Bypass to sleeve revision

[Ktomakin 0]

I am wondering how common it is to have a revision from bypass to sleeve? I see a lot of the opposite..

I had my bypass done 7 years ago and lost 125lbs, got down to 145lbs, then got pregnant within the 1st year. I am now up to 215lbs and the dr said my stomach is still the right size but the opening into the stomach is very large now. They have suggested and scheduled this revision from bypass to sleeve for Oct 14th. Hoping to find others who have had this type of revision.

[Tomo 1,193]

I have never heard of that. Interesting. I have heard of endoscopic revisions (no cuts) for the gastric bypass that take less than an hour that are successful. Best of luck and keep us posted.

[RickM 1,747]

It is unusual, and I would question how successful it would be for additional weight loss purposes for the same reason that I am skeptical about revisions in the other direction - VSG to RNY for weight loss. Metabolically, they are too similar to provide a major difference over the long term; short term one can expect some loss, typically 20 lb +/- some from the restrictive dieting required around surgery time (though a few outliers do report good results.) More common are RNY revisions to either tighten the stoma or resize the pouch, either directly or via a lapband, None of those procedures have a great record, either. The best results that I have seen with any consistency is to revise to a DS (duodenal switch) but that is a very complex surgery that few surgeons are qualified to do (though doing the DS from a VSG is quite straightforward for a qualified DS surgeon.)

[catwoman7 11,214]

no. The RNY is the stronger of the two surgeries, so I'm not sure why anyone would do that.

there are people who revise from RNY to DS, though - and the DS features a sleeved stomach. So in that sense, yet. But just to a standalone sleeve, no. I've never heard that.

[Ktomakin 0]

Thank you for the responses, I have additional questions for my surgeon now.