Any light weights revised from the Sleeve to Gastric Bypass?

I had the Sleeve back in 2009, lost 30 lbs and gained back 15 lbs.  Never reached my goal.  I know that a big part of this failure was me, I have been seeing a therapist for emotional eating issues.  Next Wednesday, I have an appointment with a new doctor who does all 4 surgeries.  I believe the Gastric Bypass will be the best for me. The DS would not work for me because of my medication that I take for depression and ADD.  I also suffer from severe acid reflux. I need something more than restriction and I know the GB is the gold standard of WLS.  I have heard that when you get revised your weight loss will be slower.  I'm going to be 52 on the 16th of this month.  So, I am not a spring chicken anymore.  

If you have had the VSG and revised to GB please let me know how it has been for you.  Thanks everyone!

Thanks.

I did not revise ( i had an RNY  with  hiatal hernia repair the first time out ) but it has done WONDERS for my lifelong acid reflux ( that makes U overeat as a form of self medication by the way ) .  No more reflux = no  more overeating ( REALLY ! ) and all the side effects that come with that like excess fat,  body dissatisfacion , eventual ill health ...   

Hi meeow2,  

That is great that your hiatal hernia was repaired and have no more reflux.  

How are you doing with your weight loss?  

Thanks for replying.

Welcome to the LW board.

I had GERD pre-op but knew I needed NSAIDS...GERD is gone and I am still able to take NSAIDS.

Why go from a sleeve to a RNY, you are already halfway to a DS...it keeps your stomach the same but adds the malabsorption.  Check DSFacts for information about the Duodenal Switch.

I guess I'm going to talk to the surgeon. He does all 4 surgeries.  I was very interested in the DS, but in the seminar video I heard the doctor say patients that take seizure medication should not get the DS because the medication does not stay in their system.  I take Effexor XR and Adderall.  

How has your weight loss been with the DS?

Thanks for replying,

Ds'ers aren't suppose to take extended meds but ask your pharmacist if they can be cut in two or crushed...if they can, then it''s easily doable. Even if not, it's not that we can't take them, it's just that we don't keep them in the system long enough to be effective at the same dosage...usually doses have to be adjusted.

My weight loss has been great. I got to goal 8 months after surgery and then kept going very slowly til about 16 months out. I've regained some but still under my original goal of a normal BMI.

With that said, because my BMI was so close to the cutoff, my common channel is longer than most but it just means I absorb more vitamins/nutrients. My surgeon would not do a DS on a LW and make the common channel less than 125...mine is 175. He wanted to make it 200 but I asked for the lower amount.

I'm sure my psychiatrist can change my meds to regular instead of extended release Effexor. I will be sure to ask the surgeon on Wednesday more about the DS.  Yes a good thing that I already have Sleeve 1/2 of the surgery already done. Now if I go that route I wonder if Federal BCBS will cover the rest.  

Did I mention that I have a haital hernia that causes acid reflux.  I take Protonix 2 times a day. The GB is the best surgery to eliminate acid reflux.  

Congrats on your success in reaching your goal.  Thanks for the information.  

They quote the RNY as the best for both GERD and diabetes...but the DS is better for diabetes. And it's track record for curing GERD is excellent as well.

As with all, it's not 100%.

I was taking protonix pre-op as well...they have us continue that esp if we take NSAIDS, which I do. But I went 8 months recently not taking either NSAIDS or protonix and had no issues.

IF you qualify for a revision at all, you should be able to get the DS if you can prove that it is best for you. IF you take any NSAIDS ow or have a need for them based on a family history, you can force them to consider the DS. If they squawk about BMI...tell them Medicare covers the DS for those from 35-40 BMI just like they cover all the others.

Thanks so much for this information.  I will have to see the pros and cons for both surgeries. Love your kitty picture!

Repairing the hiatal hernia is actually the best cure for reflux, if that's what's causing the reflux.