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GERD After Revision to Bypass and Linx
RickM replied to chasingpolaris321's topic in Revision Weight Loss Surgery Forums (NEW!)
When you have an unusual situation such as you have, I have found it useful to get second and even third opinions. A general or general GI surgeon may not have that much experience with bariatric patients, and a strict bariatric surgeon may not have run into this type of problem before (though is more likely to be familiar with such complications. Is this a problem with something that's odd about you, or was there something odd about the way the bypass revision was done - good to get a fresh set of bariatric eyes on that to check. Is it a hiatal hernia - some bariatric surgeons have a hard time dealing with them, (and some don't...) and likewise some general surgeons may have a hard time dealing with that in a bariatric patient. A regional cancer center with a GI department can be a good place to consult, as they tend to have experience with a broader set of unusual cases, and they also usually have an associated bariatric department. I ran into an odd cancer situation a few years ago (thankfully fairly minor and early), such that even a major center might see one or two per year, and was a subject of one of the department's monthly meeting where the doctors all get together and discuss their "interesting" patients and brainstorm different approaches to the problem. You may need that level of "interest" to solve your problem hopefully not,) but it's good to be able to tap into that level of resource if it's needed. Good luck in finding a solution... -
I googled Sils method and it directed me to a bunch of sites for hysterectomies, not VSG. Can you give me more information on the Sils method for VSG? I never had hunger headaches. What he is experiencing sounds like what I had when I first did Atkins, and it was my body getting used to not having carbs, it lasted a few days, a few Tylenols later and it passed. I didn't have any issues after having my revision to VSG from the band. Not sure what surgeon you were looking into, but there are several wonderful surgeons in the Dallas area that perform laproscopic sleeve procedures that come highly recommended and referred by their patients here. The reason I had the sleeve done is because it was easy for me to lose the weight, I couldn't keep it off and that's where the sleeve comes into play. Okay - edit to add- You're looking for a surgeon that performs the single incision VSG, and I don't know of any in the Dallas area. I know Dr. Nick, and I'm pretty sure Dr. Barker and Dr. Kim both use the standard 4-5 incision sites to perform the VSG.
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It's funny cuz since being banded for almost 4 yrs prior to my revision 5 1/2 weeks ago, my stop signal was always "I got tired of eating". was never really "full", just couldn't eat anymore cuz I didn't want to. Now, I feel like I've swallowed a plum that sitting right at the top of my stomach. It doesn't hurt, but feels like if I take one more bite I might vomit. So I stop. Haven't vomited yet with the slveev (unlike my frequent vomiting with my band). Since first getting the band in 2009, I have yet to feel that "Thanksgiving full" I used to feel. It's more like ucomfortableness.
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stcyt I'm almost 3 months out from my revision and my scars are very minimal. I had the lap band done one year ago, so I have double the scars. But they are all just little silver lines. Some of them are no bigger than my pinky nail. I'm 50 years old and I will probably wear a 2 piece swimming suit again!!! Good luck, and happy losing!
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Gastric Sleeve Plication Surgery Abroad
TijuanaPlication replied to VSG4aHealthierMe's topic in General Weight Loss Surgery Discussions
I think I'd go with the VSG if I had to do it again. If I were heavy enough I'd go with the Duodenal Switch (which is a VSG plus intestinal re-routing for calorie malabsorption). You get more weight loss with the DS and better long term results (80% Excessive Weight Lost versus 70% EWL with the VSG), you have to be seriously committed to getting in 100g of protein/day and getting in around 30 Vitamins a day though. I was scared of having a leak with VSG but the risk on a virgin stomach is actually just 1%. The good thing about VSG is that you can subsequently revise to DS in a relatively straight forward op (I mean straight forward in that they don't have to undo anything and you're already half way there). Note that 2 part DSs are likely to result in slower weight loss though. See here for details http://www.obesityhelp.com/forums/ds/4375541/Unproven-hypothesis-about-why-2-part-DSs-are-less-effective/ I definitely wouldn't go with a bypass (RNY) as you only malabsorb calories for 2 years (which is why people like poor Carnie Wilson gain it all back), you can NEVER take Non Steroidal Anti Inflamatories (ibuprofen, etc) and who knows if you'll need it in the future. Also 40% of RNYers experience dumping (check out clips like this on youtube they look like they're dying). While you only malabsorb calories for 2 years you malabsorb nutrients forever so you still have to stay vigilant with those as with DS.Plus this RNY article is another of the many reasons to not go for it www.lenoxhillhospital.org/press_releases.aspx Revisions from RNY can be VERY complex but you do find people revising from RNY to DS due to regain. HTH. -
How are you doing with your revision?
UsernameTaken posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Just want to get some feedback on how things are going for those that had revision from band to bypass (this is what I am going to be getting). What kind of progress are you making, how much weight have you lost since surgery? Loving it or hating it? Missing the band ? (I doubt I will ever miss mine) I keep hearing that weight loss is slower after revision vs those that had bypass first time around. When I talked to my psych about it when I had psych eval he said he does not believe this to be the case, which was pretty encouraging. I am not looking for fast weight loss but my weight loss has been always extremely slow to none, so I am nervous. Thank you for sharing -
Finding the courage to get gastric sleeve done in Mexico with a BMI of 33
newlifeat41 replied to newlifeat41's topic in Mexico & Self-Pay Weight Loss Surgery
I thank you for this. I have given it more time. I’ve been eating healthy and exercising. This has only gotten me to maintain my current weight. I would do the reset as you suggested but it was extremely difficult when I did it preop and trying it now, although somewhat easier after the ESG, is still a struggle. I’m honestly kind of stuck in limbo here. I have looked into a very reputable surgeon in Mexico who is highly skilled at performing revisions. I wanted to achieve greater weight loss and believed that ESG would do that. The only benefit I’ve experienced was the initial 10 pound loss and then maintenance. The trama you mentioned is more mental trama. I feel like such a failure and it’s because I didn’t get anywhere near my goal. I hope that getting a gastric sleeve the results will be a greater weight loss. It will come with hard work and more pain and discomfort, I’m prepared for that if it means I will finally feel comfortable in my skin. For me, the physical pain would have been worth the weight loss. I would have traded having more pain and discomfort with the ESG for a losing more weight any day! Thank you so much for kind words of concern. I hope to find continued support here with whatever decision I make. I’m leaning towards getting sleeved though. I’m tired of the mental struggle. -
4 days post-op (bypass)
miss_smiles replied to Yo-yo girl's topic in POST-Operation Weight Loss Surgery Q&A
Girl what you just wrote sounds like ME!!!! I refuse to go to the bar, why watch people drink when I can't?! I need to focus on my mental and physical health first. I wrote this on a few other threads, but its a combination of things, acid re flux, and the surgeon didn't take enough of my stomach out. My revision surgery team said that in my GI series, it didn't even look like a stomach that had been sleeved, and it wasn't because of pouch stretching. Bad luck I guess! But, thank goodness I got a second chance. A lot of people say, "omg I would be so angry, that's not fair, etc" but I look at it like yeah it sucks, but that's life sometimes! With the bypass, I think that i will have more success, and there is less that can go wrong in my situation. He asked if I wanted to be re-sleeved and I said hell no, I'm terrified of that now. Losing 50 pounds to gain 70 is a nightmare!!! It works for soooo many people, and I am so happy for that, I am just the unlucky one I guess! But on to better things! =) -
I can really empathize. My surgery was in April 2010 and I also had complications from a really bad hematoma at the port incision. My port stuck out a whole lot too and caused a lot of pain. I was complaining to the surgeon within two days of surgery. My hematoma finally healed up though while the pain did not. Turns out that the point at which my port was attached was rubbing on a nerve and that was causing the pain. In my experience it wasn't hard to get the insurance company to approve a port revision, but it was difficult to convince my surgeon that it was needed. I think he finally got sick of hearing me complain so much and gave in. After four months I had surgery to relocate the original port. It still sticks out, I still feel it and it's sometimes uncomfortable, but nothing like the pain that I had before. I was able to get two adjustments though between the original surgery and the revision so continued to lose weight and the band was working to provide restriction. I wish you the best.
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Finding the courage to get gastric sleeve done in Mexico with a BMI of 33
MarinaGirl replied to newlifeat41's topic in Mexico & Self-Pay Weight Loss Surgery
I had an MGB in Tijuana with low BMI and am now below goal weight. Yeah! But I recently developed bile reflux, which is quite serious, so I will be revising to an RNY next month. If I had to do it all over again, I would go to Dr. Esquerra at Mexicali Bariatric Center for an RNY. I encourage you to contact him for a consult to hear what he recommends for you post-ESG. Even if you chose another MX surgeon, it is helpful to talk to 2-3 to ensure you make the right choice of procedure for you and your situation. Please remember that WLS is just a tool. It is a great way to reset your metabolic rate but all of the surgeries can be eaten around, leading to regain. You need to get your head on straight for long term success; you may find therapy a useful tool to help you address your emotional eating tendencies. Good luck. -
Why Can't I feel restriction? Banded 2/2/2012 Help
elcee replied to loseit's topic in LAP-BAND Surgery Forums
What are you chasing? Are you chasing a sensation that stops you eating? A band is not about restriction in that way it is supposed to make you satisfied on smaller portions of healthy food, the tighter you are the less likely you are to be able to eat those healthy foods and the more likely you are to eat high calorie non satisfying sliders. The other thing is that bands after a while seem to become ineffective. It may be that your band has come to the end of its useful lifespan and you may need to consider a revision -
GERD After Revision to Bypass and Linx
Tracyringo replied to chasingpolaris321's topic in Revision Weight Loss Surgery Forums (NEW!)
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! -
One surgery revision stories please!
slikchik10 replied to laura71's topic in Revision Weight Loss Surgery Forums (NEW!)
Well...let's see. Banded in 2006. Got the typical probs...reflux, vomiting, uber restriction w/fluid removal. Fast forward to 5/20/13 and had removal, revision AND hernia repair all in one surgery. Now...I am 70% down in weight and in a size I've never seen in my life! I got the best reaction on my visit home this summer. One of my best friends of 20+ yrs. walked right past me until I said something to her back and then she recognized my voice! This surgery is what I hoped my band would do. Good luck to those upcoming revision folks. Work the plan, stick to your mini goals and long term goals and it WILL happen for you! -
I am SO glad to see the support that those who are having problems with the band are receiving. It hasn't always been that way. When I finally decided that the band had to go, I received--on another site--a ton of advice on how to make it work, or lectures on giving it another try or hate mail telling me that I was there to bring everybody down. (What I was TRYING to do was explain that for many people the Band Reality at three years is a whole different ball game than the Band Reality at six months.) What started out as my magic tool became a choke chain that was hurting me. I started to hate it and want it out. (The only other time I felt that way was when I discovered that Ihad cancer and I just wanted those parts OUT. Now!!) (Not saying the band is like cancer, just saying the the urge to get it out when it became problematic was similar.) NOW what I get--from some of those same people--are LOTS of e-mails, mostly asking me to keep it quiet and telling me that they are ready to move on and have made appointments for consultations regarding revisions. Even some of LapBanding's biggest success stories--people featured in commercials and on websites for YEARS--are talking gastric sleeve because the reflux issue has become too much to deal with. I feel very bad for anyone who had so much hope and was so disappointed. (And I feel even WORSE for the self-pays...because I was one!) No surgery is perfect. If the prize was not behind Door Number One, that is no reason to give up and go away. There are other doors. Do not give up. (And, no...I do NOT get paid a recruiting bonus for drumming up DS patients, but so far, it is serving me well and I'm down about 90 pounds in about 9 months. I SHOULD be able to say that I have "learned" something and that I'm working my ass off. I haven't and I'm not. Not ONE of those pounds was because I made an effort. It has ALL been the surgery...I just sit here and eat crap and don't exercise. Which is probably why my weight loss this month is either one pound or zero, depending on time of day. The free ride may be over...it may be time for me to take SOME responsibility...but I was kind of burned out after the band experience.) Anyway...do whatever you need to win the WAR...the battles are irrelevant. Sue
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That sure was a nice year. I hadn't felt that good about me in years, and I haven't in the last 2 years since. The following 6 months from this post would reveal erosion with an 80% migration. I would regain about 30lbs before band removal, and all the rest of the lost weight in the next 2 years. I went from a high of 280lbs to 172 to 284. I am back even higher than where I started, no band, and obese with painful heels and elevated cholesterol included for good measure. I wanted the band because it was reversible. It reversed all right I attempted to keep the weight off, but it just wouldn't stop. I joined nutrisystem and followed it strictly but gained instead of lost or maintained. My body saved everything from the stress of the erosion I guess. It took me until now to know for sure what I should do, and of course get the financing together. I was paying for a band I no longer had for a while. After tons of research, I've decided to revise to the VSG procedure with Dr Pleatman. He's close to home, I really like what I've read about him. He is very quick and concise when corresponding via email. His office staff is very knowledgeable and friendly, and his price rivals Mexico. I am scheduled for my revision August 26th, 2008. I hope to be as happy one year from today, as I was when I started this thread. Losing the one weight controlling tool that really worked for me was devastating. Wish me luck. I'm shooting for permanence this time!
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It wasn't life threatening doctor suggested I have the ulcer removed,....how is removing an ulcer and revising my (stretched out a little bit)pouch back to the beginning of gbypass even go together?
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Vertical Sleeve Gastrectomy (VSG) vs Gastric Bypass (GB)
docbree posted a topic in General Weight Loss Surgery Discussions
I'm interested in hearing how people who have already had surgery decided between the sleeve and bypass. I'm really leaning toward the sleeve as I have RA and will most likely need prednisone/NSAIDs periodically for the rest of my life. One of the two bariatric surgeons I interviewed really seemed to think my significant GERD would likely become worse with the sleeve. She thought if I lost enough weight I might not need anti-inflammatories - but that's a big "might not" and a lot to gamble with. I do also have a hiatal hernia, so there's a chance that fixing that plus weight loss might actually improve the GERD - so many unknowns... Has anyone had the Linx procedure for reflux either with or after the sleeve instead of revision to bypass? BTW - the surgeon who was worried about worsening GERD is a specialist in this procedure. Maybe I'm overthinking all of this - just don't want to do something for my health and then end up in worse condition than I am now. Thanks for any replies. Brenda -
Why I eat baked potatoes, brown rice and whole grain bread
Healthy_life replied to Creekimp13's topic in Gastric Sleeve Surgery Forums
People gain for many reasons. The answer is not as simple as go back to basics. It's not as simple as add carbs. Some gain due to complications, need a revision, hormonal changes, medical issues, medication side effects, diet etc. None of this is a one diet fits all. none of us here are medical professionals, -
Reflux and gastric sleeve
cindyw41 replied to canadian_girl's topic in PRE-Operation Weight Loss Surgery Q&A
I have a hiatal hernia that will be fixed during my sleeve surgery. My surgeon said I may have to have a revision later if it gets worse. They should do an EDG to check the health of your esophagus and severity of your GErd. He will know for sure what direction to go on then. -
Some people revise from the sleeve to the DS. Some revise from the sleeve to the gastric bypass. Some are perfectly happy with the sleeve alone as it does the job for them. It's hard to say whether or not you should have a DS. You need to know yourself. Can you keep a good count on your calories, etc. and watch what you eat? Because while your stomach is definitely smaller after the sleeve it does stretch somewhat as time goes by (never to its original size, though). If so, the sleeve should work well. If you're like me (a binge eater) & want to eat every 1-2 hours (Protein pretty much in the main) and worry about keeping the most weight off possible, then a DS might be right for you. However, the DS has cons along with the pros. It takes a lot of work: many, many vits/minerals per day for life, yearly or twice yearly blood work, there can be malodorous gas and/or stool (most of us watch our eating in public carefully and/or take a probiotic to keep this under control), etc. After a lot of research and decision making I felt it was the WLS for me. But it's a very personal decision and all WLS have positives and negatives.
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I was 55 when I was banded in Mexico and lived through it. I have 3-D friends who were banded in the US, and France and Germany and friends who had RnY in the US and had the DS in the US...years ago...and still haven't had a sleep study done. While a sleep study is a good idea for any morbidly obese person, I'd vote for manometry as a pre-op test for someone considering adjustable gastric banding...especially an older person. While none of my over-50 friends died from being banded without a sleep study, a few are suffering from the late complication of dysmotility, which seems to be more common in older patients. They are, several years out, having to have revision surgeries and THAT is also more dangerous. The danger is not in the geography...
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December 2013 Sleevers This Is Our Month Are Yall Ready!?
Idlewood4 replied to sleevinIT's topic in Gastric Sleeve Surgery Forums
Best of luck with your surgery. I'm a revision too, and had my surgery yesterday. You'll do fine, I'm surprised how well I'm doing. I think the band surgery was a lot worse. -
December 2013 Sleevers This Is Our Month Are Yall Ready!?
JanetBP replied to sleevinIT's topic in Gastric Sleeve Surgery Forums
Hi all! Thanks so much for all the good wishes. I had my surgery on Tuesday morning and got home a little while ago. I feel OK, a bit sore and bloated/swollen in the upper belly area but really not too bad. My surgery went off without a hitch, NINE incisions - but I had a lap band revision so maybe that's why so many? I was kept on an every-4-hours schedule of pain killers and that was just the ticket. I'm on full liquids 2 days after surgery. Oh, and so far no nausea!! I think the hardest part is going to be getting in all my liquids!! Tiny sips of water, protein shakes, tiny bites of low carb yogurt, sf jello and popsicles, broth or fat free cream soup all count toward my 64 ounce a day minimum. But that is a LOT at half a teaspoon at a time. I'm definitely going to have to log this stuff on myfitnesspal to make sure I'm getting it all. And I am NOT HUNGRY! Which is a good thing. All I really want is a big cup of COFFEE. My husband is making me a big pot of homemade chicken broth from the bones of a few rotisserie chickens, I know it's going to be sooooo yummy. I just had the liquid drained from a can of chicken noodle soup mixed with a little plain chicken broth and a few tablespoons of half and half. Sounds odd but it was very tasty. So good night all... my pain killer is kicking in. You all are GREAT!! Janet -
Old Timers-What is the point of WLS if many regain/have hunger/diet drama..
FocusOnMeNow replied to Anna Nim's topic in Gastric Sleeve Surgery Forums
I am only 9 months out but may also have a healthy perspective. First of all, the surgery is on your stomach, not on your head or your heart. Many of us may not realize it but we have been stuffing our feelings with food. I have lost 91 lbs and still have about 40 more to go. It is coming off much more slowly now, but what am I doing to ensure that I NEVER GO BACK? I'm going to a therapist, going to Overeaters Anonymous, reading lots of very helpful self help books (don't have time to read? Listen on audible on your way to and from work or when running errands or cleaning house), I am journaling nearly daily while sipping on my morning coffee/protein shake. I still need to step up my exercise (if I want to make it to my personal goal, as far as my surgeon is concerned I'm already a big success). So if you have to do all that, then why do the surgery? Because it is a radical step to take care of yourself, which is something that most of us had not been doing very well pre-op, because let's be honest, if we had we never would have gotten to be morbidly obese. Also there is in fact a "honeymoon period" for the first 3-6 months. When you're losing a pound a day, you feel good about yourself. You are NOT hungry at all, and you actually start craving healthy foods. You feel like hey, I really CAN do this. During that time (ideally you start pre-op), you really start working on your issues, exercising, setting boundaries and taking care of yourself in many other ways. Here's a hint: it is NOT about the food. It's that you have to work on meeting your own needs in healthy ways. You have to make the changes in all areas of your life to set yourself up for long term success. That in my opinion is the difference between those who are successful long term and those who are not. At least that is what I've heard from those who have had "revisions" (aka second surgeries). Reading and participating in bariatric pal is also immensely helpful in learning to accept others and yourself. I was self pay and it was worth EVERY PENNY! Good luck and take care of you[emoji6] -
Had Sleeve 3 yrs ago and now being offered DS - What to do?
nytx57 replied to peijeremy's topic in Duodenal Switch Surgery Forum
I had the sleeve in 2015 only lost about 60 pounds. My surgeon wanted me to have the DS originally but I didn't want to. I had the revised DS that allows less malabsorption in March 2017. I am now down a total of 120 pounds. I loose about 15-20 pounds and then I stall for at least a month or more and them I start losing again. I have no regrets. i have gone from a size 4x to 1X so far. Be patient with your weight loss it will happen. Sent from my SM-G892A using BariatricPal mobile app
