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I based my decision on revision rate. I decided that if I had to undergo surgery, I only wanted to do it once. Not repeat it with a revision on a revision on another revision.

I had lower body lift and both arms done last Aug 25. It was tough for the first few days, The arms were painful but the lower part not so much...I had a nerve block for that. I only used one dose of narcotic once I got home. The combo of gabapentin and robaxin on a round the clock schedule is being used more and more post op for pain control and has been effective for me after my RNY, my hip replacement and now plastic surgery. I was in surgery for 12 hrs for all 3 procedures and spent 2 nights in the hospital. I recovered at home alone except for my brother would come over every day at lunch time and bring me food and change my arm dressings. The first 2 weeks I didn't do much except sit in my recliner with my arms elevated. After that, recovery became much easier. I had 4 drains for my LBL and I managed them myself and even was able to wrap my own arms and then get into my compression garments once I got them. My brother drove me to my first post op appointment but after that I drove myself to my weekly appointments. I have now scheduled my next surgery, breast lift and back lift and scar revision on left arm, for Aug 2. I'd love to do it sooner but that's when I could get enough time off from work. My third surgery will be a thigh lift and scar revision on right arm, hopefully in January (depends on work schedule). I wouldn't change anything other than wishing I had done it all sooner! My arms are 10 inches smaller and my hips are 33 inches! I wear a size 2P and will probably be a size 0P after I get my thighs done. I never dreamed I'd have this kind of success when I was at my highest weight a few years ago! Good luck with whatever decision you make and you can do it alone with a lot of planning and determination!

never really heard of people going from bypass to a sleeve revision. dont really get how that works because a sleeve is basically getting rid of 85% of your stomach and giving you a sleeve. Bypass is even more restrictive with a smaller pouch but the other part of the stomach remains. So they just removed that other part of the stomach i am guessing?

A bypass is usually revised to a sleeve if the bypass fails: weight gain, unmanageable vitamin malabsorption issues, excessive dumping complications,... Much like a sleeve can be revised to bypass because of weight gain, GERD, etc, As others have said, any weight loss surgery can fail if you don't make permanent changes to how, what & why you eat. Post surgical benefits like loss of appetite & your restriction don’t last. They should help you to kick start your weight loss & give you time to assess your eating & establish new eating habits. Sounds like you relied on the side effects of your bypass to influence what you ate. I’d expect your bypass would have failed sooner if you didn’t experience dumping (50-60% don’t with bypass). You mentioned your tummy has stretched. It does because it is a muscle & stretches & contracts. Can’t believe any doctor would say it can’t. Consistently eating larger portions will cause it to stretch more & contract less. But is your tummy as large as it was before you had either surgery or about the size of someone who never had a weight issue? The success you have with either surgery is dependent upon you, with consideration of any complications you may have of course. We all have our reasons for choosing the surgery we did & the effort we put in to make changes are reflected in the success we have or didn’t have. Excluding the life changes that can sometimes sabotage our intentions. I chose sleeve because of the lower risk of malabsorption & dumping. I lost all my weight & more. I don’t eat like friends & family who carry weight. I don’t eat exactly like friends & family who never carried weight either. I have to work a little harder & listen more carefully to my body (what it needs, how it reacts, etc.) because it’s easier for me to gain weight. I’m sorry you are unhappy with your revision.

It's unusual to go that direction, but sometimes necessary if the RNY needs to be reversed - something needs to be done to help keep the weight off, though what I have seen done more (though much more complex) is going beyond a sleeve to the DS. Both the sleeve and RNY are similar metabolically, so one doesn't usually work much better than the other if weight regain was the problem. What the OP seems to be referring to in her dissatisfaction is the matter that dumping is rare with the sleeve based procedures but more common with the pouch type procedures such as the RNY, and some surgeons use that as a marketing point for the RNY - a form of aversion therapy. Unfortunately, dumping is not universal with the RNY (maybe 30% or so) so it's nothing to depend on as a weight maintenance tool - those who need it most will likely not dump; it sounds like the OP was one of the "lucky" ones who did. Perhaps the OP should look into a DS, as that is fairly straightforward to do once the sleeve is done, and most any good DS surgeon should be able to put her sleeve right - it doesn't sound like it was done right in the first place. While a straightforward procedure, the sleeve does take practice to get consistently right, particularly if the surgeon is having to reconstruct the stomach first as with such a revision.

I was 243 the day of my revision. After reading your reply, I am not drinking enough water and getting all my protein in on a daily basis. I will need to incorporate those two things as best as I can. Thank you so much for your input.

I am three weeks out from surgery. And yes I can eat regular food without any problems and eat 1000 calories a day easily. A meal is 5 oz of Protein and a salad no problem. I do have a nutritionist but she's on vacation. I'm thinking I got a bigger stomach after the surgery. I have had zero problems with eating anything and I can chug a glass of Water easily too with no problems. I see my surgeon next week. I'm not eating crap food - I'm eating lean protein and veggies but I can still eat more than I should be able to at this point.I think MANY conversion folks feel that way. I know I did. This "I can only sip 2oz of water and I feel like I am drowning " never happened to me. There are as many after surgery diets as there are doctors. Everyone thinks their doc is the most right. But if none of them agree then my thought is there is no scientific answer and they are all GUESSING. SO, just be aware of that when people start judging you and what your doc has you doing. MOST people on here mean well, and they may come off as being harsh but they are providing helpful information along the way and they do care. Others are just food shaming and do nothing other than that...not actually offering any usefulness in their post. Ignore those ones and try not to let it get to you. Most docs do not have people on solids at 3 weeks but I have read the post diets from 3 different hospitals who do. So I am not totally suprised. That being said. It still hurts for me to eat meat. But that is me. If you are 3 weeks out and able to eat 1000 calories of solid food then you might benefit from a 5 day pouch test. You can look it up online but pretty much go back to liquids for a couple days, then mushies, softs, then regular food again. Some people say that helps them get some better restriction. Eating solids...and too much solid too soon and put stress on your staple line. I have also read that it can cause you to stretch out a but more...making it hard to fill up. I don't know how much of that is "bro science " and how much of that is proven science but it can't hurt to do a reset and see how you feel. Also, when you are eating normal food. Make sure you are not drinking with or too soon after. Conversion surgery people already seem to have their food make its way into the lower gi a little faster so don't speed that process up. Eat slow, BUT don't eat so slow that it takes you more than 20 min. I wad doing this very thing!!! I wad taking about 45 min to eat...and could eat a lot. But I sped up just a little bit and started stopping after 20 min and I am filling up on less calories. 1000 calories can add up fast. And really...in the long run....it is what we should eventually be eating. The idea that we live on 500 calories a day for ever is absurd. The point of this honeymoon phase is to help you lose weight WHILE retraining your system to eat healthy. NO ONE GETS FAT ON 1000 CALORIES A DAY OF VEGETABLES AND chicken....unless you are 2. So.... Hang in there. ..listen to your body....and just keep making good choices. Much love!!! Thanks! I saw my surgeon 2 days ago for my post-op follow up and he said he took off about 70% instead of the usual 80% because of the band. He didn't want leaks. He also said that 1,000 calories a day is fine and not to worry about what the NUT says. He said they are more used to dealing with straight sleevers and not revisions. He said revisions can sometimes eat more and I'm doing fine. He told me to just stick to Proteins and hit the goal and then fill in with the non-starchy veggies and not to worry about it. My surgeon's normal plan is for people to start solids between day 10 and day 14 depending on how they feel. Lean proteins and non-starchy veggies. He keeps reminding me every time I see him not to eat mashed potatoes. I hate, loathe and despise mashed potatoes. I told him I'd rather eat canned cat food - at least it has protein. Hahahahahha you go girl! I was eating similar to you...went to liquids 2 meals a day and just eggs for the 3rd meal. Now I am filling up on a lot less. Didn't even take 5 days. But I am losing again. Do what works for you...but if it stops working. ..try mixing it up a little. Remember. ..marathon...not a sprint.

I asked my Dr. and his very good nurse about the same thing and I was told yes stress can cause the band to tighten up. I asked my friend a nurse this same question she said that when we become stressed and I mean very stressed our internal organs can swell up. I get stressed and boom the band tightens up like a vice..I was told if this happens to go back on the clear liquids for a few days until things settle down. I ahve had so many fills and then un fills as I call them it is not even funny anymore due to this. The last one was about two weeks ago. I seen a new Dr. in May and he did not fill me, he just checked me out. I started to cough at night and get reflux my last fill was in mid March so I know what I was experiencing was not from the last fill. The new Dr. said that I am a crammer a packer that I eat and gulp my food, well I ahve never done that not in my entire life. I eat slowly and chew very well more so since I ahve been banded. He also told me I had a mega esophagus well without the upper GI unless he had x ray vision there is not way to diagnose that and well my esophagus had been dialiated a few times in the past but it was diagnosed after the swallow test was done. He started talking about how the esophagus could rupture and I could die and how I needed to have surgery and a revision well I don't think so. He took out 1 cc and well I have been fine ever since and am I going back to him?? oh heck no I am going back to my original Dr. that did the band and I should have never left his practice and di the other Dr. ever order up the GI test? no he did not I have not heard back from him or his office. So don't let anyone tell you that your doing stuff that your not doing at all.

Fedz, We need to talk ASAP!! You and I almost have the same exact story!! Dr. Geiss banded me in July 2007 and I have lost 56 lbs. He implanted the 4cc band at that time. That 56 lb weight loss came with exercise, weight watchers, weight gain and loss, etc. I'm not going to give up so I decided to have a revision done in November because my band is maxxed out to 4cc. I got fill after the fill with some restriction but I never got that "sweet spot" feeling that many banders talk about. There's no room for anymore fills with my current band. We REALLY need to talk. I want to give you my phone number.

I'm in the process of band to bypass revision, and I find that progress pictures and success stories help keep me determined to keep working toward what I want. I'm 5'9" my highest recorded weight was 367, I'm 335 now. Anyone around these starting weight stats? Sent from my LG-H872 using BariatricPal mobile app

I have never regretted the sleeve for a second. From pumping the pain meds, to changing my diet, to stalls. It’s all good. I would only get a revision if I got GERD, and no sign of it 14 months out.

Hello I'm in Dallas TX Band to RNY revision 1/16/14 Sw- 248 Hw- 248 Cw- 194 Gw- 150

it's still in place. They just separate the two parts with surgical staples. As far as I know, the two parts are not physically cut apart or anything. In fact, the RNY is technically reversible (although they don't do it unless the patient has some severe issue that can't be resolved any other way - or if they're going to revise it to a duodenal switch - in which case they reverse the RNY and then sleeve your stomach)

I chose the sleeve over bypass for three main reasons: 1) I was afraid of dumping 2) I wanted to be able to use Nsaids. I have had a lot of broken bones, and fear arthritis is in my future 3) I heard a rumor that those that do bypass have a higher rate of farting. I already fart a lot, didn't want to increase it Lol! Originally I was going to go lap-band. The high revision rate, low overall success rate, complications, all factored into changing my mind. Also, I was told that many insurances make it extremely difficult to do a revision. It is a "one surgery" chance!

I have a 14cc band. My first fill was 3 weeks ago (when the dr had to revise my port due to it flipping) and he put in 6.5cc. I go in today for a second fill. I dont know how much he is going to put in today, since I can still eat a fair amount and still hungry quite often

I had a revision from LAP Band to RNY. Only one dr in town would do it in one surgery. I wanted one surgery and my insurance would only pay for one surgery.

Hello everyone I had gastric plication about a year ago...and it was a complete failure coz I failed to maintain weight loss then put all the weight on ....my doctor advised me to have CT and then he said that my stomach is bigger than it should be at that stage..I failed to continue lossing weight just two months post surgery.It seems that the doctor didnt tight my stomach enough..Now I went to another surgeon to have a revision surgery from plication to sleeve...I'm the first in my country...I had baruim and the doctor said it can be done...Is anyone thinking about a revision from plication to sleeve ....I'm really so scared..need support

A few more things to keep in mind. The density of the food absolutely matters. Your body size matters. I thought restriction with my sleeve would be consistent - but it's not really. So things like day, time of day, etc. really matter. I've pretty much given up dinner. It's just not comfortable for me to eat at night and I don't want to risk the reflux by pushing it (that's part of why I'm still not up to a realiable 600 cals/day even at 5 months out). Size of your stomach matters. They remove the fundus/greater curvature, but some stomachs are longer than others. Volume-wise - probably under 1/4C for me most of the time. There have been a few exceptions. I also do not count my intake as "what I can eat in 20 minutes". I count it as "however long it takes, until I'm satisfied or think I just need to stop." It can matter if you're a revision, too. And the location of your scar tissue.

I've never heard of anyone having the "sleeve" procedure done twice. I've only heard of people revising from the "sleeve" to a full gastric bypass, or duodenal switch.

I thought about DS when my lap band wasn't working and was considering revision. I had heard that with DS there would be no question that I would lose weight. I don't know that much about DS or BPD-DS but I know many people have definite opinions on the matter and probably a better crowd to discuss might be found at www.obesityhelp.com My surgeon wouldn't reccomend a person for DS unless they were in the 400-500 lb range. There was a surgeon north of me who I was going to see and discuss it with but he was 2 hours away and I didn't want to be that far from a surgeon in case I had complications which can happen with any weight loss surgery. Anyway wondered why you were considering the DS route as opposed to RNY? Good luck with which ever surgery you choose, Nancy.

Who was the doctor that did the revision?

I had my plication done by Dr. Corvala. The surgery was done well according to my revision doctor. The problem with the plication is that they do not remove the grehlin (the part that creates hormones that tells your brain to eat.) Before, I did my revision, I did some research and I found out that more and more doctors are against the plication. Simply because they are worried about the stitches becoming undone and shredding the stomach. Because I was worried about the long term results, I decided to do my revision. I ended paying double for weight loss surgery. Luckily for me, even though there was alot of scar tissues ( the doctors took 3hours to do my revision) I was able to get the sleeve. With the plication I started at 232lbs, got to 185 and then gained back 17lbs. I was noticing my portions were increasing and I wanted to eat more frequent. I spoke to a lady who had the plication and the threads unraveled in her stomach, luckily for her it didn't do any damage, but she had zero restrictions, she now has the gastric sleeve. Having the sleeve was like a walk in the park in comparsion the plication. My recovery with the plication was terrible, whereas, with the sleeve I was up and about in a couple of days. If I had to do it all over again, I would choose the sleeve.

Hi Sarah, long time no hear. You're brave. Please keep us posted. I stalled the same as you so I'm definitely interested. You may want to post on http://www.sleeveplicationtalk.com/ too as I'm sure they'll want to hear. My thoughts of revision options were that it might be possible to get the intestinal part of the Duodenal Switch if you meet the criteria (I'm not heavy enough - BMI ~29 at the mo). If you did go that route you'd seriously have to be committed to taking your vitamins, getting in 100g protein/day and getting regular labs done. Good luck and ((hugs))!

Wow, this thread has really took off! I had my surgery today and I have been up and walking. It was a bit more extensive than we thought but not surprised since it is a revision (band over bypass). A lot of scar tissue needed to be removed from open GBP survey. On my first cup of ice and I have never been so excited to eat ice lol!

Here is me just shy of my heaviest of 365 lbs. I started my Weight loss journey June 2020. I lost about 35 pre surgery which was January 4, 2021. I also have had to have a revision due to a perforated ulcer mid July. I am now down a total of 120 lbs. it’s amazing the difference I feel. My 5 year old can actually sit in my lap… because I have one now! I can see my feet when I weigh myself. I don’t have to lean against a wall to wipe after using the bathroom, or to clean myself in the shower. I can buckle my seatbelt with out getting out of breath. I now consider myself ‘normal’ fat because I actually blend in with a crowd rather than standing out as the largest in a room! I’m sure I could go on but I am so glad I did this!