Bella1506

I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal.
Here's my explanation for what's going on:
The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is.
Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well.

Good luck!

Hey, I have had a rxy bypass 2 weeks ago and I was on liquids for one week and puree now. I have felt no restriction even with Water I am gulping a glass down easily and having puree very easy with no pain or restriction.
I have tried eggs and a few other little things because I freaked out with no restriction. Can I have people please help with their own story about this… does the restriction comeback?? Has anyone spoken to their surgeon as to why they lost it??? Any information and support would be appreciated I have been really low and upset about this worrying I’ll never feel full again