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As an British-American, I'm going back to the US for Thanksgiving in one month and I pretty much have the same concerns. Food, Food, Food is all it is. Come to find out my stepmother had the sleeve two years ago (she kept it real quiet but judged my mother for having a bypass 15 years ago, but I digress) so having one other bariatric patient at the table could be helpful for portion size recommendations. But Christmas, I'm with Italian friends. Italians (not to generalise, but something I've observed) love to feed people so I'm going to have to practice stern "no thank you".

I had more random scrapes with my revision to SADJ than I did with my sleeve and it was the same surgeon so I thought that was kind of peculiar until I really thought about it. The SADI was robotic and the sleeve was not. My surgeon had many many years more experience doing it laparoscopically than he did doing it robotically so maybe even though the robot is supposedly more precise once it gets down inside of you it’s a little harder to maneuver getting the incisions done? obviously I don’t really know for sure that was just all I could come up with. The good news is I’m two months out now and all the superficial scrapes and scratches are long gone.

I'm only two weeks post op and it doesn't hurt to eat unless you eat too much. I've learned pretty quickly what "too much" is so it's not painful to eat. Just eat slowly and your restriction will stop you from.being in pain. My mother had bypass in 2008 back whe it was standard to do an open procedure. She was able to eat almost anything and she wasn't in pain when she ate 15 years later. If they are 3+ years post op and still in pain when eating, they are probably either not eating correctly or they should speak to their surgical team.

Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’m going to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated! Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now. It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch. Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! 💜 I'll be sure to post an update after surgery.

As a bypass patient, there is really nothing that's off limits for me. I pretty much eat anything I want to, just in smaller portions. Some people have to be a bit more careful due to dumping syndrome, but I've been pretty lucky in that dumping for me is really rare. It's happened once in 2 years when I significantly overindulged on pretty much pure sugar with no fiber or protein to moderate things, It was not fun and I definitely learned my lesson! One other thing I'll say is that my tastes have changed. For example, I just don't really want much red meat, so I now eat a mostly vegetarian/pescatarian.

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

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.

I never had a lap band, but from the research I did pre-surgery, I can confidently say that you didn't fail your lap band. The lap band almost certainly failed you. It's just not a good procedure for long term success, which is why it is almost never done any more. It causes a lot of issues and really doesn't solve very many when it comes to the root causes of obesity. The gastric bypass, on the other hand, offers an excellent combination of strong metabolic changes plus low risk of side effects. It's a really good choice. I know I couldn't be happier!

I flew to Turkey for my procedure and I honestly don't know that it could have gone any smoother. The hospital in Istanbul was the nicest hospital I've ever seen and everyone was so incredible thorough. I am going on my 5th day post op mini-bypass and I was able to walk three miles yesterday. Going to see the Hagia Sophia today. So far, my only regret is that I wish I made the decision sooner. On another note, I didn't expect to feel hungry and crave food so quickly. Has anyone else experienced that?

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?!

Hi Ladies, I’m almost 6 weeks post-op from my gastric bypass. I started at 109.5 kg, and now I’m at 98.6 kg, so I’ve lost about 10 kg. While my nurse and doctor mentioned that I could’ve lost more by now, they said it’s still not bad. Honestly, it didn’t make me feel great, but a loss is a loss, right? I find myself comparing my progress with others, mostly with sleeve patients, which I know isn’t fair. So, I’m here in the bypass forum to hear from others with success stories. Shouldn't the most weight loss happen in the first 2-3 months, and then it slows down? Right now, I’m losing around 1 kg per week, which I know is healthy, but I keep feeling like I should be losing more, and then I panic, wondering if I’m overeating. I’m on a 1200-calorie plan with 8-10 small meals a day. I haven’t been able to stick to the 10 meals, but I do my best to hit 8, and they’re all balanced. My workout routine has been almost non-existent, but I joined the gym TODAY, so that will change! I just need some reassurance that I WILL lose the weight and that I’m not going to fail like I have in the past with weight loss.

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’m hoping to have revision to either GS or RNY from my lap band which is 11 years old & caused me problems.

It's pretty common. Happened to me after my sleeve and again after my revision to bypass. I was told it would likely be temporary, but so far, nothing has gone back to how it was before. Super weird. Things smell differently to me, too. And taste differently. Hate foods I use to love, actually like stuff I use to dislike. Very weird lol

This may not be related to your bypass. I suggest talking with your regular doctor for a sick visit. Your doctor can run more tests to puzzle out what’s going on. Just keep your fluids up by small sips (like a child’s medicine cup then wait 5 minutes before another sip) and push some Gatorade Zero to keep your electrolytes stable while figuring this out. There’s some nasty viruses going around. Let’s hope it’s something simple like that, but get checked out.

Where did you find this calculator. I’m curious where I stand. I’m guessing I will bade to do it for Bypass and DS and pick the middle but maybe they will have the SADI.

You ready for a long story? 😎 My exercise history is definitely one of extremes. I was very athletic in High School (Secondary School). I played football (American), was on the swim team, and ran track and cross country (not all of those every year). Afterward I spent time in the US Army where running was the norm, so I ran quite a bit. My recollection is that I was running roughly 30 miles a week at that time, so actually a lot more than the minimum required. Unfortunately I was badly injured while I was in the service and was barely able to even walk for a long, long time. Once I mostly recovered from that, I got heavily into powerlifting for almost a decade. I had convinced myself that due to bad knees I shouldn't run anymore, so instead i just focused on the strength training as well as a tiny bit of cardio on the elliptical. Unfortunately, I tore up my back in a workplace accident, so from that point on, no more heavy lifting for me. This was really the beginning of my descent into inactivity and severe weight gain. The heavier I got, the less I was able to even move, until using a cane or walker had become the norm. In addition, during this time I ended up having multiple surgeries, including 5 different shoulder surgeries, multiple knee surgeries culminating in a total knee replacement, and even open heart surgery for a bad heart valve. Fast forward a lot and about 9 months after my bypass surgery, I was walking and backpacking pretty consistently. A bit like you, I decided mostly on a on a whim to just try jogging a bit. It was more to see if I could even do it than anything else. You have to understand with my health history, lots of my doctors would say I shouldn't run. I say I'm going to do whatever I need to do to keep myself healthy because I suspect at some point, I'll need both a revision to the knee replacement and a new heart valve. My ability to survive those surgeries at an advanced age is going to be highly dependent on my overall health. Anyway, back to running. I was so shocked at how well and relatively pain-free the running went, that I decided to start training for a 5k. From there it's just snowballed and I've now done around 20 or so different races between 5ks, 10ks and Half Marathons. I'm not super fast (I am 60 afterall), but I am still pretty competitive in my local races, at least for my age. I'm also lucky that I'm now retired. This means I have the time to train appropriately. I typically run 4 to 5 days a week and average between 25 and 35 miles a week. I'll probably ramp that up in 2025 because I'm targeting a fall marathon and I'd like to be around 50-60 miles a week at peak fitness before the race. At this point running is my passion, but I do still strength train twice a week to keep what strength I do still have. As an aside, I'm strongly considering becoming a Certified Personal Trainer. Not really because I needed the knowledge, or because I expect to work in the industry (I am happily retired after all). My real goal is to help others where I can on their journey to fitness. I feel I can better relate to those that are struggling than a lot of CPTs that have always been fit. I also at least want those I work with to know I do have some knowledge of the subject (even though I've frankly probably forgotten more about training than a lot of CPTs even know). I'm really glad you're going to keep after it. You might surprise yourself in terms of what your capable of!

Thanks! I think it's just coming closer to the actual date, and I finally had a freak out. As I'm relying on the NHS, I don't want to get told the won't cover a revision down the line. But this forum seems to have people with good stories about long term success with the sleeve. I think I just need to speak with the doctor again.

I am scheduled for a revision. I am having my sleeve revised to the SADI on 8/7/24. I am incredibly nervous. Second guessing whether i should just go with the bypass since it’s more common. I have an appointment with the NP on the 19th. Hopefully she will help calm my nerves a little.

Your worry is going to give you a stroke or higher blood pressure if you are not careful. I'm concerned about that so here are my thoughts. At 61, I finally had the RNY. Initially I wanted the GSleeve, but was educated by my surgeon about RNY and that made the most sense, it is well researched, it is done laparoscopicly and if you need the other part of the stomach removed, you can ask your surgeon to do that. The Y portion of the RNY might need to be attached somewhere else. I'm not sure. I had no pain and have been able to tolerate all of my walking and light housework during my 2 weeks off work. I tolerated the clear liquids and the full liquids well and now I am on solid foods and doing well. With RNY you tend to lose more, but it is dependent on you and what you eat. With RNY, I was taken off more than half of the medications I was on, and taking none of my diabetes meds and insulin. Having a fear of the GERD with GSleeve, I also opted for RNY. Because you are already on pantoprazole and still have issues, I would suggest the RNY because there is a higher risk for those who already have indigestion issues or suffer from too much stomach acids. RNY you can't have NSAIDS, but with my arthritis, I am allowed to take it only as needed, and I take a capsule of Celeobrex, and it works fine for my painful arthritis. Just talk to your surgeon about that. Being down 40 pounds already with the GLP1 medication is good, and it will reduce fat on your liver as a side effect. I too have renal problems, stage 3, but was encouraged by my kidney doctor to have the RNY, and yes, the kidney doc also doesn't want me on NSAIDS, but allows me to do so. I need to get down in weight so I can have a hip replacement. Then, I might not need NSIADs any more. I hope I have been able to give you some information and encouragement to re-look at the different surgeries. RNY is just one step further than the sleeve, and with the history of your family, I'm sure the surgeon will be able to compromise and do a revision to the typical RNY as needed. Having stomach cancer history in your family would be one reason to just take the stomach out that is cut off, like in the sleeve and attach the Y end of RNY elsewhere. A modification should be easy to contemplate and do. Just another thought, your surgeon may want to meet with you because the ulcer in your stomach is evident on the series of pictures taken, and wants to move quickly to get that part of the stomach taken out? It is possible? Already having an ulcer starting may also be the reason they postpone the surgery and put you on healing meds, and get you to "calm down" because worry makes ulcers worse too. There are all kinds of reasons and things to factor in, but I would say you definitely need to find out what the surgeon wants to talk about, and go in with some knowledge. I suggest you take a look at some of the YouTube videos by BariNation. You may find out that they help you. I wish you the best, keep us posted after you talk to your surgeon.

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.

I got really sick of the Protein shakes too actually after my sleep surgery, one thing that helps if you like coffee is to use coffee to cut the sweetness, either hot or cold. I like it cold and I mix one caramel protein shake in a tall Tervis cup and fill the rest of the way with cold coffee and it’s pretty good. I actually learned about this after my sleeve, and even though all of my other habits went out the window that was something I was still doing before my revision because it actually tasted so good.

Hello. What stage are you on? How is it going?! I am 13 days out. Post SADI revision surgery. My recovery has been a little more challenging that it was when I did my sleeve.