The gerd from VSG for me has been horrible. I was finally diagnosed a few months ago with Barrettes Esophagus. That made me eligible for revision. My surgeon and team basically fast tracked me through their program because I'm not a true recidivism patient. And I'm not revising for weight loss reasons. Although losing 100 does sound mighty nice!

i revise on Tuesday and I'm so scared I don't know what I've got myself into. RNY is so different from what I know. It's like re-learning to ride a bike again, only this time properly and side saddle.

Hi. I revised from VSG to RNY in July 2016.

my revision was done laparoscopically. In fact, my surgeon reused my incision sites, so I had no new scars.

I stayed 3 days, but that was by choice. My surgeon would have let me go home after 2, but to be honest, I was punishing my insurance company. I out of pocket was paid at that time, so the surgery costs were 100% on the company. They had refused all less invasive treatments for my GERD and left me no choice but to have a surgery I didn't want. So I figured they could pay for the additional night. I would have been fine leaving earlier. The day after surgery I was out walking the halls and they needed to send someone to find me when my surgeon showed up for my post op exam.

your request for tips is very broad. Any particular questions you have? I'm more than happy to answer literally any question you have. Ask away

Well, I have my revision VSG to RNY in 1 week. EEEEK

Mine will be laparoscopic and I'll be admitted just over 30 hrs in total.

I check in 05/21 at 11:00- surgery at 1:30. Check out no sooner than 5pm the next day 05/22. My office staff reiterated, "Don't even ask if you can go earlier. The MD is not available to sign you out till after 5pm." hahaha!

I'll be watching for others to chime in and leave tips. Like how to keep hydrated despite the nausea and pain.

My gastric bypass failed me. I lost weight very slow over 18 months, never made it to a reasonable goal, and was a very compliant patient with the rules and diet. During my weightloss phase, it was noted that my HR was in the low 40s. I saw a cardiologist and an endocrinologist for my thyroid. After many test, both could not find anything that would cause my low HR. I had nodules on my thyroid and my doctor followed those for 2 years without any changes. I maintained for 6 months, but I was starving, like I've always have after a diet when I lost 40-60 lbs. I tried waiting longer before drinking fluids after I ate, one hour and eventually two, but I was still hungry. So I increased my calories to 1400, then to 1500 a few months later. That's when I slowly regained half my weight loss over 2+ years. And my HR went back up to upper 50s.

I had the distal bypass 5 years later due to metabolic reasons. (My insurance would not pay for a DS due to my GERD) I could not lose weight on a 1200 calorie doctor supervised diet. I had to document my diet and see my pcp monthly for 4 months. It was also documented that as I reduced my calories from 1500, my resting HR also decreased down to low 40s. (My dietitian said I needed 1800 calories to maintain my weight) So my body was going back into starvation mode.

This was a 15 month process, which I was denied by my insurance twice. I did 2 dietitian supervised diets also (about 2 months each). And yes, I continued to gain weight during this process. My surgeon did an endoscopy and found my pouch stoma was normal, and I still have restriction now. Following the rules with always chewing food to mush, not drinking with meals and waiting 30+ minutes to drink fluids does keep the stoma from stretching.

My distal bypass has the pouch with the intestinal bypass of the DS. My common channel is 100cm and my alimentary limb is 250 cm. After surgery, initially I lost 25 lbs much quicker than the first time around, then it slowed down and stopped around 9 months out. I lost all my regain (67 lbs) eating more calories (high protein, moderate fat and low carb) and feeling more satisfied. But my HR is in the upper 40s. I reached back out to my endocrinologist, but I was told my thyroid levels were normal and no change in the nodules. After doing a lot of research over 6 months, I saw a functional medicine MD and was diagnosed with Hashimotos. (Endo MD never checked my antibodies) Currently being increased on NP Thyroid based on labs to get levels optimized.

Here is the daily regimen I was on with the first surgery. All were based on my labs. Protein 90 gms Complex carbs 125 gms Fat 40-50 gms. generic Centrium silver, dry Vit D 5,000 IU 3xday, Calcium citrate 500 mg 3xday, B12 1000 day, and switched to Proferrin ES 3xday 3 months before revision because not absorbing carbonyl iron. For constipation: Miralax daily and 1000 mg magnesium oxide.

Here is the daily regimen I'm on with the distal bypass. Very similar to the DS regimen. All are based on my labs. Protein 150 gms Fat 100-120 gms Complex carbs 75 gms. Two generic Centrium silver, Calcium citrate/Jarrows Bone Up 2400 mg in 4 divided doses, dry Vit D 50,000 IU 3xday, dry Vit A 25,000 IU 2xday, dry Vit K1 1xday, dry Vit E 400 IU 1xday MK-7 100 mcg 1xday, Magnesium glycinate 200 mg 6x day, Zinc 50 mg 2xday, Copper 2 mg 1xday, Primal Dense Ultra Probiotic 2xday. For constipation: Miralax 2xday Konsyl 4tsp.day, prescription for IBS-C. I'm not taking iron because I wasn't absorbing it. I was taking 6xday. I had first iron infusion a year ago. (I had anemia before any wls due to heavy periods. Proferrin ES did bring my levels up before the revision)

I don't get on this forum like I did 7 years ago. I'm on 4 FB private DS groups. There are a couple of distal bypass groups, but it's not as informative, so I left both. I have checked to notify me if anyone replies.

I'm on my 3rd go around as well. Band in 2008- band slipped and was removed 2016. Sleeved in 2016 and thanks to raging excessive gerd (Barretts Esophagus) I'm having a bypass in 11 days. EEK!!! So a surgery and then a surgery to fix the surgery to fix the surgery. I'm done after this. I'm just so done...

Fingers crossed this is your final surgical step in the WLS journey.