do I have to have a letter from my primary that recommends bariatric surgery? Would this be the same letter or separate from the on where they state I have made several attempts and failed? And what did you submit/have your PCP write to say that you had failed previous attempts? Thanks in advance for your help! Sorry I just know Insurance’s are so picky! below is link to coverage https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0051_coveragepositioncriteria_bariatric_surgery.pdf
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Welcome Ndipilato, glad you decided to join our group. I understand your worries about the bypass as I am currently doing my liquid diet to have the bypass in a week and a half, I am actually happy with my choice only because I know my body and my self, and I am ready for this. I also am a yoyo dieter, and too have been a heavy person since I was real young. I am ready for this change and this to be the end of obesity for me. I need this to be and that is why I am putting my full head into it. I hope that you get your decision from the insurance company soon and you are happy with the sleeve. The reason I decided on the bypass was because I had the band back in 2010 and it did not work for me, something happen with the band and made a year of hell for me, so I had it taken out in 2011 and was so discouraged that I didn't have a revision done which I should have and I know that now but because of everything I had gone through I didn't trust something else. So I joined weight watchers thinking that I could do that, and went to meetings and everything I lost maybe 10lbs in 5 months. I have a super bad thyroid that I take meds for and I just think that with that issue it hinders me in losing weight. I went to my doctor to ask about bypass and when he said that if I got the sleeve and that didn't work then I could always get the bypass after right then I was like no way, I am having the bypass I am not going to have a surgery knowing that there is one more that i can get and jeopardize my weight loss with that knowing there was something else I could do. I am all set, so that is why I made my choice!!! Well Welcome and good luck!!!
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Okay, I'm supposed to be sleeping, but I am so addicted to you guys. I'm the new erosion on the block, and I have to tell you, as devastating as this is, I got 97.5 pounds out of it. By the time I have my band removed it will probably be at least an even 100 - that's my new goal. lol Anyway - I don't know yet if I will choose to be rebanded. I am waiting for more info on the re-erosion rates. The one response I got wasn't good (she eroded again her second time), and two other posters quote increased percentages - one 50%, the other "4 times likely" which would be 4-12%. I'm going to have to agree with Jessie Ahroni on grads that no one really knows the stats on rebanding. However, the literature from Inamed does state that revisions have a higher percentage of erosion, and I would consider a rebanding a revision. If I knew then what I know now - would I still have done it? ABSOLUTELY!! Will I do it again? At this point, it doesn't look likely. But I will have to wait at least six months before I could be rebanded, if I choose to do so, so we'll see how it goes. I love my band - it did everything I had hoped for. It sucks for me that I have this complication, but I rolled the dice and this is what I got. I'm not angry, or bitter. Sad, devastated, yes. But I knew the risks, and my results have been worth it. I've learned a lot about myself and my eating disorder. Hopefully that'll help me out when I'm back out there on my own. Good luck with your decision!
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How much weight did you lose after your tummy tuck?
onmyway11 posted a topic in Plastic & Reconstructive Surgery
Most of my weight is in my tummy. I can't wait to get rid of it! I've had 4 kids (including a set of twins whose combined weight was almost 14 lbs). I'm setting my goals in my head but I'm not sure how much weight will come off with a tummy tuck. Can anyone give me an idea? Thanks! Band to sleeve revision surgery 1/16/17 HW: 283 CW: 199 GW: 160 -
If I could do it over, would I get a lap band??
BetsyB replied to Woodstock girl's topic in PRE-Operation Weight Loss Surgery Q&A
Bypass is a great surgery for some people. But it causes significant lifelong malabsorption of nutrients--which is something we are thankfully spared. And once the initial honeymoon period, the rate of weight loss success generally equalizes with ours---at a far greater lifestyle and health cost, IMO. You know, if you really want a revision, you can go the bypass route. But I think it's probably more constructive to let go of the grass-is-greener idea. On one hand, you're saying you wish you became ill in response to sugar, and on the other, you're saying that vomiting after being stuck is part of your rationale for wishing you'd had a different surgery. So---which is it? Is vomiting good (keeping you from sugar) or bad ('cause it happens when you get stuck)? From what I've observed, dumping makes stuck look like a walk in the park. I'm sorry you're having buyer's remorse. It's really common--and usually fleeting. I can tell you, we all wish our weight was gone, like yesterday. If, after really giving banded living a good try, you still are dissatisfied, you always can revise to bypass. You wouldn't be the first. As an aside to the poster who mentioned skin sagging: It has very little to do with rate of loss, other than it appears faster in those who deflate faster :smile2: -
Congratulations to everyone that was approved. I have Aetna and was denied. the denial was uphelp in the first and second level appeal by Aetna. It was so stressful. The final appeal is an independent external review process. This is where the decision goes out to an independent doctor not associated with the insurance company who will decide based upon the information provided if the patient meets the standards published by NIH and other medical groups. Mine did and the decision by Aetna was overturned. The entire process took almost 10 months and was SO stressful. All of my appeals were done with the help of http://www.obesitylaw.com It cost me nothing and Kelley is the BEST !! She called me 2 days before I was going to Disney to tell me the good news. She even offered to give me passes to Disneyland that they use to take out the employees in the office each year. Unfortunately I was going to Disney World in FL so I couldn't use the passes. She was so nice I decided I would tell everyone who was having issues with approval about them. They provide an awesome service to people who could really use help. I believe her husband Walter had both Gastric bypass and a Lapband revision later on. Good Luck to anyone having to deal with Aetna.
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Same here. Also although the sleeve seems to be a good option I still think I would be quite hesitant to revise to one . The surgical and post surgical risks and complications sound so scary compared to a band. If something went wrong with my band I would be hoping that they could replace it. If they couldn't then I would probably go for a sleeve but I imagine it would take a lot of work to convince my DH that it was an option.
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Out With Lap Band, In With Sleeve...but Insurance Denied!!
CherBee replied to CherBee's topic in LAP-BAND Surgery Forums
The most weight I lost with the band was pre-band and 2 months post band. The the weight started coming back on. It made me gag, puke, and the band itself shows on the outside. At one point the port turned and was difficult to fill. The main thing...my appretite was not suppressed. My stomach never felt full...just me gullet to the point of drooling. I have the original band whatever it was called, not the newer version. I have spoke to people who had the band and have had the GS revision and all are pleased. I guess I will have to play the waiting game. But going back to square one just makes no sense to me. -
Out With Lap Band, In With Sleeve...but Insurance Denied!!
Jean McMillan replied to CherBee's topic in LAP-BAND Surgery Forums
I'm probably not being very objective about the sleeve right now. I think it could be an option for someone who wants to revise because their band was so problematic, but if you're thinking of revising because of disappointing weight loss, I'm not sure you'd be all that much better off. -
where do i start, When i got my gallbladder out in 1990 my surgeon told me to avoid all fried foods and fat as i may gain weight but I didn't listen and through the years gained up to 120kgs at work all the staff were being cruel and picking on my weight which had me look into weight-loss surgery so i had my first lap-band in 1999 and after three surgeries due to the lap band prolapsing three times i asked my surgeon to refer me to another surgeon who does permanent weight-loss surgery so in 2003 I underwent the DS with that i had major problems with malnutrition and i ended up having gastroparesis with it due to the surgeon severing my vagus nerve, I also ended up having a bowl prolapse due to the constant loose stool and involuntary muscles wanting to evacuate what was not there. i was having Iron infusions every three months and having to take D3 injections and other injections of Vitamins intramuscular due to malabsorption. I also had a bowl strangulation and obstruction due to two abdominal hernias and then finally had to have the surgery revised to the rny due to bile reflux and also due to the sleeve of the ds stretching into an hourglass due to a stricture in the center and the food not passing through due to the gastroparesis. and now with the RNY i'm having more problems my eyesight isn't great my thyroid within the last two months has declined due to the fact my body does not absorb the iodine from food the bile reflux has not resolved nor has the gastroparesis of which i was assured would resolve due to having the RNY surgery. not to mention the brain fog and tiredness that i experience on a daily bases. And here you were thinking that you were alone in your situation, I think that most people do not speak up when things go wrong because they don't want to be picked on and because their doctors make them feel like everything is either in their heads or that the problems that arise are their fault for not adhering to the guidelines etc. Hey I'm just glad i found someone else who isn't afraid to speak up about their complications, I hope that you get better soon and get some sort of normal life back. (we just don't realize that weightloss surgery has it's own complications down the line and that it doesn't rear its ugly head till many years down the road especially with malabsoption and malnutrition due to intestinal bypass)
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February 2021 Sleeve Surgery
wldtauruz replied to LifelongJourney's topic in Gastric Sleeve Surgery Forums
Anyone out from the Feb 25th surgery? If so how are you feeling??? I had my revision on the 25th and dammit the pains -
Change of plans..
sassyfrass23 replied to sassyfrass23's topic in PRE-Operation Weight Loss Surgery Q&A
Congratulations on your surgery dates! Please keep me posted with your progress and how you are doing after surgery. I will keep you in my thoughts and prayers as your dates approach! And I cookarue- I am with you on the data. As pleasant as the sleeve sounds/sounded, a part of me feared what it would look like in 20 years. I never could find any success stories, or stories in general after 3 or 4 years post op. I know that weight regain is possible with any WLS, it my surgeon is very confident in the bypass and what it can offer me over the other surgeries. So I am very excited about that. And like you- I want a one-time deal. The thought of having one surgery, it not be a success and causing me to have a revision to the bypass is too much. My dear friend who had the sleeve earlier this year is mostly satisfied with it, but she wishes she would have just gone with the bypass. I don't want to have that regret. RC- I currently do not have a surgery date. I meet my surgeon again in December, which is when I'll have a better idea of when they will be submitting paperwork to UHC. Monday is my final weigh in for the 6 month supervised weight loss and after that I have to complete the second portion to my psych eval- so I shouldn't be far. Did your surgeon say anything about what they expect life to look like after surgery with your PCOS? I am so badly praying that I will see an improvement with some of my side effects from PCOS. It has gotten so far out of control that I can barely tolerate it anymore. ???? -
Revision from sleeve to Bypass Sept. 4th
Tmusselman replied to banksdea's topic in Revision Weight Loss Surgery Forums (NEW!)
I had the revision on July 10th for the same reasons. High weight before sleeve in July 2014 was 300, lowest after sleeve was 210 and then I regained 40+ and couldn’t get it off. Was 250 when revision was done, weight loss has been kinda slow but they said it would be. Stalled at week three for over three weeks but scale is finally moving again. Down 23 pounds so far. Best thing is my restriction is great, can’t even finish a quarter cup of protein most of the time. I’m glad I had it done, wish I would have gone with the bypass to begin with. Good luck to you. -
Gastric bypass or sleeve
NYJenn replied to laura071693's topic in General Weight Loss Surgery Discussions
Bypass... I’ve seen too many revisions with the sleeve. -
6 weeks post op ZERO WEIGHT LOSS AND DEPRESSED
Starwarsandcupcakes replied to crazycatladycanada's topic in Gastric Sleeve Surgery Forums
Don’t get discouraged. When I had my revision for GERD I left the hospital weighing more than when I went if for surgery by 5lbs! It eventually came off even when I stalled a lot and for a long time after, too. Trust the process and keep seeing your dietitian. -
I was scheduled to have a lap band revision on June 22nd to move to the sleeve. Life had other plans! I found out yesterday that I am pregnant! I am very excited, but also surprised as we were not trying (but we also were not trying). I currently have the lap band, and have had it for years. Anything I need to be aware of?
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Yeah. I got my revision to bypass last week. So far, this has been easier than the sleeve, and I’m just exhausted, but nothing hurts. I had horrible GERD, so they corrected a large hernia and cut my prior sleeve even more, to make it look good (it was enlarged). After all, the surgeon said everything looked great, and I felt ok. I’m hungry, but I think this is more mental than anything. I need to lose around 50 pounds to meet my goal. I was around 20 pounds short with the sleeve, but I could not do it.
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What a Christmas present!!! :wub: My approval was swift as I was scheduled for a total hip replacement revision surgery on 10/24 that got cancelled as my surgeon wanted it done in a bigger hospital and will be done in Traverse City, maybe in late March. I was immediately approved and got a date of February 25th. Barix called this morning and they had a cancellation and my new surgery date is now January 4th with a pre-op in December 26th!!! I am so glad I have been reading these forums ahead of time to try to avoid some of the pitfalls. I am going to need outside support as my daughter is totally against this and my husband is not too crazy about this either. We know quite a few who have had this procedure done - some breezed through it, a few had some issues, a few had major issues but the girl that worked with my husband died. It had something to do with the anesthesia, but it was still during this type of surgery so they think this is more dangerous than anything else. Four years ago, I had a gastric band put in. I guess it slipped right away and I have been bullemic and fat for the last four years. Right after I had it done, my husband's place of employment closed and now my primary insurer is Medicare with a BC/BS Medigap back-up plan and at that time, Barix did not accept Medicare so I was stuck. They now accept it and as I was already pre-cleared for the surgery that was cancelled, everything went quickly. My surgery will be January 4th at Barix in Ypsilanti, MI by Dr. Taylor. I live up north in the middle of the Huron National Forest.
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Gastric bypass or sleeve
Losingit2018 replied to laura071693's topic in General Weight Loss Surgery Discussions
Chiming in as another that got gerd and hiatal hernia from sleeve. I just had my revision to bypass on Friday. I wish that I had listened to gut instinct and went bypass from the start. -
For Anyone Debating To Convert To Sleeve
Jachut replied to msaprildawn's topic in LAP-BAND Surgery Forums
Whilst its great that you're happy, some of those stats are a bit dodgy. The sleeve hasnt been around for ten years - oh, there might be some early experimental patients but it is almost impossible to state that the sleeve keeps weight off for longer than the lapband - even the band hasnt really been in common use long enough to make that comparison. That said, lapbands often work and work well but they ARE a pain in the butt. Mine is acting up after seven years, I have no doubt some kind of revision surgery is on the cards for me. I definitely do not feel this thing will be in me for another twenty. I would not change a thing about my journey and I always understood that lapbands didnt last forever. I think I would be brave enough to convert to a sleeve - my initial reaction of reluctance towards that surgery is kind of overshadowed now by the major surgeries I've had since. i live perfectly well without half my bowel so I wouldnt mind saying goodbye to part of my stomach in the name of health and normal weight for the rest of my life. The only thing about the sleeve is that it IS permanent and it ISNT really known what the long term outcomes are. It probably wouldnt stop me and it shouldnt necessarily mean that you dont do it, I mean so what if something better comes along if its working well for you? But its a bit early to go out shouting how much better than the band it is. Also, if you only had your band for four months, again, your right to convert and your gut instincts may well have been right for you. But you hadnt even had it long enough to gain proper restriction yet! It may well have kicked in better for you down the track.
