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Revision from sleeve to Rny bc of gerd
dexter replied to Maria Castillo's topic in Revision Weight Loss Surgery Forums (NEW!)
Those who’ve had revisions- how did you get your doctor to do something? How did you convey the urgency without sounding like a hypochondriac? It’s gotten so very bad and I’ve been begging someone to listen for two months now. I can’t keep going like this. -
I had my sleeve 8 years ago and have been battling severe GERD for two years and serious weight gain since my hysterectomy just last December. Now, I am miserable and weak. 10-20 tums a day, unable to properly take my medications because I throw them up. Cannot eat because I throw it all up too. Just ordered some syntax iced tea and protein soups. I’m taking 80mg protonix daily and wake up choking on my bile bile at night. My PCP dismissed me. Saw her PA and at no time did she even look down my throat. Got a referral to a GI and they called to have a consult in a month! A consult! Only! Called my old bariatric surgeon and he’s not in my insurance network and I can’t afford him. Called one in town and have an appointment on the 9th. But if it requires a revision, I don’t know if it’s covered on my insurance. I’m losing hope. I feel like everyone else has since I’ve been dismissed at every turn. My brain is fuzzy, my eyes are sunken. Work is hard. I pretend I’m fine and eat at company meetings then go quietly to the bathroom to throw everything up. I’m miserable. I need an answer but no medical professionals seem to be in a hurry.
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I have the same thing going on with me. I am 4 years out 8/9 VSG and 14 months revised RNY. My relationship with food has changed. Its a chore to eat and I am not in the mood most of the time. My weight is starting to drop again. I weighed in at 148.8 this morning. So I made some mac n cheese to go with some leftover meatloaf. I was actually excited to eat, lol. Yeah, so depending on what the food is makes a lot of difference too. I didnt have this issue with VSG and I think its because I still felt normal when I ate and could still eat what I wanted just in smaller portions. My views and relationship with food in maintenance were the same pre surgery as far as what I ate. RNY not the same. I dont have the same sense of fullness as I did before I ever had surgeries or the way it did with VSG. In fact I mostly dont feel anything but if I eat one bite over I am deathly ill and the same thing goes if I eat the wrong foods. So I feel this is why I not interested and I rarely feel hungry so why bother . SIGH
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Before and 7 months post RNY! Post your before and after!
CKmommy posted a topic in Gastric Bypass Surgery Forums
Here is me just shy of my heaviest of 365 lbs. I started my Weight loss journey June 2020. I lost about 35 pre surgery which was January 4, 2021. I also have had to have a revision due to a perforated ulcer mid July. I am now down a total of 120 lbs. it’s amazing the difference I feel. My 5 year old can actually sit in my lap… because I have one now! I can see my feet when I weigh myself. I don’t have to lean against a wall to wipe after using the bathroom, or to clean myself in the shower. I can buckle my seatbelt with out getting out of breath. I now consider myself ‘normal’ fat because I actually blend in with a crowd rather than standing out as the largest in a room! I’m sure I could go on but I am so glad I did this!- 12 replies
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Hello! I am looking to introduce myself and possibly get some advice or insight from others! I had a VSG in October of 2016. Weight DOS was 288, lowest weight I reached was 198 within about 6 months of the procedure. I developed terrible reflux that I managed with OTC medications, and maintained this weight loss almost effortlessly (I did go to the gym 4-5x weekly and ate small portions - stuck to the rules as best as I could) until the end of 2019. But to backtrack a little - I was diagnosed with breast cancer in May of 2018, so by the time I was through with chemo, steroids, horrible lethargy...you get the picture... the weight piled back on within a year of finishing treatment, and by the end of 2019, I had gained 60lbs back. I am in no way trying to play the "cancer card" or blame it on that, I know I am fully responsible for the way my weight journey has turned out, but if I had to pinpoint when it started to go downhill, I'm pretty sure it aligned with that. Presently, I am at 261 and am seeking a revision due to the reflux, a severely dilated fundus that was seen on both a CT and an endoscopy, and the weight regain. I guess I am just looking for others who are also seeking a revision, or others who have recently had one who may have any words of wisdom! Lastly, I have Harvard Pilgrim and my authorization has been submitted by my surgeon and is now in the "pending medical review" stage. Anyone else with HP, roughly how long did it take to hear back? My program coordinator said anywhere from 1 to 2 weeks, but I was just wondering if anyone had any personal experience. Thank you for reading and I'm looking forward to "meeting" more people on here!
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Sleeve to bypass revision with arthritis
Tracyringo replied to Frostyauggie's topic in Revision Weight Loss Surgery Forums (NEW!)
I still have GERD and take a PPI twice daily with the RNY which sucks but my esophagitis when last checked went from a grade D to a grade A which is really good. I also have no problems with keeping my weight stable. The VSG was great but I struggled in maintenance keeping it steady. My weight fluctuated a lot more and the lowest I got was 164.8 for a day, lol. I could usually maintain 175ish but was constantly stressed out. I would say I ate around 1000-1200 calories to stay in that range and under 1000 to stay in high 160s. RNY has been much easier to maintain my weight. I now weigh 154 and my weight fluctuates between 152-155. I have no problems or stress maintaining it !! This makes my daily life much easier because I dont constantly think about it anymore. I would even say I eat more now then what I did with VSG which sounds crazy but its true. I have dumping syndrome which keeps me away from heavy carbs and sugar. I do eat these things in small amounts and usually dont have any problems but I have to be very careful of when and how I am eating those things. I am less interested in food with RNY. Some days its a chore to eat ! I think this comes down to not being able to eat whatever I want when I want so if the food isnt great I really dont want to bother with it. My mind set has become totally different in regards on how I view and look at food. I am 14 months out from my revision and 4 years from my VSG. Good luck to you ! -
July 22 surgery date - Revision from VSG to RNY
2ndChance@Life replied to relaxrelaterelease's topic in Revision Weight Loss Surgery Forums (NEW!)
That’s awesome! I’m having my revision on 8/16…hoping to have the same success you’ve had! Keep us posted. -
Severe Gerd/esophogeal dysmotility. Revision vs nissen or just hernia repair?
starladustangel replied to starladustangel's topic in Revision Weight Loss Surgery Forums (NEW!)
Yes. My insurance covered both my original surgery as well as my revision. -
I'm going in for a revision from sleeve to bypass soon. I can not do RTD protein shakes. They are far far too sweet for me. I do not have a sweet tooth at all. What I've been doing since my sleeve these past few years is just using fruit for flavor, like a few strawberries without sugar or artificial sweetener... Etc. So I feel like I'm a fix because after surgery, I have to go 14 days on liquid diet which includes protein shakes but I don't think I can add fruit even if blended well, right? Any ideas what I can add to my water (or other liquid) and unsweetened protein powder that will work post-op bypass? I know I can add my protein powder to broth but would really like to have some type of protein shake. Can I use PB2 (peanut butter powder) on the 4th day Post-Op? Is there such a thing as fruit flavored powder unsweetened that I can add to it? I don't know. I think I'm nervous and am overthinking things this time around. lol Thanks in advance!
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Anyone experience a extremely slow weight loss?
NovaLuna replied to Ariakias's topic in Gastric Sleeve Surgery Forums
I've heard a few people who had the sleeve saying that they stopped losing weight early on. Sorry that you're going through that! I've had pretty slow weight loss myself when I compare myself to others due to my hypothyroidism and not being able to really exercise due to my back injuries and arthritis, but I was still recently able to get to my goal weight even after multiple really long stalls throughout my journey including the most recent one being 47 days long. If you look into revision, other than gastric bypass, you could also see if your insurance will cover the duodenal switch or loop duodenal switch surgery and if you can find a surgeon who will perform it. The sleeve is literally the first part of the surgery, they just add the intestinal bypass portion and you statistically lose the most weight with the DS. So it's an option to look into. I hope you can either find something that will work to pick your weight loss back up or a revision that'll work for you. I'm so sorry you're struggling and I hope that things work out for you.- 1 reply
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Anyone experience a extremely slow weight loss?
Ariakias posted a topic in Gastric Sleeve Surgery Forums
Hey all, I was sleeved a little over a year ago. alittle about me, surgery day I weighed in at 386. I’m 6’3” and prior to the sleeve I was in the gym 5 days a week most weeks. I’ve been the same weight since 5 months post op, currently weighed in at 315.No matter what I do, more intense workout, sleeve reset, eating more protein, more water, more greens. ( all those were doctor suggestions). Nothing seems to work, kinda like before I even had surgery. Even got to the point where both the surgeons nurse practitioner has said quote “ I don’t have any answers for you”. The surgeon suggest the sleeve reset because he said I had to be over eating. Which I don’t. I eat like a bird most days i got a second opinion 2 months ago and she put me on a 1600 calorie diet, she thought I was under eating and I struggle to eat 1600 calories. my worst fear was when getting the surgery was it wouldn’t be effective and I understand that I’ve lost like 70lbs. That’s all fine and grand I feel better but I’m only 10 lbs from my lowest weight I achieved on my own and that is extremely disappointing to me. I was told by the surgeon prior to surgery that the weight would melt because I was already active quite a bit. I’ve contemplated getting it revised to the bypass but with the slim success of the sleeve I’m quite reluctant to go get another procedure. im really getting to the point of not caring anymore. The doctors all say my labs are good, no thyroid problems or anything like that. im at a loss, this was supposed to be a nice tool to use to change my life and it just seems like it broke early. thanks for reading and letting me vent Matt- 1 reply
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What Led To Revision
relaxrelaterelease replied to dennydenco's topic in Revision Weight Loss Surgery Forums (NEW!)
I was revised from the sleeve to bypass last Thursday due to severe GERD and a hiatal hernia. Within about a month or two of being sleeved, I began developing reflux. It took almost 2 years to consult with a specialist who confirmed that I had developed GERD (and over time the hiatal hernia) due to the sleeve surgery. Please be your best advocate and speak up if you feel something isn't right. I took very potent PPI's for almost 3 years and that led to damage to my esophagus. I feel so much better already, and I am losing weight as well! -
Gastric Bypass & Self Pay: Timeline from Consult to Surgery
Ladidi replied to devotion's topic in General Weight Loss Surgery Discussions
Wow I got my lap band in 2008 also. Just starting the revision process. Am prepared to self pay but hoping my insurance will cover surgery. My weight loss center staff is very good with working with insurance companies. Keeping my fingers crossed and doing a lot of praying. -
WHERE ARE MY AUGUST 2021 PEEPS?
holly9740 replied to phenomenally_me's topic in Gastric Sleeve Surgery Forums
August 5th here - revision from RNY(2003) TO SADI-S. -
Still Jumping through hoops for Ins
Ladidi replied to wlh75's topic in PRE-Operation Weight Loss Surgery Q&A
I finally scheduled my initial visit with the nurse practitioner. Had to have UGI and submit revision paperwork from my lap band I had years ago. This was all done and turned in May 3,2021. So I am at the very start of my journey. Trying very hard to be patient. -
Revision surgery: Why will this time be different?
LisaMarrie replied to KSW22's topic in Revision Weight Loss Surgery Forums (NEW!)
So sorry to hear that, I know how disappointing that is to wake up and no revision. I hope that you are able to find something that works for you. -
What Led To Revision
lbugher replied to dennydenco's topic in Revision Weight Loss Surgery Forums (NEW!)
Another failed lap band here! I am getting revision to RNY tomorrow morning. I am so excited to get this awful thing out of my body. It did NOTHING to curb my hunger or appetite. All it did was make eating healthy food hard, and make eating slider food rewarding. Couldn't get a chicken breast and a cup of broccoli down because it would get stuck in the band but I could eat a greasy cheeseburger and a milkshake with zero issues. I wish the lap band procedure would be banned all together. It's useless at best, and potentially fatal if it's left alone to cause issues. -
I'm going to have a revision to bypass. I have the sleeve. With the sleeve, I went home right after surgery. I'm kind of stressing about staying at the hospital overnight. Like what to pack? I was wondering what they give you at the hospital as far as drink/food. Should I bring drinks, protein or broth... Etc.? Thanks in advance!
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How long will I be off of work?
WebNerd11 replied to Pennykay's topic in Gastric Bypass Surgery Forums
I had the Gastric sleeve in 2016 and let's just say mistakes were made*, I gained all the weight back. I decided to do a revision surgery to the gastric bypass, so this was a revision surgery and my second one. Fluids are no problem. I drink 2 protein shakes a day, plus water, though i dont think i'm getting 64oz in - but im close. thanks for asking! *absolutely stay away from carbonated drinks and stop before you get full! The new stomach stretches back out so easily. Nobody told me this prior to surgery. -
Revision surgery: Why will this time be different?
KSW22 replied to KSW22's topic in Revision Weight Loss Surgery Forums (NEW!)
I guess I will have to try something new now. I had my surgery Friday and they were unsuccessful doing the revision because of so much scar tissue from my perforated ulcer in 2012. He was able to repair my hiatal hernia but that’s all. Not sure how I’m feeling about it yet. I’m sure it will sink in sooner or later. Thanks for the reading references too. -
Revision surgery
StratusPhr replied to deannaculp's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm not sure where you're located but Dr. Ayoola (pronounced Eye Ola) is located in the Dallas area. I have a friend who had a sleeve to DS revision. She loves this doctor, and trust him completely. She's very happy with her revision. Now Offering Telehealth Visits | Weight Loss Specialists of North Texas: Weight Loss Specialists: Denton, TX & Flower Mound, TX (drayoola.com) -
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So frustrated, 1st appeal denied
Cia2020 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
My surgeon's office appealed with the EXACT same language as the first request to go from VSG to an RNY which was denied. Hello month wasted, of course they would deny it again. What's that line about repeating the same behavior expecting a new result? Sheer laziness! 😡 I'm currently waiting on a call back from the appeals department at my insurance for clarification on one of the points of the revision criteria: Weight loss to 90% or less of ideal body weight If my understanding is correct, since I only lost 27% of my excess body weight and I'm a good 55 pounds from my ideal body weight (not even my goal, but I'm 35 pounds from that too and only lost 24 pounds total) I could be considered for revision. What I find is ridiculous is I have a few cm sliding hiatal hernia visible on my upper GI literally every time I breathe, hiccups countless times a day associated with that, GERD no responding to PPI use resulting in mild (so far) esophagitis, and documented dysphagia just with liquids on a swallow study done plus I've had vomiting with foods like meats that got "stuck" because my esophageal muscles aren't working properly anymore. All of which would be resolved with revision to bypass. Add in I have family history with cancer on both sides, including with my grandad and aunt on my dad's side who had stomach cancer (removed whole stomach) and esophageal cancer (multiple bouts) respectively, and this scares the crap out of me. I don't want to be on a PPI for years, which is not safe, or wait until I have 4 months of documented severe esophagitis that could turn cancerous. Not to mention what this could do to my asthma and high blood pressure during this whole Covid era, neither of which were resolved by the initial surgery either. Why does insurance have to be such a 🤬 ?!!- 1 reply
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Thinking about Gastric Bypass
GingersnapMI replied to CarolMcca's topic in Gastric Sleeve Surgery Forums
Ditto! I chose RNY bypass over sleeve due to: 1) RNY gives slightly better results, statistically, and seems to be more commonly recommended for my age group (I'm 58). 2) I'm a twenty-year GERD sufferer, even when at lower weights. The sleeve can cause/increase GERD symptoms (you will find a fair amount of people here who had revision surgeries from sleeve to bypass due to GERD). I also had an older sibling who was a long-time GERD sufferer and ended up dying at age 61 of esophageal cancer. I decided to take no chances. 3) Bypass is reversible, sleeve is not. (Though there are very few instances when a reversal would actually be needed/done.) 4) I actually wanted the possibility of dumping as a "reminder" to stay on course with proper eating over the years to come. 5) RNY procedure bypasses some of the small intestine which causes mild malabsorption of nutrients/calories. This means that lifetime vitamin use is absolutely necessary (which is also recommended for sleeve recipients) but it also means that occasional digressions from proper eating won't be as detrimental to overall results. -
Revision surgery
catwoman7 replied to deannaculp's topic in Revision Weight Loss Surgery Forums (NEW!)
some insurance companies will cover revisions, and some only cover one surgery per lifetime. I have a friend who's had horrible problems with her 10-year-old lap band the last couple of years, but her insurance company refuses to cover a revision. of those companies that cover revisions, some will only cover them for some medical reason, like GERD or a mechanical flaw with the surgery, but not for regain (but some might cover for regain - not sure, though). the only way to know for sure if yours will cover it is to give them a call. I would imagine some might cover it - but some won't. -
Revision surgery
NovaLuna replied to deannaculp's topic in Revision Weight Loss Surgery Forums (NEW!)
Well, you could always do an RNY to DS (Duodenal Switch) revision. You'd have to see if your insurance would cover the revision though because not all insurances do.
