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Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

My friend are you speaking to a therapist with relevant expertise? I know you are currently choosing your revision surgery and that's a huge decision. Please in the midst of that don't lose sight of your relationship with food and how you lost and regained weight in the past. We've all been there MANY times. Feel free to ignore me if you have all of this under control. You have done so well before and I know you can do again xxx xxx

I have also learned lots from people here who haven't done as well as they wanted to. Everyone has something to share. There's no shame in regain, it happens to loads of people for so many reasons. I say post away wherever you like. I suspect all you will get is well wishes. I really really hope you get a better sustainable result with your revision. You're doing a good thing for your health. 🤗

I have no experience with tricare but If you have no luck and your not absolutely set on bypass, i I was reading up on Sadi and If you had sleeve and convert to the sadi procedure instead one article said it’s under 10K without insurance (I guess that’s cheaper than alot of revision procedures). Anyways, Not sure if that’s doable for you but maybe with care credit you could make installments?? I Just figured I’d mention it in case it helps.

I don’t have a date yet but I think I have pretty well settled on the SADI surgery for my revision. I meet with him the end of next month to ask my final questions and then I guess it’s a waiting game. I am hesitant to post on the regular pre op boards and say I’m pending revision because I gained it all back. I feel like I may discourage someone from trying.

Hello, I had a sleeve gastrectomy in 2016. Recently I had an endoscopy due to swallowing issues (I have multiple sclerosis). The biopsy of my stomach came back with changes and i had mild damage in my distal esophagus. I do not have a GI and have not been being followed by the bariatric center for several years. I have an appointment to see my bariatric surgeon as it seems that the recourse for bile reflux is a revision. Has anyone else dealt with anything like this?

Yes, the SADI-S and SADI are the same procedure! When you are converting from a gastric sleeve you can either convert to bypass, convert to SADI, or convert to a Duodenal Switch. All 3 impact the small intestines, they vary by degrees of malabsorption. SADI is in the middle of the 3 in terms of malabsorption and doesn't require changing the stomach like the bypass would. They'd just be going in to do the small intestine component. It's a great option for a revision.

Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

I had gastric sleeve 3/9/2021 and I lose quite a bit of weight but as soon as the hunger came back I started gaining and didn’t stop. I recently revisited the surgeon and he thinks I may be a good candidate for the SADI. I am trying to research but I am not finding alot if good information about anything except the scary statistics. am hoping to find someone who had this procedure or has at least heard of it.

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

I am looking to revise my gastric sleeve for similar reasons. I had my mind on bypass but my dr just suggested today that I do some research on the SADI. I could be wrong but I believe if you already have the sleeve part that they do the SADI. From what I understand the sleeve and the Sadi make up the DS. But there is also something about a modified DS so I’m pretty confused at this point. Anyways, I have to choose between the SADI and the bypass and I am curious to hear what people have to say about both options.

Hello all. I am a little over 3 years post gastric sleeve and considering revision after gaining all my weight back. I met with my surgeon today and he suggested that I do some research on the SADI and I thought I would start here. I don’t see a whole lot of posts about this procedure, though. I am just looking for information from people who actually had it rather than all the scary statistics. I am interested in the pros and cons and how has it changed your day to day life?

I had my surgery 3/13/24 I had ESG revision of Gastric Plication in 2011

I went with the bypass as bypass patients tend to lose more weight as well as suffer less from GERD. I did not want to develop reflux and have to go through a revision if I could avoid it. I'm very happy with my decision, I only had about 100 lbs to lose and am already more than 2/3 of the way to my goal 5 months in.

i haven't been on here as long as catwoman, but in the 5+ years i have been, i've read of exactly TWO people who required a feeding tubes and who were/was regular contributors*. If i remember correctly, the first was an older lady in her sixties or seventies and she had a bybass (not a revision). I remember she had a whole slew of complications and was on a PICC line for months. The second one was younger (twenties i think), and i can't remember which WLS surgery she had but i do know it was not a revision either. She was not as sick for as long as the former, and was ok by the time she dropped off BP. I haven't seen either of them on the boards in a couple years. @alyssaajoan: are you worried about needing a tube? *i mention regular contributors, because i have read posts on here from people who write up a single post about problems they go through and disappear from the forums. i can't say for sure they are all trolls, but i take those posts with a grain of salt.

I had a sleeve to bypass revision and no, that was not only NOT required, it was never even discussed.

I think that's actually pretty rare. I think I've only heard about feeding tubes maybe two or three times in the nine years I've been on this site (and I don't remember if they were for revisions or "virgin" surgeries)

Hey everyone i have a question. Has anyone been required to have a feeding tube after sleeve to bypass revision? Was it temporary, did it help? Any information anyone has would be super super helpful. Thank you!

Hi! I am 51 and having a revision from lap band to RNY on April 3. I’d like to hear from someone my age or older… how did your surgery go? Do you think age makes a difference?

My revision surgery was scheduled for a few days after my birthday (so I was full swing into the preop diet) but my boyfriend planned a tour of the Ben & Jerry’s factory. Well I broke protocol (not recommending this) and enjoyed EVERYTHING. Naturally I had to resume the preop diet schedule right afterwards, but this was worth it for me.

I never lost my hunger. Not with the sleeve or with my revision to bypass (complications caused the revision). It was tough...really tough...in the beginning with both surgeries, but once I learned to time my meals and snacks, and learned the difference between head hunger and real hunger, and got my body used to the dietary changes I was making, it got a lot easier. You have to not only retrain your stomach, you also have to retrain your brain and change your relationship with food. It's worth it in the end.

YA'LL.... I am officially in a size XL (also known as a 1x). It's one thing to be pretty sure (when you don't actually have that size but the one above it is too big, so you assume) and it's another to put it on and it fits PERFECTLY. Tops AND bottoms. And the size 6 rings are starting to get a little loose. I have 18 pounds to go to hit my goal weight (I weigh 213 right now), and I wonder if I'll be in a 5 1/2 by then!!! The last 30 pounds have been a REAL fight to get off, but seeing the changes in my body and clothes has been amazing and fun. I feel so much better, I can do so many more things, I look so much better, and on a fun note, I went to a higher end thrift store to get some clothes and I was SOOOO overwhelmed by the choices in my new size!!! I started off as a size 28/30 (5x) and would literally just take whatever I could find in my size. Now, there's so many styles and designs and colors and brands lol It's been almost 30 years since I've been this size. I had literally no idea how fun it could be to go clothing shopping!!! And can I just say, my latest blood work shows my A1c is 5.5, fasting blood sugar is 98 and non fasting is 109, and all the rest of my numbers are literally perfect!!! This past weekend, my son and I went on a 8 mile hike, and other than being tired at the end, I didn't have any issues!!! This surgery is literally the best thing I've ever done for myself and my family. Even with all the complications, the revision, the hernia surgery and THOSE complications....I would do it all again to get where I am now. 18 more pounds to go and I'M THERE, ya'll!!!!! OMGGGG!!!!!!

I’d ask simply him why. Why he’s removing it & why he wants to do two separate surgeries. Lap bands have dramatically decreased in popularity over the last years & not many surgeons do them any more. Failure, side effects, effectiveness, etc. seem to be the reasons. Some studies say the life span of a lap band is only 7-10 years so you’re at your band’s end of life now. Not all surgeons do the removal & revision in one surgery. Maybe your surgeon is basing his decision on your current health status. Maybe he wants to give you a recovery period between the two surgeries to ensure you’re fully healed. May be he wants to give you time without a weight loss tool to see how you respond in regards to self monitoring your food intake, etc. Just throwing some ideas out there.

I am 7 weeks post op revision to bypass and loss 20 lbs. I am currently in a stall for a week already. In April which is only a few weeks away, we have a family trip taking my young children to Disney World. It’s a 9 days trip where I will be away from home. I would like advises and Suggestions from all of you who went on trips post op. I feel like it might be hard for me to find something healthy when I am on this trip. Help

I have seen many videos of the revision and all do the band removal and sleeve in same surgery. Why is my doctor not doing this? Is he not good enough to do it? The scare tissue removal is just extra time and procedure and to check for hernia. Should I be getting a second opinion? Last visit he never tried a fill or see if it leaked or fluoroscope, just said let's take it out. I just hate to do all the fasting and being put under twice if not needed.