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That’s would make sense for many people getting revisions but I don’t think it applies to me. I am 15 pounds heavier now than when I started all of this the first time.

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).

Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly.

I used to hear about bypass patients getting longer "channels" or whatever (i.e., they'll bypass more of the small intestine so you'll malabsorb more - I think they call it a distal bypass), but I haven't seen anyone post about one of those in a long time. I think normally when people revise from bypass, they go with the DS or SADI.

I'm so sorry you went thru all that! Wow! That's a lot to think about. Did you have gerd due to a hiatal hernia? I thought that some surgeons repaired that while they are in there and that would take care of the GERD. Glad to hear you are so much better after the revision.

Hello everyone! I kind of disappeared during the holidays but came back by to poke my head in and see how others were doing. Seems like most of us are plugging away at this 'getting healthier' thing. Reminder (and FYI for any who read this and didn't know) I got the SADI surgery, which is the intestinal revision with the sleeve all in one go initially. This makes me feel extra obligated to update for some reason - maybe because I had to dive so far into my journey to find this option and how eager I was to hear about the results from others. So - my surgery was Sept 5th, and I lost 10 lbs in my pre-surgery liquid diet, which I had for one full week. On the day of surgery I was 352 and now, about four months out, I've lost right at about 70lbs. The weight loss has slowed a bit as I found my balance but I'm still losing 1-3lbs per week on average, about 7 lbs lost in the last 30 days. I got through my weight loss stalls by eating more, as I was only getting around 500 calories per day for a while as I maintained ketosis, with VERY few carbs. That was nice, but my energy was lacking. I shifted to included more fruits, veggies, and upped my protein from 60g per day to more like 75g. Now I get around 900-1200 calories per day, try to really focus on getting my water for the day, and angle for simple protein snacks with a small carb total when I get hungry. I have found cottage cheese to be a life saver as a replacement 'side' - and stirring it into my salads gives the salad more bulk and makes it easier for me to feel full. Eggs are not quite as weird for me as they were for a while - I still prefer boiled eggs over scrambled or fried. I do aim to get at least 5k steps per day and usually make that goal.I definitely slacked on exercise around the holidays and did snack more than a few times on things I shouldn't have. I feel lucky that my intestinal malabsorption keeps me accountable for poor choices. I have gotten the foamies once - and have overeaten like three times by a few too many bites. I feel like my relationship with food is much healthier and am far more likely to cook now as opposed to grabbing greasy garbage food. However your path feels like it's going - this is a great time to correct the course if it feels a bit off track. Your bodies are working for you, and you are working for those bodies! Kudos to all of us for taking these steps to a healthier lifestyle! Remember, too, that no one day of slipping up is going to sink you. As I said to my perfectionist son the other day - an A in school is 90%-100% (generally, anyhow!) so it's still an A even if you slip up one out of ten times ❤️✨

Tastes certainly change post surgery. Prior to my sleeve I was a salty snack girl. Had the sleeve and I started craving sweets all of a sudden. Possibly part of why it didn’t work for me. Woke up from my revision craving healthy Food-food though. Even for snacks I want nourishment not junk. I wanted fish tacos so bad during my entire liquid phase and I like things like spinach now. It’s weird. You may not like stuff you loved before but you may also like some things you didn’t before so be open to trying things. Hopefully you will find some healthy things you love to replace them things you don’t like now. Ooh and if you like peanut butter and have some vanilla shakes left over try mixing PB2 into your shake. It takes a lot of mixing and you won’t want to do it until your cleared for like purées because it makes it a little thicker but it’s really good and it increases the protein. Ooh another thing you can do with the shakes to cut the sweetness is to mix them with coffee. I actually buy the caramel ones that are really sweet intentionally to make my iced coffee. It’s delicious.

Do you have any protein shakes you like rhat you can tolorate? And do you like coffee? If so, have you tried “proffee”. I don’t like to cook in morning so even after 3.5 years And all my good habits going out the window, I still enjoy my proffee for breakfast. I was so relieved fbaf my dr is not a stickler on caffeine so I can still have it on my LSD for revision. Well up until the last two days of all liquid. Only because I can’t stand black coffee

Tomorrow is my first post op appointment with the NP. I had an enexpexted gall bladder removal with my revision so I am working my way through a couple of reason for diet changes. They actually didn’t give me any info on the gallbladder. I guess I should’ve asked more questions but they acted like it was just a useless organ but now I’m being told there is a little more to it. I just googled though and it’s pretty consistent that I shouldn’t have had the cafe latte shake I had today with caffeine. i stopped googling since I tend to create a anxiety spiral when I do that and I see the NP tomorrow but I’m wondering for those of you that got your gallbladder out what I should ask her about tomorrow?

I had a lap band placed in 2013 and ended up having it removed here in January. It up getting infected. Thankfully no erosion and just some scar tissue. The surgery to remove it was miserable for me tbh but at that time i started the process to revising from band to bypass. Thankfully that went through without a hitch and I had surgery on the 2nd of October. Initially with the band I lost over 100 lbs very quickly and felt so good. Went from 305 down to around 200. About a year after the band was placed I got my gallbladder out and I feel like that is when things kind of took a turn for me. I ended up having issues with the band so I just removed all the fluid after a year or so and just coasted through life with the thing. Things still getting stuck with it empty. Ended up gaining all my weight back and then some. Anyway, I just got the bypass on the 2nd and I am just overwhelmed with fear of not losing enough with the bypass as well as regain. Wondering if anyone has had similar experiences? On the pre op diet I lost 15 lbs and I have lost about 17 since surgery. I am almost 3 weeks. I read about people losing 30-40 right away. I worry im not on track even though I feel as if im doing well. I dont have any pain, my energy is good, i havnt puked at all since surgery (still on full liquids) and overall things seem to be doing well. I do need to up my protein (60-70 grams a day) but am able to get my fluids in. Time will tell I guess but would love to hear about others experiences. Thanks Brittany

Well it should be a really good thing that you like water post op. Not sure about the salad. With the surgeries they actually cut your stomach and intestines it’s a while before your allowed salad but do they actually cut anything with the balloon or do they do they fill it after it’s in there somehow? I had the sleeve first, and I recently had a revision to the CB because of weight red and because they didn’t operate on my stomach. I had to wait like two months until everything was healed and now I can eat whatever I want so I’m back to salad earlier than those who had their stomach operated on. I’m sure you’re a doctor will tell you what is appropriate for you though. I really wish one of our restaurants would have Bogo on salads. I actually love them too. I have found that when logging all of my macros in an app that salad is actually not as great for us as we think it is as we tend to eat it. It’s mostly the dressing even one serving is pretty high in calories but if I am careful what I have the rest of the day I’m able to enjoy it on my plan. I finally figured out that if you put it in a bigger container and stir it around with the dressing, it’s easier to get a little bit on all of the lettuce with a smaller amount of dressing. Kind of like they do when they prepare Caesar salad. Of course it’s kind of hard to do that when you’re actually in a restaurant, but then I will just ask for the dressing on the side and dip a little bit as I go. With the smaller stomach, I mostly eat the toppings anyway, and just a tiny bit of lettuce to get the protein and nutrition before I run out of room.

My program didn't offer anything either. We had 1 online group "power session" that basically told us what we can and can't eat before and after surgery, what recovery would look like, how long we would be in the hospital, and that we have access to the (fairly useless) nutritionist. That was it. I learned more from Google. Then I found this forum and the rest is history. This place is WAY more helpful than anything else, so I just stick with it. Now that I'm 2 years out from my original surgery and 1 year out from my revision, fully recovered my my SLEW of complications and additional surgeries, and not only made it to my goal but am below it, I feel like I have stuff to offer in the conversation now. I owe everyone here so much that I just hope to pay it forward to others.

Yes, please don’t be embarrassed to talk to your team. They understand onesity is complex. When I finally went back to my team I weighed more than when i started out before my sleeve and they did nothing but want to help me figure out a plan. For me the only option really was revision but you get to avoid that if you make the steps now. I know you can do this. Just take ONE step today. Even if it’s just setting a reminder to call the Dr. tomorrow.

I started having issues around 8 months post op from the sleeve. It started off as heartburn and quickly turned into GERD. I was having horrible, sharp stabbing pain in my stomach, burning in my stomach going up my esophagus and into the back of my throat, and I had a lot of nausea. I wasn't able to eat much because everything triggered the GERD, even milk and water and bread. My surgeon put me on 40mg of Nexium in the morning and it didn't touch it. So he upped it to 40mg twice per day, and it helped but I still had break through GERD so he also had me take Pepcid once per day and TUMS as needed. That kept things mostly at bay, but that was such a high amount of PPI over a long period of time that I started to develop polyps. He sent me to have a barium swallow and they found the gastritis and esophagitis and GERD that way. So then he sent me to have an endoscopy and they found my stomach was literally COVERED in polyps. It took 4 endoscopies in total to remove them all. After that I was told I had to have the revision to bypass, so I did. That was the best decision I ever made.

The incontinence could have developed because of the catheter they likely inserted during surgery. It may have irritated your urethra. This usually is only temporary. Keep an eye on it though & watch you don’t develop a UTI. Oh & it’s often quieter here on the weekends. Don’t know anything about instagram sites but if they’re like many Facebook sites the information, advice & support isn’t all that great. All the best with your revision. Keep us updated on your progress.

I just passed my 5th anniversary of revision from VSG to RNY. It has been 100% worth it for the relief from GERD alone and honestly the differences between the surgeries are not really the noticeable to me. I will not sugar coat the experience because thats not helpful. There was an adjustment period (2-3 months) in the beginning like fixing a stricture, figuring out the new fullness sensation and food tolerances but after that it has been mostly smooth sailing. I also didn’t want RNY from the beginning because of the reworking of the intestines which is why I chose VSG. But I already removed 80 % of my stomach so what’s a little crisscross applesauce 🤣 But honestly if I had a Time Machine and knew GERD was my future (never had it before VSG) I would have outright went with RNY. Good Luck in advance and I’m hoping for your relief from GERD.

That’s exactly how I felt. I got down close to my doctors goal for me (18’ppunds shy) stalled there for about three months and then the hunger came back and I started to gain. If you haven’t spoken to your surgeon yet, definitely do that. They have some weight loss meds you may want to try (I couldn’t take because of other meds I’m on) and also the GLP-1 that some people are having a lot of success with (my insurance doesn’t cover but some do now). Plus there is the option of revision if/when you are ready. I am learning that it’s not super uncommon for people to have to revise the sleeve. Don’t quote me but it seems like it was 26%! Of people need revision within 3’years. Dom‘t personalize it like I did. I felt like I was such a failure that I stopped going to my follow up appointments and gained it all plus some. Hopefully they can help you before it comes to that.

With my upcoming revision I was asking about the long term effects of PPi’s and my Dr told me that if I was really concerned we could try famotadine. So the past three days I took it twice a day as prescribed and it wasn’t bad all day but at night when I laid down the heartburn was enough to keep me awake. Does this mean it just doesn’t work for me or do I need to give it more time? The lady at the pharmacy said it took lile a week for her but I don’t know if she was on something before that. I literally took my Omeprazole the day before. Does it mayne just depend on what causing it?

I'm working on figuring out how to maintain lol I'm below goal, which is fine is I stay where I'm at. Don't really want to go any lower. I'm slowly increasing calories and carbs, but I can't go too high or I get sick. So I'm just trying to figure it out. My first year post surgery, I was half way to my goal (I needed to lose roughly 200 pounds to get to my goal). I had complications that slowed my weight loss (I lost 113 pounds in 8 months) after the 8-9 month mark. I had my revision 13 months after my initial surgery and lost another 94 pounds in a year. I also had 2 major surgeries during that time, too. Now my weight loss is (hopefully) stopping - 2 years after my initial surgery and 1 year after my revision. I've lost a total of 240 pounds from my highest weight and 207 pounds from my surgery-day weight. And it took me a total of 2 years. I hit many stalls along the way, but it's all been 100% worth it.

For comparison, because I know your other option is a revision to bypass, I am 5 months post RNY and I can already easily eat a cup and a half of some foods, such as soups, salads, or yogurt and berries. I can often eat 3-4 oz of meat, or a full can of tuna, plus veggies along with it. My brother, who is about 15 years post-sleeve, can finish a regular plate of food in a sitting (by which I mean a reasonable serving of something like chicken, veg, and starch, not what they give you in a restaurant that has 1800 calories and is enough for 3 people). SADI will probably change your metabolism in a more powerful way than bypass because that is what the research shows it does. But since you've already had a sleeve, it's possible that neither revision will have the full effect on you that it would someone who is getting a surgery for the first time. And whichever option you choose, I do think in the long term, it's less about whether you can eat a certain volume of food and more about what food you choose to eat. Basically all bariatric surgeries typically result in having more capacity the further out you get, so it's what you do with that capacity that makes the difference in success over time. I can tell you that my brother has regained about half the weight he initially lost not because of how much food he can eat but because of how much beer he drinks every day (he admits as much). And if I regain weight in the future, I already know it will not be because I am eating 6 oz of chicken and 2 cups of steamed broccoli in a sitting. It will be because I haven't managed to curb my sweets cravings (and yes, I can still eat plenty of sugar and fat without getting sick) and too often give into the convenience of processed foods and simple carbs. Those are my weaknesses, so that's what I'm trying to work on now while the effects of the surgery are still fresh. But no surgery can fix it for me, unfortunately. Basically, any revision you choose at this stage will give you a new and more powerful tool to work with. No surgery will address the underlying destructive habits that lead to weight regain.

Why you decide a revision?

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

Yes but stair steps should burn more calories than flat normal steps. It’s not going to be a lot but it’s a start. My hope was that would motivate you to do a little more. I walked outside starting with only 15 minutes going really slow and now I’m up to 5-7 miles daily a little faster. I sweat horribly bad by the end of my street. I actually have craniofacial hyperhydrosis and after my walk I’m literally drenched my hair is saturated like I just got out of a pool. It’s disgusting and stopped me from exercising for years because I was so mortifying embarrassed but I just decided one day after my revision surgery that I’m doing this for my health and not anyone else and if someone thinks I’m gross then they can look away and I just did it. After I exercise I walk straight to the laundry room and strip then hop in shower before I even say hello to my hubby. Then I get my exercise clothes out of the dryer from the night before and just wear that if I don’t have to go anywhere. They are so comfy I just sleep in them and I’m ready to go the next day. I make dinner before I leave so hubby can eat if he wants and pop mine In the microwave once I’m all showered and changed. The day after I went the first time I woke up feeling so proud of myself and energized and each day after it has been easier and I have wanted to do more and more. It’s actually quite addicting.

I had a revision to SADI two months ago (which is a modified DS) and I’m very happy with it. After the sleeve I always felt like I was just on a diet. I still craved unhealthy stuff and didn’t have all the extra energy that people explained. So I lost a lot of weight but once my appetite came back I gained it back. Since the SADI it’s different. I would obviously still like to have pizza and pasta but I still enjoy the healthier choices and I have tons of energy. I walk about 5-7 miles a day and just started YOGA twice a week. I want to do an aerobics/strength class that meets two other days but I’m not quite there yet. I have lost 48 pounds total in 2.5 months (which includes the two week preop in which I lost 13 pounds). Not all surgeons do the SADI yet and there is not a whole lot of help out there in terms of what you should be doing nutrition wise. I spoke to two different nutritionists and they just gave me the same info as they would give for bypass but the NP has been looking at my fitness and food log charts and helping me to adjust my macros and it’s working. I was warned about diarrhea and stinky bowel movements but I have not experience either. In fact I’m still weaning off the stool softener. My surgeon did a few tests first to make sure my sleeve was In good shape because he does not make adjustments to the sleeve. He feels the risks are too high. The recovery was a little tougher this time and you have to be disciplined with your portions because physically you can eat more but once I was healed I was able to tolorate all the same foods as before since they didn’t operate on my stomach. I am now back to pretty normal portions of healthy foods.