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So, I recieved a recieved a sugery date of 12/08/2022. Revision due to an ulcer, GERD, hernias and esophagus damage. I should be happy! However, I am just scared! Help!!!! Sent from my SM-G996U1 using BariatricPal mobile app

It’s my 5th surgiversary (and I almost forgot to post about it). I wish more people from when I joined were still around but most are long gone. I am grateful to everyone that sticks around and recorded their progress long term, so I am trying to do the same. VSG date:11/7/2017 RNY revision date: 7/15/2019 highest weight: 260-270 ish consultation weight: 250 (?) VSG surgery weight: 243 RNY surgery weight: 157 lowest weight:145 current weight: 159 favorite weight: 155 Highlights from 5yrs of food and body Before WLS Most noticeable weight loss to me After plastics

Hi everyone, I am scheduling my DS surgery presently. I am revising my Sleeve to the DS. Being self pay, I needed to find the best price to help out. Here in Washington, it runs about 30/40K. I found that just outside Orlando I can get it done for about a third of the price. (not going to Mexico..had a bad experience already) I am very worried about the plane flight back right after surgery. Can't imagine needing to use the bathroom to poop on the plane. I would die of embarrassment I think. Please tell me your memories of right after your procedure etc. Also, will this surgery mean that I will need to be near a bathroom whenever I am out and about??? Thanks so much!

I am a 2x revision patient, starting with LapBand in 2011, followed by VSG in 2019 due to severe Lapband complications, and finally GBP in 2021 after even more complications with the VSG. I have been fighting the good fight for ELEVEN YEARS now, and trust me when I say I was so ready to give up many times during the process, but I am so glad that I never did! I am officially down 152 lbs, and have been maintaining within 3-4 lbs since Feb 2022. I am to the point that I am ready to start looking into plastics. After so many years of fighting to get to where I am, I love the way I look and feel.... when I'm fully dressed. But seeing all the loose skin is a hard mental hit every single time. All the work, tears, pain, determination.... it all feels like it's for nothing when I see the destruction it all left behind. After a lot of research on various options, I am heavily leaning towards the Beltline procedure due to the amount of work that will need to be done. Does anyone have any experience with this? I would love to hear all about it! Pros, cons, horror stories, success stories... I want it all!

I am scheduled for surgery on November 22, 2022! I am having a sleeve to RNY revision, so I am a bit nervous.

I’m about 6 weeks post op from a band to sleeve revision- I’m wondering what full feels like for most with the sleeve? I notice it feels different and usually I’ll hiccup or burp and that’s a signal I’ve been reading. Looking for guidance tho from successful people out there!

Hello, on Sept 14th I had a revision from the lap-band to the Gastric Sleeve. Pre-surgery liquid diet I went from 235 to 212 on the liquid diet for about 10 days. I have only lost a total of 2 pounds, and I am 7 weeks out. I am very frustrated at this point. I am doing everything I am supposed to be doing. I could walk a little more, but other than that I am only consuming around 800 calories a day. I am not comprehending the science of this. I burn around 1600 calories a day, so why am I not losing weight? I do need to mention that I am going through menopause and had to go off of my hormones for 4 weeks after surgery but have been back on them now for 3 weeks. I was also diagnosed with a under-active thyroid about 9 months ago and am on 25MG of thyroid medication. I am at the point where I just feel no matter what I do I am not going to lose. Has anyone else experienced no weight loss right after surgery and how long did it last? I am trying to stay positive, and everyone keeps telling me not to pay attention to the scale, but I am a numbers person. I absolutely dread going to my next dietician appointment in two and half weeks because my last one which was my first post op appointment, she told me I should be losing more than 2 pounds in one month. I guess I just need to know if others have experienced this. I am about ready to give up.

Hello, on Sept 14th I had a revision from the lap-band to the Gastric Sleeve. Pre-surgery liquid diet I went from 235 to 212 on the liquid diet for about 10 days. I have only lost a total of 2 pounds, and I am 7 weeks out. I am very frustrated at this point. I am doing everything I am supposed to be doing. I could walk a little more, but other than that I am only consuming around 800 calories a day. I am not comprehending the science of this. I burn around 1600 calories a day, so why am I not losing weight? I do need to mention that I am going through menopause and had to go off of my hormones for 4 weeks after surgery but have been back on them now for 3 weeks. I was also diagnosed with a under-active thyroid about 9 months ago and am on 25MG of thyroid medication. I am at the point where I just feel no matter what I do I am not going to lose. Has anyone else experienced no weight loss right after surgery and how long did it last? I am trying to stay positive, and everyone keeps telling me not to pay attention to the scale, but I am a numbers person. I absolutely dread going to my next dietician appointment in two and half weeks because my last one which was my first post op appointment, she told me I should be losing more than 2 pounds in one month. I guess I just need to know if others have experienced this. I am about ready to give up.

After your revision, how long did it take for you to hit your goal weight?im a little over halfway to goal at the 5.5 month mark so I feel like I am on track. Just curious what everyone else is experiencing.

i am three days away from my 2 month gastric bypass post-op and oh boy has it been a journey! 9/7 - laparoscopic gastric bypass (general anesthesia; overnight in hospital) 9/15 - began vomiting and couldn't progress eating 10/4 - endoscopy (general anesthesia) 10/12 - laparoscopic surgery to revise scar tissue build up (general anesthesia; overnight in hospital) 10/17 - occasional vomiting again 10/27 - upper GI to look for strictures or blockages 11/1 - endoscopy #2; balloon used to open up stricture (general anesthesia) 11/2 - CT scan to make sure all is good to go as of today, it looks like i'm finally in the clear and should be able move my food progression forward to soft foods.

Hi there! I’m having my revision on 11/30. Had a nutrition class as review, stuff is getting real now!

Lucky you. It will be harder when you have no restriction. It's essential that you use this period to learn how to eat differently and continue to hold the line. I lost half of my weight-loss prior to surgery. Because of complications, after my RNY>RNY revision surgery I had three endoscopy procedures which stretched my pouch and anastomosis. After a few weeks I had very little physical restriction. I've had to work very hard to eat differently and continue to lose weight. My post surgical loss is now equal to what I lost prior to surgery, and I struggle every day with cravings. I need to keep my calorie count in the area of 1000-1200 per day. I eat almost no sugar, flour, white potatoes, rice, or processed foods. But--it's worked and I will continue to do this for life, recording every morsel in my (Baritastic). app I know that as soon as I start to return to old eating habits I will regain what I have lost. It's hard work, but so worth it. Hang in there!

I just wanted to give an update on my experience with ESG after having a VSG 8 years ago. I lost 120 pounds on the VSG and regained 60 pounds. The surgeons I talked to were hesitant to do a surgical revision due to potential complications. I did an ESG revision 5 weeks ago. Since then I lost 10% of my body weight, which is over half of what I had regained. I was very pleaded with the ESG procedure itself, I had it done on a Wednesday and was back to work on Monday. I had lost 4 weeks of work with the VSG. My program at the University of Michigan does a full 6 week liquid diet which I contribute to most of the success. I think the ESG success needs to be talked about more. It's lower risk with a speedy recovery.

Hi everyone, Here's an overview of my history: 2004 Lap band 2007 port repair 2012 band removal 2012 gastric bypass roux en y 2017 gastric bypass revision Planned adding a minimiser ring Dec 2022 Has anyone had a surgery just to add the minimiser ring? After bypass revision? What were your results? I'm booked with Anthony Clough. Appreciate any insight into pre op prep, cost and considerations. Thanks y'all.

Hi everyone, Here's an overview of my history: 2004 Lap band 2007 port repair 2012 band removal 2012 gastric bypass roux en y 2017 gastric bypass revision Planned adding a minimiser ring Dec 2022 Has anyone had a surgery just to add the minimiser ring? After bypass revision? What were your results? I'm booked with Anthony Clough. Appreciate any insight into pre op prep, cost and considerations. Thanks y'all.

I was the same way with both the vsg and after my revision to rny. Usually people post if they have problems. When things go so smooth, we just talk calories... Etc. You're doing great.

These comments are encouraging. I’m revising from my VSG (2015) to RNY in 8 days and I have SOMUCH anxiety about it! I’ve lost more weight this year than I did post VSG thanks to a combination of severe GERD, aerophagia from my CPAP, and Ozempic. It’s worth it if it resolves the GERD and aerophagia (maybe sleep apnea altogether but I won’t hold my breath 😜). I’m just worried I’m trading one set of problems for another. One specific thing I’m worried about is immediately post op. I still can feel viscerally the heaving/gagging in PACU once I was extubated and they were trying to wake me up. It felt like I could breathe due to those dry heaves! I’m scared of going through that again!

I am revising to MGB tomorrow due primarily to weight loss. I never had issues with GERD or heartburn. I didn't take care of my sleeve and when I tried getting back to basics 5 years out it just didn't quite work, I just couldn't lose more than a couple pounds. I went to my surgeon in Mexico to see if a resleeve were the way to go but he advised against it for me. He said MGB is way less invasive and will really help me with the weight loss I'm hoping for. I am self pay so after a lot of research I am doing what seems best for me.

First I asked about getting the MGB before I got my revision to RNY for gerd, I was told that there are recent studies that MGB is linked to bile reflux. Because I was in the minority groups of VSG that got severe reflux (I think it's 15-20% of VSG), there is no way I was going to risk getting bile reflux. Also, my surgeon cautioned me against the MGB and told me to go RNY to help with my gerd. So, I was apprehensive like everyone else. I just suffered so bad and so long from gerd, I was actually looking forward to sleeping and no fake gnawing feelings of hunger that gerd gave me, or burning throat all day long... Etc. So 15 months since my revision, and no severe gerd. I also do not have any side effects like dumping, fluctuance, and am getting great post-op blood tests. I am feeling so normal (pre WLS op normal) but the only difference is I eat very little comparatively speaking. It has been an incredibly smooth ride.

I don't claim to be an expert here, but a few thoughts come to mind for you to consider: MGB is extremely rare in the US. (It's much more common on other parts of the world, especially Asia.) Part of the reason it's so rare here may be due to the fact that it's not an endorsed procedure by the American Society for Metabolic and Bariatric Surgery. I would suspect revisions are even less common, so there's probably not a lot a data on success rates? Because there's not a lot of data, it's a bit unclear if MGB will even address your GERD issue? I'm seeing a few studies out there, but results are unclear. Roux-en-Y GB is actually sometimes performed specifically to treat GERD due to its effectiveness in alleviating those symptoms. I would think if GERD is the main reason for the revision, this may be an important consideration?

The mini bypass has been kicking around for a long time - it was around the periphery of bariatrics some twenty years ago when my wife and I first started looking into WLS, and it's still there today, not having achieved mainstream status (and many, if not most, US insurance companies still don't cover it.) in the meantime, the BPD/DS, VSG and now the SIPS/SADI have gone mainstream, gaining acceptance by the ASMBS and insurance industry. It would pay to understand why that is. When I last looked into these things, 2-3 years ago, ASMBS was fairly positive about the SIPS/SADI, but they didn't yet have the data to recommend it; they apparently do now. I would suggest looking through their site to see if they have any current opinion on the MGB and why it doesn't get on their recommended list. Amongst the MX surgeons, the MGB seems to mostly be sold as a cheaper alternative to the RNY rather than a technically better one. Classically, bile reflux is one of the problems with these simplified, single anastomosis procedures. There are claims that some techniques have been developed to mitigate that problem, but I don't know how much of that is real progress and how much is marketing. The MGB does seem to be more mainstream in other countries, so there may be something to the claims of improvement, and it simply lost its best opportunity to be sold to the US industry and authorities. Given that, I would be apprehensive about getting it done while living here in the states, if for no other reason than long term support - how many US doctors, bariatric or otherwise, understand it, and how to treat you in the years ahead should there be a problem. It's something like owning a French car here in the States - parts and service are a problem. My wife has a DS, which has something of that issue, despite being mainstream and approved, as it is still something of a niche procedure, with few surgeons understanding it. It, however, has the redeeming value of having demonstrably better performance - both initial loss and most particularly regain resistance; the MGB doesn't, as it's not markedly different than the RNY or VSG in performance. Have you had your GERD evaluated as to its cause? A hiatal hernia or shape issue can usually be corrected while still maintaining the sleeve, though some surgeons may not be well practiced at that and would simply revise to a bypass to correct it (the old "VSG + GERD=you need an RNY" thing rather than fixing the basic problem - it might need an revision, or it might not.) In correcting regain, these revisions seem to be only moderately successful - count on maybe twenty pounds or so - about what one would expect from the intense dieting required around surgery time, and one can expect similar results from a hiatal hernia repair. Basically, you have already learned how to eat around a small stomach, so shrinking it further with a revision doesn't yield nearly as good a result as your virgin procedure. Some do show remarkable improvement, but they seem mostly to be those who take the regain seriously and swear to "not let that happen again" and really buckle down and get with the program. One can almost consider the revision to be a placebo. If I were looking to seriously tackle a regain problem, I would lean more toward the BPD/DS as that more directly addresses the metabolic problem, though not the GERD as it retains the sleeve - that would remain an issue as to whether the sleeve itself is the cause of it and that can be corrected.

When I had my sleeve, I was excited for it. I wasn’t overjoyed - I’d rather have never been obese in the first place 😅 - but I wanted to have it, took it very seriously, made all sorts of commitments to myself that were destined to fail (I’ll never have a cookie again - yeah, sure buddy). I was in the right mindset to succeed. I’ve regained some weight, but what’s really motivating my revision is GERD. All I can think about is that I didn’t want a bypass the first time around for some specific reasons (dumping, flatulence, nutritional deficits). I’m not excited for this. I’m not eager to make certain lifestyle changes. In short, I’m not in the right mindset. Who else went through this? How did you prepare yourself?

I was hoping to get folks' opinion on the mini-bypass vs the bypass. Because I'm considering a revision, my thinking is I'd rather have the less dramatic revision. There are fewer adverse effects and nutritional requirements with the mini, and if in the future for some reason I need to convert to a full bypass, that option is on the table. On the other hand, I regret not going with the bypass 6 years ago. I didn't know how bad my GERD would get, but I also didn't think I'd regain as much weight as I did (40 pounds out of 140 lost). Who else has thought about these alternatives? What did you go with and why?

I was actually approved for the sleeve but am switching to bypass. In my own research, and much reading of this forum, I just see too many people experiencing GERD after the sleeve. Sometimes it takes years to show up or it can happen right after surgery, but there are many, many revisions because of this. I just couldn't risk living with the kind of medication resistant GERD people describe for a couple of years then go through a revision. I see much more satisfaction from the bypass side. I realize there are people perfectly happy with their sleeve and I hope that continues for them. This is my best decision for myself. I would just encourage you to search the sleeve forum for GERD and also stroll though the revision forum to see why they changed. The kind of GERD we are talking about makes living difficult. If not for this one issue, I would go with the sleeve, though the bypass is still considered the gold standard. Good luck with your own decision. Your surgeon can help with this.

Hello Angel2018 how is it going since the MGB? I am due to have my sleeve revised to MGB in 2 days and I'm excited!