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I sent it to you but here is the part about revisions. A conversion from an adjustable band to a sleeve gastrectomy, RYGB or BPD/DS for individuals who have been compliant with a prescribed nutrition and exercise program following the band procedure, and there are complications that cannot be corrected with band manipulation, adjustments or replacement. Inadequate weight loss due to individual noncompliance with postoperative nutrition and exercise recommendations is considered not medically necessary for revision or conversion surgery and is non-covered. Repeat procedures for repair, revision, or conversion to another surgical procedure following a gastric bypass or gastric restrictive procedure are considered not medically necessary when the criteria listed above are not met. Sent from my iPhone using the BariatricPal App

denouement, as far as I know from my own experience once the band is removed you'll be back to your old self again as long as there are no complications. The bad part is back comes the old size stomach and the appetite returns. Hence why I revised eventually to RNY. Good luck with whatever you choose to do, Nancy.

My name is Jennifer I have a vertical gastric band none adjustable. I had the operation in 2001 in Sweden. I lost maybe 50 lbs got pregnant gained all plus some. I then was diagnosed with a condition called lipodema, it is a lymph condition that affects from the waist down to ankles. I am now back to my pre banding weight and waiting for a revision to a bypass. I'm from Seattle and live in Sweden since 1999. Sorry this post is all over the place. I'm just wondering if anyone else is in Sweden.

Hi everyone . I’m being revised due to a slip and intolerance to a ten yo band to rny in 2 weeks . My doctor only asked that my pre op diet be low carb and high protein which to them is probably 25-30 carbs a day. I’m a raging type 2 diabetic. No longer on insulin since my band ten years ago and my A1C is only about a 7 right now but I take 1000mg of metformin , and two other diabetes meds ; one as needed if I eat too many carbs (prandin) and a daily before I eat morning one (invokana) But forcing myself to eat this super low in carbs will crash me and have me feeling sickly or hospitalized I’m sure . Wondering if I should just wean off of it and just take the regular metformin for now . I see my surgeon next Wednesday on the 31st for anpre op appt as my rny is scheduled August 9.

This is the first I've heard of vergito...is anyone else familiar with this procedure? John Husted, M.D. - Weight Loss Surgery procedures including: Gastric Bypass, Lapband, Veritcal Sleeve Gastectomy, Duodenal Switch, Vergito / Ileal Transposition and Bariatric Revision surgeries. Located in San Francisco, John Husted is the doctor fo

I've discussed this at length with my team and when extreme GERD is not well controlled with PPIs they try other paths erring on the side of caution concerning the new info on PPIs. You should check in with your physician Apparently when i was moved up to the highest dose/highest frequency they didnt want that to continue indefinitely. They prefer to opt for revisions to solve the problem completely before other complications start.

I started to introduce all foods 4 weeks after MGB and 3 weeks after revision to RNY. Rice was one of the first foods I tried and it was fine. However, dietitians vary. The ones in my treatment team are pretty lax about food choices as long as nutritional needs are met and the patient is satisfied with the results and that suits me just fine. They recommend to try stuff like rice, muesli and pasta etc. with caution as some patients experience stomach problems with rice and the like but in general they're ok with these foods (what people on here usually call "carbs"). A so-called "balanced diet" is recommended by them but I know that this is not everyone's cup of tea.

Dr. Moazzez placed my band in November 2008. I really love him! He removed my band last Monday and I'm hoping to be sleeved sometime at the end of July or beginning of August. My 90 program is up on Jul 9! Anyone use Dr. M for a revision??? He has a great bedside manner and his office staff is awesome. Good luck everyone!

Anyone have the sleeve to bypass revision? I had the sleeve done three years ago and now have regained most of the weight . I would like to have the bypass done but I'm scared. Im worried about the risks . They say your risk for leakage is higher and I'm just so lost now because i don't know if i should have the revision .

I agree with trying to see a therapist, but that can be very hard to find if you didn't do your surgery with a big surgery center in the US or where you live. I've heard that places outside the US (especially Mexico, Turkey, etc) don't provide much support after surgery, and I know from experience that finding a therapist trained in weight issues can be very hard. I would try to work on things like figuring out what you are feeling when you decide to order take out. Are you tired, bored, sad, angry, lonely? If any of these things are the problem, eating take out is not the solution. If you wait until you are over tired or way too hungry to eat, you are more likely to make bad choices with what to eat. It's not hard to keep better choices on hand. Try keeping low sugar flavored Greek yogurt, tuna, protein shakes, cheese, fruit, etc on hand. I travel a lot so I eat out, but I try to choose the best possible option (high protein, low carb) and when I'm home, I make something with ground turkey or chicken like chili, taco meat, ground turkey stroganoff, etc and divide it in portions to freeze so I always have something that takes two minutes to heat up. It takes much less time than ordering take out. I don't wait after drinking to eat (my surgery center said we didn't have to) but I definitely don't drink after eating - it's painful to me, plus we were told it would just flush the food down our stomach and we'd be hungry sooner. Try to get yourself to track, even if it's only every other day. You said you've been working since May 2021 on getting this surgery. There's no second chance after this. Even if you have a revision surgery, you may not lose much weight. It's now or never.

Thanks for sharing, I agree about the weight maintenance. I have always been able to lose weight, it is keeping it off that is the challenge. I am a band to sleeve revision. I did good w the Lap Band for the first year, then I started having problems with it. I just got revised to the sleeve, and I feel that I made the right choice. I think I will have much better results this time around. Your story gives me hope!!

Melissa, I was banded in July 2006 and did well with my band for the first couple years. Didn't reach goal, but was moving in the right direction. I did not have any complications with my band except that I got on a "too tight" roller coaster and even after I had the Fluid removed a couple years ago (I had a smaller band which held 4 cc), there were times, I would get food stuck and have to throw up. In September on a trip to Nevada, this happened with every meal. I decided at this point that I was tired of the band. I also wondered if something had happened with my band. So, I returned to my band doctor in Mexico and had the revision done on November 10. I had gotten close to gaining all of my weight back, but now I'm headed back in the right direction. My band ended up being fine, btw, when the dr. did the endoscopy and then the revision. But, I have not thrown up since my band has been out. The difference with the sleeve is that I'm just not as hungry or interested in food. I do see where old habits have me wanting to eat for other reasons, but the actual hunger is less. I also do not want to get into bad habits and stretch the sleeve. Anyway, I'm still relatively new with the sleeve, but I am liking it thus far and feel like I'm going to hit my goal this year. I turn 50 next week and this is my year! At this point, I can say that I am VERY happy I had the revision!!! I guess, only you can make the decision for you. I also started doing different "diets" as I saw my weight climb back up, but with my stomach being so sensitive to fills, I didn't have any desire to try fills again. I was getting "stuck" with my band empty of all fluid!! So, no more fills and no more concerns about whether my band eroded, slipped, etc. It's GONE!!!! Hope this has helped you! Feel free to message me privately if you'd like, too!!

Hey September sleevers ^^ Had a 9/2/2016 band to sleeve revision. Other than the first day, it's been a good recovery. It's a totally different feeling than the band which I had for like 8 years, so it's going to take some getting used to but no complaints so far.

I was banded for 3 1/2 yrs prior to my sleeve revision last year (almost a yr out). While the amt of restriction is similar (I can eat about as much as when my band was at it's premium (not that that was very long, actually)), the feeling u get being full is not really the same. food got stuck in my esophagus, so I felt more chest "pain" when I ate too fast or 1 bite too much. I immediately vomited (hence the slipped band) and it relieved it. Now when I've had 1 bite too much, my stomach (basically the lower part of my chest) hurts some. But it's really hard to induce vomiting. Something thats a long drawn out and often fruitless option. So I haven't vomited much since being sleeved. U'd think I'd have learned to eat slower with my band but alas, I haven't. So, u will have similar restriction but a different "full" feeling. Not sure if that was ur actual question or not so sorry if I didn't answer ur question. Good luck to u. So glad I don't vomit everyday anymore. And I can eat everything - everything without getting "stuck".

I've had my band since Oct 2009. Successfully lost 104 lbs the 1st 2 yrs. Until my slip last year. Was partially unfi.led until 4 mths ago when my band actually herniated and needed total unfilling. I started researching the vertical sleeve. Especially when my dr informed me that the chance of a slipped band after an initial slipped band is like 80%. 2 1/2 wks ago I had my revision done in 1 surgery. The dr spent 30 minutes digging my embedded band out of my stomach. Had it been in there much lkonger, it could've caused irreputable damage. Left me a little sorer than most post op sleevers but Im feeling great now. Still on a full liquid diet (when I was banded I cheated in the 2nd wk of my 4 wk liquid diet. Consequences r much bigger with the sleeve so Im abiding by the rules) IMHO (and according to my dr) the bnad was a fad (li,e Phen Fen in the 90s). My docs nurse tries to talk band candidates out of that choice. When I chose to have the lapband 4 yrs ago, I never even heard of the sleeve. It was either the band or bypass.I figured I didn't want anytning permanent done (why alot of people choose the band). But the closer I came to goal, the more I realized that I needed a permanent tool, not a temporary 1. So glad that Im now sleeved. I've lost 13 lbs in the past 17 days (now only about 30 lbs to my goal of 130) If u have any questions, please pm me. Please no one complain that Im on a band board bashing it. I was very happy with my band and it allowed me to lose the majority of my excess wt. However, after a serious complication, I chose to move on to the sleeve. U do have a hhuge chance of a 2nd slip after the 1st 1, btw

Thank you so much for your post! Honestly it was wonderful and definitely appreciated. I'm a newcomer and I don't know if anyone else can relate to this but I actually prefer the more current posts to the older post for this reason: weight loss surgery is scientific and part of the medical world which means opinions and changes are constantly being made. Something that might have been totally acceptable 2-3 years ago might be now changed and revised for what is now currently needed and necessary. I'm a nurse and I can say that in the last 8 years I have worked in a hospital, so much has changed in practice and how patients are taking care of. I would also assume that WLS would fall under that same category. While I appreciate the fact that some of the same issues years ago people were facing are the same as today, the method of dealing with and helping with those issues could have easily changed. I'm more interested in the current methods and practices not because the old posts won't help, but because I want to know what people are doing right now to help fix the problems. So I do appreciate the new threads and post because it helps give me current information with people who are active and it makes me feel happier to know they are right there with me. Again thank you for the post, made me happy to read it

I had a lapband from 2001 to 2011. I honestly had problems from practically the very beginning, but when I moved back to the USA in 2002 and couldn't find a good doctor to take me on, I went into shame mode. My #1 advice for someone who has "failed" at weight loss surgery is to seek help like you are doing. You do feel ashamed, failed and all that stuff - but that is wrong thinking. Right thinking is that you have a life threatening condition (obesity) and the treatment path you started down is not working right now. What can be done? It removes alot of the guilt, blame and other useless thoughts around this. If I had not been so ashamed, I would have looked for someone to help me figure out what to do many many many years earlier. Who knows what would have happened, but I promised myself when I revised to the sleeve that I would not accept this self blame again. If I have problems with my sleeve... I run, not walk, back to my bariatric center. That only happened once in the last 3 years and it wasn't really sleeve related but it was good to know they were so supportive of me.

Too much information might be the problem in my case. I have researched and researched (forums, medical blogs, news, etc) till I have almost talked myself out of any surgery. I think I am fairly intelligent, and capable of fully understanding that any surgery comes with risk.... but, after reading about port flips, many, many slips, tubing wrapping around intestines, the Band attaching to organs, countless infections and tons of people going for Band to Sleeve revision - and more. Ugh. I was hoping this was my thing. I have studied it for years. Knowing countless friends to have RNY and Band with wonderful results - only to find out that they secretly had issues. Why didn't they mention it? Why didn't I notice? I am really disappointed. I feel like it was my duty to do adequate research but now my Band buddies accuse me of digging too deep; they seem to be disgusted with my interest in finding out as much as I can. One even got upset when I showed her a picture of what the stomach looks like when the Band is removed (not gross, just dead-looking white/grey tissue where the Band was, surrounded by healthy pink stomach tissue). She said it upset her. I am sorry but I have never been big on the whole "Ignorance is Bliss" bull. So here I sit, wondering if I should proceed with my WLS journey or continue to fight this losing battle on my own ..... and since when is too much information a bad thing?

I have not had it but have been thinking of it. I also never reached my goal and have been regaining. Tell me about the revision. Did they just agree to do it? How did you get them to do it? And what do they do? Did your insurance cover it?

I weighed in at 189lbs today. Down .4 of a lb. The scale moved and in the right direction so I am game! I made a vlog yesterday. My first one ever. Yesterday was just such a BAD day that I didn't know how to write a blog about it today and couldn't wait to vent either. I was really depressed for a while thanks to the TOM, Work Stress and the grey day. After a chat with the Mister and the Besties, a good sook over the traded workout for a bag of SMARTFOOD (I call BULLSHIT) popcorn, a TV marathon on the couch and a good night's sleep, I'm optimistic! I woke up at 6:00, had my usual good start with breakfast and got back on the elliptical. Back on the wagon. Nothing will stop me. Win the mental fight. I'm still not 100% sure of my decision but whatever it is, it will be the best for me! Here is my first VLOG!!! http://youtu.be/5bd78k06aPA TO CLARIFY, I DO NOT HAVE A LAP-BAND. I HAVE A REALIZE BAND P.S. A super big shout out to LapBandGal ( http://lapbandgalsjo...y.blogspot.com/) for her comment last week! You inspire and motivate me! Thank you for sharing!P.P.S Where my Besties? I love you betches, our framily and your Jazz Hands! Best Bday gift ever, you spoil me! CHEERS!!

Ms.Antiband...I'm assuming by your name you had the band??? Did Dr. Ponce do your revision?

I wouldn't go for RNY as you only malabsorb calories with that for 2 years but you malabsorb nutrients forever!! Also many people don't like the idea of having a blind stomach that can't be scoped (ie no endoscope possible on the sectioned off part if you get an ulcer or cancer... I know this is an issue with plication too, but that isn't the question here). If you're super morbidly obese and are happy to have your bowels re-routed then you can convert to duodenal switch (or have it one stage). Converting from from RNY to DS can be very difficult (which some people convert to when they start to gain back, see here for info http://www.obesityhe...-DS-you-should/). With bowel re-routing you can end up with end up with complications too, see here for an example If you get your bowels operated on you've got to be extra diligent with your vitamins and protein (I know 100grams is the minimum for women with DS and I imagine it's the same with RNY). I'm more versed with DS and I know they malabsorb 80% of the fat consumed and a certain amount of protein (I don't know the actual figure), so it's less like being on a diet. I imagine this is the same with RNY but only for the first 2 years (you still have to be carefulish with carbs with any WLS). Incidentally I've seen one DSer in her signature say she has 3,000 calories a day (a lot must come from protein and fat and very few from carbs for her to be able to maintain goal that way). Research, research, research, as revisions can be difficult. All the best with whatever you decide!

This is my standard reply when this question pops up every couple of days. I won't try to sway anyone one way or another, but I'll give you my reasons for choosing VSG over RNY for my revision from the band. You can also check out the revision, failure, and food issue forums on here to get an idea of some long term RNY patients. For me, it was never an option. The cons outweighed the pros. The VSG was my 2nd, and final WLS. I could have easily had RNY, but I fought to have VSG as my revision from the band. Some factors I considered in deciding on VSG. The pouch that RNY offers is similar to the pouch with the band. Least to say, a pouch sucks, I love having a normal tummy, just less capacity and still fully functioning. 1) No blind stomach left behind that can be difficult to scope yet can still get ulcers and cancer. 2) 2 years max on calorie/carb/sugar malabsorption, but a lifetime of vitamin/nutrient malabsorption. This process is called adaptation, and it happens with intestinal bypass surgeries. After adaptation occurs, I would be left with just the restriction of a pouch. I figured if malabsorption of fats/carb/calories was temporary, just go restrictive from the beginning and skip all the rerouting issues with RNY. 3) I had a pouch with the band, and it sucked. I'm pretty fond of my pyloric valve and the sleeve let me keep it. I love having a normal functioning stomach, just smaller in capacity. 4) Regain stats and #of RNY patients seeking revision truly scared the poop out of me. Check out the revision board here for an idea on how many RNY patients are now trying to get revisions to either ERNY or DS. 5) I have too many friends in real life that struggle with Vitamin deficiencies post-RNY, and most of them either never got to goal, or have gained back a significant amount of their weight. 6) The long term complications with RNY were too numerous for my comfort level. Pouch or stoma dilation, strictures, vitamin/nutrient deficiencies, ulcers, 7) I researched gastrectomies that had been performed for stomach cancer and ulcer patients, and found comfort in the long term results and minimal complications of patients that had lost most or all of their stomachs had dealt with over several years. Plus, the sleeve is the first stage of the DS that has been performed for 20 years. 8) I was a volume eater, and knew a restrictive only procedure would work for me. That was my thought process when I got the band, and I thought I could beat the odds on complications. Sadly, the band only lasted 8 months before I had to revise. 9) I did not want to have food or medication restrictions. I chose WLS to have a "normal" life, and I think it's normal to eat a couple of Cookies. With RNY, I wasn't willing to go through the possibility of dumping if I wanted to have a couple of cookies, or a slice of cake on occasion. The big scare for me is medication restrictions for life. NSAIDS and steroids are a NO GO for life with a RNY pouch. I realize that I may never be diagnosed with a condition or disease that requires steroid use, but it is possible. I want the best long term results with the least amount of complications. Malabsorption is not anything to play with in my mind, and I was not willing to take that risk. I lost all my weight in my ticker with the exception of 7lbs with the sleeve, and I did it in 10.5 months. The 115lbs fell off the first 6.5 months, and then the rest I lost as I was getting into maintenance over another 4 months.. It's been a fabulous journey, and I'm easily maintaining with zero issues for nearly a year at this point. I want to add that every WLS regardless of your choice will require discipline. Only a percentage of RNY patients dump on sugar/fat, pouches and stomas stretch, then you have the medication restrictions. I'm not trying to convince you, but these were my concerns when I knew I had to revise from the band. I started at 263 the day of my revision and today I weigh 127lbs. I bounce on the scale 125-130lbs any given week, and I couldn't be more ecstatic! Best wishes in your research! Edit to add: I wrote that long before the pregnancy. Since then, I've been diagnosed with a genetic disorder that causes a slow, blood clotting issue, and I have to take an aspirin a day for the rest of my life. With the pregnancy, myself and Sprout are both thriving. I have gained 8-10lbs in 16 weeks, and have not had any issues with my sleeve and the pregnancy. My labs are stellar, I feel great, and life is good.

I'm from a little further east of Indianapolis, about halfway between Indy & Richmond. I had Dr Margaret Inman do a lap RouxNY at St V Carmel on Jan 31, 2007. All went well and I lost to my goal weight within 8-9 months or so. I maintained that weight as I struggled with Fibromyalgia and Chronic Fatigue Syndrome (both of which existed prior to my WLS). About six and a half years after my surgery, I began dropping below my goal weight for no apparent reason. It wasn't super long until I began vomiting nearly everything I ate or drank. I returned to Dr Inman's office where they told me they suspected that I had an ulcer. A large ulcer near the gastric outlet was confirmed with an endoscopy, and because my weight was down to 104#, I had a PICC line placed and received home therapy of TPN (Total Parenteral Nutrition) a double sized IV bag containing a milky solution that infused over 24 hours. That, along with IV Protonix was just the ticket! It wasn't an overnight thing, but after 8 weeks, I was able to eat and drink without any nausea or vomiting, and I was gradually gaining weight to get back to my goal. That was the weirdest thing ever! I'd worked hard to LOSE weight my whole life, so working to GAIN it seemed crazy to me! Anyway, all of that resolved and I was doing well with my WLS issues. The Fibromyalgia and Chronic Fatigue were rampant, tho. Any type of stressor gets that all jacked up! About 18 months ago, I started having vomiting troubles again. An endoscopy showed that the ulcer remained healed, but that the outlet was constricted. They stretched it by inflating a balloon inside it. That seemed to help for a couple of weeks, or maybe a little more. I tried altering my diet in an effort to resolve the problem, without success. Another endoscopy showed the same thing, and another dilation of the gastric outlet temporarily fixed it. This past October was the last endoscopy I had, with the same temporary stretch. In November I had an imaging study to follow the liquids & solids after I swallowed them. The radiologist said the gastric outlet was very narrow, and my pouch was "generously sized" as a result. Also, I'd gained about 40# over the last couple of years. So... the decision was made to do a revision of my RouxNY and resect the area of scar tissue that keeps tightening the outlet. I had all of the workup done and attended my pre-op nutrition class. I'm scheduled for the revision surgery 10 years to the day after the original surgery, and I'm soooo hopeful that it will be a big success! I believe my Fibromyalgia and Chronic Fatigue were "stirred up" from the couple of major surgeries within a year or so, as well as the big weight loss and nutrient deficiencies from the ulcer! I feel like I've got a second lease on life! Sent from my iPhone using the BariatricPal App

I think if you going in to be re sleeved means you still have not learnt proper eating habits, revising surgeries are not always gonna work if you have not fixed up what's in your mind.