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I had a higher starting weight (My highest was 382 - down to 330 by the time I saw my surgeon) … I initially wanted sleeve because of many of the reasons you stated, but was prepared for my dr to recommend bypass because of my starting weight and reflux. After meeting with my surgeon I asked her opinion- based on my medical history and her experience of outcomes. I have IBS and for about 8 months prior to surgery was dealing with reflux. I also took a daily (2x a day) NSAID pre surgery that she advised that I stop until my post-op follow up, but that I could resume if needed after she saw me. I was really surprised when she told me she didn’t recommend bypass for me and why. She was a surgeon who had extensive experience with all of the surgery options, so I was confident she wasn’t steering me towards what she was comfortable with routinely doing. She actually recommended sleeve (with a hernia repair) and told me if I wanted a revision later - she’d recommend going with a duodenal switch. She mentioned to me that because of the extended length of the DS surgery time, she prefers to do that surgery in two stages. I was honest and told her the second phase of that surgery scared me a little. She was very understanding about that and told me that the sleeve and bypass had very similar outcomes in the 2 yr mark, reviewed the benefits and drawbacks of each and discussed with me that she has had quite a few patients have the sleeve (at my starting weight and higher) as the 1st phase who lost enough they decided not to go on to the DS, but knew it was an option if they wanted it. She was impressed with my weightloss up to that point and was confident with my history and medical conditions, I would be happy with the progress I would make with my surgery. I was 324 on the day of my surgery and at 10.5 weeks post op I’m down to 291. It’s definitely a slow progress, but I’ve had a few unrelated challenges in that time (being sick and dealing with issues from a car accident that occurred several years ago), but I’m headed in the right direction. At my followup she was very pleased with my progress and told me that she felt very good about the track I was on. I’m still very early in the process, but I’m glad I asked her what she recommended and why, based on her experience and my medical history. My husband and I were both comfortable with her explanations and very confident in our decisions because I felt like we had sound information to make a decision on. I’m hoping that I don’t decide to go in for a revision, that I can get down to a weight I’m comfortable with (I’m not sure what that number is yet, I’m hoping I know it when I feel it, lol), but if not - I know what my options are. Right now I’m still having some issues with being able to eat enough. I’m only able to eat very small amounts at a time, but other than that everything is going well. With the weight loss I’ve had - I have been able to stop my NSAID at this point. I had also stopped my PPI meds (but recently restarted it temporarily because a sinus infection stirred things up again… hoping to stop it as soon as that clears up). My IBS is still something I’m working with but so far it has been manageable. Best of luck in whatever you decide!

I understand your frustration and I’m a big believer in listening to your gut. If something feels “off”, I’d explore more. I would hope they would have told you if they were unable to do what they had planned. Did the surgery fall within the estimated time frame they suggested it would? Being a revision - with a smaller removal, after a significant weightloss (than your first surgery) it’s plausible the time was much less to complete. The suggestion of the surgical notes is a good idea as well. I do think the others are right about healing and extra acid being the culprit… but asking your team about your concerns (still feeling hungry and not having restrictions) can’t hurt. Maybe your PPI needs adjusted (even if it temporarily) or they can recommend something like smaller portions more frequently to help. I have Hashimoto’s also and it can really fight you every step of the way on this. My Endo has been working with with me in the WLS journey and has been a big help. I was taking something to help with my metabolic syndrome prior to my surgery. I stopped it about the time of the surgery (because it could make me constipated and didn’t want to have that compound the dietary changes which could cause the same) but ended up starting it back up again after I got through that. Also we check my labs and looks at my symptoms to adjust my Synthroid. Sometimes my labs look good but I feel off and we do minor adjustments to keep my fickle body happy. I hope you find some answers!

I had my vsg done as outpatient. I had to be there at 6am, I had surgery a couple hours later. I was out the same day, maybe 3ish? I can't remember. I didn't have much pain at all. A little nausea but they gave me something for it, went away immediately. I had a 45 to 1hr drive home, I just slept the entire time. I lived on the second floor and climbed up them with no problem. That was one of my pre-surgery worries. I took my medicine and fell asleep. I really had no issues but a abdominal cramp here and there. Nothing alarming. No problem with drinking liquids or walking to the restroom... Etc. Like others, pretty uneventfuln and painless. My revision seemed even easier. Gotta love medical technology.

I hate this fight. My insurance can pay for my revision. However, I am tired of this 3 year fight. I currently have an advocate fighting with me. It's not just about weight loss. I am fighting for my quality of life. I work and pay for my insurance. How dare they act like I don't have a disease called obesity! Sent from my SM-G996U1 using BariatricPal mobile app

I was sleeved at 293 back in 2017 I lost 100 lbs within 6 months and unfortunately most of my hair in the process. I didn’t cope with things properly and here I am 5 years later weighing 286. I am scheduled for a revision to MGB this Thursday so here’s hoping I get this right! I’m going to follow these rules

Did you have sleeve or bypass? Apparently reflux is VERY common with sleeve patients. This is exactly why I went with bypass. I already had severe acid reflux (GERD) and I couldn't bare making it worse. There are a lot of times sleeve patients have revisions to bypass due to acid reflux alone. In addition, are you on any meds for it? I was on a pepcid for the first 3 months post op to cut the stomach acid and to prevent ulcers and allow my stomach to heal properly. I was told I could stop unless I had any acid symptoms and now 7 months post-op and I have ZERO acid related issues and off all meds. I was on 2 prescriptions and still eating tums/rolaids pre-op.

Just had my revision on 10/14 with hernia repair. I felt the same way and it's been great. I think because I knew what to expect. Also, they have so many food options available compared to when I had my first GNY in 2007. Sent from my SM-S906U using BariatricPal mobile app

I’m having band to bypass revision in January. My band is 10 years old and has never been filled. If it was in good shape and in place/no erosion they can do it in one. If not, it’s a two step procedure. My fluoroscopy and endoscopy showed it’s in great shape and in place so it will be removed and bypass in one. I’m almost through my preop stuff, and hoping for a date in January after approval.

Hey guys just a little backstory, I was sleeved 2017 and lost 100lbs but due to bad habits creeping in have regained most of it back 5 years now. I just had my consultation with the doctor and I’m getting revised to mini bypass. I’m excited and hoping to lose about 100lbs. Looking for others who may have gone through this revision.

I just love the fact that I can wear a matching set of something again!Haven’t had the bottoms and tops as the same size in ages. Hoping this journey continues smoothly. Doing it all over post revision but having fun with it!

Weight loss is slower than sleeve but I’m still ahead of the curve according to my surgeon’s office. -80 in 5.5 months with 75 to lose still. I’m in Saint Louis but both of my surgeries were in Kansas City where I lived when I started the sleeve journey. I was so comfortable with that office I went back for the revision instead of seeking a STL provider. I do follow with the Mercy system support group though! I know they have a Springfield location of that group too. 🥳

I had read that that if one still has gerd after rny, it is due to a too short roux limb and get get it lengthen. When I had my revision, my surgeon discussed how important it was to have a longer roux limb in the cases.

I didn't have much pain in either the vsg or revision. I didn't even bother taking the pain meds after the first day in both cases. I just took otc Tylenol. Only because I can't handle the groggy feeling. The gas pains back then (vsg) was a bit painful but just walk, walk, walk it off if you can and take gas relieving otc meds. My surgeon suggested gasx strips but I like mylanta mini fruit chews.

Yes I’m a vsg. No revision. I do not take vitamins my vitamin levels are normal.

I'm a bit confused. Did you have revision, sleeve to bypass? You're showing marked as a sleeve patient and I recall you saying in another post a few days ago that you don't take vitamins, you just rely on a healthy diet to get your vitamins, which isn't recommended for bypassers. So the two posts are sort of contradictory, junk food vs healthy diet for vitamins. And also sleeve on your profile and now you're saying you got bypass two years ago. Can you clarify the details for us please? Thanks!

My revision was virtually painless. I had no pain, no problems, no side effects and the restriction is everything I have always wanted. My surgeon was excellent though. I wasn't even in the hospital 24 hrs.

Yeah. I got my revision to bypass last week. So far, this has been easier than the sleeve, and I’m just exhausted, but nothing hurts. I had horrible GERD, so they corrected a large hernia and cut my prior sleeve even more, to make it look good (it was enlarged). After all, the surgeon said everything looked great, and I felt ok. I’m hungry, but I think this is more mental than anything. I need to lose around 50 pounds to meet my goal. I was around 20 pounds short with the sleeve, but I could not do it.

I had my sleeve to bypass revision last thrusday. how is everyone doing?

I’m just here to validate that yes, revision in my experience was much more painful than sleeve!

I'm not sure what California has to do with it, as I know several surgeons who do resleeves, either by themselves or as part of a DS conversion. I suspect that it is more of surgeon's preference as resleeves can be more challenging than a virgin sleeve, as is often the case when doing a repair vs. an original build. Have you had your sleeve evaluated as to what is its' problem - is there a hiatal hernia causing your GERD, or a bit of a shape problem? Some surgeons aren't all that well practiced on fixing hiatal hernias on a sleeved stomach and will go direct to a bypass instead, as that is what they are most familiar with; a bit of overkill for that problem, but easier for them (if not on the patient....) I wouldn't consider a revision until understanding what the problem with the original surgery is (was there something wrong with how it was done, was it incompatible with my personality, or did I just learn how to eat around it and need something stronger along with better habits?) It's good that you are taking in a new attitude on the regain problem, as neither a resleeve by itself nor a bypass do great things for that overall - most of the additional loss seems to come from a return to extreme dieting around surgery time, but the actual revised anatomy doesn't do a lot that you already haven't had done; A revision to a DS tends to do better (actually more of a completion, as the DS uses the sleeve as its basis,) but that probably isn't an option with the group you are dealing with if they can't do a resleeve (if it were appropriate.) But with a sleeve, regain and "some" gerd, I would at least be looking into the DS as an option before proceeding, as the bypass is a difficult thing to undo or revise once it is done.

Its been 2 1/2 years since my revision. Love the RNY so much better. My weight has been stable for over a year now closer to 2 years i would say. So all total i am over 5 years out from this journey and as far as the weight loss goes it was everything and more. I still have GERD ugh

I have the same issue over 2 years after my revision to RNY. The GERD has never left and i am still on the strongest PPI twice a day and I still Burn at times ! Please let me know if you are able to get help. The Dexilant is over $2500 every 3 months !!! My saving grace is that my insurance covers it!

Hello and welcome! I did not have a revision, I was "virgin" bypass. But, have no regrets and only wish I had done it earlier. Good luck!

If I knew what I know now I would have just went with bypass from the jump. The regain is ridiculous but that was my fault and the pandy didn’t help either. So now im headed for a revision in December😫

When I had my sleeve I was in nursing school I had surgery that Thursday had to stay in the hospital for 2 days because of my blood pressure. Was released Sunday and was at school Monday morning. Even tho everyone said I looked like death lol I got through it and graduated! With this revision I’m hoping to do the same. I hate being at home honestly 😫