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I feel like the mean kid in second grade who tells all the other kids that there is no Santa Claus and their parents buy those Christmas presents. The only thing that a revision is good for is to relieve sleeve-caused GERD. Revision does not result in weight loss like a virgin weight loss surgery does.
Revision from VSG to RNY corrects the "too tight" situation that causes the GERD. RNY also gives some temporary malabsorption. After your weight loss surgery, you went from a stomach that held somewhere between 28 and 40 ounces of food. For a comparison, picture 10 McDonald's quarter pound burgers. Your old stomach could have held that amount of food at every meal.
Your sleeve reduced your stomach to about 2 or 3 ounces. A huge meal for that size stomach would be half of one McDonald's hamburger patty without the bun. With that tiny stomach weight falls off effortlessly. But the body is smart and wants that weight back. We learn how to get in more food even with a tiny stomach. Smaller, high calorie, and more frequent meals put the weight back on.
About 50% of people go back to diet and exercise when regain starts. If you were not counting calories or Weigh****cher points and doing strenuous exercise daily then your chance of regaining all that weight was at about 97%. We blame the regain on stress, sickness, pregnancy, or other factors, but the truth is that we regained because we ate more calories than we burned.
Resleeving is a quick, easy, and lucrative procedure for the surgeon. I have been watching for the last 20 years and know of zero people who lost more than 20 pounds due to resleeve. That is because your sleeve did not stretch out to hold 40 ounces again. It might hold 6 ounces now and will get reduced down to 3 ounces, but that will not even be noticeable after a few weeks. And if you eat a big meal, it will just stretch back out again to hold more food. If GERD is not a big problem than revising to RNY is going to have about the same effect as resleeving. You will lose about 20 pounds due to a liquid diet before and after surgery.
Once you go back to normal eating, that 20 pounds will come back. The only way to lose the bounceback regain after surgery is with diet and exercise. Weigh****chers is the most well known of those programs. But there are others, like TOPS that can be very successful. The secret is figuring out how many calories a day you need to maintain and then sticking to that plan. In addition there are changes to make in your thinking and habits to make you a weight loss success long term.
I had surgery in 2007. I have regained and lost it again several times. I will be very good for a long time at following a food plan and then get sick of it and gain weight again. This is a lifetime journey for me and will always involve making sure I don't eat too many calories. I weigh myself daily, plan meals and exercise, and stay aware.
Forget about revision. It is not the answer. Diet and exercise is. You can take that weight off and keep it under control for life, but the change has to come from you and the life that you want to live.
I never tell people that I had weight loss surgery. They think it is the easy way out and it is for about two years. After that it is harder to lose weight than before the surgery.
Real life begins where your comfort zone ends
Hi,
New here but, I had a sleeve in 2009 and lost 85lbs. Starting gaining it back over time and was recently approved for bypass. I live in Louisiana and was told by my surgeon that re sleeving would not produce favorable results. Im a bit nervous about bypass but it?s necessary so?..
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I would seriously look at the bypass. You have already had a sleeve and 99% of the time re-sleeving only gives you a 20-30lb weight loss. Maybe look at getting a second opinion. Best of luck.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
Hi Friends,
I had a sleeve March 2010....lost over 100 pounds, had a baby...gained it alllll back and then some.
I am now at 324 and went to a new surgeon to look into revision. I was thinking bypass, but she recommended re-sleeve because she showed me my Upper GI. It shows that my sleeve is stretched. She said it would be the best option for me because of my health and the complexity of the surgery. I also do not really struggle with GERD. I truly believe if I had not had my baby and some other health issues I would've kept most of it off.
SOOOO what I am asking is....any successful resleevers out there?
Hey! Just checking in to see how your journey is going so far? Im scheduled for revision on 10/12.
Hi- did you have the revision? I am scheduled for 10/12 and we have similarities. I would love to know your experience.
Hi there,
A few months ago I have had my plastic surgery especially rhinoplasty technique and some small facial modifications. My surgeon had conducted a class and taught me how to recover easily after the surgery. And he also advised me to follow some pre-surgery rules that may help during the surgical process. Before the class, I was very conscious about the surgery and confused to do or not to do the surgery. He boosts my confidence level and makes me a better candidate for the process. Thank God! I'm recovering slowly without experiencing any complications.
Your old stomach before the VSG could hold somewhere between 32 and 48 ounces of food at a time. Your sleeve could hold a few ounces. When I taught classes for pre-surgery patients, I did this demonstration.
I had an empty 2-liter bottle of soda. Next to the empty bottle I placed the cap from the bottle. The bottle represented the old stomach, the cap the new stomach. There is a dramatic difference in capacity.
With the new tiny stomach, weight falls off effortlessly. But after a few years, we learn how to eat as much as before the surgery. We learn to eat more servings of smaller amounts, usually eating a little bit at a time during most of the day.
This happens whether we have trauma in our lives or if we are perfectly happy and content. Most gain back twenty pounds in third year after surgery. By the fifth year at least half of patients have gained back 50 pounds. Many have gained back all of their lost weight before ten years.
You still have your sleeve. It may have stretched out from the overeating, but it never can get back to the size of your old stomach. A revision might make it an ounce or two smaller, but we have learned how to eat plenty of food with a small stomach.
The 20 pound loss is because of the diet to prepare for the surgery and the liquid diet a few weeks after while it heals. After that people go right back to eating as they always did and that is the end of the weight loss.
The only way to lose weight again is by eating less calories and burning more calories. A revision will not make that happen. What will make it happen is getting on a diet and exercise program and sticking with it.
I had RNY in 2007. Yesterday I was 12 pounds over my weight goal. I am working on losing those 12 pounds, but will be thrilled if I lose 6 of them in the next few months.
I have gained weight and taken it off again several times since surgery. I follow Weigh****chers and attend a virtual meeting every day. I love WW because I can have any food I want as long as I track it. I get great support from their team. I also exercise for 30 minutes at least 4 times a week.
I never again will have quick weight loss like I did after surgery. I accept the fact that I must be on a diet for life if I want to avoid weight gain. The revision that I had was in my brain.
I had some issues like this, but don't need surgery, but your suggestion is really great. Thank you so much.
