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Well that's always a possibility, that's what I did. I had the sleeve in Dec 2016 and lost a lot of weight quickly, then I screwed up and slowly gained almost all of it back. In Nov. 2021 I had the revision to bypass and have been losing it all again, and now I know what to do and not to do in order to maintain. That said, if you never lost significant weight in the first place, that might point to other potential issues. Maybe get a second opinion from another doctor.

The surgeon only suggest to transform the sleeve into bypass

I know the OP profile has Sleeve but this being the Gastric Bypass forum I believe some things need to be said. The OP is describing a time released medication. For Gastric Bypass, time released medications can be problematic. Some seem to have no issues while others seem to fail completely, and of course many fall in between these extremes. I had pain medications that failed completely, while my Iron seems to work adequately. My heart Doc didn't even want to risk time released not working. There are meds I take where I handle spreading the immediate release meds through the day. Further adding to the mix, my experience and the experience of many others is that some non-time release medications for which you can feel an effect don't last as long as they did pre-op, so it requires a bit of manipulation/planning to deal with the changes. Talk to the surgeon because if they actually talk to their patients they should have a decent idea of which time released meds can be problematic. I've noticed also that some Sleeve people dump (which would indicate the pyloric valve isn't working as a gate keeper as well as pre-op, so for some Sleeve folks all these time released issues may possibly likewise be an issue, perhaps to a lesser extent, so pay attention early on. Good luck, Tek

Hi everyone, I'm Kirsten from Vancouver, Canada. I am getting RNY bypass in a few weeks and I am super excited for how this is going to change my life.

I am also getting surgery with Dr. Gagner in Montreal! I'm getting rny bypass on May 18. Good luck with your surgery tomorrow.

I am May 18th too for bypass! Are you getting excited yet?

You'll be fine. After my sleeve surgery they had me eating scrambled eggs, egg salad, tuna salad, and chicken salad the day after I got home. Same after my revision to bypass surgery. Some doctors are more conservative than others I suppose, but our anatomy is the same, so if I was OK you'll be OK too.

Nexium is omeprazole. Just a different brand name. Don’t know what it’s like in the states but in Australia you can only buy 10mg Nexium over the counter. 10mg is fine for basic heartburn but reflux & gerd really needs a stronger dose. Here 20mg is by script & 40mg requires the doctor to fill out additional paperwork because of the strength & effects of long term usage of PPIs so they are reluctant to prescribe the 40mg. As to your surgeon. Did he describe what he would do in your surgery before your surgery? If so did he say he would do the sleeve gastrectomy as well as the bypass? As the form said he would do additional procedures if necessary, what was his justification for doing the gastrectomy? His saying it’s what we do here is not good enough because he told you you’d have bypass surgery & you did not have a gastric bypass alone. If it’s what they do there the gastrectomy aspect should have been identified on the consent form. At the very least you were provided with inaccurate & incomplete information about what your surgery was & involved. Generally, your lower BMI would indicate a sleeve would be most appropriate for you, however, your existing GERD would support the decision to have bypass. Doing both seems excessive. Just my opinion.

I was self pay. Qualifications are bmi of 30+ at most places for self pay. I was at 31 when signed up but lost a few lbs from stress. Bypass was recommended to me bc it’s supposed to cure my long-standing GERD.

Wondering if they started with the sleeve since it's the most common WLS these days, realized their mistake and went bypass. Having said that, I had the VSG to bypass revision recently and asked a surgeon at the hospital how would it be different than the straight bypass and he said basically the same thing as your surgeon did. He said that with the sleeve, I already have far less ghrelin production than a normal stomach, so after the revision it'll be even more so. I couldn't find any studies online though.

Hi Chiru, I also had a combination of the sleeve and bypass on April 26th as well! I’m not exactly sure the name for it other than it’s a form of gastric bypass. I had mine done in Mexico so these kinds of procedures are apparently more common abroad then in the U.S

This is what I found about the SADI: SADI-S stands for Single anastomosis duodeno-ileal bypass with sleeve gastrectomy. It is a new surgical treatment option for morbid obesity that is basically a variant of duodenal switch surgery, in which a single intestinal bypass is made as opposed to two. Patients spend less time in surgery and are exposed to a reduced risk of complications. DFW Bariatrics and General Surgery has got you covered if you are considering undergoing the SADI Procedure in Dallas and surrounding areas. How Does SADI Work? There are two steps involved in the SADI-S Procedure: Firstly, the surgeon performs a sleeve gastrectomy to remove approximately 80 percent of the stomach. Secondly, they detach the intestine just below the stomach after which they reattach it to an intestine loop roughly 2 meters down. The effect of the SADI-S Procedure is to bypass food from the part of the intestine that is metabolically active. This results in the lessening of the length of the intestinal loop in which nutrients are absorbed. Patients experience a smaller appetite, consume less meal portions, and have hormonal changes that positively affect their metabolism. Benefits of the SADI-S Procedure Reduces the risk of diarrhea and nutritional deficiencies often associated with the duodenal switch Gives patients greater weight loss when compared with standard gastric bypass or gastric sleeve, which is great for those with a BMI above 50. The SADI-S Procedure can be performed on patients who have undergone sleeve gastrectomy but experienced insufficient weight loss or a relapse. Reduces the long-term risk of intestinal obstruction when compared with duodenal switch and gastric bypass. It is great for people with poorly controlled Type-2 Diabetes as it offers a more powerful metabolic effect when compared with a standard gastric bypass or sleeve gastrectomy. Unlike gastric bypass surgery, patients experience a reduced likelihood of issues such as unstable blood sugar fluctuations, dumping syndrome, marginal ulcers, food restrictions and intolerance. Potential Disadvantages of SADI-S Procedure Potential risks associated with the SADI-S Procedure are similar to those of any other bariatric procedure. These include: Anastomotic leaks Infection Bile reflux Intestinal perforation Venous thrombosis and pulmonary embolism Bowel obstruction in the long-term Abscess

I looked up my informed consent paperwork and it said there are several variations of the gastric bypass and it’s the surgeon’s discretion to choose which one based on multiple factors. 🤔

Gastric bypass should eliminate your reflux so hopefully you will be good with that.

This is what I found that sounds like what you had done: A biliopancreatic diversion with duodenal switch (BPD/DS) is a less-common weight-loss procedure that entails two major steps. The first step is sleeve gastrectomy in which about 80 percent of the stomach is removed, leaving a smaller tube-shaped stomach, similar to a banana. However, the valve that releases food to the small intestine (the pyloric valve) remains, along with a limited portion of the small intestine that normally connects to the stomach (duodenum). The second step bypasses the majority of the intestine by connecting the end portion of the intestine to the duodenum near the stomach. A BPD/DS both limits how much you can eat and reduces the absorption of nutrients, including proteins and fats. While a BPD/DS is very effective, it has more risks, including malnutrition and vitamin deficiencies. This procedure is generally recommended for people with a body mass index (BMI) greater than 50. https://www.mayoclinic.org/tests-procedures/biliopancreatic-diversion-with-duodenal-switch/about/pac-20385180

It sounds like he's made changes with in the basic surgery, removing the blind stomach means changing the part of the stomach the pouch is created from so the bile ducts that used to dump into the blind stomach now dumps into the pouch. Less importantly (I suppose) the bypassed intestines would also be removed since there is no longer a blind stomach to attach them to. I would be upset that he didn't actually perform the promised surgery, as this is no longer an Roux En Y Gastric Bypass. I would be considering legal action if this happened to me. Good luck, Tek

I guess when he said it was reversible he was referring to the bypass part of the procedure?

So Gastric bypass is technically reversible. unlike Sleeve. But by doing that and removing that part of the stomach its no longer reversible. Tho i never heard of anyone getting it reversed.

Hi! So I had gastric bypass on 4/26 and found out after surgery that my surgeon removed part of my stomach like they do with the VSG. He said it was to remove the ghrelin hormone. Has anyone else had this done? He said it wasn’t a duodenal switch but gastric bypass.

I really feel like OCC failed me in the nutritionist department, especially since one of the reasons I payed so much more money to go to them was because the promise 5 years of post op nutritionist support. No I am not getting the mini bypass at occ. I have been considering Dr Illian or Dr Rutledge (The creator of the MGB) for the mini gastric bypass. Now I heard about Dr. Ponce, kind of looking into her too. To tell you the truth I am debating on the gastric bypass and the mini gastric bypass. I don't know which one I will choose. If I had to do it again I would have gone straight for the bypass or the MGB. I am a binge eater and I am always hungry after doing the VSG, because of this I think I would have benefited from getting the byor the MGB from thr beginning. If I could have done it differently, I wish I could have e gotten my surgery here in the USA. My friends who got their surgery here in the USA all get south support pre and post op from their doctors and the staff. The support they get is amazing. The one thing I would do differently this time when or if I get the revision is work out a lot post op. I struggled with lack of energy and enthusiasm and did not work out post vsg. As far as the diet goes, IDK, I am still trying to figure this part out. I hope the next Dr. I chose for revisional surgery's office will provide better support when it comes to nutrition and diet post op. Or if they dont, and I have not paid extra for it, I wonfeel this bad. As far as Dr. Ortiz goes, I highly recommend him, he is super sweet and an excellent surgeon. Sorry for the delay in reply, this app doez not show that I have new messages, I some how found your comment back to my post accidentally. Sent from my SM-G991U1 using BariatricPal mobile app

Good day: my surgery was 3/23. I had a Gastric Bypass. I am having issues with no enjoying pre surgery foods. Any one having any of the same?

Thank you so much for this info! I am getting the sleeve on May 20. I chose OCC because of the great reviews, accreditation, and the follow-up post surgery nutrition info. Are you getting the mini-bypass at OCC? What would you do differently on the nutrition side if you were now getting sleeve? Would you get sleeve or Judy go right to bypass? Thank you again - you’re the first person I’ve met that went to OCC?

interesting. Never once heard about it in my research. its also not a option here at my area where i got surgery. Wonder what the difference is in benefits with a regular sleeve and bypass

Wow, fast answer! Yes, its kindof a mix of bypass and sleeve! I know it has been done here in Norway since 2015 but not sure about the rest of the world [emoji28] Sent from my SM-N986B using BariatricPal mobile app

Hey all! Im new here and really enjoing this forum! I had surgery April 26, 2022 and so far so good But I had the SASI surgery and cant seem to find many posts on it! I know its relativly new but was hoping there was a topic on that one as well as sleeve and bypass But if you who read this have had the SASI i would love to hear your experience as im only 4 days post op Sorry if my english is abit of, not my first language Sent from my SM-N986B using BariatricPal mobile app