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Has your surgeon verified that your stoma is stretched? I'm not up on a lot of these stoma techniques. From what I understand, this one is used in conjunction with the Overstitch or Rose procedures? Please correct me if I'm wrong.
Weight loss results of stand alone Overstich and Rose procedures seem to top out at about 30 pounds.
A person with a truly dilated/stretched stoma should get some mileage out of any surgery that corrects the stretching. Honestly though, I'd want documentation (pics or surgery report with actual numbers) that my stoma had physically stretched before I went there. That's just me though. I've had a couple of pretty big regains and have been able to re-lose the pounds by eating correctly.
Are you having health issues or regain?
I am so sorry. I am having the same exact issues. It is no longer about weight loss surgery, but now it is about severe reflux. The surgery is the same, but it is now medically necessary.
Our story sounds similiar, but unless your BMI is really low, it shouldn't matter. My surgeon said that it is no longer wt loss surgery, but surgery for the severe reflux. He said it does take some fighting with the insurance, but it should be approved. The risks for future problems including Barrets, aspiration, etc is just too high.
My upper GI swallow study showed aspirations and the EGD scope showed my sleeve is bent and narrowed (with scar tissue) so fluid takes longer to go through and food will just SIT, pureed soup will sit a bit too. I am just surprised. I initially healed slower than some but I thought I was doing okay until a few months ago I started having symptoms and they have increased. I am only just a year out and my upper part of the sleeve by the esophogus has started to stretch due to the food pocketing and sitting. I am so sad about everything because I had worked so hard and thought I was going to be successful with VSG. Now...I am not sure what is next.
I can feel it shift down where my sleeve starts when it moves and when I took a shower today I flipped my head over to comb through my hair and the flavored water I had drank at least 15 minutes earlier came out my nose along with something that felt acidic. I was very surprised. I have been having increasing intolerance to foods and even purees but I have been pushing what I can. I find it interesting (and I am sorry) that others are dealing with similar symptoms. I am just trying to learn as much as I can between figuring it out medically and reading, reading, reading...hoping whatever is decided is the best choice.
I had the surgery to fix the GERD and did not try to lose any more weight (I was at goal).
I have heard other posters say they did lose more weight but it was slower coming off.
Do you have any tips on maintaining or even gaining healthy weight after medically necessary VSG to RNY revison?
Thank you Paula for responding. My revision from sleeve to bypass rny was done this morning. I also had a hernia repair, repaired. The pain on my left side is excruciating. It took almost 5 hours and I feel so exhausted from the past 4 months. I have fears and concerns I've never had before March. I'm afraid of food now since I haven't eaten or drank anything in 4 months. Im glad things are going well for you. Let me know how things are going if you'd like. We're 12 days apart. I have an upper GI tomorrow to make sure all is well. I want my spirit back. Thank you again ??
I hope you are recovering well. How are you feeling. My heart just hurts for what the past few months must have been like for you. I may be dealing with a revision for a angled stricture discovered at 1 year, (led to difficulties and malnutrition, hydration struggles etc), and my spirit is weary as well as I face my options. I think you just hit this wall where very few understand what it is like. I really hope that your revision allows your health and spirit to rebound in a positive way so that you can experience the life you were envisioning when you had WLS.
An EGD gave the surgeon the info he needed to submit a request to revise me to an RNY (due to reflux), which insurance approved. Now I'm waiting for the office admin to call back with a surgical date.
Do you know if you have a mis-shaped sleeve? for example, was part of your fundus left in?
Our story sounds similiar, but unless your BMI is really low, it shouldn't matter. My surgeon said that it is no longer wt loss surgery, but surgery for the severe reflux. He said it does take some fighting with the insurance, but it should be approved. The risks for future problems including Barrets, aspiration, etc is just too high.
I am also trying the 5 day pouch reset to see if hi helps with restriction. I am also going to call my insurance Monday to talk with them about all these issues.
No I don't think my BMI is high enough. The doc put me on Backlofen to help relax my esophagus. He said the severe motility is what caused the GERD. I can remember early after the sleeve when I could bend forward over the toilet and food would come out. He said that is a first sign of the motility disorder as well as experiencing a pain beneath my left rib. I will be on this medication for 6 weeks then he will do an Endoscopy to see if there is tissue damage and will do a motility test as well. He said they can surgically repair the esophagus but I think it also involves a R&Y which will have to come out of my pocket $12,500. I want a revision to get back on track with my weight loss. I was able to see my my Upper GI screens and he said my sleeve was inflamed or stretched. It is still half the size of a normal stomach. He also said with the motility your esophagus is always open and the sstomach can't release acids to break down foods so now I have horrible constipation. So hopefully I will know more in 6 weeks I will let you kno how it goes. Thanks for replying to my post. Take care
