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Revision from sleeve to bypass due to GERD (Trigger Warning)
Krissy Lynn replied to CrazyDog&CatLady's topic in Revision Weight Loss Surgery Forums (NEW!)
Hi!! We had the same revision date due to GERD as well! I hope yours went well if you decided to do it! i felt very similarly to you when they gave me the option of revision. I didn’t choose gastric bypass 12 years ago for a reason! However, if I had known how bad my GERD was going to get, I might have made A different decision. Back then I wasn’t even told that GERD was a possible side effect. Anyhow! I just wanted to say hi and check in since we are revising date buddies. -
Almost a year out
SleeveToBypass2023 replied to NewTata's topic in POST-Operation Weight Loss Surgery Q&A
Ok, so I'm 2 years and 4 months out from my 1st surgery and 1 year 3 months out from my revision. I'm still losing (trying to stop losing but so far I'm still losing an average of 4 pounds per month) so I haven't experienced the rebound weight gain yet. I can tell you I eat popcorn all the time. I also eat smokehouse almonds, cheese cubes, salami and/or peperoni slices for snacks. I eat Rebel ice-cream, keto brownies, sliced apples mixed with fresh blueberries and raspberries, Greek yogurt with fresh berries and monk fruit sweetener mixed in, keto cake with sugar free icing, French toast with keto bread, fresh berries, and sugar free syrup. If I want "guilty" food, I have something like steak, 2 spoonfuls peas mixed with mozzarella cheese, and 2 spoonfuls of Bob Evans mashed potatoes. I don't tolerate carbs very well, so I have to be careful with them. I also have kettle chips fried in avocado oil, 1 packet (instead of my former usual 2-3) of oatmeal such as cinnamon apple or banana cream, and minestrone soup and crackers (only like 4 or 5). Everything is a balance. Nothing in excess, no large portions, no "off plan" foods too often. Just a little here and there and whatever you have should be fine. Just remember to keep working out, keep moving your body, keep prioritizing protein and you should be good. -
Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.
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Mounjaro Post Sleeve!!
BlondePatriotInCDA replied to la0525's topic in GLP-1 & Other Weight Loss Medications (NEW!)
I have fiber in the turkey chili (kidney beans) I make and I also take 6 (2 morning, 2 mid and 2 evening) of the Psyllium Husk Fiber Supplement 1450mg, 240 Capsules from Amazon just a bit above recommended daily dosage, but my GP said it can't cause any issues other than maybe gas..but I have noticed anymore than normal with a bypass.. I also eat 3 (again 1 at different times throughout the day) OLLY Probiotic + Prebiotic Gummy, Digestive Support and Gut Health, 500 Million CFUs, Fiber, Adult Chewable Supplement for Men and Women, Peach, 30 Day Supply - 30 Count. I started the psyllium when my GP started me on Ozempic to break my 3 month stall and to stop the annoying food cadence in my head! I'm holding at 1mg dose and have had very little constipation if any. I don't "go" regularly at 7am everyday like I used too, but I do go each day. I just make sure I get my water in and all works as it should. I hope this helps! -
Report Your WINS ..What is your today's win??🥇
BlondePatriotInCDA replied to Mspretty86's topic in Rants & Raves
Here you go: https://www.obesitycoverage.com/weight-loss-surgeries/gastric-bypass/how-much-can-i-expect-to-lose -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Roux-en-Y or Gastric Bypass -
Report Your WINS ..What is your today's win??🥇
ShoppGirl replied to Mspretty86's topic in Rants & Raves
Where did you find this calculator. I’m curious where I stand. I’m guessing I will bade to do it for Bypass and DS and pick the middle but maybe they will have the SADI. -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
If they don’t hurt you then go for it!! My NCIS ions still hurt though and the waist would run them and press on them. Just sounds painful. I am a revision too and had gallbladder out so more incisions and a couple I think they may have gone back in the same spot through scar tissue (not sure if that makes ot worse for healing). I just keep on trying to figure out why it’s so much worse this time because I’m telling you after my sleeve I was up bugging the nurses the same day and hime the next wanting to play Horse in basketball (I literally gestured to my husband to pass me the ball when I was out front talking to him. I forgot I had surgery). Soooo much differnt this time. -
Mine was because of regain post sleeve. My surgeon said that the sleeve is a really great procedure and it works great for so many people but obesity is complex and some people just need a little more of a metabolic change to be successful. I have the added complexity of bipolar disorder and anxiety. The depressive episodes and the anxiety cause me to make less healthy choices and some of the meds that go with it that cause weight gain as well. I went with the sleeve because of the meds and it causing less absorption issues and it was certainly wise to try it first but it just wasn’t the right choice for me. I just revised to SADI three weeks ago and according to my NP I am doing great in terms of loss for a revision and my recovery. I certainly feel great and I am not craving sweets which was another reason I think I regained. It’s not at all common according to my surgeon (usually it’s the opposite and sweet cravers stop craving them) but post sleeve I went from a savory person to one that craved sweets. During the liquids stage post sleeve my cravings were for various deserts. Post SADI I am craving Fish Tacos and apples with Nut Butter so I think that may have reversed itself which will make things sooooo much easier.
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the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare
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Report Your WINS ..What is your today's win??🥇
ShoppGirl replied to Mspretty86's topic in Rants & Raves
Went to my crochet group again today and I didn’t need a nap afterwards. I’m hoping maybe I’m done with the afternoon nap stage. I plan to wake up earlier tomorrow and really try to power through again so I can hopefully get my sleep cycle back to normal. Day by day I get a little closer to my normal. ooh and yesterday was a follow up for the muscle cramps that I got in my calf which went away with the magnesium they gave me but I kept the appt anyways because i start soft food Monday and I had questions. She said that since my pre op appt I have lost 19 pounds so that’s one month exactly and the expected loss for a revision is between 5-10 pounds month so I’m doing good. -
Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.
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As I am just a few days away from surgery I've come across many stories of revision procedures. For those who have had to do this or know someone who has... I'm curious what some of the reasons were ?
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Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about. -
Should I Consider A Revision?
GreenTealael replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
You are not a failure, obesity is a complex disease. It often requires many tools to tame. There’s no shame in that. As a person who has had both VSG and RNY, I can tell you first hand that If you are relying on further restrictions to help you *may* not get that. Almost always the pylorus is bypassed so no there will sphincter holding food in your sleeve creating that classic VSG full sensation. However there are a lot of behind the scenes biological changes that *may* happen but you won’t know how you will respond until after surgery. The new class of obesity med may help immediately (if you can afford them). They are spectacular. In the time it will take you to go through referrals, appointments, testing and waiting for a date, you may lose the weight. They work that fast. Of course there are risks, some who cannot tolerate them or are very slow responders but the beauty is you can decide week by week if it’s worth it. If not, nothing permanent has been done. That’s the other issue. These are permanent use meds just like HRT or TRT. Maintenance doses are still being fiddled with by individuals so what permanent use looks like may not be weekly. Do a ton of research and ask your Bari/weight management team (if you still have one) what they think. Good Luck! -
Should I Consider A Revision?
catwoman7 replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery. -
Do I have a revision
NeonRaven8919 replied to indianlight's topic in Revision Weight Loss Surgery Forums (NEW!)
I think this also depends on what NHS Trust your hospital is in. My Hospital only does Sleeve or Bypass, no GLP-1 or revisions. Other Hospitals will offer Sleeve, Bypass, DS and GLP-1 etc. I think the best bet is to start with your GP. -
New to the forum
ShoppGirl replied to Gypsy_Life's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello and welcome. I am three weeks post sleeve revision to SADI and doing well. I’m sure people will be happy to hear your experiences and will be here to cheer you on during this phase of your journey as well. -
Should I Consider A Revision?
ShoppGirl replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make. -
Should I Consider A Revision?
Arabesque replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I agree with @NickelChip, you’re not a failure. Not just from a statistical perspective but also from the perspective that you lost weight & kept it off for a while. That in itself is a success because we know how hard it is to lose any weight at all let alone keep it off for anything more than a week. Yes, there has been some discussion around the long term effectiveness of the sleeve but I think it could be said of any of the surgeries - it may work for some but not all. And what sometimes defines as a success may differ too. Too many external and internal factors can affect how successful you are in the short & long term too. I had my surgery when I was almost 54 because peri menopause & then menopause did a number on me & my weight. Quickly pushed me to my usual high weight then I swear overnight, to my all time high of 91kg, (Hormones are the gift that just keep giving whether you’re producing what you need or your production is decreasing as you near &/or are in menopause.). So yes, being in peri menopause or menopause could mess with your weight. I’d get in touch with your surgeon and ask him about a revision, GLP-1 meds and any other options. The fact you are ready & want to do something is such a positive position to be in. All the best. -
Should I Consider A Revision?
NickelChip replied to GataAnime's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age. -
Should I Consider A Revision?
GataAnime posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi, I just had a four year surgiversary yesterday. In the first two years I made it down to 185-187 from 252. I did the calculations, and that was only about 25%-26% of my body weight lost. Doing the research, I've found that anything less than a 50% weight loss in the first two is generally considered failure. I maintained around 185-190 for over a year, and then gained 20 pounds seemingly overnight without changing much--we all have our lapses, but this was not enough to explain a 20-pound weight gain. Also, I am approaching The Change, so maybe this is part of that. All I know is I'm frustrated, and I'm not even sure that my initial surgery was successful. I guess I'm asking what other members of The Order Of The Sleeve who got sleeved at late 40s-early 50s have experienced. I plan to talk to my PCP, but what do you think? Should I consider revision based on the initial results? Would it even be worth doing at this point? -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly. -
I specifically made sure that purée was one of the options @ShoppGirl. I can’t say that the thought of puréed food thrills me but the hospital says that, if you have a bypass, the puréed stage is for 6 weeks (4 weeks for a sleeve) If nothing else, it allows hubby to have a play when he’s prepping meals for me too! I’m reigning in the free fall @Arabesque This is where things can go wrong for me as I’ve experienced many times in the past. It can be a delicate balancing act at times. This is why I feel I will benefit from WLS because it’s difficult to be make good choices all the time when something inconsequential can send me spiralling into unwise food choices. Willpower can get me so far but I know myself. If I was able to be moderate in my choices, portion sizes etc then I wouldn’t be in this position now! Oh, I have an electric heated throw that I use for the sofa plus we have an electric blanket for the bed which we haven’t put back on for the colder months yet. It’s difficult isn’t it, when you feel the cold has seeped through to your bones? I’ve always been a warm person - windows open, fans on all night so feeling cold is a strange experience 🥶
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New to the forum
MrsFitz replied to Gypsy_Life's topic in Revision Weight Loss Surgery Forums (NEW!)
Welcome @Gypsy_Life 👋👋👋 There are lots of lovely people on this forum, all with different experiences and at different stages of their WLS journey. I’m pre-op, waiting for my surgeons appointment next week. I’m in the UK and my NHS Trust is relatively new to offering the mini-bypass. How have you found it so far, with recovery etc? I’m interested in it but haven’t made my mind up until I speak to the surgeon. I hope your new surgery works well for you this time around 🤞
