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Hi everyone. I had the sleeve done in 2012. My weight loss was good (not great) and had crept up in the last year. I had severe GE Reflux that could not be managed with medicine so I opted for Bypass on Nov 17. At my two week post op appointment, surgeon started me on soft food. I hate eating! My tummy feels so yucky and I vomit every time ( sometimes violently). I drink 1 - 1/2 Premier Protein drinks a day but I can barely get them down - now they just taste awful and I can’t tolerate the taste. I’m living off soup/ thinned yogurt but know I’m not getting the amount of Protein I need. Dr is taking back in for endoscope next week to see if there is an internal problem. Anyone else have these issues?

Starting Weight: 223.2 Goal Weight: 213.2 (Revised: 210!) Current Weight: 212.8 Today's Date: 12/13/17 I made it to my goal!! Holy smokes!! Gonna keep trying to make the most of this honeymoon and get down a couple more pounds! Thank you again for doing this!

I had a revision to RNY because of severe acid reflux and erosion of the esophagus. Surgery date was 12/6/201lbs. Today 190lbs.. I was told by my doctor to expect to lose about 40% excess weight so time will tell. Sent from my SAMSUNG-SM-T377A using BariatricPal mobile app

Bands sometimes can develop problems after several years (like you are experiencing). They like to slip out of place and can even "dig" into the stomach and/or liver (called "eroding"). These problems can feel like heartburn and indigestion. Please do get checked out. If your surgeon finds a problem, your band will need to come out. This is also a good time to do some research into switching from band to sleeve or bypass. (Sometimes sleeve isn't an option because of scar tissue.. so check into both possibilities.) Depending on your situation, they sometimes will do a band to sleeve or bypass revision in one surgery.. sometimes they want you to heal for a while without the band before converting. Here's hoping for good news from your surgeon! (And if you don't have a surgeon right now, you need to find one to keep up with your care... you are a bariatric patient for life.)

I've always heard God puts you where he wants you. What a blessing that I have found this post! Like many of you, my story is a VERY long one -- my Sister and Niece were murdered; my lap band "slipped" which required a revision surgery (there is more to my story, but I'll stop there). At my highest weight, I was at 250 pounds. In this lap band journey, my lowest weight was 170 pounds. I am dealing with a "'re-gain", and currently weigh 199 pounds. I have abandoned my exercise program, and my love affair with food continues **sigh**. I am looking to get back on track. My doctor has set my goal weight at 180 pounds, but my own personal goal is 170 pounds. I feel like I have forgotten all of the "rules" -- a tad overwhelmed about how and where to start. My lap band is currently empty, but I am scheduled for a fill in 3 weeks, barring any issues/reflux, etc. My goal is to lose 30 pounds. Your stories, and posts are encouraging.

I paid around $6100 for a mini with a high BMI. But I believe it is different depending on your exact circumstances. Sleeves are cheaper but I 100% recommend a mini. I was not going to chance having to revise a sleeve.

The Numbers Task Force of the American Society for Obesity and Metabolic Surgery (ASMBS) has released its most recent numbers on the most common types of weight loss surgery in the U.S. The “ASMBS Bariatric Surgery Numbers Estimation 2016” shows figures for total procedures, plus a breakdown of each type. You can compare the values annually going back to 2011. How many surgeries were done? The data show that there were 215,666 total bariatric procedures done in 2016. That is a lot if you compare to 2011 – it is an increase of 36.5% over the course of 5 years, but it is not much if you compare it to the over 20 million Americans who are eligible for bariatric surgery based on criteria of a BMI over 40 or a BMI over 35 plus a related condition. In fact, only 1% of eligible Americans get weight loss surgery. Why is the gastric sleeve taking over? The gastric sleeve is gaining momentum, and quickly. It has leaped from 28,124 procedures in 2011 to 125,318 in 2016. It has jumped from making up 17.8% in 2011 of the total to 58.1% in 2016. Why has the gastric sleeve become so popular, so quickly? There is a lower risk of nutrient deficiencies and dumping syndrome compared to gastric bypass. It helps fight hunger by lowering levels of the hormone ghrelin. It is relatively safe for higher-BMI patients. It has similar weight loss as gastric bypass, and lower reoperation and complication rates than gastric band. Why would anyone not choose the gastric sleeve? The gastric sleeve may appear to be the choice du jour according to the numbers, but even so, not everyone chooses it. These are some hesitations with the gastric sleeve. It is so new that there is no long-term research on it. We just do not know if it stays effective for years and decades. It is permanent. Done. There is no going back, even if the patient really, really begs. Some patients have trouble getting enough calories and protein and continue to depend on supplements for a long time post-op. What are the non-sleeve choices? While 58.1% of patients opt for the sleeve, the other 39.9% do not. In fact, nearly 1 out of 5 patients opt for gastric bypass, and biliopancreatic diversion/duodenal switch (BPD-DS) has held steady at 0.6%. These are some reasons to consider other types. The gastric bypass has a long history. It can be successful long-term with weight loss, and it is famous for its ability to resolve diabetes quickly. The lap-band is reversible. Even though the band has dropped 86.93% since 2011, there were still 7,310 new bands in 2016. The BPD-DS may still be the best for higher-BMI patients. What does the research say? Good news – weight loss surgery works! At least, that is what the majority of the research studies conclude, whether they are looking at the sleeve, bypass, band, or another method. All surgery types have a risk of complications, and all have a risk of mortality of under 1%. BMI can drop 7 to 14 or more kg/m2, and diabetes, sleep apnea, hypertension, and other obesity-related conditions can get better. Is the gastric balloon going to be a factor? Time will tell whether the gastric balloon is going to be a factor in the overall bariatric surgery statistics. The FDA approved it only in 2015, and it jumped from 0 in 2011-2014 to 0.3% (700 procedures) in 2015 to 2.7% (5,744 procedures) in 2016. The balloon is not a true bariatric surgery; it is not permanent, it leads to less weight loss, and it is intended for lower-BMI patients. This means that it may not be in competition with the true bariatric surgery procedures, although it is likely to become more common as it becomes better known. What is the deal with so many revision surgeries? If weight loss surgery techniques are always advancing, why are revisions becoming so much more common? They comprised 6% (9,480) of the total in 2011, but 13.9% (30,077) in 2016. It could be because some of the previous (failed) surgeries were done using older techniques, and are now ready for serious help – a revised procedure. Why are 99 out of 100 eligible Americans not getting Weight Loss Surgery? There are a lot of reasons eligible Americans are not getting Weight Loss Surgery. They include: Cost. Fear of complications or death. Not knowing where to start. Lack of support from family, friends, and healthcare providers. Fear of failure. Lack of long-term commitment to lifestyle changes. What can health professionals and patients do to help eligible patients get the Weight Loss Surgery they need? Surgeons and other bariatric professionals can help by making sure they reach out to eligible patients. They can explain their options, and promise to provide the nutritional and psychological support patients need for success and to feel confident in their success. They can organize support groups and provide additional resources for patients to get advice and encouragement anytime. What can health professionals and patients do to help eligible patients get the Weight Loss Surgery they need? Patients can do their part by asking questions to learn about their best options. They can express their doubts and fears to surgeons to come up with strategies for success. They can reach out to friends, acquaintances, and online groups for support.

How many surgeries were done? The data show that there were 215,666 total bariatric procedures done in 2016. That is a lot if you compare to 2011 – it is an increase of 36.5% over the course of 5 years, but it is not much if you compare it to the over 20 million Americans who are eligible for bariatric surgery based on criteria of a BMI over 40 or a BMI over 35 plus a related condition. In fact, only 1% of eligible Americans get weight loss surgery. Why is the gastric sleeve taking over? The gastric sleeve is gaining momentum, and quickly. It has leaped from 28,124 procedures in 2011 to 125,318 in 2016. It has jumped from making up 17.8% in 2011 of the total to 58.1% in 2016. Why has the gastric sleeve become so popular, so quickly? There is a lower risk of nutrient deficiencies and dumping syndrome compared to gastric bypass. It helps fight hunger by lowering levels of the hormone ghrelin. It is relatively safe for higher-BMI patients. It has similar weight loss as gastric bypass, and lower reoperation and complication rates than gastric band. Why would anyone not choose the gastric sleeve? The gastric sleeve may appear to be the choice du jour according to the numbers, but even so, not everyone chooses it. These are some hesitations with the gastric sleeve. It is so new that there is no long-term research on it. We just do not know if it stays effective for years and decades. It is permanent. Done. There is no going back, even if the patient really, really begs. Some patients have trouble getting enough calories and protein and continue to depend on supplements for a long time post-op. What are the non-sleeve choices? While 58.1% of patients opt for the sleeve, the other 39.9% do not. In fact, nearly 1 out of 5 patients opt for gastric bypass, and biliopancreatic diversion/duodenal switch (BPD-DS) has held steady at 0.6%. These are some reasons to consider other types. The gastric bypass has a long history. It can be successful long-term with weight loss, and it is famous for its ability to resolve diabetes quickly. The lap-band is reversible. Even though the band has dropped 86.93% since 2011, there were still 7,310 new bands in 2016. The BPD-DS may still be the best for higher-BMI patients. What does the research say? Good news – weight loss surgery works! At least, that is what the majority of the research studies conclude, whether they are looking at the sleeve, bypass, band, or another method. All surgery types have a risk of complications, and all have a risk of mortality of under 1%. BMI can drop 7 to 14 or more kg/m2, and diabetes, sleep apnea, hypertension, and other obesity-related conditions can get better. Is the gastric balloon going to be a factor? Time will tell whether the gastric balloon is going to be a factor in the overall bariatric surgery statistics. The FDA approved it only in 2015, and it jumped from 0 in 2011-2014 to 0.3% (700 procedures) in 2015 to 2.7% (5,744 procedures) in 2016. The balloon is not a true bariatric surgery; it is not permanent, it leads to less weight loss, and it is intended for lower-BMI patients. This means that it may not be in competition with the true bariatric surgery procedures, although it is likely to become more common as it becomes better known. What is the deal with so many revision surgeries? If weight loss surgery techniques are always advancing, why are revisions becoming so much more common? They comprised 6% (9,480) of the total in 2011, but 13.9% (30,077) in 2016. It could be because some of the previous (failed) surgeries were done using older techniques, and are now ready for serious help – a revised procedure. Why are 99 out of 100 eligible Americans not getting Weight Loss Surgery? There are a lot of reasons eligible Americans are not getting Weight Loss Surgery. They include: Cost. Fear of complications or death. Not knowing where to start. Lack of support from family, friends, and healthcare providers. Fear of failure. Lack of long-term commitment to lifestyle changes. What can health professionals and patients do to help eligible patients get the Weight Loss Surgery they need? Surgeons and other bariatric professionals can help by making sure they reach out to eligible patients. They can explain their options, and promise to provide the nutritional and psychological support patients need for success and to feel confident in their success. They can organize support groups and provide additional resources for patients to get advice and encouragement anytime. What can health professionals and patients do to help eligible patients get the Weight Loss Surgery they need? Patients can do their part by asking questions to learn about their best options. They can express their doubts and fears to surgeons to come up with strategies for success. They can reach out to friends, acquaintances, and online groups for support.

You're more than welcome. From what I have read and heard from a lot of revision people, their loss and is slow, but it does come off.

In my opinion. A revision is not something to be considered unless all things have been tried. There is an increased risk when going in for another surgery. Also you do not get the reset you get with the first surgery. The best thing to do in my opinion when you gain. Is to: Go back to tracking everything you put in your mouth. Make sure your Fluid is in check. Make sure your Protein goals are reached. Reduce carbs for excelerated loss ( I don't eat low carb but if my loss reduces I up my protein and reduce carbs) When hungry eat protein it's so filling and your working your tool as you really feel the restriction. Make sure to not drink calorific drink's it all adds up. Try and get more sleep. And so on and so fourth. If someone tries this for months and no movement then perhaps discuss a revision but at this stage it seems to soon.. Not to mention the weight creeping up that much from eating once a day (what is it you eat that once a day ?) A dr visit is warranted before a surgeons visit to see if there is anything contributing to the weight gain. That is just my opinion though. Sent from my Vivo 5R using BariatricPal mobile app

Not a revision - did the loop DS + sleeve with Dr. Roslin at Lenox Hill - it's a smaller sleeve than you would get without the DS

Did you have the sleeve done at the same time as the loop? Or did you have it years prior then get a revision?

I had the revision from the sleeve to the DS loop. It’s been four weeks and I haven’t lost anything but 14 pounds the first week 1/2. I’m starting to get a little concerned that my weights not moving. Any advice?

I had a revision done on November 14 from the sleeve to the loop DS. I haven’t really lost anything. How much have you lost? Starting to get concerned

I had the sleeve done five years ago. I got pregnant eight months after. I lost 88 pounds from the sleeve and gain to 60 back. November 14, 2017 I had the single anastomoses duodenal switch. I lost 14 pounds the first two weeks and have not lost but have gained 1 pound in the last two weeks. For those of you out there that I’ve had this done has it been successful for you? Is the weight-loss slow and steady? Can you share some of your experiences

I can't speak for anyone but myself, and YOU are the one that gets decide which surgery you will have. Here are my thoughts, I wonder why people say that they want the Sleeve because it is less invasive. HHHHMMM they remove 80% of your stomach. People say they don't want the "DUMPING SYNDROME" when Sleeve patients can have the dumping. Granted, with the RNY they bypass part of your stomach. But they don't remove it entirely. And in extreme measures, they can reverse the RNY. There are some SLEEVERS that are revised to the RNY. The one thing to remember is BOTH surgery's you WILL lose weight. The DR works on our physical but not our brain. Only we can make ourselves successful and not a statistic of failure. Good luck with whichever one you decide on!!!

I had the sleeve done five years ago. I got pregnant eight months after. I lost 88 pounds from the sleeve and gain to 60 back. November 14, 2017 I had the single anastomosis duodenal switch. I lost 14 pounds the first two weeks and have not lost but have gained 1 pound in the last two weeks. For those of you out there that I’ve had this done has it been successful for you? Is the weight-loss slow and steady? Can you share some of your experiences

Hi I am to going to have a sleeve to bypass revision due to serve GERD and hiatal hernia. I also have AETNA. Did you say you did not have to do the 3 or 6 month program again? I'm really hoping I don't have too. I do have a bmi of 40. I did have some weight gain back from the sleeve. Look forward to hearing from you 😊

I just had my surgery a week ago, candidly the forums have both scared me and made me enthusiastic about the future. So, 1 week in I don't know that my advice is great, but, you've done it before and you can do it again! I've read a lot about people having revisions, maybe that's something to think about? Also, not my surgeon but a buddy of mine had a bypass about six months ago and his surgeon wrote a book called "A Pound of Cure" by Matthew Weiner. At his urging I've bought the book and I'm in the process of re-reading it right now. It is the stuff we already (mostly) know but don't practice; spoiler alert, the title of the book is referring to one pound of vegetables a day. Maybe try that for a few months as a kick start? A $10 book is a small investment of it gives you some new tools to work with. Best of luck to you!

My name is Eileen. Im from Massachusetts. Im 35. I'm just got approved for a revision surgery. Band to bypass for Jan 11. I'm not on liquids yet but an on a medical diet. (Have been for a while) I also just had my gallbadder out, 11/29. Excited and ready to go. Sent from my SAMSUNG-SM-G928A using BariatricPal mobile app

Hello all, I was sleeved in September 2012 and lost about 70lbs but have gained it back over the years. I’m having a revision to bypass due to severe GERD. I was looking for some books to read on the bypass procedure and maybe recommended eating plans etc. can anyone recommend a book that helped them? Thanks in advance!

I haven't posted much about this. I'm still kind of waiting to figure out what the game plan is. Long story short, about a month ago ( 4 months post op) I started vomiting daily it's gradually turned into vomiting five or six times after EVERYTHING I eat or drink. For the last week I've been on liquids only because I have a really bad stricture at the top of my sleeve. It's not caused from my sleeve surgery, but from my lap band. When I had my revision we knew there was a whole bunch of scar tissue and he did his best to clean it up but the scar tissue has rehardened and created adhesions around my stomach that have caused two structures. The one at the top of my sleeve that has a pouch above it that sort of pools food in it, which was one of the very first things I noticed. In the beginning of this I noticed that whenever I would throw up it would be undigested food. Literally broccoli from a day before would come out like it was never even digested. I had an endoscopy last week, and an upper GI attempted. But because the stricture was so tight the barium wouldn't go through. They also discovered that below the stricture I have gastroparesis. And then at the end of my sleeve, right before my duodenum I have another stricture. I meet with the gastric surgeon on Tuesday to figure out what they're going to do to help me. Anyone have any experience with these problems? Any advice on what they might do? If they do a dilation will they be able to do both strictures and how will that affect the part with gastroparesis? This is the x-ray from my upper-GI. The barium (2 swallows) just sat up in the pouch, never really went through except a little bit... The part where it sort of fades out is the part with gastroparesis..

Oh wow!! How do they get away with that? Glad you had #1option and the next day the light shined!!!its a sign Good Luck keep me posted. i had a December date thinking it was a go. Denied me because my BMI not 35! 32..Have all the Co morbid issues .. HB, High Cholesterol? Joint pain. Even though I just had an emergency Lapband removal the end of August. Drs letters all said medically necessary. Revisions should be approved in my opinion! Ridiculous for me to gain more weight than the 25 I’ve gained already! I am going to sp? My health is at stake and I don’t want to gain more .. December date was on hold with my Dr.. unless I try to find a new Dr or appeal ? Anyone appeal. I may look into Hernia to have checked out. Thanks for sharing. its nice and helpful to here everyone progress.. I thought I was in this group of Dec sleevers because Dr said my date would be fine to move to scheduled Dec 12 ? Moved to Dec 19 now .. can I still stay for now on this group? . I hope all goes well-with you Dec Sleevers! I hope I am one of those!!!

Hey, hopefully your stall has broken and you're on you way back down. I have a question for you though. You mentioned that you gained most of the weight back after your pregnancy. I'm just curious how much did you gain and how did you gain it? Were you eating not so great foods (carbs,sweets,etc)? I am really concerned about this because although I'm only 3.5 months post op, I want to have 2 more children once I'm in maintainence. Lol you have made me realize my worst fear. No offence to you but I'm so terrified of gaining the weight after pregnancy. Please if you can elaborate on what happened and how did your weight come back and lead you to a revision I would greatly appreciate it. And good luck getting back on track! Sent from my SM-N910C using BariatricPal mobile app

I too woke up from a revision from sleeve to bypass with no incisions and it was absolutely heart breaking. Cried for days. It gets better over time and you’ll decide what to do.