Curious if anybody here has gained weight back after vertical sleeve surgery
on 9/28/11 5:38 pm
In order to have the revision I had an upper GI tract x-ray that used gas granuales and which showed that my sleeved tummy had a very large "bubble" at the top. I could eat WAY too much.
The first time I never threw up once and this time I've already thrown up twice because I've eaten too much. I was told this time my tummy is four oz...and to eat only three tablespoons at a time (in 30 minutes).
That's my story. Hope it helps.
However, if the regain is related to poor food choices, and just eating nutrient-lacking, high calorie sliders, even a smaller sleeve isn't going to stop that behavior.
I would not ever recommend a band to anyone. You could not pay me enough money to put one of those things back in my body. The damage my stomach endured because of the band was not reversible, and I have permanent nerve damage from the band that still plagues me to this very day, and I'm over 2 years out from my revision.
There are others who had regain, they all state that it's because of poor food choices and the fact that they never worked on the behavioral modifications that are necessary for all WLS options.
I can eat a lot more today than I could the first 6 months. I can eat a lot of junk food, but when I eat proper portions, nutrient and protein dense options, I still have amazing restriction.
What I would honestly do if I found myself in your situation is; Go back to basics, and stop eating craptastic food choices. Getting the sleeve size reduced is complicated and often not recommended, but there are a few who were able to have that type of revision due to sleeves that were not performed properly from the beginning. I would not be going back to the same surgeon who performed the initial surgery. His reasoning behind making the sleeve "bigger" is not a good reason since sleeve maturity and some degree of stretching is seen at 2-3 years out. There are several band to VSG revision patients who had revisions close to goal, and their surgeons chose the standard bougie size(32-40fr) and technique of removing all of the fundus to ensure long term restriction.
SW 270lbs GW 150lbs CW Losing Pregancy Weight Maintenance goal W 125-130lbs
As for a revision, you need to go to an experienced revision surgeon. Not just anyone, not just someone who has a few revisions under their belt. There's a couple of experienced Mexico revision surgeons, but resleeving is not recommended and super complicated so, don't just go to anyone based on price. Revisions come with a quadrupled increase for complications. The price isn't too bad based on US prices, yeah it's more expensive than Mexico, but for US prices 18k for a sleeve isn't horrible. I didn't notice where you are located, but I would highly recommend researching a strong, experienced revision surgeon before paying for a sleeve revision.
SW 270lbs GW 150lbs CW Losing Pregancy Weight Maintenance goal W 125-130lbs
The cost seems pretty high - but you must be looking at US prices. My surgeon is in Mexico and it's about $8500 for the revision. You might want to take a look at that option. Dr. Ortiez is wonderful and trained alot of the US Surgeons. He is one of the leaders worldwide in Baratric Weight loss surgery (no I don't work for him -but have been going to him for about 7 years -)
Bottom line - find a good surgeon who has done alot of revisions - that will get you what you want...
I love going there - I sometimes spend an extra day in San Diego to visit Sea World.
I fly from Seattle - 2.5 hours non stop so that is never an issue - but I meet folks from all over the US there -
Let me know if you have other questions - I will be taking pics while I am there for my surgery and posting them...
Surgery is (gasp) Monday and I fly tomorrow morning. I will be taking alot of little video clips and posting them so you can see the hotel, the OCC offices, the rooms - ect.
I would call OCC and talk to the docs there - they will give you the best advice on which surgery is right for you based on you. I was looking at plication but went with sleeve as it's an easier revision if I need it later down the road.
Hope that helps..
I had the same surgeon and now am dealing with the exact same thing. I'd love to talk to you and see what your thoughts are about doing something different? I'm not sure what to do now..
I had a lap band done in 2008, it sucked lost 17 lbs and gained 14 lbs. In 2009 I had the VSG. I lost 30 lbs with the sleeve and then gained back 15 lbs. I too ate the wrong things and now I am getting help with a therapist. I realized that I need help with emotional eating.
I have been researching and really would like to be revised to DS. RNY just scares me. I also notice there are quite a few out there getting revised from a RNY to DS. Maybe you could be approved for a DS, you never know unless you ask. Yes find a surgeon that has done lost of revisions. Also find a surgeon that has done all 4 surgeries. This way you know that he will be knowledgeable & honest on which surgery would benefit you.
I have now gained back about 55lbs of my loss and am miseralble. I am pushing 300lbs again and know that I must have a revision done. I am seeking therapy as well as nutritional counseling so that I do not have a second failure.
I am looking to revise to an RNY as opposed to a DS because the research I have been doing does not support a good outcome for weight loss when the second step-the switch-is performed well after a VSG. I will continue to research this and wait until I meet with my new surgeon to make a final decision.
I guess I'm like you. I had my VSG in 2009. My outcome might not be good either.
Never thought about that before. Where did you find that information at? I would like to see that as well.
I'm right now in the process of BCBS Federal insurance doing their thing for approval of the RNY. I'm also looking into the DS. with Dr. Stewart.
on 12/28/12 4:25 pm
While having a sleeve cut up and made into a pouch would be unfortunate for numerous reasons, it is unlikely that the results from revising to RNY instead of a DS would yield better results. In fact, you will most likely have worse results doing that. There will be less weight loss, and you may gain dumping, reactive hypoglycemia, inability to take NSAIDs, or marginal ulcers. You will also be much more likely to lose future options for revision.
Please do much more research, and don't rely on one surgeons information, as many have biased advice based on what surgeries they actually perform.
on 10/9/12 5:16 am
I am officially scared after reading all of your posts about regaining the weight and needing additional revision surgery. I thought the sleeve would be my last stop. I did achieve goal in March 2012 but I am now 5 pounds over goal and fighting it every day. I really think it is my emotional eating rearing its ugly head. I guess I never really addressed that issue. I have an appointment to see a counselor about that to stop the madness before it becomes a 40 pound problem!
For those of you considering a lapband....DON'T DO IT! I had one and it slipped within 4 months of getting it-and I don't blame my surgeon-he is the bomb! The sleeve is the way to go. I just need to stop all of the grazing that I am doing. Plain and simple.
Thanks for grounding me and letting me know that I am normal. I just need to take action...and fast!
I know this is an older post so you ladies may not be on here any more but I had my sleeve april 18, 2011. Have lost 97 lb and stuck. Then I have been fighting with a few lbs that comes and goes. I had never herd of the possible buble in the stomach pouch but the restriction doesnt seem to be there and everyone keeps telling me oh thats because its been almost 2 yrs. Its fine its fine. I am really glad I found this. Hope you all are doing well now