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I believe the original poster has already had their surgery, but for anyone else who is reading this as someone else who has had a sleeve and needed a revision, if you do not have a strong medical reason for choosing one surgery over the other, and you’re choosing between the sleeve and the bypass I would’ve gone with the bypass to avoid meeting to take a PPI. my only reason for going with the sleeve and giving it a try, knowing that I may have to revise was because I’m on mental health meds, and we were concerned about the absorption. The sleeve was obviously a better option for that. However, I believe it’s like 26%, I read somewhere, of sleeves that need to be revised for Gerd or inadequate weight loss/ regain. The risks with the bypass are slightly higher, but in my opinion, not enough to have to end up revising because the revision surgery in itself is riskier than either procedure plus it’s a second surgery so twice the chances to experience the risks. If your doctor offers the SADI as a virgin surgery that complicates things a bit because the risk are lower for Gerd than the sleeve and the weight loss is higher and more durable than both research has found so far but it’s a little newer, and comes with its own set of sure and long-term risks that may not have been figured out quite yet. It does have a higher no absorption, so the risk of malnutrition is slightly higher than the sleeve and bypass but lower than the DS. Long story short, there really isn’t a perfect option, only a perfect option for you.. The biggest thing to keep in mind with all the surgeries is that any risk of complication is drastically lower than the risks of staying obese.

I know you asked someone else but I had a revision to SADI and I’m doing great in terms of fitness, nutrition and weight loss. I am a 4.5 months out and I’ve lost 75 pounds. The metabolic changes gave me more energy than I ever had and by taking advantage of that and exercising I have increased that energy even further. The sleeve didn’t have those changes for me at all. Its true that it’s just not the right fit for everyone. Good luck with your surgery.

Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok

@ShoppGirl I am being a good patient, and its hard! There are times when I'm thinking a lower body workout wouldn't hurt but like you said I do not want to pay for a revision so I wear my post op bra 23/7 only off when I shower. I don't bounce, workout, and lift anything over 10lbs. I will say that I have tried on all the things without the bra and man it can't come soon enough to taking these girls out for a stroll LOL I am trying to give myself leniency but its so hard! I am staying on track for the most part, I cut my calories down by a lot since I am not working out and it seems to be going well.

Definitely based on what is best for you. When I had my consultation with my surgeon, I was pretty sure I wanted the sleeve as I thought it would be 'easier' (I was thoroughly misinformed haha), but when I spoke with my surgeon, ran through my medical history (which included a high BMI, an underactive thyroid & PCOS), he advised that the bypass would probably be more effective for me. BUT, at the end of the day, it is your decision

Hi all! I had my sleeve to bypass revision on 9/9. I’m doing well, just sore in my shoulders from gas. How are my 9/9 twins?

Not sure what your coverage is for them but I strongly suggest you talk to your doctor about the GLP-1 if eating different is the cause for regain. Your tool is still there, you most likely just need help switching your diet back and the GLP-1 should take your appetite away almost completely making that a great deal easier. I have a friend that lost all of her weight and was actually losing too much and had to back off of them because she wasn’t getting enough nutrition. I had to keep reminding her to get in her protein and fluids. She has great coverage for them through her work insurance (she pays $25). I actually wanted to do them when I did my revision this year but I didn’t have adequate coverage for them and financially they just weren’t an option so I went for the revision. I talked to my doctor about waiting but she thought it would be a couple years before anything changed in terms of coverage and my labs were creeping up so waiting wasn’t a good idea. I am doing great in terms of weight loss but faced with another medical issue now, the gastro changes I’ve had aren’t making things any easier for me. Losing the weight is for sure the goal but if you can do it without surgery that’s always better. As far as I know revision is for people who gain without any real known reason. You are saying that you’re eating different for an emotional reason so you probably just need help changing back to your better habits both mentally and physically. Honestly, I think the GLP-1 will be the first option for many people in the very near future. They are considered safer at this point. It’s just a matter of them becoming more accessible for people. Take it with a grain of salt but it’s something I would at least consider before jumping to the surgery option.

Dr Matthew Weiner is a great resource so am glad @NickelChip recommended his video. Another is Dr John Pilcher also a great source of information. It’s not really about popularity or the most performed but about which surgery is best for you. Your surgeon should really take into consideration your current health status and history, your weight loss and gain history, your current weight and how much would be beneficial for you to lose, etc. Also discuss the possibility of side effects like malabsorption, dumping, reflux, regain with the surgeries and what you might be willing or not to live with or manage. Do your research, watch these videos and others they may have and prepare questions to ask your surgeon. If you don’t think they’re as comfortable doing one surgery over another or you don’t feel comfortable with their responses, seek a second opinion or a referral to another surgeon. And remember there are other surgeries beside sleeve and bypass so look into them as well (Sadi, duodenal switch,, RNY, or a mini bypass). I would avoid a gastric balloon or gastric banding but that’s my opinion only.

Fixed the hernia, did the bypass, happier than a pig in slop. I had medical issues (multiple), so I'm in a different category than almost all here. I was obese. I'd do it again in a heartbeat. The surgeon and his staff I got this time are the absolute bomb. I couldn't ask for better.

I know exactly how you feel. I had the sleeve and did great. Had to have a revision due to complications and had a bypass. In both surgeries, I never ever lost physical hunger, nevermind head hunger. I still have head hunger to this day. And yes, I have times (not a whole day, but just certain times during a day here and there) where I eat something I definitely shouldn't be eating. Have I over-eaten? Yep. Have I eaten things I shouldn't? Yep. Am I failing my surgery? NOPE. I still feel some guilt when I "cheat" but you know what? It happens. Life happens. The point is you have to recognize that you had a slip, it is what it is, tomorrow is another day to start over and get it right. There's all kinds of online support groups, online therapy, and bariatric forums (like this one) that can offer help, support, suggestions, and accountability. You can do this, just remember WHY you did the surgery. Remember why you wanted it and why you jumped through all the hoops to get it.

I too want to say, I am sorry you have gone through so much. There are a few people active on here who have had the extra bypass surgery. If you can bear to wait, you will get the answers you need. Everyone works and we don't always come on here every day

I first came to this board in March of 2022. I had my 1st surgery (sleeve) in May 2022. I had my revision to bypass (due to A LOT of complications with the sleeve) in June of 2023. Since then I have been complication free. But I was struggling to maintain my weight. I was put on a diet and exercise regimen to gain and then maintain my weight. Well, my metabolism finally sorted itself out, but I wasn't paying attention. I was supposed to weigh myself once a week to see how things are going. I went 4 weeks without weighing myself. And I was just eating whatever I wanted in hopes I would gain. And boy oh boy, I did gain. I went from 176 to 190 in 5 weeks. That shocked me, because I wanted to get to 180 - 183. Now I have to stop eating willy nilly, get my diet back on track, and focus more on my workouts. I became lax with what I needed to do and I found myself going back to old eating habits. Examples include eating whatever I wanted, even when it went against my diet. Not working out as much as I was supposed to because I was tired or didn't feel like it. Eating when I was bored. Eating something because it's there, not because I was hungry. Grazing all day and night, which was ALWAYS my issue. I'm telling you all this because I've seen so many posts where some of you guys really beat yourself up for messing up. You're afraid you'll undo all your progress. I admit, that has creeped into my mind a bit, but I remind myself that I know what to do and what not to do. I know how to get back on track. And I know how to give myself grace while still holding myself accountable. It's just a matter of doing it. So I'm going to course correct, get back to the proper diet and exercise routine, and really work on my eating habits. Just know that EVERYONE can slip up. It's not the end of the world....even if it feels like it is. Just own up to your mistakes, correct your actions, eat and exercise properly, and it'll all be ok. And with that, I need to go work out. Have a good one, and wish me luck that I get this sorted.

the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare

I had sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

Gastric bypass patients should be taking at a minimum a bariatric multivitamin, as well as 1200-1500 mg of calcium per day. Vitamin D3 is also recommended, but most people get enough with just the above because typically both bariatric multivitamins and calcium supplements already contain additional D3. Some people also need B12 supplementation, however since I eat a lot of dairy, I've never had a problem with my B12 being low. Keep in mind that due to the surgery, we don't absorb nutrients like the did before. This is why we need to take these supplements for life. It's critical to have routine blood work and adjust what you take due to the results. For example, I had to change from a "normal" bariatric multivitamin so one with reduced B12 because my B12 was actually too high. In addition to the above, I also take probiotics and fiber pills daily.

Same here! Overweight all my life. The only reason I had the surgery at 35 (5 months ago) was because the NHS here in the UK finally approved me for the surgery. They don't cover Wegovy etc for weight loss so this was my only option. I wish I had started the process of getting approved sooner, but it wasn't until I lost my mother and step-father within a year of each other (my stepfather died at age 62 from pneumonia and liver disease that certainly was aggravated by his extreme weight, and my mother died almost year later age 67 from a perforated bowel that they couldn't repair because of her gastric bypass ten years before). While I knew the risks, I knew I didn't want to go that young so I was going to take my health more seriously. I'm glad I did it and have no regrets.

Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about.

Hey all. I'm new here. Had a lap band installed in 2013. I've failed it. Gained it all back. Bypass scheduled in a month. I'm so worried that I'll fail this too. Any failed lap band to bypass success stories out there?

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

Exercise may end up being your “you time” if you find something that you enjoy doing. I never in a zillion years would’ve pictured myself exercising and I have not always been obese either. My issues began when I was like 25 so I was active And fit but never did actual exercise in my life until post revision. Well, no I absolutely love YOGA. That, and my crochet group are my time. I shut my phone off for both and I am just present for the entire time. The YOGA makes me feel so good for the entire day. I love it.

I had a reversal from sleeve to mini bypass 10 years ago by dr illan. I owe him my live.

Hi, Poppy Velvet! Thanks for the update. Sounds like you've had some challenges but that you're working through them. My gastric bypass was Jan. 30 so I'm in the earlier stages of adjustment too. Like you, I have a wonderfully supportive husband who cooks and prepares stuff for me. For broth, instead of doing the packaged kind, he made pots of chicken and vegetable beef soup, strained out some broth for me, and would then eat the remaining soup for his meals. The other day he made homemade applesauce (so much better than anything you can get in the store) and then pulverized in the blender so that I could have it. What would we do without these guys? Please keep us posted on your journey!

I had a revision surgery Dec 18,23. After surgery I have lost 62 pounds and now I am struggling to get my protein and water in. And I am trying to lose the 4 pounds i gained and lose 10 on top of that

Surgery day is tomorrow. Gonna be a long day today of clear liquids. I have a slight dry cough so I am keeping my fingers crossed it doesn’t cause an issue. I will be sure to let the peeps know when I arrive tomorrow, hopefully I can get a cough suppressant for after or a belly binder. Like you @Waggy I planned this on my off time. I work at a school also and plan to return Jan. 6th. This is a revision for me from a sleeve to GB. I took 2 weeks off last time and it was perfect. Just got a bit tired during the day.

I started at 316 and lost 60 pounds before surgery WHICH I count. So I started losing in June of 2023 and had surgery gastric bypass March 5 2014. I am down to 197. I have a goal of 150, but I havent been that low since I was in my 20s. I'm 69 now. Well, there is a wedding coming up at the end of April and I love the clothes I can wear now. If I were to lose 20 pounds now I feel like I'd be entering the twilight zone. What would I wear? I modified my favorite clothes from 250 to 316( they must have really been tight then) for the wedding. I no longer drive. I'm afraid i guess of weighing what i did 40 years ago. Help.