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In defense of the surgeons, I think one of the reasons doctors either don't tell you (some warn you of minimal weightloss) that a revision due to gerd often results in minimal weightloss is because to them, it isn't about the weight to them, it is to fix your gerd. You can't live a quality life suffering from severe gerd day in and day out. I couldn't sleep at night and during the day towards the end, I had to have food constantly in my stomach or the knawing feeling in my stomach would never go away, and my throat literally burned all day no matter what. It was miserable.

I would go with the advice of your doctor since he knows your case the best. However, you can always get a second opinion. Many people who have had the sleeve have long term success. I know those who had vsg and they regained, but I know people who had bypass and regained. It's really up to the person to be able to follow life long changes and commitment. I think if one has a history of gerd, then they are the main people that should stay away from the vsg. Good luck and how to hear of your decision soon.

I had my Gallbladder removed during my Gastric Bypass. I've had bouts of nausea on and off since, but I never related it to being sans Gall Bladder. Something to ponder. I know it can be very frustrating. For me, as with all things stomach related, so much can depend on stress, fatigue, pain, illness, poor food choice, and a myriad of other things. Once the nausea starts a whole series of dominoes begin to fall, so if I can head off the nausea it can be a life saver. My PCP gave me Ondansetron that does help. Ginger Ale also seems to help in a pinch. Sometimes a bit of food can help. I find that during my on again periods I'm also particularly sensitive to smells so any 'cure' based on smelling something would be something I avoid. Oddly, my pain meds help. Go figure. If mine were constant like yours I would entertain talking to a Doctor that deals with stomach stuff (not a surgeon). Good luck, Tek

I heard you say you don’t want to have “two surgeries”, and it reminded me of my mother’s experience. She had gastric bypass and lost more than 100lbs. Within a few years, she had to have surgery to remove her gallbladder. The surgeon told her it’s very common for RNY patients to eventually need this operation. Either way, you may end up having two surgeries after all. I would instead focus on the present risk factors and make your final decision based on your comfort level. Good luck to you!!

May be worthwhile checking in with your surgeon or dietician for some assistance. Perhaps for the moment scale back to soft foods?? Hopefully some members who have had a bypass may have some relevant experience or information to share

The long term success of either surgery depends upon you. Many of the initial benefits of bariatric surgery fade over time. Your hunger comes back, your restriction can soften, it is possible to eat around your smaller tummy & your body’s new set point, etc. What the surgery does do is give you time. Time to make changes to your relationship with food: the why you eat, what you eat, when you eat, how you eat. Time to understand your cravings & develop strategies to better manage them. Time to establish new habits about eating & exercise. Time to work out how you want to eat in the future & what works for you & your body. Regain occurs for many reasons: psychological, physiological, behavioural. Bounce back regain (usually 20%+/- of the weight lost) around the third year is common. It can be because your body settles into the weight it is happiest at (your set point). Medication changes. The crap life can throw at you (employment, relationships, health, pandemics). Complacency. A too restrictive way of eating or too demanding exercise regime. Not dealing with your relationship with food. And for some it can be a deliberate choice as they themselves feel happier at a higher weight or they make adjustments to their food choices to better suit their life. Not failure of the surgery but the impact of outside factors. The average weight loss for both sleeve or bypass at the three year mark is about 65% of the weight to be lost. Of course as with all statistics there are some who lose more & some who lose less. If you are considering revision surgery of sleeve to bypass as a sign of the failure of the sleeve, remember many who have revision surgery do so because they developed GERD not necessarily weight gain. I have a sleeve & lost more than my goal and have pretty much maintained though at only almost 4 years post surgery I’m still somewhat of a bariatric baby. I settled at 49kg (48.5-49.5). I unexpectedly gained about 2kgs about 18months ago (50.5-51) but recently we discovered I wasn’t absorbing my HRT meds. Changed to a patch & my weight is slowly decreasing (49.2-50). Small numbers I know. Has it been difficult? No, not really. It was very obvious what I had been doing wasn’t working for me & I needed to make changes. I put myself & my health first. I changed my relationship with food. Made a decision to change what, when & how I ate. It became a new mindset. The changes have been sustainable & haven’t restricted my life. I still enjoy food & eating but my desire is for healthier, more nutritious foods. And no I’m not running marathons or spending hours in the gym just some at home stretching & resistance bands. Sorry long post.

Okay I had a sleeve 3/9/2021 and lose a pretty good chunk of weight but since I have gained it all back. My doctors have tested me for many things hoping to find answers to why I am so hungry and I am still waiting on a couple more results but it is looking more and more like I just failed. I am meeting with the bariatric doctor again tomorrow to see if they think revision is an option for me (assuming the rest of those tests come back fine as well). My question is, for those of you who revised because of weigh gain, did it work the second time around and if so what changed? What did you do different?!

It appears that VSG is quite successful, with weight loss well over 100+ pounds common in the first year. But I've also read that maintaining that loss after the 2 year mark is difficult, and gaining weight back is common. This doesn't appear to be the case with the bypass so what causes this? I know it's a TOOL, but why is the tool so successful for 1-2 years and then not? What changes and why and what can be done to prevent it? Obviously maintaining healthy habits and continuing to work at it, but what physically or mentally causes this shift? I've heard the stomach stretches out so there isn't as much restriction, but then I read where that is not possible? Having experienced regain after countless diets I want to set myself up for success.

I lost over 200 lbs but I had bypass. But I just wanted to say that it took almost two years for me to lose all that. My weight loss REALLY slowed down after I hit the year mark (near the end, it was like 2 lbs a month!), but it all came off. I was stalling a lot more frequently that second year, too. So many times I thought "well, this is it...", and then I'd drop a couple more pounds. Just stick with it! Your body might not be done losing yet.

I’m a military veteran and the VA just sent me the Bariatric Pal MultiVit ONE like in the photo. Amen! I hate the other chewables! I’m 5 weeks post gastric bypass. Good luck!

I had a successful surgery 12 days ago. My only complication was high blood pressure, so I was in Tobey Hospital (Southcoast) for 2 nights. I'm down about 28 lbs, which is a loss of 2+ lbs per day. Is this normal? I started at 386lbs. I'm not eating much. I get my protein from Fairlife Elite shakes (42g) and :Ratio yogurt (25g). Other than that, I have tea, jello, pudding and broth. Anyway, looking forward to stage 4 foods! Sent from my SM-G981U1 using Tapatalk

Hi all. I am almost a year out from band to bypass revision. I set my goal weight before getting banded in 2012 at 185 because I wanted to say I’d lost 100 lb from my surgery weight. I hit that goal but am not satisfied at how I look so I have a new goal of 175. I think the numbers mcipanda quoted at the beginning are unrealistic numbers in the first place. Better to be flexible about the goal and when it feels right then you’re there, imo. Congrats to all of you on ryes chat to have made the decision to improve your health!

Hey, I’ve never heard of this? Is this just going from a bypass to sleeve? Or?

Hey guys, I am thinking about having an endoscopic gastric bypass revision. Has anyone completed this? Wondering about weight loss and if there was any complications? Would you recommend for others? I want a revision but the down time for surgical is tricky, so hoping this could be a good options.

I’m 10 weeks post gastric bypass surgery. Can’t really eat anything- weight loss is slow infact some days scales go up!! I’m exercising daily. What should I be attempting to put in my mouth???

Eeesh sorry about that. It's hard for me to get up and do a whole lot as well as I had bypass while already having a broken ankle. This makes getting any exercise in very difficult. I have taken to trying to do exercises that I can do from the bed. Sent from my SM-N960U using BariatricPal mobile app

I was in a similar situation as you before my sleeve OP. However - I KNEW that previously when I had lost a lot of weight my reflux had all but disappeared. I really didn't want a bypass so I decided to take the risk of 2 procedures and have the sleeve. It worked out as I had hoped - I lost a lot of weight and that cured my reflux. However, I totally accepted that it might have gone the other way. My surgeon didn't offer me any certainty or promise me anything - it was me who decided in the end. I hope this helps a bit and best of luck to you.

I'm 5 days post op now and I also felt really weak and light headed. I think cause I slept in too long. I felt much better after taking some deep breaths. It's really hard to get all of my requirements in and I'm kind of worried about what would happen if I can't get it figured out. I need at least 64 ounces of fluids, 60 to 80 grams of protein and up to 1200 calories. Ahhh! I have bariatric fusion complete chewable vitamins and for bypass I need to get 4 or those in a day. I only got one today (I know if I got up earlier I'd have met that goal). Tomorrow is a new day and my son goes back to school so I'll be getting up earlier and hopefully I'll be able to get everything in. I'm gonna try to track things again. How does everyone get things in for the day? It seems hard.

I had a gastric bypass because of medical issues. I had a fundolipication that had failed after about 8 years ago. This left my esophagus in an L shape & made it hard for food to go down. My surgeon is one of the top Thorasic surgeons in the country. He told me to get all my info on the internet 🙄 He said that a Roux n y would permanently fit my problem. Because it was a medical problem & not just to loose weight I didn’t have to do all of the things weight loss people do. I did loose 70 pounds then put 15 back on. I think my body has settled on the weight that it is happy at. I know if I go over that my digestive tract will be unhappy.

Check with your surgeon to see what they require you take. For example, bypass seem to have to take a wider range of vitamins than sleeve & they have to take some of them forever. Plus, your own needs should be taken into consideration: what does your blood test show you are low in? Some surgeons don’t want you swallowing meds for a period of time after surgery too so that will influence the type of vitamins you take (patch, gummies, spray, capsules, …) Vitamins can be difficult to take after surgery, they can make you nauseous & are expensive. If you don’t need to take certain ones don’t - you’ll only pee out the excess you don’t need. I only had to take a multi vitamin & a Vitamin D after my surgery. The vitamin D was stopped after a couple of months & I stopped the multi vitamin at about 8 months (2 months after goal). My blood tests showed I didn’t need the . The only supplement my regular blood tests show I need is a Vitamin D in winter when my levels temporarily drop (I hibernate in winter).

Yes. A revision to bypass is what usually occurs if your reflux worsens. In most situations your surgeon will advise against a sleeve if you have existing reflux/gerd. I had reflux but I’d managed it for many years with dietary choices. I usually only needed to take meds maybe <5 times a year. This was why my surgeon decided a sleeve would be ok. I still have reflux but it manifests differently & I do have to take a PPI every day. PS - I think those whose reflux improves after a sleeve is because of dietary changes & the weight loss. It’s not common though.

But if it gets worse I would need a revision to bypass correct? I don't want to have 2 surgeries. Sent from my SM-S908U using BariatricPal mobile app

no - you can get either surgery. But sleeve can sometimes make it worse (it doesn't happen to everyone - and some people have even said theirs got better, but it's something like a 30% chance that it could get worse). Bypass, on the other hand, often improves if not outright cures reflux. I had reflux before my surgery, and I didn't want to take the risk. But some people are OK with that risk - and again, there's a 70% chance it WON'T make it worse. So it comes down to how comfortable you are with the risk.

Is bypass the only option if you have acid reflux? Sent from my SM-S908U using BariatricPal mobile app

I know I did this in the wrong order. [emoji849] I had an abdominoplasty and lipo a couple of yes ago after losing a bunch of weight only to go through a divorce and gain all my weight back. I am going to a group meeting and my consultation on Monday. I'm curious to know if anyone has done this and what complications could arise. I'm concerned it will cause problems due to fibrous spots and my belly button being rerouted. Am I a lost cause? Sent from my SM-S908U using BariatricPal mobile app