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Sleeve to gastric bypass revision help
Biddy zz 🏳️🌈 replied to ashley1185's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi Ashley I had a band revision to bypass. I had open surgery, not larproscopic, with incision from breastbone to navel and my rib cage cracked apart to deal with band damage, scarring. I knew this, when I went in. And I have NO regrets. No gerd, quick easy recovery, Eating is fine but just small quantities, no real food/Eating drive. I love it so far - I am 6 weeks in... Best wishes to you - I was so nervous just before I nearly backed out, but it has been excellent....... -
Possible sleeve to bypass revision
teach2017 replied to peacefullillypad's topic in Revision Weight Loss Surgery Forums (NEW!)
I just had the revision from sleeve to bypass for severe GERD on Jan 10th. They also found my stomach in my chest cavity with a huge hernia they did not see after a year of tests. So far so good but I am on a meds for 6 months post op, then I can go off of them -
Sleeve to gastric bypass revision help
ashley1185 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi! I go in for my revision tomorrow morning at 9am. Has anyone had a revision? How much did you lose or have you lost so far? I had to get a revision because of GERD :/ I’m terrified you guys. -
Sleeve to Bypass revision weight loss success?
terrif replied to Tmusselman's topic in Revision Weight Loss Surgery Forums (NEW!)
I had the sleeve to bypass revision in June; but not for weight loss. I had a major hiatal hernia repair with the sleeve and 2 1/2 years later started having trouble eating without getting nauseous. Endoscopy revealed severe gerd and hiatal hernia return. Surgeon gave me the option to do another hernia repair and tidy up the stomach from the hernia pulling on it, or convert to bypass which is more successful at relieving gerd. I never wanted bypass in the first place, so chose the repair. One year later, my gerd was so severe that I couldn’t eat and no medications helped. So, I ended up with a bypass. I have lost about 40 more pounds and gerd is gone, but I have difficulty getting food down. With three surgeries, the scar tissue has caused a stricture. Had the EGD last week with the balloon to open it up a bit. No big deal to the do procedure. -
My surgery (revision from sleeve to gastric bypass) is at 9:30 tomorrow. I took a few bites of food tonight [emoji30][emoji30] I don’t know what’s wrong with me. It was super soft food. Like veggies strained from my soup. Will I be ok tomorrow? I’m so afraid they will go in and see food and not do surgery. I’m sure I’m over reacting.
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Well, you probably don't want to hear what i have to say. I had very bad heartburn when I had the lapband. When I revised to sleeve in 2011 I had an endoscopy they said my pouch was dialated but no serious issues other than that. Since being sleeved I have had occasional heartburn - but NOTHING compared to the 10 years of the lapband. I was controlling the heartburn very well with meds, and at other times didn't need meds at all and so didn't think too much of it until a few months ago. Suddenly, a bit of heartburn started feeling like a terrible pain in my stomach - like this isn't just a little irritation anymore. I had an endoscopy - and it turns out that now I have Barretts esphogatristis. The biopsy showed no cancer, but after I finish my current round of PPI, I will need some other kind of treatment. Surgery has been mentioned. Revision to RNY has been mentioned. I will know more in a few days.... As you can imagine, I am not too thrilled with the prospects. Bottom line, talk to the doctor, maybe keep a log of symptoms leading up to your appointment and they may decide you should be scoped.
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Sleeve to Bypass revision weight loss success?
jackersducky replied to Tmusselman's topic in Revision Weight Loss Surgery Forums (NEW!)
I was in the same situation and i'm finally getting revised to RNY on 1/30. I had to jump through all the hoops again. Had my Sleeve done in Delaware and when i moved to Washington State my new Bariatric Dr said i should never had the sleeve in the first place on account of my Diabetes. I also had no restriction and gained all of my weight back. I had a few tests done and it showed that my pouch was also made too large. Not that i stretched it but just cut wrong it was essentially the same size as most normal stomachs so either i had a huge stomach before or it was not cut right. I didn't have a choice on wether to resleeve or do RNY i had to go to RNY. My Sleeve also gave me a bad case of GERD and Bypass is supposed to help with it. I'm sorry i don't have any stats to provide you but i wanted to let you know that you are not alone -
January 30! Surgery Buddy!?
jackersducky replied to LoveLife4U's topic in Gastric Bypass Surgery Forums
I just got my date on friday and it's 1/30!!! Thankfully i had started my Pre-Op Diet already. I previously had the VSG and i'm getting it revised to RNY. Good Luck to all of you -
Some people develop problems with severe acid reflux (GERD) after surgery. This occurs even if they did not have problems with severe acid reflux prior to surgery. There were several people on this site that had revisions from sleeve to RNY gastric bypass because of this issue. One thing to rule out is a helicobacter pylori infection. This is a common infection which for the most part is hidden. About 2/3s of the world population have it and if you have it, it can give you the symptoms of severe acid reflux.
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FEAR OF FAILURE— Band To Sleeve Revision. Maybe.
mattinfll replied to TinaM8's topic in Revision Weight Loss Surgery Forums (NEW!)
I felt the same way as you do. But I have no choice but to have my band out because it is causing an issue which could cause me to develop a severe gastric bleed (I've already had one, lost half my blood and was in the hospital for a week). After a year of diagnostic tests, we discovered it was an issue with band slippage (due to dilation of upper pouch, which I must take responsibility for, too) creating blood vessels inside my stomach around the lower side of band. Anyway, since it must come out - I was left with: do I revise to sleeve or just have the band out. My gastroenterologist doctor is fully supportive of the revision. Part of me is worried that I'll just stretch again and cause more problems. Part of me is worried that with no restriction I will gain even more weight. In the end, I decided to do the revision. My insurance does not cover bariatric at all, so I am off to Mexico in 2 weeks. By the way, my best friend just had his out a few months ago (no revision) and is struggling with the new found freedom of once again being able to eat anything he wants. But his doctor and my doctors all agree - everyone who has a band will likely have to have it out at some point due to a complication. -
I am 7 1/2 years into my band and it is being removed and revised to the sleeve in about 2 weeks. It was great the first 2 years. I lost 90 pounds of the 110 I wanted to lose. Then came the GERD and vomiting, then issues with dilation of the upper pouch (which I of course am likely responsible for, too), which causes food waste to be trapped in the upper pouch, and then recently a gastric bleed from the band slipping down and causing a blood vessel inside the stomach to pop (likely from a violent vomit from food stuck), which caused me to lose half my blood and spend a week in the hospital. I got so paranoid about vomiting after the blood loss incident, that I was just eating mushy food that was high calorie and most of the weight is back. After 2 endoscopies, CT Scans with contrast and Pillcam video of my entire upper bowel, my gastroenterologist said he wanted it out of me asap due to the risk of another bleeding episode. I have been advised by doctors involved that it just seems like everyone who has the band will need to have it out at some point. My gastro doctor is a very respected guy in his field and sees no issues in a revision in same surgery since there's no evidence of erosion. But of course, every one is different. My insurance will not cover bariatric so I am off to Mexico.
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I am 7 1/2 years into my band and it is being removed and revised to the sleeve in about 2 weeks. It was great the first 2 years, then GERD and vomiting, then issues with dilation of the upper pouch (which I of course am likely responsible for, too), which causes food waste to be trapped in the upper pouch, and then recently a gastric bleed from the band slipping down and causing a blood vessel to pop, which caused me to lose half my blood and spend a week in the hospital. My gastroenterologist said he wanted it out of me asap due to the risk of another bleeding episode. I have been advised by doctors involved that it just seems like everyone who has the band will need to have it out at some point. My insurance will not cover bariatric so I am off to Mexico. $18,000 here to remove band. $4500 in Mexico to remove and revise to sleeve.
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SIPS Long Term Concerns
B_Lush77 replied to candace.johnson-smith's topic in Duodenal Switch Surgery Forum
I had my DS February 2017. Best decision I ever made. I think the procedure is about 10 years old but that’s new in healthcare 🤣. The weight loss isn’t rapid but it’s steady and the long term success is better that’s why every gets revised to the DS. I pop 4-5 times a day because 60% of you small intestines is bypassed so the route is shorter and it smells horrible. Like nothing I’ve smelled before and I’m a nurse. 🤣🤣🤣. Almost worst than gangrene. Almost. With the DS the vitamins and protein intake in more because we are more at risks for malabsorption and malnutrition. I get the chewables. Of course they tell you to wait to drink. Ask your MD but Its a little different drinking afterwards. If you drink be around family or friends that will care for you. Oh fatty food are not your friend. You will see it later literally. If you decide to eat it anyway. Just don’t sleep on your favorite sheets 🤣🤣🤣. No lie. But im no longer a diabetic. No htn. No cholesterol issues. Just crazy and you can’t fix that. I did have my gallbladder removed and that was outpatient. Just meant I poop more. Invest in Imodium. Buy stock in it. But like with anything you have to do your part and your body will do the rest. Good luck. Keep me posted. -
Considering a lap band - scared after reading this forum!
MrsGamgee replied to Elrix's topic in PRE-Operation Weight Loss Surgery Q&A
Just to chime in... lap-band isn't even open for discussion with my clinic. There have been just too many removals and revisions for them to see it as a worthwhile option. -
FEAR OF FAILURE— Band To Sleeve Revision. Maybe.
TinaM8 replied to TinaM8's topic in Revision Weight Loss Surgery Forums (NEW!)
This gives me hope! Now I start the process of seeing if insurance will approve a revision considering I don’t have any actual “problems” with the band. Let me ask you, did they do the procedure in 2 surgeries or the removal and sleeve all in one? I’ve heard of it happening both ways , I’m hoping for one surgery. -
Considering a lap band - scared after reading this forum!
Em_130 replied to Elrix's topic in PRE-Operation Weight Loss Surgery Q&A
I couldn’t help but reply. A friend of mine had lap band done at 15, and just recently had revision surgery for vsg at 23. The surgery was initially successful but she slowly gained all her weight back. I live in New York and almost all of the surgeons on the team at Mt. Sinai (uptown) don’t perform the lapband due to low success rates -
Possible sleeve to bypass revision
James Marusek replied to peacefullillypad's topic in Revision Weight Loss Surgery Forums (NEW!)
I am sorry to hear about your difficulties. Generally sleeve surgery is not recommended for GERD patients because the sleeve will only make that condition worse. RNY gastric bypass is the recommended procedure. I had RNY surgery about 5 years ago and one of the reasons why I went that route was because I had severe acid reflux (GERD). There are several past and present members on this board who had revisions from sleeve to RNY gastric bypass because of GERD. And they seemed to report that the revision worked for them. Perhaps some of them will speak up. But before you go forward, you might want to consider the following: According to the internet: Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present. You would want to rule out the possibility of a Helicobacter pylori infection. This is common bacterial infection but generally it is a hidden infection. About 2/3 of the people in the world have it. And this condition if you have it needs to be treated, so make sure you were tested for it, because it might be the root cause of your problems. -
Possible sleeve to bypass revision
peacefullillypad posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had the sleeve and hiatal hernia repair done 4/7/15. I lost 74lbs in 5 months. I have had GERD since 1999, and I told my surgeon at my consultation. He suggested the sleeve and I trusted him to know the right procedure for my situation. The first 6 months were ok with slight heartburn. After about 6 months the heartburn came back full force and worse. In 2017 I had 3 EGD's, 2 Upper GI's and the LINX procedure with a repair for my hiatal hernia again. After the LINX procedure I was so sick I could not get down anything thicker than pudding for 6 weeks. At my last Upper GI two weeks ago, the Dr performing the test told me that I had the worst reflux he has ever seen. You could see that the barium liquid was not going down and I had to drink a full 8 oz to get the little pill to go through my esophagus. The only foods I can eat without pain are very soft liquids. I can eat some chicken but I have to drink water to get it to go down. We have tried all the meds and my gastro says there is nothing else he can do to help me. I am looking into a revision to sleeve. I don't know if my insurance will cover another surgery. I have gained back 29lbs and I am miserable. Some days even water gives me reflux. Looking to hear from anyone that has had a revision from sleeve to bypass because of GERD and how you are doing now. -
FEAR OF FAILURE— Band To Sleeve Revision. Maybe.
TinaM8 replied to TinaM8's topic in Revision Weight Loss Surgery Forums (NEW!)
The way I look at it , and this may sound terrible , but I’m not getting where I want to be as things are right now so why not try the revision. It can’t get worse than the mental hell I live with everyday spending another day unhappy. Good vibes to you and your new journey !!! Super early in your sleeve journey. I will be excited to see how things go for you. -
FEAR OF FAILURE— Band To Sleeve Revision. Maybe.
NewBeginnings2018 replied to TinaM8's topic in Revision Weight Loss Surgery Forums (NEW!)
My story is almost the exact same - same fears and concerns. I had my revision on the 8th so I'm too early to comment on the differences but after a long process of thinking and debating I decided that I was not going to conquer this life long battle by myself without help. What made me really decide to move forward was the metabolic change that comes with the sleeve. It's so different than what we had with the band. Good luck with your decision process! -
FEAR OF FAILURE— Band To Sleeve Revision. Maybe.
TinaM8 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had lapband surgery 11 years ago. I had moderate success but not nearly what I thought I would have. I failed the band or it failed me. Maybe a little of both. I am considering revision surgery but I just don’t know. What if I “fail” again. Not sure I could mentally or physically handle it. I’ve seen people have greater success once having the revision surgery. I also am very unhappy with the surgeon that did my lapband and I am looking to find another surgeon that will work with me and actually help me succeed. I never had that from my previous doctor. I’ve got a million things to figure out. My insurance didn’t cover weight loss surgery back then and now it does but I don’t know how revision surgery plays into that. Making calls this week to possibly get the ball rolling. Any advice from someone that has had lapband to sleeve revision or any advice at all would be greatly appreciated! -
Sleeve or Bypass? Lots of medical issues against each
KimTriesRNY replied to CyclicalLoser's topic in PRE-Operation Weight Loss Surgery Q&A
No matter which is chosen, the surgeon is going to recommend a low carb way of eating. When you can only eat a small amount of food, the food you are eating needs to be nutritious. I would not disregard getting a bypass in order to avoid dumping syndrome, I have seen some sleevers on here speak of getting dumping and some ppl that have bypass don’t get dumping. In my surgeons booklet I had a whole list of meds I was never to take again. NSAIDs were listed so that’s a no go. Most people that have GERD end up with a bypass it seems or if they develop GERD post sleeve I have seen in here where they had to be revised to bypass afterwards. True hypothyroidism is so much more than a “slow metabolism” and affects multiple systems of the body if left untreated. If thyroid labs are out of whack and the patient has a history, insurance can even require that the labs be normal prior to surgery. This was true with my insurance. Good luck to you both with whatever you decide! -
Sleevers- is ANYONE happy with their decision?
ProudGrammy replied to Bariatric Baddie's topic in POST-Operation Weight Loss Surgery Q&A
@Bariatric Baddie i think most OP are happy with their sleeve. i believe one of the main reason for sleeve to bypass revision is bad heartburn. sleeve can be associated with heart burn. frequently this problem is helped by the bypass. are you in any pain? uncomfortable, hungry? problems eating and/or drinking? is the only reason you are questioning WLS because some OP have had problems? pain/etc. if you are doing well/or not - don't compare yourself with OP sleevers, RNY, or others. be happy where you are. many peeps tell about their pain etc. those are the comments you remember. for the past 6 years and counting - i have been over joyed with my good health that the sleeve has helped me acquire. many/more people are happy with their WLS. Count me as feeling great, 6 years PO and counting, 105 lbs down GOAL - no problems with surgery/recovery - try and feel better and optimistic - good luck bud kathy -
Scar tissue and the sleeve
Bling_Queen replied to peacequeen's topic in PRE-Operation Weight Loss Surgery Q&A
Hi love! What part of CA do you live in?? I live in SoCal/OC. I'm having some of the same symptoms & my doctor aborted my surgery because he said mine was the worse he's ever seen! I HAVE to have this surgery because I have scoliosis and have to have a revision surgery on my neck & back because my entire left side is now in pain....the pain is shooing down my left side of my body & causing my sciatic nerves to hurt me as well...the doctor is afraid if I don't have the surgery, I'll get bigger & bigger & will not be able to walk ... the problem??? NOone will touch me with my condition!!! ANY advice?? I'm DESPERATE!!! 😩😩 -
Hi everyone! I'm revising from a sleeve to DS and would love to know what your vitamin regimen is. I'll ask my nut/surgeon when I see them next in February but I thought I'd start taking vitamins now. I'm planning to use Celebrate vitamins, so thoughts about that are especially welcome. Many thanks, Babette
