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I can't help from any specific experience, but on the East coast, I would suggest talking to Dr. Mitchell Roslin in NYC. He is one of the big promoter/developers of the SADI (modified DS) but is also long experienced with the traditional Hess DS along with the RNY and VSG. Having all of the major procedures in his toolbox, he can give you better advice as to which procedure best fits your specific needs; certainly better than your corner "WLS R Us" practice that just does the RNY and VSG. While he may not be a big fan of the RNY (common amongst DS capable surgeons who find that procedure better in most circumstances,) I have seen him actively refusing to do a DS to a lapband revision patient because the RNY was the more appropriate procedure in his case. Unfortunately, many surgeons will recommend whatever procedure they do as the best one, as it is the best for them even if it may not be the best for the patient. Finding someone skilled with all of the major procedures if very helpful when one has special needs.

I had revision May2023 due to stage 2 esophagitis the herd was extremely bad. Since May I’m down 74 lbs it’s definitely much different from the sleeve . I HAVE NO HEARTBURN!. I went to a new dr for this and his program has helped me tremendously. I just stick to their guidelines and exercise 4-6 days a week.

I did. That's why I had to have a revision. What side effects are you having? What surgery did you have?

I'm obviously not a professional and can only speak on my experience as a bypass patient - I have not experienced vomiting or dumping syndrome and I'm a little over 9 months post-op. Even when meeting with my surgeon and he asked me what I was considering and why - before providing his own assessment - I said bypass as sleeve wasn't enough and SADI is too much - and he agreed. I have only experienced occasional mild acid reflux previous to surgery and did not want to put myself in a place to make it worse. My food portions are obviously smaller than prior (that's why we have these procedures), but it is not just a spoon or two at this point. That was only closer out from surgery. I am at about a half cup to a cup depending on density of what I'm consuming and that will still evolve even more further down the line. In my opinion, SADI is better for those who need to lose a lot more and may be diabetic as it is quick to reverse that. It may not be everyone's assessment and you have to choose what is best for you with your doctor's suggestion. I've heard and read it is difficult to revise should the need arise and it's mainly too many fats and/or sugars is what causes the diarrhea. Both require to be on vitamins/supplements for life, but it's even more important with the SADI as there is far more malabsorption. You will know what's best for yourself and your body and I wish you much luck.

I dont eat the same foods everyday. Everyday is different. I get sick of foods faster. I've been trying to get foods with higher protein in them, like 15 plus grams of protein like Greek yogurt and cottage cheese. Haven't been drinking much water lately which is really bad. But yeah. I do like to write down what I eat in a day, I don't like logging with an app tho. I have a note book ready that I am gonna start doing tonight or tomorrow. I dont remember if I updated my stats on here or not, but I'm going to be 11 months post rny on the 21st. And I'm down 111.5 pounds. I had lapband in 2009, gallbladder removed in 2010, lapband revision in 2013 and 2 days later, it was removed due to an abscess...they poked a hole in my stomach during the revision. Before ryn I had gained 81.4 pounds in the 9 to 10 years after lapband removal. 2015 I did weight watchers and I tracked everything. It helped a lot

Your surgeon is right it is your decision, but, your surgeon also knows based on past patients experience and your health background, stats etc., what she feels based on her experience what would be the best for you. The surgery itself, the aftercare and long term outcome. I've never had to throw up, get the runs or any issues with my bypass. I feel most ppl don't have issues, but you hear about these that do, because why post everything is great I have no issues or questions? I chose the bypass because I have the worst luck known to mankind and I just knew I'd start getting acid refux/GERD if I didn't and I'd be back for a revision later. I've had no issues - none! I'm not sure why you think getting a SADI wouldn't have a chance to effect you the same way a standard bypass would. There is still the possibility of nausea/vomiting etc. I think if you only have 100 lbs to lose ....I agree with your surgeon, it might be a bit much unless you have diabetes or a BMI of 50% or higher. Just my two cents..although with todays economy..maybe its only worth a half cent! Finally, you won't spend your entire life only eating a spoonful of food at each meal, just smaller portions.

I'm so sorry this happened to you. I originally had a sleeve and had several very rare complications that led to needing 7 surgeries in a year to correct everything. I had a revision to the bypass, which made all the difference and was life changing. I hate that the bypass wasn't the same for you. I'm glad you're home and starting on the road to getting better.

I just had a revision from the sleeve to a bypass a week ago today. I'm already 16 pounds down. I had horrible stomach acid... the thing is, lifelong taking medicines for stomach acid is bad for you. Increases cancer risks, dementia risks, and accelerates bone loss. I did not want to be taking these meds for decades to come when science has proven how dangerous that is. I've had no vomiting or nausea while healing. This time around, the vitamins don't even make me sick which is a huge relief. They used to.

I’ve been undergoing revision on my 2004 gastric bypass. I’ve noticed that my hair looks and feels thinner. I hadn’t connected it to the revision. Thank you!

I think you might need to talk with your surgeon and be really detailed about when you can’t hold down food. All the time? Only in morning? Before bile movement after BM, certain food triggers, etc. I got the Revision from the sleeve to the SASI bypass. I had the sleeve in 2017. There was a balloon at the top of my sleeve stomach and for the past 2years I was wondering why after I took a BM, I felt bloated and I always had gerd with a little regurgitation. It took my new surgeon to tell me that I had a balloon/bubble. So, basically I didn’t know I had that until my 1 day post surgery follow up on my SASI procedure on January 10, 2024. Long story short, I think you can do a revision surgery. I haven’t heard of a reversal. There’s the SASI and the SADI bypass.

This is normal. It is almost like an initiation phase that will pass. I had a lapband in 2012. On Jan 8 I revised to bypass and had my gall bladder removed. I am still not past the misery stage but getting there. Gas pain is the worst. Keep the faith it will get better.

My revision surgery (sleeve to SADI) went well on Thursday. My pain is almost non-existent, and my energy levels are good. Pacing myself getting liquids and protein in but doing fairly well with that as well. I was discharged the day after surgery and I'm home now.

Thank you for the response @learn2cook it’s a little scary even though it seems to be really common. I don’t want a revision and hoping I can just get a hernia repair. But such is life. The doctor said I also had some curves to my sleeve so a revision maybe in my future. But he wasn’t a Bariatric doctor but a gastro. Thank you

Hello all I was wondering if anyone else has had this rare complication. I got my sleeve done in Mexico Oct 2021. About a year ago, January 2023, I noticed I started to have excessive saliva. It started randomly but picked up more. Well fast forward to January 2024 I got an endoscopy and was told my sleeve is “tortuous” and I have a hernia. This means that my sleeve has a lot of turns. I don’t feel any pain but the acid reflux which was manageable completely prior with one 20mg Prilosec, some days didn’t have to take it at all, has now been more annoying. I’m getting a referral to a Bariatric surgeon here in the states even tho the gastro told me I’ll be fine and don’t need to do anything. I’ve read that a twisted sleeve happens to about less then 2% of sleeve patients. I’ve also read some great success stories of surgeons fixing the twist and hernia without revision to bypass etc. I’m hopeful and not in any pain. But I don’t want it to get worse and it’s just a little overwhelming. Thank you!

If you had a DS you are thought to absorb about 20% of the fat you eat, 60% of the protein you eat, and 100% of the carbs you eat. Your doctor should have explained this to you... The intestines can adapt some to the surgery over time, but most studies have shown DS patients continue to have malabsorption. That's the whole point of the surgery! In rare cases, there is a small number of patients who will lose more weight than they intend, or have excessive muscle wasting. The muscle wasting is normally due to not eating enough protein post surgery. A DS patient needs around 120 grams of protein a day, more if they workout trying to gain muscle. Are you taking your vitamins? Have you had your labs checked recently? In the case of someone who has lost more weight than they intended to with a DS, certain enzymes can be given to help them absorb more of the food they eat, or a surgical revision can be done to lengthen their common channel, giving them more length of small intestines to absorb calories from. Of the two, I'd try the enzymes first. If you gained up to 240 with the enzymes, clearly they were effective for you! So why not consider taking them on an alternating schedule, titrating the dose to slowly gain what you need, and then taper off of them and see if you can maintain?? If you want to do this with food you are probably looking at over 4,000 calories a day. That is going to be tough. You can only eat so much food in a day! DS patients usually don't count calories at all, we count macros because it is the macros that help us stay in our target range, since no one really knows exactly how many calories an individual with a DS surgery is going to absorb, we can only ballpark it. But you should be getting a LOT of protein and around 120-150 grams of fat, according to vets who have lived with this surgery for decades. To bulk, most people I know load up on carbs, which is not easy for a DS person unless you want to spend a lot of time in the bathroom, or you are lucky enough to actually tolerate a decent amount of carbs. But carbs will usually put weight on. If you want more people with DS to talk to, check the bariatricfacts.org forums. We are mostly DS people over there and most of the regular posters are vets. But be prepared, they are fans of straight talk and not everyone likes that!

First, I'm wondering, why are you having the surgery? It doesn't sound like you're unhappy with how you look, you didn't mention if you have any comorbidities like joint pain, decreased mobility, diabetes, high blood pressure, high cholesterol, etc, and you don't have stats (bmi) that would cause a lot of concern. Second, I've only seen 2 or 3 people on this entire site that have trouble with losing too much weight. Increase your calorie intake, maybe cut the workouts to half, and that shouldn't be an issue. But it's exceedingly rare. Third, you will likely have some regain. It's just par for the course. Not everyone does, but most people do to an extent. If you stick to the plan and move your body, it should be minimal, but it's unfortunately a reality. Lastly, you will shed hair. A lot of it. Most people do. There are a lucky few that don't, but it's a reality the majority of us can't escape. It happened with my first surgery and with my revision. I used volumizing and thickening shampoos and conditioners, cut my hair shorter (it was down to my butt when I had my surgery and I cut it to just touching my shoulders), and styled it a bit differently. And it was fine. Not one person could tell (except me) and once the shedding stopped, it started to regrow fairly quickly. It didn't come out in clumps, it was basically excessive shedding that I mostly saw when I was washing my hair in the shower. It's not like I was losing hair throughout the day and it was all over my clothes or anything.

I am just now starting the journey and trying to get used to dietary changes. The guidelines I was given them were very very broad in general, and I kind of like a more specific idea of what I need to change and what my calorie account should be in my macro should be, and that really wasn’t given to me so I’m struggling. Is there anyone who has any tips and tricks for dietary visions while I go through the approval process?

at 7 months my triumph/sv was reaching a my "revised" goal. i basically called goal 7 lbs above my original as i felt as i was looking way too skelator-ish. I was eating about less than 800 cals a day at the time and decided to start upping my cals. got to about 1500 cals 3 months later and settled into about 1800 today (5+ yrs later) ..,i was up to over 2300 at one point, but i was an exercise fiend during that era. i was exercising min 1 hour a day (sometimes twice a day) almost every day at the time. Today im at it 1-2 times a week. despite all this i weigh less today than both my original and revised goals. go figure. AND, i dont look skelator-ish at all. SCORE! lol WLS is still one of the best decisions i've made so far. Good Luck! ❤️

I had a sleeve to bypass revision yesterday.

Hello All, Long time a member but have been away a long time. I was banded in April 2012 at 488lbs. My lowest weight attained was 170. I have since over the years climbed back up to 328. Monday, Jan 8th I am scheduled for a conversion to bypass. Removing my band as well as my gallbladder. Any advice would be appreciated. It's been 10 years. I imagine somethings have changed while some haven't. I know it's a tool. I know the weight doesn't fall off overnight. The band saved my life. I hope bypass gets me back on track. Thanks, Jim.

Just had bypass as a revision because the sleeve was giving major erosive esophagitis… I’ve been waking up with a similar feeling… at first I thought it was reflux again but it kinda feels more like nausea /or throw up stuck an it’s way up… I’m sooo scared that this surgery didn’t work

I was 388 the day I went into my initial surgery. I had the sleeve and then revision to bypass due to complications. You can see all my stats in my signature. As of today, I've lost 160 pounds. My ideal weight (NOT my target weight, because my ideal weight makes me look sickly) is no higher than 155. The difference between that and what my surgery day weight was is 233 pounds. 65% of that 233 pounds would be 151 pounds, so I've already lost more than that. I have another 30 to go to hit my goal weight, and while it's slow going (I currently just started my 987964610 stall lol) I'll get there. Where there's a will, there's a way. You can do this. I've had 8 surgeries in the last year and a half....7 of them this year....5 of them because of complications. I have 1 more surgery scheduled for next year and then that should be it. And even with all my starts and stops because of surgeries and recovery time, I still lost 160 pounds. Imagine if I was able to just keep going and not have all these health issues.... Anyway, don't get in your head about averages and statistics and all that. Everyone's journey is different. Focus on your health, mobility, mood, and medication amounts drastically improving. Focus on how clothes look and fit on you, what sizes they drop to, and how you feel. These are called non scale victories, and they will absolutely SAVE YOU when you hit stalls. Focus on how you fit in a booth, or in "regular" seats in the movies or in doctor's offices. These things will tell you more than the scale ever will. Getting off meds, no longer having hypertension and diabetes, these were game changers for me.

If you're already staying away from sugar and carbs, you're ahead of the game. I think the bypass will definitely improve things drastically for you. The sleeve was never a viable option for you because of the GERD. I'm wishing you all kinds of luck, but I know you'll come through it ok. Don't be afraid of the revision. It's the easiest part of everything you've been through.

Hi there!!! I have been summoned, I see lol Ok, so a little about what I've been through, and then I'll give any advice I can. I had the sleeve in May 2022. Initially, I was doing awesome. Lost a lot of weight, got off several meds, health issues corrected, it was awesome. Right up until it wasn't. Around 6 months post op, I started noticing some reflux issues (which I had never had before). It steadily got worse and I had to have a barium swallow (NASTY!!!) to see what was happening. I had severe GERD, gastritis, and esophagitis. I also had a narrowing esophagus. So I was put on Nexium (40mg once per day). The GERD steadily got worse and worse until I was put on 80mg of Nexium daily as well as Pepcid for break through (which I took daily). It still didn't completely help. I was on such a high amount of PPI for such a long time that I ended up developing an OBSCENE amount of polyps all through my stomach and duodenum. This year, I had 7 surgeries to remove all of the polyps, stretch my esophagus, and have a revision to a bypass. I also had to have the part of the stomach that's bypassed removed because that's where so many of the polyps were forming. When I had the sleeve, I had so much pain, trouble tolerating anything cold, trouble taking pills, trouble getting in enough water. It was completely miserable. With my revision to bypass, it was like the heavens opened up and the angels started singing to me. No pain meds at all beyond Tylenol. Up and around within 4 days. Was able to take pills from day 1. No GERD at all. No constipation like with the sleeve. Able to get my fluids in from day 1 (drank a 20 oz of water in the hospital within 2 hours of getting back to my room from recovery), no issues with temps of liquids. My only regret is that I didn't just get the bypass to begin with. Because of all the surgeries, my abdominal wall weakened and I developed a ventral hernia that was repaired 3 weeks ago. Still recovering from that one. I was freaked out at first at the thought of getting a bypass. It's why I opted for the sleeve to begin with. I was afraid of dumping, I was afraid of malabsorption, I was afraid of getting a stricture. Well, I only dump if I have too many carbs, so I just avoid them for the most part (I never even get to my allotted amount, I'm always way under). I haven't had any stricture, but if I do, it's a super easy fix (and after everything I've already been through, I'm not even a tiny bit worried). And malabsorption is only an issue with extended release meds (I don't take those now) and vitamins (take bariatric ones or double up on the regular ones). There was nothing to be worried about, but I let the chatter from those that weren't in my position freak me out and cause me to choose the sleeve instead of the bypass. My advice to you is to not listen to anyone else. You and your doctor know what's best for you. The revision will give you your life back. Being pain and complication free is worth its weight in...well...everything. When you look at everything you've been through up until this point, the recovery from the revision will be a walk in the park. It's better for your health (physically and mentally) and it will allow you to get back to your life. This surgery is supposed to afford us the chance to have the life and health we've always been meant to, and complications can really do a number on us. The revision will be a godsend to you, mark my words. I don't have a single regret.

Hello all, long-time member who has been away for a while. January 8th I am scheduled for a revision lapband to bypass. The band was successful for years and no doubt saved my life but it has run its course and the weight is going back on and the band is maxed out.