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VSG to RNY without bowel shortening
Arabesque replied to RTL1234's topic in Revision Weight Loss Surgery Forums (NEW!)
I gurgle all the time with my sleeve. I say it’s my poltergeist cause it literally groans & moans & whines too. It’s just a noisy digestive system. My young nieces & nephew think it’s quite amusing, I’ve never been able to burp so I think that adds to mine. And yes I agree not feeling your restriction is likely from your nerves being cut during your revision restricting messages getting through just like after your initial sleeve surgery. Remember to keep to your recommended portion sizes until your signals can get through to ensure you’re not accidentally impacting your healing & recovery. All the best. -
VSG to RNY without bowel shortening
RickM replied to RTL1234's topic in Revision Weight Loss Surgery Forums (NEW!)
The thing to watch out for when doing a minimally malabsorptive RNY is the prospect of bile reflux instead of the acid reflux that you had with the sleeve. When I was looking into this for a non WLS reason (it's has long been used for maladies such as gastroparesis and gastric cancer,) was that one of the most common problems reported on the patient sites such as Facebook was bile reflux. Talking to the surgeon about it, he said that as long as he keeps that roux limb at (IIRC) 80cm or more, it's not a problem; it seems that many surgeons going for minimal weight loss for such patients go overboard on shortening things. The extreme of this would be the "mini bypass" that attaches the pouch directly into the intestine without the roux limb, and that is well known for bile reflux (and why it was never adopted here in the US as a mainstream approved WLS. However, there are also definitions and standards of care wrapped into the CPT codes that the docs use for billing, that define these things depending upon usage. I know this came up in one of the support groups with my wife's surgeon, and he noted that when he did the RNY, which he rarely did preferring the DS, he liked to make it as malabsorptive as the codes permitted. So there are standards that the surgeons are obliged to follow if it is to be a WLS procedure, and it doesn't seem to be a problem with most RNYs that we see as WLS, but could have been for what I was contemplating (but never proceeded with.) There's always an up side as well as a down side with anything we do. -
Trouble with malnutrition
ChunkCat replied to Amanda-Cleckner's topic in Revision Weight Loss Surgery Forums (NEW!)
I don't know how common this is with Bypass, but it sometimes happens with patients who have the Duodenal Switch because the level of malabsorption from the surgery is significantly more than with the Bypass. It usually happens a few years out because that's how long it takes to deplete the body of its stores. That's why we have to have lab work done frequently to monitor our vitamin levels and protein levels. Some patients end up malnourished when their vitamin levels drop too low or their protein levels drop too low. There are medications they can prescribe to help you better absorb protein but I can't remember what it is called, it is a digestive enzyme of some sort. A GI doctor would know what it is, your surgeon might know too. The liver is very sensitive and things getting out of whack can definitely cause it to be angry. I hope they do more testing and figure out what is going on... You have probably lost muscle mass as your body takes protein from your muscles to compensate from the depleted protein levels. Try protein shakes and protein waters that are made with whey protein isolate. It is the easiest form to absorb and it will help your protein levels go up. This is what DS patients are advised to consume, most premade shakes will be made with inferior types of whey that may not help your protein levels. Unjury makes some good ones, Syntrax is another brand that makes medical grade whey protein isolate. There are a number of them around! -
Lab band to sleeve to Bypass on Monday —scared
ChunkCat replied to BQT's topic in General Weight Loss Surgery Discussions
I haven't had revisions, I just had DS surgery 6 weeks ago. But I have seen a fair number of multiple revisions around here and elsewhere... I'm sure if your doctor approved you for the surgery then you are good to go! But any surgery can be scary, so I understand the worries. Sleeve to Bypass revisions are pretty common. It is likely your surgeon has done a fair number of them. The weight loss is slower for revisions, but I have seen many end up reaching their goal weight, it just takes a bit longer the second time around. You don't say what your starting weight is or what you hope to lose... Advice is just like for any of the surgeries---take it easy. Trust your team. Drink your fluids in baby sips and get in as much as possible, this will keep you out of the ER hopefully. Stay ahead of your pain. Ease into food gently. Walk as much as you can. Rest when you feel tired and give yourself extra rest for the first few weeks because surgery can take it out of you! Remember that a lot of nerves have been cut and have to heal, so you may not feel any restriction for a while. Stick to the portions your dietician advises for the first few months until you are getting accurate communication from your healed tummy! And whatever you do, do NOT let yourself get constipated!! Take the stool softeners, take Miralax if you haven't gone in a few days and are concerned. The most common complications I see are nausea, dehydration, and constipation! Most of all, good luck! Have a really routine, easy surgery and an uncomplicated recovery! ❤️ -
VSG to RNY without bowel shortening
RTL1234 replied to RTL1234's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks for the explanation! Thats actually really helpful. To be honest, I was very much like ‘just help me get rid of GERD’ and the rest he took care of. I didn’t research much on bypass myself. Thanks for the reassurance with the restriction, or lack there of. It’s such an odd thing being how easily I felt it before, and now nothing. Like you said, perhaps I just need more time and well, more solid food. I am also very bubbly, such a weird statement, but I never really experienced that with my sleeve. I feel like almost gassy but not gassy. Not burping, not tooting, just bubbly. -
VSG to RNY without bowel shortening
catwoman7 replied to RTL1234's topic in Revision Weight Loss Surgery Forums (NEW!)
They don't actually remove any bowel - they just bypass part of it - but the two parts meet up again about a foot from the stomach. He may have just made the "Y" shorter than usual - as in had the two parts meet up sooner. I'm not a revision patient, so there are probably others on here who know more than I do, but you may not be feeling full because of nerves being cut during surgery. If so, they regenerate fairly quickly. Plus you're eating soft foods, also. I didn't really start feeling restriction until about a month out when I started eating solid food. lastly, only about 30% of bypass patients dump. I never have - and know lots of others who don't, either. If you turn out to be a dumper, though, you can prevent it by not eating a lot of sugar or fat at one sitting (which we shouldn't be doing anyway...). I never worried about dumping (although at times I wish I DID dump since I have no problem eating tons of sugar at one sitting, unfortunately...) -
VSG to RNY without bowel shortening
RTL1234 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hey all! I had a revision from VSG (2020) to a bypass without bowel reduction on 11/28. It’s been going fine, recovering is good and I’m tolerating food fine. However, since we did my revision for severe GERD and a large hernia, the surgeon told me that my bypass was minimal in terms of removal of bowel. Since I’ve basically maintained my weight loss since my sleeve, he did not want to create a situation where I would be malnourished so he did not remove bowel like a typical bypass. All that to say, I’m super hungry which is surprising since they did mess with my pouch, and I’ve lost a little weight which is fine too, but it’s like I cannot tell when I’m full. I’m on soft foods, so not full solids yet but have been eating real meals basically (soft foods allows canned veggies and some fruits on my plan). With my sleeve I could easily tell when it’s time to stop. Now it’s like I could just keep going. I haven’t had any nausea or vomiting caused by over eating, and I’ve been measuring because I’m nervous but it’s like I’m still hungry. I was hopeful leaving the bowel would help me not experience dumping as much (which I have no idea if that’s legit or I’m just telling myself that), but I’m also so worried about eating too much. On a happy note - I have only ate tums once since my surgery, and I guess now won’t have to continue to keep tums in business anymore. LOL! That was the goal, so far so good, still on protonix but I’ll take it over misery any day! -
Lab band to sleeve to Bypass on Monday —scared
BQT posted a topic in General Weight Loss Surgery Discussions
Hello all! I’m scared for my surgery on Monday because I have had grade 4 EE , hernia & weight stall etc. I’m very nervous this time around because… the odds / number of procedures. Has anyone else ,here, had so many revisions? 😔😔😔 any words of encouragement or advice? THANK YOU! -
I had a revision from vsg to bypass due to gerd over 2 years ago. I don't regret it. I'm sorry I waited so long. I don't know the future but up till now, it's been a very smooth transition.
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Hi there! I just signed up on this forum and have a surgery date of January 30 for gastric bypass. My sister had it done about a year and a half ago and has had great success so I decided I was ready to make some big changes in my life. im currently trying to keep my required 10-lb weight loss on the books. I officially achieved it in October and I meet with my doc each month. In November I had lost an additional half pound but ended up in the ER after my appt because I was so dehydrated from fasting to make my weight goal. So embarrassing ugh. Now, thanks to the holidays my next appt is January 2, but I’m up eight lbs and they will cancel my surgery if they see that. I have 18 days to lose that weight again and I’m scared I won’t make it. I’m mad at myself for being lax after my last weigh-in. I know that part of losing weight pre-op is to start making changes gradually but I’m struggling. I guess that’s normal for many of us. I’m really excited about getting the surgery but also a little depressed because it will force me (and is now forcing me) to completely change my relationship with food. That’s scary. But I see how happy and energetic and positive my sister is and I want that in my life too. Anyway, I didn’t mean to get depressing lol but I’m trying to be honest about my feelings which are all coming at me at the same time! Its crazy.
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My Surgery is Tomorrow!! Dec/13/23
Courtnay replied to Courtnay's topic in Gastric Bypass Surgery Forums
Hey everyone!! 👋 😀 So they decided to give me the Sleeve instead, because they realized my liver had not shrunk enough to do the gastric bypass. I was a bit upset upon the realization, mostly because I was set on my decision. Also I battle with acid reflux so my concern is the sleeve will make that worse. Let's hope not. My surgeon did say that down the road we can discuss doing the gastric bypass if the sleeve does has that negative affect on my acid reflux, but he assured me all went really well and he was very happy with it. When I came to, I will admit I was ROUGH. They kept me in recovery for hours as I could not keep my eyes open, and I was in quite a lot of pain. Eventually they took me to another room that was just temporary as my room was not ready yet. No dimmed lights and more pain medication was needed. I was moaning and groaning by the time they got me to my room for the night. Eventually pain became less and less and by 5am yesterday morning I was up and walking up and down the hall by myself. Going to the bathroom on a regular, and starting to relieve gas build up. They eventually discharged me at about 4:30 pm yesterday. Last night at home was rough, woke up every hour and decided to take the time to walk since I was awake anyways. Rough sleep, sore belly and back. Eventually moved downstairs to the living room couch lol. Rested a bit but not much. It is now nearly 1pm and I still feel quite sore, tired, and slow, but feeling somewhat better. 😅 -
Revision Surgery
SleeveToBypass2023 replied to SAH's topic in Revision Weight Loss Surgery Forums (NEW!)
I went from VSG to bypass. I don't know if you'll find anyone who went from VBG to bypass. It's not a surgery that's done anymore. -
not me, but several people on here have had revisions. Most of them VSG to bypass since VBG is an older surgery that is rarely (maybe never?) done anymore.
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2 1/2 year out and still having issues
ChunkCat replied to Stephanie howey's topic in POST-Operation Weight Loss Surgery Q&A
Following up with a GP is good for general health, but following up with your bariatric surgeon is crucial if you are still having complications from bypass. There are a number of things that can be causing your symptoms, some that can be easily corrected by procedures during an endoscopy. As far as the blood spike, do you mean your blood sugar? Some people that have bypass can develop reactive hypoglycemia which can definitely make your blood sugar levels bounce around and cause fatigue and such. I'm sorry you are feeling bad! -
Getting close to goal. Let's talk maintenance
ChunkCat replied to LindsayT's topic in General Weight Loss Surgery Discussions
I've been told by a lot of vets to ride the weight loss down for as long as it lasts, even if you dip way below your goal weight. Usually the weight loss will taper off by itself unless you have extreme complications, and that breathing room will be welcome when you hit that rebound and gain some before balancing out. At least that was the advice given to me by DS vets that have maintained their weights for well over a decade, so I assume the same holds true for bypass patients. It is very rare to lose too much, but it is possible that your body's happiest set point is lower than your goal weight, and you'd never know if you don't let the weight loss continue until it naturally tapers off. I don't know what maintenance looks like for a bypass patient, but I suspect like Catwoman7 says, there is some measure of monitoring and portion controlling that will always be there, just like a lot of naturally thin women engage in to maintain their weights. I figure you either track your food (with an app), or you track the scale, or you track both. But most women I know track something regularly to maintain. I'm so excited for you being so close to goal!! -
My Plastic Surgery is Tomorrow Morning 12/15/2023!
kukuiokalani posted a topic in Plastic & Reconstructive Surgery
tomorrow morning, i am getting my excess tummy skin removed and my boobs reduced and lifted. i had rny gastric bypass in september 2022 and lost more than 200 pounds, highest weight 410, and my weight has been stable at 190. i saved up enough money to get plastic surgery in tijuana, mexico, and my work, school, and holidays lined up to get it done! im getting 360 lower body lift, tummy tuck with fleur de lys, and breast reduction and lift. i also want to get an arm lift and inner thigh lift sometime in the future. im nervous for my surgery tomorrow morning, but i’m confident in my decision to have plastic surgery now, and trust my surgeon and medical team. ive done everything i can think of to best prepare for surgery and make sure it’s as successful as possible: i have SO MANY medical supplies; i’ve been taking SO MANY vitamins and iron to make sure my hemoglobin levels are high enough; i’ve had iv infusions of iron, vitamin c, and ozonized (definitely not the correct term) 120 ccs of my blood and pumped it back in; i’ve done too much research; and i’ve saved up thousands of dollars and dragged myself all the way to mexico and tomorrow’s the day! ill update as i drag myself through yet another surgery and recovery! 😅 i also will take any recommendations for healing, post-op recovery, pain management, and expectations. ~kukui- 10 replies
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tomorrow morning, i am getting my excess tummy skin removed and my boobs reduced and lifted. i had rny gastric bypass in september 2022 and lost more than 200 pounds, highest weight 410, and my weight has been stable at 190. i saved up enough money to get plastic surgery in tijuana, mexico, and my work, school, and holidays lined up to get it done! im getting 360 lower body lift, tummy tuck with fleur de lys, and breast reduction and lift. i also want to get an arm lift and inner thigh lift sometime in the future. im nervous for my surgery tomorrow morning, but i’m confident in my decision to have plastic surgery now, and trust my surgeon and medical team. ive done everything i can think of to best prepare for surgery and make sure it’s as successful as possible: i have SO MANY medical supplies; i’ve been taking SO MANY vitamins and iron to make sure my hemoglobin levels are high enough; i’ve had iv infusions of iron, vitamin c, and ozonized (definitely not the correct term) 120 ccs of my blood and pumped it back in; i’ve done too much research; and i’ve saved up thousands of dollars and dragged myself all the way to mexico and tomorrow’s the day! ill update as i drag myself through yet another surgery and recovery! 😅 i also will take any recommendations for healing, post-op recovery, pain management, and expectations. ~kukui
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Food Before and After Photos
Starwarsandcupcakes replied to GreenTealael's topic in General Weight Loss Surgery Discussions
I rarely ever finish a meal in one sitting and it usually I either graze on it or eat it the next meal. However I am 2yrs out from revisions (one lifesaving) and can eat 2 scrambled eggs and half an English muffin for a meal most of the time. -
November 2023 buddies
brandycsiz replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
I am 2 weeks post op now from gastric bypass.. I am doing ok on the pureed diet but really ready for some food. I am thinking I am going to love the soft food stage when I can add more things.. went back to work yesterday but I am so tired from the long days. This has been a little harder then I thought it would but I am making due.. my husband is starting to notice changes in me and I am noticing clothes are starting to fit weird. it is not often I get to say that me clothes are getting big.. off to see how this week goes.. -
Is there anybody else that has had a revision. I went from VBG to Gastric Bypass
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Revision for GERD to bypass- what was your process?
Keona1323 replied to MacEBE's topic in Revision Weight Loss Surgery Forums (NEW!)
I just had mini bypass revision from sleeve as I had severe GERD. Now I have bile reflux ☹️ -
Before gastric bypass n after. Gastric bypass
Stephanie howey added images to a gallery album in Before and After Gastric Bypass Photos
June 14 2021 -
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Good Question I'm 2 yrs PO gastric bypass and every time I try to eat rice it hurts so bad in my belly, it kinda feels like I ate razor blades [emoji1785] just horrible. It's a no for me. Sent from my LM-Q730 using BariatricPal mobile app
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Hey everyone!! 👋 Hope you all are doing well. I have my gastric bypass surgery tomorrow. Just felt like sharing. Any words of wisdom would be much appreciated. Much love to you all. 💞
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Need help and info on days post op and foods hi I’m new to the group and have so many questions, I had Roux-en-Y Bypass gastric bypass…. so rule of thumb is followed Weeks 1 and 2: Liquid diet Weeks 3 and 4: Puree diet Weeks 5 to 8: Soft diet After 8 weeks: Regular diet But I’m having issues sticking to this, I need help and advice on what I’m doing and if I’m wrong to do this and I can’t find answers, so I’m day 10 post op now as I had my surgery on the 2nd December 2023, first few days kept to the liquid diet that being said I’m struggling with taking so much fluids, any way I would say day 7 I feel fine no issues or anything when I drink the shakes etc and they are thickish shakes so day 8 post op I tried a chunky soup it was potato and leak I chewed the chunks before swallowing and yeah only managed like 4 spoons and done I’m full….. but today 10 days post op again should only be on liquid but I had mash and beans and again only a few mouth fills filled me and I’m fine no pains or anything….. I know they say people heal at different rates inside etc and I do know I heal quick from surgery’s Iv had in the pact ext…… so my question is am I moving to fast is this safe for me to continue should I slow down and go back to what the plan is supposed to happen because with me only being 10 days post op I’m eating at week 3-4 puree diet and to be honest I think I might be ok moving onto week 5-8 soft diet in a few days…. just any advice of anyone who has had this issues or may know a answer from experience or knowledge. many thanks. Meg. From UK. (Manchester)
