Search the Community

I am 61. I just had revision VSG to RNY in August. Easy recovery, feeling very good. Ask any questions. Sent from my SM-N986U using BariatricPal mobile app

How are y’all doing with the weight loss? I have my revision on November 2nd.

When I had mine done a few years back I had the same issue with water. Adding crystal lights minimized the aches going down. It was weird because prior to I didn’t like crystal light and I preferred water solo lol. But it’s true what my Dr. said your taste buds will change. And another thing he strongly suggested was to NOT buy in bulk yet since it’ll all be trial and error until one can discover what one can tolerate, because again what one might tolerate and like prior to surgery can change post. My revision from sleeve to duodenal switch is 10/27!!

The RNY is a gastric bypass, with the rerouting of the duodenum and small intestine (the "roux" in Roux-en-Y). The intestinal portion does not need to be shortened during my revision, but the anastomosis (the opening from the pouch to the small intestine) will be made smaller, along with making the pouch smaller, The stomach will be detached and a large portion of the fundus (the top of the stomach) will be excised. This is a much more complex surgery than I expected, The surgeon will schedule six hours for the surgery, but may be done in about four. Fortunately, he is very experienced with RNY revisions,

Thanks. I didn't know that a revision was even remotely possible until I met a man just before the pandemic started who had had an RNY revision prior to total knee replacement surgery. COVID blew it out of my mind until this past April. I then decided to follow up, learned I was a candidate, and am progressing through the program. I have just had a CAT scan, and will have a cardiology evaluation next week. If approved by the cardiologist, the papers will go to Medicare. My surgeon says I should be able to have the revision before the end of the year. Despite losing 50 lbs pre-surgery, I am still over well 100 lbs overweight. Revision surgery doesn't work as well, but he thinks I can lose another 60 lbs, which would take me to 215. I would really like to pass 200. We shall see. My dream goal is 175. For what it is worth, my surgeon says I am NOT too old for the revision. While the surgical part is complicated, the laproscopic incisions will be so much easier for recovery than the open surgeries I had previously. Why don't you encourage your friend to follow this thread? I will update my progress post surgery.

Wow, thanks for the tip. I do take 150mg XL Wellbutrin I have been taking it for 3 years (and before that 10+ years of 300mg XL) with by old stretched out pouch and had no issues. My pouch after revision will be only 1 oz, so I'd better advise my prescribing physician

Thank you for posting about your journey. I suspect my friend had a similar procedure 30 years ago but she refuses to look at a revision. I have tons of positive thoughts for you and this next part of your life! I’m 62 and my RNY is on 10/25. I can’t wait for the next part of my life to start!

Yes, I would be. I interviewed my surgeon on his ability and how comfortable he was in revision surgery. One can never be too careful. Sent from my SM-N986U using BariatricPal mobile app

Please see a surgeon. Bands fail and are frequently revised to RSG Gastric Bypass. Your chest pain may be an indicator that all is not well with your lap band.

The RNY Gastric Bypass would be more suitable for you. It usually resolves GERD, whereas the Sleeve does not. Sleeves are sometimes revised to RNY because of GERD after the original WLS.

My surgeon pushes more for the DS or SADI-S/Loop DS if the patient has a BMI of 50+. I was originally wanting the Gastric Bypass but my surgeon told me that statically I wouldn't get under 200 pounds if I chose the Gastric Bypass as I'm disabled and can't exercise much at all so I was really having to rely upon statistics. According to my surgeons statistics the lowest weight I would have gotten to with the statistical average of Gastric Bypass was 206 pounds, while the DS was 184 pounds (which I've surpassed that statistic by 8 pounds). In the end, the decision on what surgery you decide is YOURS. Not your surgeons. YOURS. I chose the SADI-S/Loop DS because my insurance doesn't cover revisions and my ultimate goal was 180 pounds (which I've surpassed by 4 pounds) and I didn't think I'd be able to get there with the Gastric Bypass. The downside to the surgery I chose is more vitamins and more protein, but you get used it. I haven't really had any issues other than that I developed a wheat allergy, but you can develop that with any of the surgeries with malabsorption which INCLUDES the Gastric Bypass (it's only a 3% chance, but my luck is crap). So really, just weigh the pro's and con's and choose whichever surgery that you are most comfortable with.

I have not had lap band but I have had two prior bariatric surgeries that failed. I am now going to have RNY Gastric Bypass revision at age 73. I have learned a lot since I started on this path 6 months ago. Good for you for moving forward toward a healthy weight. However, I'm concerned that you have not learned how to eat differently yet. Consider the possibility that you are a sugar/food addict. If you are, Keto is not the answer for you. You need to change your habits entirely. I strongly recommend some reading for you. Choose at least one book from each of these groups. Finally, conclude with Success Habits of Weight Loss Patients. Get started now. Apparently you have already had the surgery, so there is no time to be lost.

My original surgeon was with kaiser, and he wouldn't give me a revision surgery. I changed to PPO and found a surgeon who said he would give me the surgery but didn't think it would help. I eventually found the bariatric institute in Utah, and Dr. Medlin gave me my yes. Getting approved was a BREEZEEEEEE. I guess it depends on your insurance.

Revision is not that uncommon according to my surgeon. My surgeon's office pushes for patients to choose a surgery that will help them lose the most weight they can because they have people coming back for revisions due to choosing a less aggressive surgery the first time or weight regain because they feel that people don't factor that in. They have no problems with doing revisions, but warn that sometimes you won't lose as much as your first surgery or if you do then you'll lose it a lot slower. And, revision also relies very much upon insurance approval if you can't afford it out of pocket so they always advise people to check what their insurance allows before deciding on a final surgery. Originally, I was looking into Gastric Bypass, but my surgeon pushed for me to have the DS or SADI-S because of me being super morbidly obese with a BMI of over 50. My insurance wouldn't have approved of a revision if I didn't like where my weight settled so I ended up going with my doctor's advice. So when it comes to revision I understand that it very much depends upon the insurance. Some will only approve a revision if you develop complications such as GERD, while others will allow it if you've had significant weight regain and can't lose. So it's really just dependent upon what your insurance allows. If it does allow a revision then it comes down to what you want. A revision to Gastric Bypass or the Duodenal Switch (for reference the first part of the DS is the gastric sleeve. Also, there is the SADI-S version which has a longer intestinal length then the original DS, but you'd have to find a surgeon who even does the DS or SADI-S as not every surgeon does). I hope that your insurance will cover your revision and if it doesn't then I hope you find a place that is affordable for out of pocket costs. Sorry that your surgeon was so unhelpful and I hope you have better luck with the next one!

Surgeon approval is generally easy, but insurance approval (at least for me) came with complications such as Gerd/Esophagitis. I would seek a second opinion. There are surgeons that only do sleeve and there are those that are comfortable with revisions, RNY, DS... Etc. Good luck.

I was just thinking about this thread. I had my revision to RNY due to gerd in August. Sounds like you are doing really well to me. To me, it's not race, especially if you are eating healthy and exercising, making the shift from poor habits to healthy self-caring eating habits (mentally, emotionally and physically). Generally speaking, to lose 4 lbs. a week you would have to have a calorie deficit of 2000 calories a day. Good job so far.

I had the gastric sleeve surgery in February of 2018. I lost 100lbs and was feeling wonderful. I got pregnant with my son in June of 2019 and gained about 55lbs and cannot for the life of me lose the weight. I reached out to my surgeon as at the time of my surgery he told me to "get the sleeve because it is more safe if I plan on getting pregnant" and if I wasn't happy with the results after my pregnancy I could "always come back and get bypass". Well I reached out to my surgeon after about a year of me doing multiple failed diets and said I wanted to make an appointment for a revision surgery. My surgeon then responded with "You have the tool you need to work it". That was that, I feel very discouraged however, am looking into a different surgeon in another town. I guess my real question here is: Has anyone else had to deal had a hard time being approved for revision?? Did your surgeons frown upon it? Is it possible they will turn me down for surgery because I previously had the sleeve already? If you made it this far, thank you for reading my rant!

Today is five weeks exactly, and I am down 21 lbs. Last week was weird; for some reason, I gained a few lbs, and then within six days, I started dropping an lb a day. My dietician would like me to stay between 80-100g of carbs, which I was reluctant about reading other revision experiences, but I am happy to say that I am still losing at 80g daily. I can eat many things without issue, but only if I eat them in small portions. Pooping is weird... It smells, often loose, and I have had some oily moments (TMI), but it is definitely diet-related. I have noticed that I have gas early in the morning and have to poop first thing, so that is something to keep in mind if you are considering revising to SADI.

Hello all, I had my surgery October 1st, so this is day 10. I spend the first three nights in the hospital, and went home feeling pretty good. By afternoon the following day I was nauseous and I began to vomit. Because I could not keep water down I was re-admitted to the hospital. I struggled with potassium and magnesium, and my blood sugar straddled the line of low (68). We got the nausea under control and I have been home for two days without problems (yay), but I am still on clear liquid until I see my doc on Thursday. Before the complications I was advised to wait a week before starting supplements (I think partially to avoid sickness). However, my current diet is 60mg protein (320 cal), soup broth, sf jello and decaf hot tea with powdered nonfat milk. Naturally I feel no hunger, but how long can one sustain with such a low intake? Any suggestions for boosting those calories while avoiding dumping would be helpful. Thanks! Rachel P.S. For context my surgery was a revision from sleeve to bypass due to GERD. The first surgery was six years ago and I lost 120lbs. After a concussion in 2019 and 2020 Is gained about thirty back. I say this because I wonder how it might impact things….

I'm a little over 2 months post-op (VSG to RNY revision) and am averaging 676 calories a day. I am on the fence whether to up it or ride the honeymoon wave. I asked my surgeon on my first post-op appointment, and he said to stay around this calorie range to lose more weight, that's about all the information I got.

I only ate one because I am still just over two months after my revision to bypass. My eyes are always too big. But it was good going down. I put tabasco and salsa on the top after (not shown). 3 x Mr. Tortilla pico de gallo (1 carb tortilla), 1 oz cheese, 1 oz rotisserie chicken sprinkled on the tortillas and air fried. Sent from my SM-N986U using BariatricPal mobile app

RNY April of 2012, so that makes 9+ years out. My surgeon no longer practices bariatric surgery and most likely isn't even in my state any longer. I have had to make due with visits to hematologists, psychologists, primary care docs and more recently, went to a different WLS center for a consult and also to an endocrinologist to address the weight creep up that has taken years to put on--really can't blame the Covid, but rather letting a combo of sloppy habits and less intense exercise run the course to the expected outcome: the dreaded regain. To complicate matters, I have been so exhausted that I have been trying to get to the bottom of that as well. Ruled out anemia (I have had to get iron infusions three times), ruled out thyroid (although I do take NP thyroid and the endo upped the dosage a little bit), and while menopause is a factor, I got on bioidentical hormones to try and feel better. Somewhere in the middle of this, I had the brilliant idea that perhaps I should wean myself off antidepressants because they might have contributed to the weight gain as well. Uh. This is not the year to get off antidepressants, being all stressed out at work with all the students back to in-person learning and no clear direction about how to distance kids who seem determined to sit on top of one another, etc. After the new bariatric consult, where I was basically told that because I had open gastric bypass and then had incisional hernia repair and fleur de lis abdominoplasty, my insides are too messy to do any kind of revision, with the adhesions and all. But what I NEEDED to hear was what I have been doing: back to basics. Push that protein--90 grams. Watch the carbs and fat. Exercise. And eat less calories. 1200-1400. Since that visit I have tracked my intake on MFP and gave myself one day a week to have a higher calorie day and some kind of splurge. The rest of the week I do two very high protein meal replacement shakes, a Greek yogurt, a couple of hard boiled eggs and something small but proteiny and veg for dinner. I have to say, keeping it boring has kept the appetite at bay. And so far, so good. Nearly back to Onderland again, and I plan on keeping going until I get back to my lowest weight, which hilariously still has me in the overweight category according to the BMI. In addition, since not crawling into bed as soon as I get home is one of my major goals, I went back on the antidepressant, at a little higher dosage after explaining my symptoms of exhaustion. All this to say that the work is never done and I wouldn't have it any other way! This is my first post and I figured I would just throw it all out there and include the juice, since that is what it is all about for me and I have been very much enjoying reading all the posts here. Didn't want to be a freeloader with nothing to contribute

My surgery was 30/9/21.. Derby uk Nhs, Revision from Sleeve to Bypass.

Having revision to MGB Oct 9 with Dr Elias ortiz 😃

Sometimes you feel like your the only one that “didn’t do it right” because you see all these success stories online but there are many of us in this boat otherwise revisions wouldn’t be needed. My doctor told me not to expect too much but I’m going to work hard on this. Im determined. We got this