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Sleeve to Bypass due to REGAIN
MzTrotter replied to TheRevisionedVagabond's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm working on requirements for revision from sleeve to duodenal switch due to regain. Hopefully this will be better. More nervous about this one then I was about the sleeve. Sent from my Pixel 7 Pro using BariatricPal mobile app -
Proximal to Distal Revision... expectations?
L. Knight replied to Nifer72's topic in Revision Weight Loss Surgery Forums (NEW!)
@Nifer72 thank you for your quick response to your revision update. Wow 8 hours in surgery I’m glad you had an experience surgeon. I go 3/24 im having Gastric Bypass revision using the TOR(e) method it may also be referred to ESG. Keep up your progress. -
Proximal to Distal Revision... expectations?
Nifer72 replied to Nifer72's topic in Revision Weight Loss Surgery Forums (NEW!)
My revision was a bit more... complicated than most. Due to unforseen issues (basically one anastomosis was not done right), the surgery in March had to be aborted after 3hrs. New surgery was scheduled for June to allow for healing. 2nd surgery, the surgeon discovered another surprise. My common channel was only 25cm and the configuration of my intestines was not the rny configuration. He had to back my common channel to 300cm, cut out a portion of my pouch and small intestines due to necrotic tissue. This surgery took 8hrs! So almost 9months post op, I do have better restriction than I did with my surgery 22 years ago, but I'm absorbing more. I'm down 50lbs so it's been slow going, but I'm still losing. Thanks for asking, Hope you are doing well on your journey. -
Best Option...Bypass or Sleeve..... Please Help.
Arabesque replied to LouiseCorn's topic in Gastric Sleeve Surgery Forums
As @catwoman7 said both surgeries are good & will work to help you lose your weight. And you’ll hear from people who swear one or the other is the best. But remember it was best for them. Do lots of reading including people’s stories & experiences here, ask your surgeon lots of questions & for their recommendation. The decision will come down to your personal health & medical needs & history & your personal choice on how you want to live your life. Both share some similar considerations in regard to dumping & malabsorption, the post surgical recovery & plans (differences are more from surgeons or your specific needs). Dumping & malabsorption are possible with both but a little less common with sleeve - luck of the draw - but both can be managed. I don’t dump but I do have some malabsorption (protein & some meds) but it’s from my lack of gall bladder not my sleeve & I don’t need to take additional vitamins. I was leaning towards a sleeve from my research and after my conversation with my surgeon, who thought it would work best for me, I decided it was for me. I had mild reflux which I managed 99% with dietary choices (still do, it’s different, need meds every day but is manageable). Decided if I needed to (for gerd, extra weight loss help, etc.) I could revise to bypass in the future. I didn’t want to depend on vitamin supplements if I could. I didn’t have any co morbidities. I lost all my weight & more with my sleeve & have maintained (+ 1 kg). All the best whichever surgery you choose. -
Best Option...Bypass or Sleeve..... Please Help.
mcipanda replied to LouiseCorn's topic in Gastric Sleeve Surgery Forums
I had the sleeve and chose it for these reasons: 1) I don’t have GERD, just occasional acid reflux, 2) the sleeve doesn’t re-route inner plumbing, 3) i have less weight to lose overall, 4) the sleeve has a higher absorption rate which I prefer and 5) I can revise to RNY if the sleeve doesn’t work, fails or causes GERD. This doesn’t mean RNY is bad. My mom had RNY and it worked great for her. She lost over 125lbs and it helped correct her GERD. She also deals with malabsorption issues, had her gallbladder removed last year and struggles with dumping syndrome. All of these are okay with her. To this day, she wouldn’t change her mind. She’s also kept the weight off for over a decade easily. I recommend talking to your doctor about YOUR specific issues/lifestyle and what you’re willing to live with. -
Should I get surgery
SleeveToBypass2023 replied to Terry PVB's topic in General Weight Loss Surgery Discussions
Yes, you are definitely working yourself up lol If you know it's the right thing for you, don't psych yourself out. I am one of the very unlucky ones that has to have a revision. I never had gerd or reflux before my surgery, so I chose the sleeve. I have LOVED my sleeve. Unfortunately, it caused horrible gerd that also caused gastritis and esophagitis, so I was put on 80mg of Nexium. I've been on it for 7 months now, and it caused polyps all through my stomach. I've had 2 surgeries to remove them, and now nodules all through my duodenum, which also have to be removed. Once they are, I'll be cleared to have my revision to bypass. I'm told that should take care of the gerd, which will allow me to get off the Nexium, which will stop the formation of polyps and nodules. I still don't regret my sleeve. I've lost over 110 pounds, gotten off all 3 of my diabetes meds, gotten off my blood pressure med, my mobility is way way better, I work out 5 days per week, all my labs have come back normal repeatedly, I can honestly say it's still the best thing I've ever done, even with the complications. -
Mine didn't get serious till about 4 or 5 years later too. It got to the point that it was "uncontrollable" and no PPI worked. It wasn't till my throat was literally burning 24/7 that I decided I had to get it revised or I would be risking throat cancer.
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Lapband to gastric sleeve success stories
tinaaw7 replied to panda1983's topic in Weight Loss Surgery Success Stories
I had a lapband in 2011. I lost 225lb and in 2021 I had it removed r/t complications. I was too small for a revision at 123lb so I had no help and I have gained over 100lbs back from yo yo dieting. I am now approved for the sleeve so hopefully this works. Please let me know your success. Since I am going down a similar path soon.- 1 reply
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I'm not sure how common it is, but I know that a lot of sleeve patients have to get a revision to bypass, due to reflux.
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Endoscopic revision
Tammi J replied to Nectar12's topic in Revision Weight Loss Surgery Forums (NEW!)
I am scheduled for this on March 23. I am concerned too as this is more about alleviating symptoms of GERD and not weight loss. I have kept most of my weight off for the past 11 years but have been struggling with major GERD symptoms. They said my pouch as double in size along with a hiatal hernia. The revision of the pouch through endoscopy is said to make it better. I am very hopeful. -
Having GERD. Will insurance cover revision if BMI IS 31?
Tammi J replied to NewlySleeved12282020's topic in Revision Weight Loss Surgery Forums (NEW!)
I have had the same issues and will be going in for revision surgery on March 23. I have already had Roux en y surgery that is 11 years old and I have a BMI of 27, insurance is covering the procedure to make my pouch back to its original size as it has stretched to double the recommended size. Luckily I have not gained a lot of weight back but do have the GERD complications along with a hiatal hernia. The surgery will address the gerd but at this time my surgeon feels leaving the hernia alone is my best option. Hopefully your insurance doesn't give you a hard time as GERD is awful. -
Should I get surgery
Arabesque replied to Terry PVB's topic in General Weight Loss Surgery Discussions
No I haven’t had a revision or need to repair a complication. I have three friends who have also had surgery & they haven’t either. Revisions are sometimes needed (for personal choice like to lose additional weight or medical reason like gerd) & sometimes a complication arises that needs corrective surgery but they aren’t all that common. Ask your surgeon how many they have done. You may be surprised. -
Should I get surgery
Terry PVB replied to Terry PVB's topic in General Weight Loss Surgery Discussions
Thank you for all your wonderful and thoughtful responses, I can't tell you how much I appreciate it! I was filling out my forms today (for my initial consultation) and I saw a section asking if I was going in for a revision. This made me think that I may be signing up for a lifetime of hospital stays to fix this and that... and I am not into that. I also watched a video today where a leak could cause you to stay in hospital for months. Oh man, I am really working myself up. I know this is the right thing for me but I would like to know from you guys if you have had to go back for any corrective procedures ? -
RNY instead of VSG
catwoman7 replied to BypassTheBS's topic in PRE-Operation Weight Loss Surgery Q&A
the majority of sleevers don't develop GERD, but about 30% do. Usually it's mild enough that it can be controlled medically (PPIs, usually), but in some cases it's so severe that the only option is revision. I don't know the percentage of those who have to get a revision, but it's probably pretty low - but still, yes, it's something to consider when trying to make a decision. some people with pre-op GERD are willing to take the risk, and often they luck out and it doesn't get any worse (and for some, it improves), but I wasn't willing to take the risk. I was afraid I'd be one of the unlucky ones, so I went with bypass. I love my bypass and am glad I made that decision. I think a lot of surgeons prefer doing VSG because it's an easier surgery (for them) and there are fewer potential complications with it (although honestly, not many people have complications with bypass, either), but they'll often suggest RNY to their patients who already struggle with GERD, because there's a change it could get worse. RNY will usually improve if not cure GERD. good luck with your decision - it's not an easy one. And remember that ultimately it's your body and your choice. My surgeon did say he'd do the VSG if I wanted it, but he wanted me to at least consider RNY since I had GERD. I'm glad I made the choice I did - but he would have done either one. -
RNY instead of VSG
SleeveToBypass2023 replied to BypassTheBS's topic in PRE-Operation Weight Loss Surgery Q&A
I had the sleeve and got REALLY bad gerd. It caused gastritis and esophagitis, so I was put on really high PPI for a long time, which caused pre-cancerous polyps and nodules through my stomach and duodenum. I'm in the middle of having them all removed before I can have my revision to the bypass. I have loved my sleeve, but if I knew then what I know now, I'd choose the bypass instead. This has been a true nightmare. -
Just had my 3rd surgery to remove all the polyps from my stomach....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
UPDATE: I just got the call. The nodules also came back pre-cancerous, and it's going to take 2 more surgeries to get them all removed from my duodenum. I'll be having them in April and May. I also have to have a colonoscopy because when I go #2, there's horrible pain at my belly button and along the sides of my stomach, to the point where I can't catch my breath, stand up straight, or walk. Given the polyps and nodules all through my stomach and duodenum, my GI specialist is concerned there will be polyps or something else that needs to be removed. So I have no idea at this point when I'll be cleared to have my revision. But he was saying the colonoscopy will probably be in June and then we'll go from there deciding what needs to be done. once everything with my colon is finished, I'll have to have another endoscopy to see if any new polyps have come back in my stomach and duodenum. If so, they will have to be removed again. If not, I'll be cleared for my revision. This is absolutely ridiculous. I'm so over all of it. -
Its been awhile since my last post so I just wanted to mention progress so far Still in the very early insurance approval process. I'm just hitting the 40 BMI qualification so I'm just trying to maintain while also taking my doctors dieting advice. I had a few tests done already: Sleep apnea = negative, H Pylori = negative. I have the Abdominal Ultrasound coming up. While doing some research and talking to a few people who have been post op for years I've learned the sleeve can cause pretty bad GERD and need the possibility of revision to RNY. Because I want to avoid revision surgery, GERD, and long-term/indefinite PPI use I talked to my doctor about RNY instead and right now she's against it but suggested adding the endoscopy to the test list. If all checks out with the endoscopy I still want to change to RNY instead 🤞 So moving right along 😊
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Just had my 3rd surgery to remove all the polyps from my stomach....
Lisa XO replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I'm so sorry you are going through all of this. Hopefully your revision can be scheduled soon so you can heal and move on. -
Just had my 3rd surgery to remove all the polyps from my stomach....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Thank you everybody. It really has been a pain. I still love my sleeve, but it's been made abundantly clear to me that I don't really have a choice with the revision. So as soon as I can get cleared, we're scheduling it. I'm just ready to be done and go back to living my life. -
1 year post op revision to gastric bypass
gabbykittyvsg posted a topic in POST-Operation Weight Loss Surgery Q&A
March 1st marked 1 year since my revision due to damage caused by acid reflux. I lost an additional 30 pounds which was a big bonus and put me into the healthier weight range. The damage caused by the reflux to my esophagus has healed. Sent from my SM-A135U1 using BariatricPal mobile app -
Unsuccessful revision from sleeve to bypass due to hernia mesh
LeighlonLove replied to LeighlonLove's topic in Revision Weight Loss Surgery Forums (NEW!)
I have a recurring hernia that came as a result of my gallbladder surgery years ago. I have had 3 hernia surgeries to date and part of Plan B is a 4th. I'm having that on 3/23 and then scheduling the revision to bypass for about 3-4 months after the Hernia repair so I'm all healed up. I've been feeling really down about this so I'm glad to be back on the path to resolution Wishing you the best as well. -
Hey, I had my surgery on March 7th. Everything went well, hiatal hernia wasmain problem during surgery. I had a revision from sleeve to bypass. I m still in hospital because I can't void. Has to get straight cath twice now I have to go home with a foly. 😪😧🤮
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Sleeve surgery is April 12, 2023, Input please!
CountryGardens posted a topic in Gastric Sleeve Surgery Forums
My sleeve surgery is scheduled for April 12, 2023. I am 5’6, 400 pounds., 60 years old. My mother and grandmother were both obese. At 16 I was 116 pounds, with undiagnosed PCOS. I had uterine cancer at 39, and had a hysterectomy. No hormone replacement as they felt it was a hormone based cancer. At 55 had a swollen thyroid removed. Each time, my weight increased. Three years ago, I had a spinal injury, which led to back fusion surgery, which caused nerve damage, and a right dropfoot. I have to use a rolling walker or cane to walk, and my back surgeon says I can’t lift more than ten pounds. I know I need this sleeve surgery, and I want to live and get healthy. But I am still nervous about doing this to my body. My surgeon says sleeve now, perhaps a revision to bypass after I have lost weight if necessary. I have five hernias which I had surgery to repair, which is why I believe he wants the sleeve first. I wonder if the potential of two surgeries is too much at my age, or just a bypass and be done with it. And I am worried about my inability to walk and exercise due to my disability. In my head I think, maybe if I just cut back on food, drink two or three protein drinks a day I will lose weight without surgery. After all, that seems to be what they want us to DO AFTER surgery! Any advice or sharing your journey would be so appreciated! Thank you! -
Unsuccessful revision from sleeve to bypass due to hernia mesh
prettypenny099 replied to LeighlonLove's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi LeighlonLove, I am less than 2 weeks away from getting a sleeve to bypass revision due to severe GERD. However, I had a paraesophageal hernia repair done in 2018 and my new surgeon just saw the surgical notes. Apparently, my first surgeon who did the hernia repair used lots of mesh and also did a Nissan fundoplication which is not usually done with a sleeve. I now have a hiatal hernia very close to that same location and she is concerned that she won't be able to fix it because it's in a tight location (GI junction) and there is very little tissue to work with. She said a mesh repair is like using super glue so she doesn't want to to try and remove it. Her fear is leaks which would be a big problem. She has agreed to do the revision to bypass with the hope that it will take care of some of this awful GERD but not all, unfortunately. Did you and your surgeon come up with a plan B? If so, I'd love to know what was decided. Best of luck with your next step! Penny -
Just home from having my sleeve converted to bypass on Friday at the Northern General in Sheffield by Mr Ackroyd who did the original sleeve, severe reflux and gain. Feel amazing compared to last time around. Good luck and plenty of health sent to anyone on a revision journey [emoji3] Kim Sent from my SM-G960F using BariatricPal mobile app
