Sleeve to RNY

[Plutonium 11]

Hi all,

I had the sleeve around 2 years ago and now, because of GERD, I need a revision and am scheduled for the 24th. I also gained back around half of the weight I lost. According to my doctor, (new surgeon) my former surgeon took about 50% of my stomach when the norm is about 70-90%. I never did reach my goal and was frustrated. I am curious if anyone has experienced anything similar and if they were able to reach their goal with revision. Also, with regards to dumping: does it also happen with Splenda and the like?

[catwoman7 11,214]

lots of people have revised, so some may chime in here. It usually does resolve GERD (although not always -- tracyringo, who's on here, hasn't seen any improvement yet, unfortunately) - but for most people, yes - it stops it.

most RNY'ers don't dump (the statistic that gets thrown around a lot is 30% of us dump, although I don't know if there's any hardcore medical research behind that number. However, I've been on bariatric boards for the last six years, and I know a lot of us don't dump - so that number doesn't surprise me. And no - you don't dump on Splenda or other artificial sweeteners. Just sugar - and for some people, fats (although I should add that some artificial sweeteners, esp sugar alcohols, give some people G/I distress - but that's true of normal people, too - not just WLS patients).

weight loss supposedly isn't as fast or easy with revisions as it is with virgin surgeries, but some people do manage to make their goal.

[mae7365 372]

I had a revision in October 2020 for GERD. Unfortunately, I'm one of the people who "dumps". It's like clockwork - I eat something with high sugar (cake, Cookies, candy) and 2-3 hours later I'm bloated, very gassy and the diarrhea starts. I've never experienced any dumping with artificial sweeteners.

The good news is, I know what causes it, and it's all my fault! I shouldn't eat that stuff as it has no nutritional value. My surgeon told me that I should learn from my mistakes! Classic conditioning sort of thing...… you eat the wrong stuff, you end up dumping. I'm almost 4 months post op, and I'm trying to change my relationship with sweets so I can maintain my weight loss.

The great news is that the GERD is GONE!!!!! I can actually sleep through the night, don't have to suck on a cough drop and eat handfuls of antacids every night and I feel wonderful.

[NewMe3 34]

I also had a revision from sleeve(early 2017) to bypass (dec 2020) due to GERD and some weight regain. Happy to say that I no longer have GERD. I’m just over 10 weeks post op and I’ve lost 20kg. May be ‘slower’ then some but I’m so so happy with this progress. Slow and steady :)

[dorkyfaerie 14]

I had revision from sleeve to rny in September 2020 and have had zero GERD symptoms since surgery. I do dump with some sugar substitutes, but so far it seems limited specifically to sugar alcohols (xylitol, erythritol, sorbitol, etc.). Splenda and Stevia have been fine so far.

[StratusPhr 127]

On 2/17/2021 at 8:31 AM, mae7365 said:

I had a revision in October 2020 for GERD. Unfortunately, I'm one of the people who "dumps". It's like clockwork - I eat something with high sugar (cake, Cookies, candy) and 2-3 hours later I'm bloated, very gassy and the diarrhea starts. I've never experienced any dumping with artificial sweeteners.

The good news is, I know what causes it, and it's all my fault! I shouldn't eat that stuff as it has no nutritional value. My surgeon told me that I should learn from my mistakes! Classic conditioning sort of thing...… you eat the wrong stuff, you end up dumping. I'm almost 4 months post op, and I'm trying to change my relationship with sweets so I can maintain my weight loss.

The great news is that the GERD is GONE!!!!! I can actually sleep through the night, don't have to suck on a cough drop and eat handfuls of antacids every night and I feel wonderful.

I am considering a revision like you did and for the same reason, severe reflux. The surgeon I met with last week said he considers dumping a good side effect, it teaches us what to stay away from. I hope insurance will approve it since it's medically necessary, and hopefully I'll have good results.