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I’m new here , Hi…!!! I got my surgery revision / conversion from VSG to Bypass on July 18th 2023. Looking to have partners to support each other in this journey 😀

I am set for a revision to bypass September 1st. I'll be happy to get relief from GERD.

So yesterday I decided to start taking walks at the park and I love it. Before I couldn’t stand it because I would be in so much pain now I can actually enjoy it. Walking around the house in door and out door errands wasn’t enough for me anymore and my MD cleared me btw. I start puréed food tomorrow and I can’t freaking wait. I’m so excited. Lol 21lbs down since 7/24/23 rny gastric bypass. Quick question* What are some things you guys did when you first started back exercising besides walking and what really worked best for you? Is it normal to get a gagging feeling when exercising to hard or too much? Almost like nausea but not actually going all the way?

I had this. Turns out, after my sleeve, I developed polyps all through my entire stomach. The GERD (which I had never had pre sleeve) became so bad it turned into gastritis and esophagitis. I had to take 80mg of Nexium daily and Pepcid for breakthrough GERD (and sometimes that didn't even help). The pain and burning were excruciating. Sent me to the ER more than once. 4 endoscopies and 1 revision to bypass later, and I'm doing great. Stay on top of this. Cut out anything tomato based, avoid any kind of fruit juice, spices (even the ones that aren't hot). Hummus helped a lot, keto bread also helped, and drinking protein shakes literally saved me on days when I couldn't keep anything down at all. The bariatric diet went out the window until this was under control. I had to stop working out because it would set things off. In the ER the first time, I had a barium swallow to confirm there were no leaks. Then I was referred to a GI specialist, who did an endoscopy and found I had A TON of polyps in various sizes. Once they were all removed, I had my revision to bypass and have had to stay on Nexium. But it was lowered to 40mg for 5 weeks, then 20mg for weeks 6-8, then I'll go off them completely. Definitely stay on top of this. It won't resolve on it's own, and if left untreated, it will absolutely get worse.

Good morning This is my first post. I had bypass surgery on 7/26. I left the hospital weighing 17 lbs more than the day I went in. My oxygen levels dropped over the next few days and I was back in the hospital. After getting Lasix thru an IV I was discharged weighing 5 lbs more than when I went in. I'm following my liquid diet but am soooo frustrated Anyone else experience this???

Might be worth going and seeing another dr. This could be anything from GERD to an ulcer and now that you've had the surgery you want to get on top of that ASAP. It sounds like they haven't taken it as seriously as they should be. If the pain is really bad, might be worth even going to emergency, they'll at least try to figure out exactly what's causing the pain. I had GERD before my Sleeve and my surgeon said I should still get a sleeve and not a bypass, but I was really keen on the bypass having spent years reading up on the difference. Now that i look back on this I think it's because I self funded and he would not do a bypass on anyone that has self funded without insurance, meaning he'd lose me as a client. The few people i've spoken to have said many surgeons will choose bypass over sleeve if the patient has a history of GERD and yep, now my GERD is worse than ever and my surgeon keeps saying it's clearly just my fault, I must be eating wrong or sleeping after eating. I even fasted at one point and did just liquids to prove him wrong. It's gotten to the point, I've stopped talking to the surgeon and starting seeking help elsewhere and they've put me on anti acid medication (which the surgeon refused to). Life has been much better having stopped talking to the surgeon and talking to other health care providers. Might be time for you to switch to if they don't take this pain seriously. I hope you're feeling much better asap, but don't be afraid to get another opinion. Pain should not be happening. Please take care

Wow. I've had both a sleeve (2009) and a bypass (47 days ago). I didn't have any kind of bleeding at all for either surgery. That's a bit scary. Hope you feel better soon!

Hello, great idea. There is a previous thread labeled September also for Sept 2023 surgeries but this may be easier to search due to 2023 being in the title. I'll be having the gastric bypass on the 27th of September.

I had gastric bypass. The following has been repeated here enough to be... well... repeated enough here. But since no one researches old posts, here I am... My plan is 3-4 oz protein, 1oz veggies (or other) 3 times per day... Or as much as I can manage before I become full. I never counted calories or much that isn't described in the first sentence of this paragraph. This was my plan Day 1 through current (20+ years post op.) Currently, I'd say I reach 3-4 oz protein 1oz veggies for perhaps 50-60% of meals. The rest are meals where I can't come near my meal goal, I just stop when I max out for the meal. Perhaps 1% of the time, when the meal is exceptionally good and hits all that is good of an exceptional meal, that I might (very much might, because is is uncomfortable) push the envelope. The fact that I don't challenge my limits is why I believe my restriction is in the same place as it was about 3 months post-op. I can't eat much more per meal than I have since I have been 3 months post-op because I have rarely ever pushed the limit. My belief is the more one pushes the limits the larger those limits become. I simply do not push the limits, so I believe they remain narrow. Whether the limits actually exist as I said are perhaps a matter of belief doesn't really matter. My belief has kept me near my goal weight. So what I eat now is not a whole lot different than during the post-op period when I was learning how to eat again. I don't push my limits.

It will do both. From my first surgery I lost 150lbs. I was happy with the weight I had lost. Still had a lot more to go but the heartburn was such a hinderance. Nothing like walking in the treadmill and eating tums at the same time just to get through :). I am feeling so blessed to have found a surgeon that specialized in revisions and took me seriously. 5 days post op and no reflux!

I've been reading posts on this site for months pre-surgery and wish to thank you for all the support you've given to gastric surgery patients. I had gastric bypass done August 3 and other than uncomfortable gas, I've had a great experience. I came home on the 4th. Starting just before discharge I began passing blood clots. Dark purple. Doctors said it's eliminating blood from the surgery. They said it's okay and approved my discharge That makes sense but I don't remember reading about post-op bleeding on any posts. Did anyone else have this? I'm not pale and I have energy. Hopefully it will run it's course soon. Sent from my SM-N950U using BariatricPal mobile app

The surgery may be science, but the art of eating, post-surgery, isn't one size fits all as I have learned. I had the bypass and a hiatal hernia repair on June 6 and have been expanding my permissible diet within the general guidelines. I find that the hardest thing is the the line between full and over-doing it, particularly with new post surgery foods. I had one instance of "foamies" that caused me great discomfort- I wish I could have puked and gotten it over with; instead, I suffered gastric distress for hours, and eventually fell asleep sitting on the living room couch. You should talk to your nutritionist - sometimes, it seems, it is the food itself; sometimes, perhaps eating too much, too quickly. I'm finding the line between full and overfull to the point of distress to be a pretty fine one and easy to cross. The "frothing/foamies" gave me religion in the sense that I'm more careful about what I put into my gullet, how much and how quickly. This is a significant operation that changes a lot of your physiology- the volume and nature of the food you can accept and the degree to which you can explore new food options (within the guardrails) that don't make you sick. My take, also as a new post op patient, is that you have to take it slowly, be deliberate and work with the surgeons' staff and nutrionist to help you on your way. Nobody said it would be easy, but the rewards start to come pretty quickly. For me, just a little more than a couple months out, I have far more mobility, I'm not focused on the scale but more on my physical capabilities. I go see the surgeon for a follow up next week. My blood work looks pretty good, it has improved already. One other thing: I can still enjoy the sensation of eating good food, but that's subordinate to my main mission to remedy the problems that necessitated the surgery--not just weight loss, but Barrett's. The bypass pretty much eliminated GERD, which was huge. The weight loss is coming a long nicely and I'm deferring to the surgeon's team for advice.

I have not done well on the preop diet while traveling to move my daughter to college this week. I will let my surgeon know and see if she still wants to keep my surgery date. I’m a revision and she almost didn’t put me in the preop diet. I am back home on Subday and will have 5 full days to follow it without any hiccups. I am worried.

Hi everyone! I had gastric bypass on May 10th. I have lost 60 pounds. I struggle because even this far out ( almost 3 months) I puke a lot which is really discouraging. I’m existing on high protein Greek yogurt, protein shakes, baked and mashed potatoes. I can eat some ground beef. No bread, chicken, eggs and several other things. My surgeon says it’s normal and to just reintroduce foods again later. I do not want to be regretful but sometimes I am. Anyway just being transparent and looking for encouragement. I am happy with the weight loss though. I just don’t want to exist on yogurt the rest of my life. 😌

Sept 4 here! Revision sleeve to bypass. BC Canada.

The DS as a virgin procedure is more challenging to perform than a VSG or RNY, which is why relatively few bariatric surgeons offer it, despite its' demonstrably better performance (the RNY is "good enough" for most patients...) That's your first challenge - finding a reliable DS surgeon. Converting a VSG to a DS is straightforward for any DS surgeon, as the DS uses the VSG as its basis, so it's mainly a matter of adding the "switch" part - the malabsorptive part - to the VSG. Revising an RNY to a DS is another, much more complicated matter, and surgeons who can do that are few and far between. It used to be, a few years ago, that there was maybe a half dozen surgeons in the US that reliably did them, and I have seen references to a few more have joined the ranks in recent years. Rabkin and Keshishian in CA have both done them for many years, as has Roslin in NYC. I've heard that someone in Salt Lake has done some, along with some docs at Duke University in NC, possibly Kemmeter in MI. Some surgeons who don't do the DS will offer to revise to a distal RNY instead - that is a "long limb" RNY that has malabsorption more akin to the DS. However, it does not have a great reputation, and is usually not approved by US insurance as a primary procedure (but often will as a revision under the right circumstances.) My take on why it seems to be more problematic than the DS is that it is rarely done, and the surgeons and their practices aren't all that in tune with its' long term requirements. A DS, and by association the distal RNY, has a quite different nutritional and supplement requirement to the standard proximal RNY, which is well known to those in the DS world, but not all that well appreciated by those in the RNY world. Like with the RNY, and much more important with the DS, is to commit to having annual labs and follow ups for life - with the altered absorption and nutrition/supplement requirements, things can go askew in sometimes if you don't stay on top of them. Those who do stay on top of things typically have minimal long term problems. I would not go to MX for a procedure like this, as you really don't know what you will end up with. Historically, there has only been one reliable DS surgeon in MX - Gilberto Ungston - who, if not retired, is heading that way. He has trained a couple of others to do the DS, but I haven't heard of him doing the RNY to DS revision. There are, of course, the various horror stories of MX surgeries gone wrong, and in particular of those seeking a DS and getting "something else" (who knows what.) There are great, reputable surgeons down there for the VSG and RNY, but I wouldn't go there for something more complicated like a DS, unless it was someone well vetted in that procedure (such as Ungston,) - the differing legal systems leave one with no recourse is something doesn't go right (and the chances of that happening with something as complex and an RNY/DS revision are high there.) Good luck - it is a long search for what you need, and be prepared to travel. Being in CA myself, and my wife is a Rabkin DS, we have seen several successful revisions like this from both Rabkin and Keshishian, so it is viable when done by someone experienced with it. It, also, is not a simple outpatient procedure, and Rabkin's standard practice for travelling patients is to remain in town until at least the 10 day post op follow up. Most everything else can be done remotely (and they are set up for doing so.) Keshishian is similar in this regard.

I had gastric bypass on July 17th. I wish it did it sooner! Feeling great

I’m on day 3 post op conversion to bypass from sleeve. Best decision of my life. I was living off tums and I have not had a single bit of heartburn. It does seem different some how, maybe because I’ve been through this before and know that the first few stages is a bit the bullet until my insides are healed. If anyone asked me, I would simply say, I wish I hadn’t waited so long to get the revision.

I just started the Puree stage of my diet. I made a batch of Pureed Chicken thighs made from skinless boneless chicken breasts with every iota of fat removed. I thinned it with low sodium chicken broth until it came together into a paste. I combine this with pureed hard boiled eggs and a little light mayo and greek yogurt to make a simple egg/chicken salad. I also mixed the pureed chicken with broths and strained cream soups to add a little protein and flavor. My body seems to be tolerating the chicken in pureed form just fine. I was a little concerned about introducing chicken back into my diet after talking to a friend who had Gastric Bypass about 8 years ago. She said Milk and Chicken were nightmare foods for her. I understand how you feel about chicken wings, and that crunchy fried texture. (I love my air fryer too). I have a few pounds of chicken wings, 2 wing-ettes per zip-lock bag, in the freezer waiting for the 'regular food' phase of my diet to start, after soft foods. My plan is to slow cook them in a sauce of some form until they are tender. It wont be crunchy, but they still will be wings. I have them in pairs of 2 for portion control. I'm going to treat them as, well, a Treat, and consume in moderation. Good luck on Soft foods, and your weight loss journey!

I'm a revision sleeve to bypass. When I had my sleeve 14 years ago, the only thing I COULD NOT eat was eggs. IDK why. I could eat chicken and steak, but for some reason, eggs was a no go for me. I think eggs swell up in our tummies after we consume them.

Hello everyone. New to BP and the forums. Just had my surgery on 7.31.23 - conversion to bypass. Had my original sleeve surgery 7 years ago and was able to convert to bypass because the GERD was so horrible for several years! how is everyone doing! Any surgery friends also in July?

I had an easier recovery with RNY vs VSG as well but did experience stricture (easily resolved) early on. GERD was resolved almost immediately. Not much hair loss but that’s really individual based. Constipation is always a concern but that’s what stool softeners are for and fully expect to need assistance with that long term. It’s been 4 yrs since revision (6 since VSG) and once you get into a routine life feels really normal.

Thank you for your response. I will definitely call them. I am from Walton KY. I went to St. Elizabeth to have the procedure done. It's only been 2 years since I had the procedure. I was thinking about going to Tijuana Mexico but if I can have it done here then it is best. I just don't know if my insurance would cover it. The covered the gastric bypass the first time.

I'm not sure how "northern" in Kentucky you are, but right across the river in Cincinnati there are many options. I had my procedure at JourneyLite in Evendale, OH...I'm not sure if they offer a VSG to DS revision, but you could call and ask. I felt very well taken care of by them.

Hello, I am trying to find a DS surgeon here in northern KY who can perform my surgery. The doctors I have found so far do the RnY but not the DS. Does anybody have any suggestion? Thanks.