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I am in MA and have Tufts. I was not doing a revision, but for me, it took about 6 months to go from first appointment (an orientation class) to surgery day. That was with some scheduling snafus thrown in along the way. I had already spent several years in the non-surgery program, doing nutrition and trying various meds. Curious where you are going for your surgery. I started at Mt Auburn hospital and ended up at Winchester hospital because the Mt Auburn program shut down last year (hence the scheduling snafus).

Yea since I was a revision to SADI they did not operate on my stomach. My portions are the same as they were years out from my sleeve which was about a single serving of most things. The weight I have lost is really just from eating 100% clean and exercising quite a bit. I really don’t worry too much about portions (although I still can’t eat a ton at once). I truly do believe that I am a carb addict though. It’s hard every single time I eat a lot of them to get back off of them. My plan is just to allow myself to have as much fruits and veggies as I want until the cravings ease up and then go back to my normal portions. We celebrate on Christmas eve and just have breakfast on Christmas while we watch the parade so I started yesterday and my plan worked, but I still ate a lot of calories because of eating all day long and I still want carbs just as bad today. My body just screams out for them. And for a while too. It’s really almost not worth it.

Well said. I would just add that a good source on you tube is Dr Matthew Weiner. He explains the surgeries, pros/ cons and risks very well. This will help you prepare for your first visit. Like @Justarwaxx suggested, though, try not to stress too much because your surgeon will help you make the right decision. My Dr said that there were two good options for my revision and it was up to me. He sent me home to do my research and follow up with questions at the next visit. He didn’t rush me to make my decision though, you most likely won’t have to decide at that first visit but make a list of questions and if you feel confused don’t be afraid to ask for clarification. It is a lot to take in and they understand that. You can also post questions in the Pre-Op area on this site. Lots of really good people on here will try to help you by sharing their experiences to guide you every step of the way. Best of luck ❤️

Pro Care Health multi with 45mg iron is what I took after my sleeve and my levels were always good too. Now I had SADI revision so I take their SADI specific one with a little more iron. I haven’t done any labs yet but I feel fantastic so I’m expecting them to be good.

I am wanting to order my vitamins and pro care health has one that is sadi specific with extra stuff in it. (I am pending Revision to SADI) I am just curious if anyone has tried this and wondering first if it goes down okay And also how are your labs going.

What about trying a GLP-1 versus surgery? Check out Dr Matthew Weiner’s Pound of Cure website, podcasts & you tube channel. He’s been speaking a lot about recommending sleevers with regain to use GLP-1 meds instead of a revision surgery. You may find it interesting & something to discuss with your surgeon as another option. PS. Out of curiosity what was your original starting point weight, your maintenance weight, and current weight?

I have the sleeve and my starting weight was 297 and I am 5'9. It has been super successful! I am already maintaining my weight and I haven't had any issues with GERD, or anything like that. I might be a lucky one- not sure. Just depends on what your needs and health issues are.; I chose the sleeve because I did not want my intestines re-routed, I did not want to prohibit the usage of NAISDs, the lack of absorption of nutrients and the dumping syndrome. I know there have been many many people very successful with the bypass and glad they did that, and those who had to revise the sleeve to the bypass! I would just do your research, its took me a couple of months to figure out which one I wanted.

That’s true. They may not call just to tell you. The only reason I asked about it was becausr they didn’t think I needed to do it for a revision at first but it turned out that I needed it and I already had surgery scheduled so i had to get it to them quickly so I followed up to make sure the Psyc’s office sent it.

I didn’t have band either, but I had the sleeve and gained it all back. My surgeon explained that obesity is very complex and for many people the sleeve is great and it’s less risk so they go with it when they think it is appropriate but it does not offer the same metabolic changes as the bypass or the SADI (which is what I revised to) that some people need in order to be successful. I believe the Lap band offers even less metabolic changes than the sleeve, if any. Basically with these surgeries mostly everyone will lose weight, it’s the keeping it off part that’s difficult. And that’s when you need a surgery with enough of a metabolic change to help you long term. I am 2.5 months out from my revision and I was so worried about the same thing, losing it only to regain again but I can already tell that there is more or a metabolic change. I mean I am exercising!! Me….everyday!! That never would’ve happened without this surgery. Healthy foods taste better and my mood has improved. I have tons of energy and motivation. I never got that with the sleeve. The bypass has been around for a very long time for good reason. For me the sleeve and SADI difference has been night and day. I think you will find a similar experience with your Bypass.

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.

Hi! I haven't tried Pro Care's SADI-specific vitamins, but many find them beneficial after surgery. They can vary in how easily they go down, so starting with a small amount is wise. Regular lab monitoring is crucial post-surgery to check nutrient levels. Good luck with your revision!

The basic procedure upon which the RNY is based has been done for some 140 years for a variety of GI maladies, so it's mostly a matter of billing codes, and some minor variations in configuration, that make it a bariatric procedure vs. one for cancer, gastroparesis, etc., so insurance shouldn't be a factor if that is what is needed. As to whether the "RNY" is needed for your case is a judgement call; try to avoid self diagnosis and let the doctors make the recommendation as to what is appropriate to treat your particular case. GERD is a classic symptom of a hiatal hernia, and given that you didn't have any particular problem with it for some years post op indicates that it is the hernia and not the sleeve that is the primary problem. Again, let the experts weigh in on this. My preference when considering something like this would be to seek out an opinion from a bariatric practice that is associated with a regional cancer center, as they tend to treat a broader range of GI maladies than a general bariatric practice, and will probably have a wider range of options to consider. If you come across a surgeon who quickly determines that you have GERD and a sleeve, therefore you need a bypass, without looking at any imaging, I would tend to move on to someone else - they probably don't understand the sleeve as well as they should to make that determination. My philosophy is to try to avoid going to a bypass is possible, as it does present some diagnostic and treatment limitations down the line should they be needed as we get older. The blind stomach and duodenum that can't be readily imaged or manipulated endoscopically and medication limitations (of which NSAIDs are the largest class,) are the primary things that come to mind. They usually aren't big deals if that is what is needed, but I don't like giving up options unnecessarily. RNY patients can develop GERD later on, and occasionally (though rarely,) such a revision does not correct a GERD problem, so we're talking more of a statistical improvement rather than an outright cure. If that happens, then where does one go - the bypass is something of a one way street surgically (though is can technically be reversed)? So, my inclination is to go one step at a time and treat the hernia and then go from there is that doesn't correct the problem.

I wish I could say from experience but I never made it to the maintenance phase with my sleeve and I’m early out from my revision. From being on the boards though it seems what most people do is to add like 100 healthy calories at a time and wait and see if that makes them gain and keep upping it until they find what their body is happy with. Of course if you level of activity or type of calories changes you may have to adjust so I think if you don’t choose to log your food daily you may want to at least spot check it like once a week just so you can see if your habits change gradually and keep on track for what works for your body. Congratulations on nearing maintenance!!

Hey all, so I’m in the process of getting a revision I have the Lapband wanting to remove it and getting the Sleeve. I have BCBS of MA. How was the process for you guys. What where your requirements, and how long did everything take meaning the whole process and the approval time. I went 2 weeks ago to my consultation, did the nutrition class then my ecg that same day now waiting for to talk to a psych. And the place is taking long I already called bcbs it’s in my network and also got my copay these ppl are taking long I’m ready to start my new journey

Did you not need calcium? I had the sleeve and was just revised to a sadI and with both I was prescribe 1500mg of calcium supplements.

yea I think mine was like 1-2 oz. I didnt have my stomach operated on because it was a revision this time so I was able to do the top of the range right away which was 2 oz. I would call your team and ask to be sure but maybe start with just one tiny bite and wait and see how it goes and then SLOWLY go up. You should hear back from them before you get to 1 oumce. I think that was the lower end but you always want to hear it from your team anyways. Or check to see if it’s written in any or the papers they gave you.

Do you mean SADI? Or is SASI another newer surgery? I had a sleeve revision to SADI and they warned me that diarrhea would be an issue for the first three or so months. For me I haven’t had this issue. Some days my stool is loose but it’s only once a day. I have been eating extremely clean though so perhaps that’s part of it. I would keep a log of what you’re eating and when it is happening and get with your team. You may have developed an allergy to something. That’s not at all uncommon.

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.

Well your not totally off base if your okay with the bypass. It’s a little more aggressive so it carries with it a little more risk than the sleeve. The reason they do the sleeve I believe is because it’s a bit safer and it is adequate for many people to lose and keep it off but there are some (like me) with regain that need a revision and some that need revision because of GERD and other complications. I would ask the surgeon what percentage of patients need revision because of inadequate loss and/or regain and what percentage for GERD. I believe I read somewhere that it’s 26% need revision but I would definitely not swear to it and I am not sure if that was just for weight or for complications too. I think even if you do end up having to wait it is a good call to get all of your questions answered and feel confident in your decision that it is what’s best for you.

I don’t know much about the mini gastric bypass but the SADI is now covered by insurance and it has better stats thus far than then bypass and sleeve. Its weigh loss is statistically quicker, more weight lost and more durable than the bypass and it’s considered comparable in terms of safety. It is relatively new so not all surgeons do it and the research is still coming in but Maybe look into it. I have been very happy with it as a revision surgery. I have lost 75 pounds already. I have some other medical stuff that’s slowed my loss a bit because the doctors don’t want me to be at such as calorie deficit right now, but I feel like once I’m back at it I will lose the rest pretty steadily. Also, There was a guy on here that put a whole lot of information out there about the mini gastric bypass a while back. If you search for it you should find some of his posts and if you respond to one of them it should send notifications to the others who were active in the thread so hopefully someone who knows about it will get an email the thread is active and come back and read your questions. I just did a search and he must’ve deleted his account because now it’s listed as guest. His screen name was MiniGastricBypassDude but I guess he won’t receive the.notifications. Others who were active on the threads will though and there is lots of information there to read about the surgery that he posted In the past.

Well as you all know I had my procedure on sept 6 and now here it is Oct 20 and I haven’t lost in fact I think ive gained Ive been doing cardio and i go back to regular diet in 4 days and I am so so scared. I couldn’t even come on here and post because i got so depressed about having this revision procedure.. I have a appointment with my nutritionist on Tuesday and I’m just gonna put it out there . He felt like part of it could be constipation so I am trying ducolax and see if it’s just blockage idk

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.

The pain didn't start off intense. How high of a dose are you on and how often do you take it? Is it daily? Once a day or more often? Have you had to increase the dose or does the dose you currently take keep it controlled? If you're well controlled on a low dose, you're probably ok to stay on it. If you're not well controlled and need to increase and this continues, then you might have to look at a revision at some point. High doses of PPI aren't meant to be taken long term, and the higher the dose for a longer amount of time, the higher the chances you will likely need a revision.

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?

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.