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The pain didn't start off intense. How high of a dose are you on and how often do you take it? Is it daily? Once a day or more often? Have you had to increase the dose or does the dose you currently take keep it controlled? If you're well controlled on a low dose, you're probably ok to stay on it. If you're not well controlled and need to increase and this continues, then you might have to look at a revision at some point. High doses of PPI aren't meant to be taken long term, and the higher the dose for a longer amount of time, the higher the chances you will likely need a revision.

Is it a low dose PPI? If so it may be okay to stay on long term. I would ask your surgeon. I have been on a 20mg Omeprazole since after my sleeve and when I had a revision for weight gain I went witb the SADI knowing that I most likely will need to stay on the Omeprazole for life. My surgeon said it would be fine for me. I’m sure if he thought that there was any concern that he would’ve steered me towards the bypass. He left it up to me. He keeps his patients on them for a time post surgery anyways so I haven’t tried without it yet. They also may want you to try Famotodine if you are concerned about the PPI’s (it’s Pepcid). I tried the prescription version which was 20mg before my revision but it didn’t work. I just switched back to the Omeprazole without even asking if there was a stronger one since I knew I was gonna have to switch soon for my surgery anyways Maybe it will work for you??

I'm 9 months PO and I am having some reflux issues. I am trying to figure out how serious they are and what my next steps should be. The pain doesn't sound as intense as what you've been through, but I can really only keep it from happening with taking a PPI. My PCP advised me against taking PPIs this long, but I have been unsuccessful in weaning myself off of them. I really don't want to have a revision if I can help it, but I also know I can't be on PPIs forever.

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

I had the sleeve and I started gaining just months after I reached goal. I was too embarrassed to reach out for help and ended up gaining it all back and had no choice but a revision. Good on you for reaching out here. My biggest piece of advice is to reach out to your team and get an appointment. Start logging your food again if you haven’t been and give them an honest picture of what you are eating so they can help you make tweaks. Also if you have a fitness watch, pull it out of the drawer and get a real picture of you current activity level. I thought for sure that my team was going to be so harsh on me and make me feel awful but they couldn’t have possibly been more understanding and all they wanted to do was help. For me the only real option was revision but for you some tweaks in your food and exercise may help, could be hormones so they may want to check that, weight loss medications in tablets or the newer option if the GLP-1 injections may even be an option. The other suggestion of support group meetings is a really good one too. I am doing so much better this time around because I am reaching out for support anywhere I can get it. This time I told more people so I have more people cheering me on and I have the in person support as well as on here and I am going to see the NP more of they than they usually require. I know that I need all the help that I can get. lol.

Hey everyone, In 2019 I made one of the best, most life changing decisions when I decided to get sleeved. After my sleeve I lost 92 lbs, felt amazing, and promised myself I’d never allow myself to go back to my starting point. Well, here I am 5 years later and I’m so ashamed I’ve regained the majority of the weight I’ve lost. I regained about 25 lbs before having my beautiful son but I began really struggling with my weight after having him. I’m considering having revision surgery and scheduled an appointment with a doctor to go over my options but unfortunately they don’t have any appointments available until mid October so I’m just left here with my thoughts wondering if this is the right decision for me. I guess im just here looking for some insight on the process, the success others have had with revisions or lack of, the good the bad the ugly lol. I was definitely excited at the thought of regaining control of my weight until someone asked me why I felt I deserved another chance when I messed up the first one, then adding in that it would be selfish to not consider my son before choosing to go under where anything can happen and that the more traditional way of weight loss is still an option. I tried to explain that wls is a tool to be used in addition to traditional diet and exercise but I don’t feel the need to over explain my decision, especially to those who aren’t my immediate family. I will say though I never thought about it as me being selfish until they mentioned it and now that comment weighs heavy on my heart. Anyway I guess I’m here to just gain some insight from anyone who is kind enough to share their experience. I have to say I’m both ashamed and disappointed in myself.

Hi all! I had my sleeve to bypass revision on 9/9. I’m doing well, just sore in my shoulders from gas. How are my 9/9 twins?

I was taking my creon tablets like they were going out of fashion. Because I wanted to absorb nutrients from the food and vitamins I was having. I found some bloating and constipation but nothing major. The part I didn't like is the having to take tablets before eating. Sometimes I'd forget and then have a mouthful of the tablets straight after finishing my food. My issue for malabsorption was MGB, pancreas was healthy so creon was never going to helps, and didn't. I revised from MGB to RNY.

I've gained about 5kg and am approximately 5 months post RNY. The surgery is something that I'm getting used to because of the restriction. I definitely feel full after eating a smaller portion. With the MGB, I had zero restriction and could eat like a horse, but not one iota was being absorbed. My energy levels were shot. Post RNY, energy levels are better and blood test results are showing that I am actually absorbing the multi vitamins etc that I take, this absorption was absent with MGB. If you are going to revise from MGB to RNY to a little gain weight, your surgeon will have to tinker with the limb lengths. My stomach pouch was kept the same, so I have an RNY with MGB stomach pouch but customised limb lengths. I think I will know more about the final result in a year from now. I can hand on heart say that MGB was a mistake, because it was too powerful a procedure for me. I should have just opted for RNY from the very beginning, but because I was paying privately for the procedure, I thought it best to go for MGB at the time, for two reasons, one it was powerful and two that it was safer than RNY. Only one limb gets cut and replumbed with MGB but two with the RNY. I have seen fantastic results with people who have been sleeved. But, for me, I have a food and sugar addiction. I do not have an off switch, so in that sense poor discipline when it comes to controlling my relationship with food. I'm also bone idle. On that basis I had ruled out the sleeve. I hope it was the correct decision. Ideally, people should opt for the sleeve for weight loss and RNY for those who are in a similar position to myself.

Did you not need calcium? I had the sleeve and was just revised to a sadI and with both I was prescribe 1500mg of calcium supplements.

Good morning I’m going through a bit of a little sad spiel because they denied my revision surgery so my surgeon is going to have a peer to peer. I have Molina care. I’m in Washington Seattle. Do anybody have any type of advice? Will they approve it or am I doomed?

I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.

I am one month post op from a revision to SADI. I was telling my friend that After my sleeve I never did exercise and that I really do need to but everytime I do the treadmill I get so boared with it that it never sticks and I want to walk around the neighborhood because I feel like it may be a little more entertaining so I can stick to it but I had a trauma in my past that made that super hard for me. I have lived In my house for 20 some years and not walked around the neighborhood once without my husband with me. Well, I am incredibly lucky to have a really good friend who said she needs to get more exercise too and she committed to walking together…well via technology anyways. She lives an hour away so Every night for the past 6 nights we have figured out a time that works for both of our locations weather wise and we walk at that same time and talk on the phone. Even the preparation was more fun with someone else doing it to. We both ordered our walking shoes and talked about what we were going to wear and she has her Fanny pack and I bought a running belt to hold our phones and we got the small pepper spray that straps onto your hand. It helped me tremendously the first couple of nights to get me past the anxiety of doing it at all and now it just makes it so much more fun. The person on the other end of the phone doesn’t even really have to be exercising either. Just someone willing to talk to you at a set time to keep you motivated. As soon as we get home we end the call so we can jump in the shower and get dinner ready. Otherwise we would be on the phone all night. It’s worked so well for me. Also my Apple Watch has helped. To be able to have it log my exercise and use my heart rate and steps and let me know how many calories I am burning and how many miles and steps each day And to look back and watch as I am doing a little more each day. The morning after that first night I woke up feeling so incredibly proud of myself and each night since I sleep better, I wake up feeling refreshed. It’s amazing the way it makes me feel. I can’t believe I did do this sooner. It feels incredible.

I did the chewables for the first month then switched to my capsules. I also did the powder chewable calcium for the first month as opposed to the “calcium chews” which are more like a starburst candy. I was a revision to SADI and they did not operate on my stomach so i wouldn’t have had any problem swallowing it, but I figured it’s one less thing to possibly get stuck on the way down.

Well your not totally off base if your okay with the bypass. It’s a little more aggressive so it carries with it a little more risk than the sleeve. The reason they do the sleeve I believe is because it’s a bit safer and it is adequate for many people to lose and keep it off but there are some (like me) with regain that need a revision and some that need revision because of GERD and other complications. I would ask the surgeon what percentage of patients need revision because of inadequate loss and/or regain and what percentage for GERD. I believe I read somewhere that it’s 26% need revision but I would definitely not swear to it and I am not sure if that was just for weight or for complications too. I think even if you do end up having to wait it is a good call to get all of your questions answered and feel confident in your decision that it is what’s best for you.

I sent my surgical team an email to say I would like to be considered for the bypass instead. My fear is that this will put me behind schedule and they will schedule me for next year when as it is the surgery is a month away. I don't want to feel like I'm going backwards, which is how I would feel if they had to reschedule my surgery, but I want to set myself up for the most effective way forward. Maybe the surgeon will reassure me that the sleeve is the best option for me? I don't know. But I should definitely have the conversation. Barring a complication, I don't think revision surgery will be possible unless I win the lottery and go private.

Thanks! I think it's just coming closer to the actual date, and I finally had a freak out. As I'm relying on the NHS, I don't want to get told the won't cover a revision down the line. But this forum seems to have people with good stories about long term success with the sleeve. I think I just need to speak with the doctor again.

Hi!! We had the same revision date due to GERD as well! I hope yours went well if you decided to do it! i felt very similarly to you when they gave me the option of revision. I didn’t choose gastric bypass 12 years ago for a reason! However, if I had known how bad my GERD was going to get, I might have made A different decision. Back then I wasn’t even told that GERD was a possible side effect. Anyhow! I just wanted to say hi and check in since we are revising date buddies.

Ok, so I'm 2 years and 4 months out from my 1st surgery and 1 year 3 months out from my revision. I'm still losing (trying to stop losing but so far I'm still losing an average of 4 pounds per month) so I haven't experienced the rebound weight gain yet. I can tell you I eat popcorn all the time. I also eat smokehouse almonds, cheese cubes, salami and/or peperoni slices for snacks. I eat Rebel ice-cream, keto brownies, sliced apples mixed with fresh blueberries and raspberries, Greek yogurt with fresh berries and monk fruit sweetener mixed in, keto cake with sugar free icing, French toast with keto bread, fresh berries, and sugar free syrup. If I want "guilty" food, I have something like steak, 2 spoonfuls peas mixed with mozzarella cheese, and 2 spoonfuls of Bob Evans mashed potatoes. I don't tolerate carbs very well, so I have to be careful with them. I also have kettle chips fried in avocado oil, 1 packet (instead of my former usual 2-3) of oatmeal such as cinnamon apple or banana cream, and minestrone soup and crackers (only like 4 or 5). Everything is a balance. Nothing in excess, no large portions, no "off plan" foods too often. Just a little here and there and whatever you have should be fine. Just remember to keep working out, keep moving your body, keep prioritizing protein and you should be good.

Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.

If they don’t hurt you then go for it!! My NCIS ions still hurt though and the waist would run them and press on them. Just sounds painful. I am a revision too and had gallbladder out so more incisions and a couple I think they may have gone back in the same spot through scar tissue (not sure if that makes ot worse for healing). I just keep on trying to figure out why it’s so much worse this time because I’m telling you after my sleeve I was up bugging the nurses the same day and hime the next wanting to play Horse in basketball (I literally gestured to my husband to pass me the ball when I was out front talking to him. I forgot I had surgery). Soooo much differnt this time.

Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.

the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare

Went to my crochet group again today and I didn’t need a nap afterwards. I’m hoping maybe I’m done with the afternoon nap stage. I plan to wake up earlier tomorrow and really try to power through again so I can hopefully get my sleep cycle back to normal. Day by day I get a little closer to my normal. ooh and yesterday was a follow up for the muscle cramps that I got in my calf which went away with the magnesium they gave me but I kept the appt anyways because i start soft food Monday and I had questions. She said that since my pre op appt I have lost 19 pounds so that’s one month exactly and the expected loss for a revision is between 5-10 pounds month so I’m doing good.

Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.