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Best of luck to you! I'm sure it was hard staying in the hospital for so long, but glad to hear you are on the mend. I am having a revision surgery (though it is band to bypass). I've also had gallbladder surgery, so wondering just how much scar tissue there will be because of that and the band. I'm sure you will do great. Again, good luck!

Thanks! Actually, I just had my scar revised on my left arm and need to revise my right arm with my next surgery (thighs) so now isn't a good time to take pictures. Plus, I live alone and can't get a good angle at the good parts of my scar but when I get a chance I'll ask someone to take the pictures for me. So far the arms were the most painful for me but was tolerable. I've had very little pain with my current surgery.

Hi all, I had my gastric sleeve in 2013 and went from 270 to 155. I started struggling to keep the weight off less than a year out from surgery. Eight years later, I've gained half of it back, weighing in at 210. My original surgeon doesn't do revisions so I decided to have an endoscopic sleeve gastrectomy to retighten my stomach and get off the regain (performed by a gastroenterologist). Unfortunately private insurance doesn't cover these so I paid >$10,000 out of pocket. Has anyone had success with an ESG post-sleeve? I'm 4 days out, down 9 pounds, feeling hungry and weak, but still motivated. Thanks for your input! https://www.hopkinsmedicine.org/endoscopic-weight-loss-program/services/endoscopic.html

Thursday it will be 2 weeks since my revision surgery on August 12, from RNY to Duodenal Switch. It was a 5 1/2 hour surgery, a little rough but my surgeon was able to do what needed to be done. I was in the hospital for 4 nights. So far since i've been home the only issue i've had with the surgery is one of my incisions started draining quite a bit. I went to the doctor to have that taken care of. It wasn't infected but to be cautious, i'm on antibiotics and gauzed up. I see the doctor again on Thursday. Mostly all pain is gone. I'm now on pureed foods. That is going a little tougher than i thought as far as what to eat. I'm eating slow but this morning i did throw up my breakfast. i don't know if it was just stuck or maybe the puree was too thick so i need to be more careful. I also see my nutritionist on Thursday, i know she will have good advice. I'm getting in my protein pretty good each day and really working in my vitamins now too. I will update after my Thursday appt. Also, does anyone have some puree recipes? Thank you! Karen

Thank you Sunnyway, I am going to check into those books. I totally understand you. When i had my RNY in 2006, nutritional guidance was not that great. I also did research upon having this revision and my nutritionist is excellent. So far i'm doing everything the way i was told in regards to measuring everything. I don't get hungry even though it's not quite 2 weeks since i had my surgery. This is a second chance for me and i'm going to follow everything carefully. God is my strength too!

I'm four years into my surgery this month and here are the things that I've learned. At the beginning most will feel mixed emotions. Euphoric due to rapid weight loss, concern due to stalls and minor setbacks and trepidation due to looking at how others are doing and you feeling you're not doing enough. The one feeling we all have will be a renewed confidence in ourselves due to the fastest weight reduction you might have ever experienced. We attain our goal weight. We then transition into making wise food and lifestyle choices. No longer are we to eat the things that made us obese and unhealthy such as the three C's, Cookies, Cake and Candy. We will get more exercise. Maybe we park further from the building, maybe we join a gym, maybe we walk, run or work out. We are feeling great and we love our new selves. Next we work on maintaining the weight loss and our healthy lifestyle. One thing happens, we decide since we lost so much weight it couldn't hurt to visit our friends the three C's. If only for a short while and only in small amounts. Hey, why park so far? It's really cold/hot, I'll park closer. You're still feeling confident even if you gained only 10lbs of the 100 you lost. Hey, you're still down 90lbs. No problem, I can lose the 10lbs. I've lost far more than that after surgery. Then we realize, we are no longer weight loss super beings. We are just mere mortals who now have to work hard to lose the weight. Our bodies after time (usually after the one year mark) will not give us that rapid weight loss we once depended on. Here is when your determination and or lack of it will affect you for the rest of your life. We will all get back on a diet or healthier eating plan to lose the weight we gained. The majority will not succeed because it is not as easy it was when we first had surgery. Some will become complacent and throw up their hands and surrender. The weight will come back and the thoughts of a revision will come to our heads. Unfortunately, most insurance companies do not allow for a do over. For a few they will overcome and work on shedding those pounds. They will succeed due to a variety of reasons such as a good support group, using the honeymoon period wisely and really making better lifestyle choices or simply losing one pound at a time instead of trying to lose all of it at one time. Since my surgery four years ago I had five friends and family members undergo the surgery. We ALL gained back some of the weight. Some were able to lose it and regain their healthy lifestyle. Some never were able to lose the weight and went back into the habit of eating for gratification. This is what I did. I originally got down on myself. How did I after three years let myself gain 10 lbs. I vowed to get it off. My 1st week I lost 1/2 a pound. I was devastated, how could this be? The next week I gained a pound. Why? I needed help!! My regular group meetings were cancelled due to covid so I lost valuable support there. I decided to call my family and friends who had the surgery. I spent hours talking to everyone, I told them about my struggles and they told me about theirs. We all came away with a few good ideas of what to do. First don't look to lose the WHOLE amount in one shot. It won't happen and it will derail you from succeeding. Set a goal of 1-2lbs per week. Don't worry that some friends or family might be losing more. We aren't in competition with them. Look at the little things. One friend said she stopped putting Crystal light or Mio in her water. She only drank plain ice water. It seemed to help her jump start her weight loss. Another friend said he started taking the stairs instead of the elevator. He climbs seven flights at least once a day. Another told me her husband who did not have the surgery brought snacks home and that she would eat them. She purged her home of the unhealthy snacks as she did right after her surgery. I started to implement these and other ideas and I have lost 5lbs in five weeks. I'm at the half way point to getting back to my goal weight. We are not super humans we need help and we need encouragement in order to succeed. There are a few on here who have done a tremendous job on their own and they are to be commended and emulated. For me, I need and I will take all the help I can get. Everyday is a struggle to be healthy. I told my surgeon that all this is happening after only four years, how do people succeed at maintaining the weight loss? He said sadly, the majority won't.

Yes you are correct, i am currently on liquids and soups. However, my point is it requires more intake to get me satisfied than my first surgery in 2017 when i was sleeved. Having said that, I get it now, I was left with the same size stomach I had before the revision, so it’s Inevitable that I’m going to have the same stomach capacity.

You say you had the surgery just a few weeks ago and already have the same food intake capability that you had before... are you already cleared to eat everything you're eating? Just because you CAN eat a lot doesn't mean you SHOULD. I know that one of the reasons I didn't lose weight while on weight loss medications in the past is that I've eaten when not hungry. I've confused head hunger and GERD for actual hunger. Also, just boredom can cause me to eat, as well as when I'm eating something very tasty, and I just want to keep enjoying it. I'm not sure if with the sleeve to SADI revision you would have to do a liquid, then puree then soft food diet right after surgery, but it seems likely...

I am giving the VSG to SADI - (VSG in 2016) to "finish the job". Yes, I am in the statistic of regained weight. Lost 125, but put 50% back. Malabsorption and a Real Dietary Plan seems to be the missing components for me, so it's homework time. SADI-S Revision seems to have a 75%-85% long-term success rate, and I need a 2nd chance at relieving stress on my joints and organs. Where else can I find relevant information?

Approaching corrective RNY revision, I've gone overboard in research and reading so that I won't make the same mistakes again. I had no nutritional guidance when I had my RNY in 1990. Left to my own devices, I screwed up and regained every ounce. This time around I've been collecting bariatric cookbooks, too. Since this is your second time around, I strongly recommend reading The Success Habits of Weight Loss Surgery Patients, by Colleen Cook, available on Amazon. If you suspect you are a sugar/food addict, I recommend Food Junkies, by Vera Tarman. If you are susceptible to binging, a good book is Never Binge Again, by Glenn Livingston. Food Addiction Books.pdf

Um, SADI is not a mini bypass hun. It's another name for the SIPS/Loop Duodenal Switch surgery. And because the sleeve is, quite literally, the first part of the surgery they probably didn't feel the need to mess with your stomach and just went ahead and did the intestinal bit. They should have at least checked to see if there was any stretching in your original pouch, but if they didn't see anything wrong with it's size then they wouldn't have felt the need to mess with it because that would have been pointless if it wasn't necessary. If your surgeon didn't at least check your pouch then I'd complain, but if they did and didn't feel the need to mess with it then you're fine. Yes, it massively sucks that because they didn't work on your pouch you have your hunger hormone and can eat more than you would right after surgery, so that's bound to be difficult. I, myself, didn't have a revision, but had the full SADI/SIPS/Loop DS surgery 19 months ago right out the gate. It's a powerful tool and malabsorption should work really well for you weight loss as long as you watch your intake. Keep in mind that the protein and vitamin levels necessary are much higher than for the VSG so what you're eating is very important. Also, keep in mind that you're still really early in your revision and there's always that pesky stall that most people get right in the first month of weight loss. Buyers remorse in the beginning is normal. I know I felt it for the first two weeks or so, but I got over it pretty quickly after that and I just wish I'd done it for myself sooner. I hope everything works out for you and I wish you luck on your new journey!

Hello, On 8-12-21, I had a revision from a VSG to a SADI ( mini bypass). My doctor did not adjust my sleeve and now I’m several days postop and I am left with the same hunger and food intake capability that I had before the surgery. I’m just curious, if anyone else had the SADI that didn’t include an adjustment to your stomach, and if so what was that Experience like for you? Were you satisfied with your weight loss? I’m starting to get concerned, did I choose the wrong revision or surgeon.

I had the band for 8 years and then it was removed in emergency surgery after it slipped. It has been about 6 years from that point, and I was recently revised to the sleeve. I'm not sure if you're looking for people who have experience with a direct band to sleeve in a short period of time. But if you have any questions I'd be glad to answer them.

I take Bariatric Fusion Vitamins 2 in the am and 2 in the pm and 1 B12 5000mg on Mondays because of the high dosage. Surgery was in June and I will have my lab work done in September to see if they need to revise it.

Hi all, Well i survived my revision. I was in the hospital for 4 nights. There was scar tissue from when i had my gall bladder removed 35 years ago and working with the gastric bypass i had 15 yrs ago made it a 5 1/2 hr. surgery. I have a slight pain going on yet and still move a little slow. So, i am on the mend, listening to everything my doctor is telling me. I see the doctor and nutritionist august 26. i will finally go on to pureed food on Monday and i can't wait. i'm kind of tired of eating the same stuff on this liquid diet stage. Taking one day at a time. Thank you to all who have thought of me going into this surgery. It was a little rough at first, but each day gets better.

Is the revision a two step process (remove the band, wait a few months for healing, then do the RNY) or all at one time. Some surgeons do them all one way or the other, or depending upon circumstances. what kind of pre-op dieting requirements do they have (some want their patients to lose a certain amount of weight before surgery, while some don't care; some impose a stricter to "shrink the liver" for a couple of weeks or so before surgery, while others don't)? What problems do you frequently encounter with this type of procedure (as the bands often damage the stomach, and that's why many such revisions are done.)

Some of the Facebook groups are odd The strangest response I got was someone questioning why my surgeon would do a revision for GERD when I didn't need to lose more weight. And someone else questioning my dietitian for not having me on moderate carbs instead of keto. She's been my dietitian for 2.5 years since I was pre op VSG. Thank you

Thank you I do still have some pain on my right side which my surgeon's PA said is where the largest incision is and where I had adhesions and scar tissue from my sleeve. She told me it would take longer to heal because they stitched it very tight to prevent abdominal hernias. It is mostly ok but I still get pain bending there so inflammation is possible. Menstrual cycle it's hard to say. I am 40 so could be in perimenopause but I have a Mirena IUD which mostly stops my periods. I drink mostly Gatorade zero, powerade zero and propel because that's what has tasted the best since revision and miralax mixes well. I do ok on hydration getting 40-50 oz a day. My gastroenterologist has me do two caps of miralax to prevent constipation and it is working. I do feel like #4 is what makes most sense. I think I dropped water weight rapidly due to the shock of surgery and bounced back up. As long as I don't keep gaining weight I'm fine here. My weight would fluctuate pre revision between 142-145.

Last year I had 360 lower body lift and brachioplasty. The money for that came from savings account. On Monday I just had breast lift, back lift and scar revision on left arm. In about six months I hope to have a thigh lift and anything else I decide I need. None is covered by insurance. I bought a condo almost 3 yrs ago but never sold my house that I owned because I wanted to wait until the value went up just a little more to make sure I had the money for my surgeries. I sold the house this past April, made lots of money on it, paid off the condo and put the rest in the bank to use for my surgeries. Since my doctors office doesn't take personal checks, I put the entire cost on my bank credit card and got 1% back. I paid off the entire amount as soon as it posted online and got the message "This is more than you usually pay." Yep, it sure is! I also called customer service and informed them I was going to make this charge so they wouldn't lock my account.

I recently looked into this and am at the stage of deciding which surgery I want: Re-Sleeve or Bypass. I'll preface the following by stating you can research many articles on "pubmed.com" to read published papers by physicians. There is a re-sleeve procedure and it's either done by plication or utilizing Overstitch; key difference is that part of your stomach is NOT cut and removed, as is done in the initial sleeve. The stomach is made smaller by suturing to make it smaller. In my case, revision, even if it is to a re-sleeve, would be covered by my insurance. Re-sleeves can be done endoscopically (through the throat, no incisions on the abdomen); this is the approach I am being offered. Bypass would require abdominal incisions as it is performed laparoscopically. Bypass would yield a greater overall weight loss, initially. There's a study that indicated the long term weight loss between those re-sleeved vs. conversion to bypass levels out and is similar. Articles: Re-sleeve Gastrectomy - An Efficient Revisional Bariatric Procedure - 3 Years Results Re-Sleeve Gastrectomy for Failed Primary Laparoscopic Sleeve Gastrectomy Short-term outcomes of revisional surgery after sleeve gastrectomy: a comparative analysis of re-sleeve, Roux en-Y gastric bypass, duodenal switch (Roux en-Y and single-anastomosis) Laparoscopic re-sleeve gastrectomy as a treatment of weight regain after sleeve gastrectomy Weight Regain After Sleeve Gastrectomy: A Look at the Benefits of Re-sleeve Reverse: Laparoscopic revision of Roux-en-Y gastric bypass to sleeve gastrectomy: A ray of hope for failed Roux-en-Y gastric bypass As to which procedure has higher risk, in general, risk increases with every subsequent surgery. In this case, it would depend on the approach your physician would take to re-sleeve; endoscopic or laparoscopic. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: a case-matched study If both options would be performed laparoscopically, then it would be a matter of you deciding which procedure you feel the most comfortable with to achieve the long-term results you are looking for. Endoscopic surgery is performed using a scope, a flexible tube with a camera and light at the tip, allowing the surgeon to see inside and perform procedures without making major incisions, allowing for easier recovery time and less pain and discomfort. Laparoscopic is performed by making several small incisions in the abdomen, which increases risk when compared to the SAME PROCEDURE performed endoscopically (no incisions). The approach with the highest risk is open. Bigger incision. Bigger incision, bigger risk. One type of surgery that has taken off in the last few years is minimally invasive spine surgery. Many spine surgeries can be done laparoscopically versus open -- even fusions. The difference? Patients that have it done laparoscopically can have it done in an ASC (ambulatory surgical center), meaning they leave the same day, no hospital stay or large incisions in the back. And...always remember, whichever surgery you have, it's a TOOL, not a magic pill (those don't exist either). Hope this helps!

*Not a doctor, just personal experience plus asking doctors a lot of questions* Not everything is food related after surgery, especially if you are diligently tracking and seeing a dietitian. The temporary weight loss/gain could be: 1. Dehydration causing water retention (noticed reduced urination? May need electrolyte supplementation) 2. Disruption of normal lymphatic activities because of surgery (excess fluid still in circulation, puffy or swollen anywhere?) 3. Slight level of constipation (still have waste that has not vacated despite amount of trips to the bathroom) 4. Inflammation after surgery (edema of the abdomen because of the laparoscopic procedure-usually immediate and not super common) 4. Return to your maintenance weight after temporary drop (happened to me in the first 2 months- 2 weeks post revision I hit 10-12 lbs lower than my maintenance weight then went back to normal) 5. Hormonal response (menses/menopause - I ALWAYS gain before my cycle ) 6. Incorrect scale/discrepancy of scales used (I always weighed different amounts on doctor’s scales vs mine) 8. A combination of things Please let us know what the surgeon says!

I am not working out. I can't due to other health issues. I walk on a regular basis but that's it. This isn't muscle. I average 50 oz of fluid a day. I already saw my dietitian. This is not diet related as I was successfully maintaining pre revision while eating more. I absolutely cannot physically eat enough calories to be gaining weight. I am also vomiting up much of what I eat. My maintenance TDEE is 1548 calories to maintain 140 pounds. I am tracking my calories and averaging 800 in my fitness pal daily. I measure everything. Even if I was off at all I am not eating double that amount of calories. It's literally impossible. Again I was successfully maintaining while eating more. This is completely unexplained weight gain and not diet related. I am so tired of suggestions to see my dietitian when I just saw her. I have a diet plan from her that I am following. I have a follow up with my surgeon next week.

I had a revision for GERD/hiatal hernia repair/esophageal dysmotility 7/13. The goal with my revision was to continue maintaining my weight. I had been in maintenance for 7 months the day of my revision. I was 144 pounds the day of my revision. At two weeks post op my weight was down to 133. I met with my dietitian who gave me a goal of 600-800 calories a day initially and to work towards getting back to 1200. She gave me meal plans for puree and soft foods Week 3 I had gained back to 137. I was alarmed but thought maybe the initial weight loss was just water weight and it would even out. However it didn't stop. Week 4 I was back up to 139 and this week (week 5) 141. My fear is that if this continues i will be heavier than the day of my revision. I am not constipated and am having regular bowel movements thanks to miralax. I asked in a revision "support" group on Facebook but got mostly blame filled posts telling me to go back to my dietitian and that I must be eating too much or ridiculous suggestions to ask my doctor for phentermine. I am diligent about weighing and measuring food and tracking what I eat. I was successfully maintaining my weight post sleeve so it is infuriating to be gaining weight while eating less. I am still struggling with esophageal dysmotility and vomiting due to that. I can't get over 800 calories a day because of it and am weak and tired. I did see my gastroenterologist this week and was told I need a esophageal manometry done but we have to wait until I am fully healed from the bypass. I am still eating soft foods. I have a follow up with my surgeon next week. I want to add that I am not interested in losing more weight. I can't physically eat more and I do not buy into the idea that eating too little would cause weight gain. I just want to maintain my weight. I am really trying to eat as much as my dietitian has suggested but it's hard.

I just had my revision to DS last month. Sleeved in 2012

Hello everyone! Next month, I am having revision surgery from VSG to DS, and this forum has given me so much valuable information. Any VSG to DS patients next month? I want to follow your progress.