How many of you needed revision from sleeve to bypass>?

So I have my consultation next month with my surgeon as well as my info session on WLS so I will be asking this question then as well.

I'm in a Gastric bypass surgery group on FB so I can get more insight on which surgery everyone is getting. most of them had mentioned they get the bypass instead of the sleeve because most people end up getting the sleeve revised into a bypass due to complications, weight gain and or severe heartburn. I was wondering how common it is to need a revision somewhere down the line and if I would be better off with the Bypass?

I was sleeved a few months ago and so far I think it's pretty good. I think the biggest decision is finding a doctor/team that you can trust. I didn't choose the first surgeon I went to. For me, I thought the sleeve was a little safer and closer to my normal routine than the bypass as there is nothing new added to the body. I don't believe there is any malabsorption with the sleeve, nor the dumping syndrome. There is plenty of info on here as well as across the internet about the pros and cons of both surgeries. Hope you find what you're looking for.

There is no entity that keeps track of revisions, so there is only anecdotal evidence. But it happens pretty often. I've seen too many. The biggest issue would be if you have acid issues before surgery. If you do, you shouldn't even consider the sleeve.

Keep in mind that a lot of surgeons prefer VSG. They get reimbursed the same as RNY, and they can do twice as many in a day. Good for them, maybe not for you.

OH site search for VSG to RNY:

https://www.obesityhelp.com/search/?q=VSG%20to%20rny

And sleeve to bypass:

https://www.obesityhelp.com/search/?q=Sleeve%20to%20bypass

It's pretty much a crapshoot as to who'll have complications, etc from VSG. If you have Gerd & you don't know where it comes from, I'd look at the RNY.

For me, I had the lightest version of Gerd b4 surgery & it came from a hiatal hernia that was repaired at surgery. VSG was & still is the best choice for me. I'm 5 years out, no regrets

I had GERD prior to my VSG. I was on a PPI for 10 years. Dr's found a large sliding hiatal hernia on CT scan prior to surgery. I knew it was a risk to have the VSG but I wanted to avoid the malabsorption component of RNY if possible, due to medication that i must take forever. Had VSG, surgeon fixed the hernia during the surgery. Knock on wood finger crossed. No GERD so far, has been 2 years. Off PPIs for 18 months now.

I was scheduled for RNY however ended up with VSG due to excessive scarring from previous abdominal surgeries. I'm only 5 months out and have no issues thank goodness. I'm not sure that I would have a revision option anyway.

Good luck!

There are many people who get revisions. There are many people who need revisions, due to GERD and to not enough weight loss, who cannot afford to do it. Malabsorption from RNY is a temporary gift. It is the magic thing that makes weight fall off quickly, but it soon wears off.

Many insurances will only pay for one weight loss surgery per lifetime. If you get VSG and have unbearable GERD, you might have to pay for your own RNY.

There are also those who have VSG, lose all of the excess weight, and never have a problem of any kind.

Nobody can tell you which group you will fall into.

When I had RNY, the choice was RNY or lap band. My surgeon highly recommended RNY, but told me that I could "try" the lap band and get RNY if it did not work out. A few years later, when he was doing VSG, he told me that he thought I might have done fine with VSG.

I have not been sorry I went with RNY.

I am about 8 years out. I had Gerd before due to a hiatel hernia. Sleeve fully resolved it, at first. A few years into it the hiatel hernia came back with a vengence. Had that repaired with a surgeon warning it could not be repaired again. It seems to be back and if it gets unmanageable then likely a revision to help alleivate the heartburn. Weight gain was at goal up until just a few months ago. Once a heart condition settled in I find I am gaining like mad.

I am so sorry you are going through a heart condition. I hope things improve for you soon.

There's a lot of misinformation about RNY, dumping etc.

If anyone really cares for the truth about this scary surgery, ask someone who's had one and lived with it for several years. There are a few of us that are here every day.

Sometimes I wonder how I'm still alive when I read the horrors of having a bypass