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I feel your frustration! I’ve only lost about 60 lbs in the past year and a half since my VSG. My dietitian isnt very helpful in my trying to get my grams of protein other than adding protein shakes which definitely slows down my weight loss! I’ve resorted to eating (and tracking!) an all protein diet (eggs, fish, chicken, etc..) and adding in small amounts of green veggies. To get to my protein goals I have to add a protein powder like unflavored GenePro to my food and drinks. I only weigh myself a few days a week. Now I’ve developed terrible acid reflux and a hiatal hernia so I’m going to be revised to a RNY. I’m hoping it will fix a multitude of issues!!! Hang in there! Take a look at MyFitnessPal to track your food and macros!
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Even though you’ll need to have a revision, I am glad they discovered why you were struggling to eat. Are you sure you have to go through the full pre surgery diet process or just the usual nothing to eat or drink from the night before the surgery practise? Your liver has already shrunk, you’ve lost a lot of weight & your general health would be way better now then when you had the first surgery. But … 🤷🏻♀️ You may find it isn’t as difficult this time as at least you’ll know what happens & to expect after surgery. All the best.
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Congratulations on your weight loss! Sorry you have to have a revision. I guess all surgeries come with risks, it could be worse, try to stay positive. Hope you feel better soon!
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VSG to DS - Scared to Lose Too Much
catwoman7 replied to Bumblebii's topic in Revision Weight Loss Surgery Forums (NEW!)
VSG is actually stage one of the DS. Years ago many surgeons did the DS in two stages (first, the sleeved stomach, then a few months later, the bypassed small intestine). Some patients did really well just with stage 1, so they started offering the sleeved stomach as a standalone surgery. Ta da! The VSG was born! so yes - lots of DS'ers had their DS done in two stages (esp those who had it done several years ago), and there are definitely people who've revised from VSG to DS. It's a more straightforward surgery than going from VSG to RNY, since you're already halfway to the DS when you have a VSG. -
VSG to DS - Scared to Lose Too Much
Bumblebii posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello all, This is my first post here so if I mess up on etiquette I apologize. I am two years out from a very successful VSG surgery. I went from 265lbs to 175lbs - I’m 24 and 5’2, barely any loose skin, and I’m very happy with the results. However I have PCOS and was estimated to be able to lose more if I didn’t have that to contend with, and I wasn’t able to hit my realistic OR ideal goals. I know I’m much better off than I was by far, but I still wasn’t fully happy, so I put down a deposit for a DS revision surgery. Because of Covid I had to reschedule it to January 2023. But now I’m suddenly worried and having doubts. I can’t seem to find anyone who has revised from VSG to DS, and I’m worried about losing TOO much weight. My surgeon has had me come entirely off vitamins as my labs are perfect without them, and admittedly I don’t miss them, so that’s a downfall but one I’m willing to accept. My surgeon does also perform RNY and reconstruction but my sleeve hasn’t stretched back out, and he has told me that DS is often referred to as the second stage to VSG. Mostly I’m looking for advice and anecdotes from this forum! Is there anyone who did it in two stages instead of one? Pros and cons? Tips? I’m desperate for anyone who has any experience with this. -
Sleeve to bypass hopefully
Tomo replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Mine took quite a few years. After that it was like gurgling acid in my sleep and a burning esophagus day on and day out. When you can't sleep, one tend to eat for energy. That didn't help my weight loss. It was horrible. I had a revision last August, and I feel so much better. -
Nutritionalist consult
Starwarsandcupcakes replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
My 2 week pre-op diet was 3-4 shakes a day with no more than 200 calories each and minimum 15g of protein, celery and cucumbers, and 1-2 cups of chicken or beef broth a day. Absolutely NO popsicles or sugar free jello. I would constantly be shaving celery with a peeler into “noodles” and then adding it to the broth for a soup of sorts. AND I was super lucky enough to do it twice in an 8 month period. 😂 (needed a hernia repair surgery that was coupled with a VSG to RNY revision to reduce chances of future hernias.) -
Looking to see if my Dr. Will do the revision because of my Gerd
jenuinelygenuinely replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I went with a totally different hospital/program after having a bad nutritionist. Like @Daja I had to get an upper endoscopy and a barium swallow test done which was required. My first consult the doctor told me a revision would be best if I had severe GERD but they weren't going to approve me for surgery without doing tests...LOL During my tests they found the reason for my GERD and deemed it medically necessary. The surgeon did tell me if they found a HERNIA he would've performed SAD-IS procedure or a DS. -
I have decided to get a revision from a sleeve to gastric bypass. My heartburn is getting worse and i'm gaining weight. I was originally sleeved in 2017. I am ready for this second chance because I have to self pay. I can't believe I have two full-time jobs and I'm still concerned about costs for this procedure. My first job won't cover the procedure and the second contracting job won't either. Since being sleeved, I never got to my goal weight. If you have any recommendations for bariatric surgeons in the Atlanta area, please let me know because my original surgeon has since retired during covid. I've found one surgeon, but he's very pricey at $24,000 and it doesn't include post-op appointments (insurance can cover), labs (insurance can cover), nutritional visits, (not covered by insurance) or supplements. Any feedback is welcomed.
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Looking to see if my Dr. Will do the revision because of my Gerd
Daja replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I went with a different surgeon due to insurance issues. Had major GERD issues with Barrett’s esophagus, my GI had me maxed out on PPI’s and did PH monitoring, EGD, and Barium’s swallow tests. All of this is usually required by insurance companies before they will pay for the revision. Sometimes GERD is caused by a change in the anatomy of the original sleeve (which was not the case for me) my Dr told me if that is the case they can use a ballon to change it to what it should be or try to resleeve rather than a revision to RNY. It’s definitely worth a consult before such a major surgery. Wishing you all the best… -
Sleeve to bypass hopefully
Dogmom68 replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes, my doctor is deciding whether or not to appeal or just submit a new request for authorization for repair to my hiatal hernia (and I self pay the bypass portion.) I have BCBS and they said my revision was not medically necessary. I’m afraid if my doctor submits paperwork for an appeal (and the whole thing gets denied again) then that’s the end of the road for me. I don’t mind paying the bypass portion since it’s very doable ($2600.) I almost feel like the hernia repair is more likely to be authorized. What do you think?? -
Sleeve to bypass hopefully
Starwarsandcupcakes replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I think it depends on when your last WLS was and your surgeon/insurance. I know I had to do the 2 week pre-op liquid diet again for my revision (due to gerd and hiatal hernia of almost my entire gastric sleeve) but I didn’t have to do the nutritional appts or the 6 month preop again because it was within a yr of my VSG. -
Sleeve to bypass hopefully
jenuinelygenuinely replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Did your insurance have an option to appeal?!?? I would appeal right away! I feel like a Hiatal Hernia is a reason for a revision. Praying everything goes smooth and this storm will pass! You got this!! -
Sleeve to bypass hopefully
Dogmom68 replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Well, I’m pretty disheartened. My surgery was pushed from 8/8 to 8/29 to give my doctor’s office time to resubmit paperwork for an authorization for a hiatal hernia repair. My insurance didn’t approve the bypass revision so I may have to pay that portion of the surgery myself. I had already started my pre-op liquid diet so now that’s on hold for a few more weeks. I was so ready to have my surgery next Monday and now I just feel disappointed and frustrated. If I could afford to pay for the entire surgery, I would just to avoid the hoops I’m having to jump through to get this approved. I could use some words of encouragement right about now. 😢 -
Food intolerance after wls
redhead_che replied to fourmonthspreop's topic in Gastric Bypass Surgery Forums
I had a revision and the thing I find most interesting is the food I had probably 4 nights a week post sleeve, can’t tolerate it and don’t like it anymore—tilapia! I had a go to way of cooking and spicing it and looking at it now makes me want to be sick 🤢 I’m actually getting more protein from vegan sources and I’ve never had the desire to be vegan…just what my body can tolerate now. -
Sleep Apnea after surgery
I♡BypassedMyPhatAss♡ replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
I had sleep apnea before I had my Lap Band surgery. I was on bipap. I was off my machine within a few weeks, maybe 8 if I remember correctly. I just had revision surgery to bypass 12 days ago and it was pretty cool, as a former sleep apnea patient, I was selected to be in a study about former sleep apnea patients and the effects of anesthesia on them. So I had to wear some electrodes from the moment anesthesia ended for 24 hours. The anesthesiologist heading up the study said I definitely still do not have sleep apnea according to their readings. -
How are those making out? I'm a sleeve to DS revision. Still a little if pain. Any tips? How soon did you notice weight loss? Vitamins you all use? Recipes? Sent from my moto g power (2021) using BariatricPal mobile app
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Hi Nina I had a revision or reconstruction for the same reason as dream believe. I went to Mexicali MX to a hospital. Mexicali Bariatrics did the reconstruction. It's been a slow process and I am 11 weeks. I feel very satisfied with limited food. I am exercising a lot more this time. I have more energy. I had to have a barium swallow and I had xray from the first sleeve. He told me it was not my fault for the weight regain. The did a barium swallow after revision checking for leaks and to show me the difference in the restriction. I lost 60lbs really fast the first time. I gained 25lbs over 6 years. I have lost 26lbs so far. The first time I lost a lb a day the first month. If your not happy get the second opinion.
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I did not have the resleeve or a revision yet, I am considering it. Did you have the resleeve? Sent from my SM-N950U using BariatricPal mobile app
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I did not have the resleeve or a revision yet, I am considering it. Did you have the resleeve? Sent from my SM-N950U using BariatricPal mobile app
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I did not have the resleeve or a revision yet, I am considering it. Did you have the resleeve? Sent from my SM-N950U using BariatricPal mobile app
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Can you please share who you're dr in Turkey was that did the resleeve? I am considering going to Turkey for a revision. Sent from my SM-N950U using BariatricPal mobile app
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Band to Bypass Surgery coming up...SCARED
CDMC1972 replied to MaryRN66's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello! I am in the process of converting from a band to another type of WLS. I got the band in June 2009, and had it removed in June 2021, due to complications with acid reflux. I met with my surgeon in May of this year to discuss a revision. Due to the issues with the band, he doesn't recommend the sleeve, but the bypass. I am nervous about the re-routing and the fact that I am almost 50. My current weight is 250 lbs. Would you be able to share some of your experiences/challenges before, during and after the revision surgery? I have completed most of my clearances and will meet with the surgeon on September 1st--I think during that visit we will discuss my surgery date and the type of surgery. I appreciate any insight you can provide. Thank you! -
This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● BMI >= 40 - OR - ● BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no
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Eosinophilic esophagitis
jenuinelygenuinely replied to rcendres's topic in PRE-Operation Weight Loss Surgery Q&A
They might ask you if you want to do a Gastric Bypass. After my Gastric Sleeve, I developed severe GERD, and now getting a revision to a Bypass. The sleeve will worsen your reflux and damage your esophagus.
