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So by 8 months post op with the sleeve, I started having complications. But before that, I was able to eat a cup to a cup and a half of food, depending on what it was. Now a year out from my revision to bypass, I have 2 cups of protein cereal, or 1 small piece of steak and 1/4 cup of cheesy peas. Or I can have a can of soup. I can have 2 chicken drum sticks and 1/4 cup of veggies. It's not so much HOW MUCH you eat as it is WHAT you eat. I'm careful with what I eat, I still log and track everything, and I avoid sugar (or go with no sugar added if it's unavoidable) and rarely use salt (but use Himalayan salt if I REALLY need it). It's about how often you eat and what you're eating. I don't graze. I eat 3 meals and 2 snacks. I don't drink alcohol (empty calories and carbs), I don't drink soda (again, empty calories and carbs and frankly, don't like the taste anymore), and I made sure to find alternatives to things I use to eat a lot that are healthier but still yummy. I don't feel like I'm deprived because it all tastes good.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

"can already eat more than most people with a sleeve". Just because you can, doesn't mean you should. I'm never full on the quantity recommended by my bariatric clinics size/portion guidelines, but I still serve exactly what's on the plan. Could I technically eat more? Yes, but I need/want to lose the weight. There is nothing stating in science research people should eat until full. I prepare and eat 3/4 cup and walk away from eating more. Is part of your clinics program talking with dieticians and a psychologist to help with full vs. actual body nutritional need etc? Your impending sleeve will be the same. You can push the limits and be right back where you are. Start working now on sticking to measured/weighed portion control or you might find yourself right back at eating more than you should. Bariatric portion control is not a suggestion, but a requirement. If you want to become healthy and at your goal weight while maintaining it, its a lifetime of measuring what you eat and pushing away from the table - not eating until full. You will always have the ability to push the boundaries - take control of it now! 😁 Its a tough call and its great seeing you doing your due diligence researching and asking questions. Good luck on either your revision or your bypass! I'm sure you'll make the right decision for yourself.

Hopefully @Rosslyn will have something closer on her paperwork because that’s definitely not how mine is worded for the revision. The third letter in SADI does stand for duodenal though. It’s Single Anastmosis Duodenal ileal bypass and the SADI-S just means with sleeve from what I can gather. Mine says “robotic single anastomosis duodenal switch with intra operative esophagastroduodenoscopy” So that last part is the same for us. I think that’s just a scope to check that things are okay before they close. The “single anastomosis” part is what makes it a SADI vs a traditional Dudodenal Switch or DS. It’s means one anastomosis or connection instead of two. The one connection is what makes the SADI a little safer than the traditional DS because that connection is where you could get a leak. I would probably call their office to verify but The first part of yours MAY be a sleeve gastrectomy and the second part COULD BE the part I’m getting done (just the intestine bypass part) but I’m not sure why it says REPAIR? The third again I THINK is just a scope with a camera to check something. The extra ADEK should be for both the SADI and the DS. My vitamin for post op says SADI/DS on it. And it had a bit more iron and adds the ADEK plus a couple other things that don’t absorb as well.

I have to admit, I'm also unaware of revisions that can be done with bypass. I was under the impression your options are fairly limited after bypass, though I'm no expert. Reflux after bypass can certainly happen, but it's highly unusual, as is stretching out your pouch to an abnormally large size (aside from the regular increase in capacity that is normal). I would think a visit to your primary care doctor would be your first step, or an appointment with your surgeon's office if that's possible (I know it's been a long time, so maybe that isn't possible). You're going to want to determine if something has gone wrong that can be fixed surgically, or if it's something that medication or lifestyle changes could better address.

Sounds like I am actually a lot better off than I thought I was. As most of you probably know I am on my LSD now which is two shakes and then a low carb dinner of 3oz lean meat, 1 cup of cooked veggies, and 1 cup berries or melon. Well, I do not feel stuffed to the brim, but I am satisfied after just the meat and veggies. I end up having the berries later as a snack which cuts out one of the snacks I am allowed for the day so win-win. . What worried me was that this diet was written for someone with normal anatomy and I was getting closer than I thought I should to finishing it. That and some of the plates I’ve seen posted on here by veterans seem to be such tiny portions compared to my 8” plate full. I felt that my restriction was way-way less than anyone else with a sleeve. I worried that even if I was keeping it to healthier choices and some was being malabsorbed that the portion size would still get me in trouble if I don’t eat lean meat and veggies forever. i do realize that it’s more about what the foods are than how much I eat but I would like to add in some other options eventually (for maintenance at least). . I am fighting against a pretty complex scenario too. Not only am I asking for this surgery to help with obesity but I also have Bipolar Disorder. I have been on meds and doing okay but the meds are not a cure. I still have episodes and during those periods things like healthy food choices are…well…out the window. I try not to keep unhealthy options in the house but I have things i am allowed in moderation and my husband has some bad foods that he eats as well. On top of that I cannot go off of the meds that make me gain. Long story short, I really do need the most aggressive surgery I can get to give me the best chance at this. it sounds like my stomach is pretty normal for someone that is over a year out though. Some of the doctors redo the sleeve when during a revision which sounds ideal but mine does not. He says I that’s not worth the risks involved. Obviously I don’t want to risk more side effects, complications and lifestyle changes to get the SADI if I’m not going to get anything more out of it than I would a bypass which would also be more likely to resolve my mild gerd. I just wish there was more data to go on. I guess what it boils down to is having to trust my doctors judgement. Past experience witb doctors just make that SO difficult for me. Thank you all for sharing your experiences with the sleeve and the bypass.🩷 This does help me a great deal. Now I know that I actually am where he should expect me to be in terms of capacity. At least I know he did have all the correct information when he said the SADI was my best option.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

Is there anybody else that has had a revision. I went from VBG to Gastric Bypass

I fully agree, I chose the sleeve initially because of what I read from YEARS and YEARS ago, with the complications and all that with the bypass. Had I just listened to everyone who tried to talk to me about the bypass TODAY and the bypass of 15, 20, 25 years ago, I could have saved myself a lot of complications and problems and additional surgeries. The bypass today is nothing like it used to be. In the end, you have to do what you feel is best for you, but please do your own research, have an open mind, and have an open and honest conversation with your primary care doctor and your bariatric surgeon about how you feel and why. Revisions are tough, and I can tell you from experience, the regret of not listening to anyone else because I let my fear take over, my lack of actual research on the bypass because I had made my mind up about the sleeve, and the subsequent complications, work and time lost, additional surgeries, and ending up with a bypass in the end anyway made it all not worth it. Just try to keep an open mind and do research and talk openly and honestly with your team about everything before you make a hard and final decision.

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.

I had severe acid reflux with the sleeve, and had to get a revision to bypass. Before that I had a few instances of GERD but nothing serious. So please seriously think about this because if you have the slightest history of GERD, You're risking having serious acid reflux in the future, and then having to go through a bypass revision just to stop it. Having been through both, it is a very similar recovery period. No side effects, for me at all after revision.

I never had reflux or gerd so I was a fantastic candidate for the sleeve. And after the sleeve, the gerd was so bad I was on 80mg of Nexium TWICE per day PLUS pepcid for break through and TUMS if really needed (and I was always doing all of it, sometimes still with no real relief). I developed so many polyps from the incredibly high amounts of PPI over a long period of time that I needed 4 endoscopies to remove them. I also developed gastritis and esophagitis. I was told I had no choice but to have the revision to bypass. So 13 months after my sleeve, I was back in the hospital having the bypass. The recovery was SO much faster and easier, the gerd was cured almost immediately, getting my fluids down was so much easier, my only real regret is that I had the sleeve at all. I just wish I had gone straight to the bypass to begin with. If you already have gerd, I STRONGLY advise at least thinking about the bypass instead of the sleeve. The bariatric surgeon may not even give you the sleeve as an option, so maybe start considering the bypass as a viable choice.

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).

Now that I'm 2 years out from my sleeve and 1 year out from my revision to bypass, I can tell you that I eat around 1200 calories per day when I'm not working out and 1400 - 1500 per day when I'm working out (depending on the type of work out I'm doing). I'm on my feet all day at work, so I increased my daily calories from what they were before. Same with my work outs. I can't work out as often now, so I go harder than I used to on the days I can actually work out (now that I have full medical clearance with no restrictions). I noticed pretty early on that if I didn't eat enough calories during the day, but was still working out, my body thought it was starving and it would hold on to every single thing. As hard as it was to wrap my brain around, I took the advice I saw on here and increased my calories on work out days by a couple of hundred each day and I actually started losing again!!! I was floored!!! So as I increased intensity of my work outs, or increased the weight I was lifting, I increased my calories a bit. I didn't go crazy, but enough to let my body know it's still healthy and not starving. BUT....I had to initially give myself grace and time to be able to increase calories. Work outs or not, I had to do it on my body's timeline, not a doctor or nutritionist's. No way could I have been at 900 or 1000 calories at 2 or 3 or 4 or 5 months. There just was no way. And honestly, mine didn't expect that. They didn't want to see us above 700 calories before 5 months post op. I had JUST hit 900 calories at 7 months post op. I'm actually thinking about increasing my calories a little again, because I'm still losing, and I'm nearly 10 pounds under my goal weight, and I really would like to start maintaining lol If I drop to 179, I will definitely increase my calories by 100 everyday and see what happens.

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When you complete and submit the form, you will instantly gain access to important information including videos, diagrams, more information about the hospital, surgeons, and surgery types, patient testimonials, and pictures. complete the form Dr. Carlos AltamiranoIs an expert in General Surgery and Advanced Laparoscopic Weight Loss Surgery. Dr. Altamirano completed his formation as a surgeon in Dr. Valentín Gómez Farías Hospital (one of the most renowned hospitals in Mexico). He trained in basic and advanced laparoscopic procedures like cholecystectomy, inguinal and post incisional hernia repair, Laparoscopic Nissen Fundoplication and bariatric procedures like Gastric Sleeve and bypass. He also has experience in the management of emergency and critically ill patients, is certified in Advanced Trauma Life Support (ATLS certification of the American College of Surgeons) and Advanced Cardiovascular life Support (ACLS certification of the American Heart Association). He was a Red Cross volunteer for a year and has worked for multiple Non-Profit organizations. read more Dr. Jaime Ponce de LeonChief Weight Loss Surgeon at INT Hospital in Tijuana, Mexico Dr. Jaime Ponce de Leon has the official endorsement of the Baja California Board of Tourism. The board recommended his services after a thorough review of his credentials and reputation. Dr. de Leon has 19 years of experience as a surgeon, including extensive experience as a laparoscopic surgeon, and is recognized as a top weight loss surgeon in Mexico. He received his M.D. as a general surgeon from Saint Nicholas University in Hidalgo, Mexico, and completed his residency in Tijuana’s. read more Dr. Sergio VerboonenA Leading Weight Loss Surgeon in Tijuana, Mexico Dr. Sergio Verboonen, a Certified Bariatric Laparoscopic Surgeon, is one of the first three bariatric surgeons to pioneer Bariatric Surgery in Mexico. Dr. Verboonen received his M.D. from Universidad Nacional Autonomy de Mexico (UNAM) in 1990 and completed his residency in 1994 at Hospital General de Tijuana. With 19+ years of experience, Dr. Verboonen has performed more than 10,000 bariatric laparoscopic procedures and continues to be recognized as one of the most experienced bariatric surgeons worldwide. read more Dr. Jesus Martin Lopez DominguezA Certified Bariatric Surgeon with over a decade of experience. Dr. Lopez has 10 years of surgical experience and is bilingual. Dr. Jesus Martin Lopez is one of the leading medical practitioners in Tijuana dedicated to change lives for people with weight related problems. read more Dr. Juan Francisco ZavalzaTrusted bariatric surgeon & backed up by thousands of successfully performed weight loss surgeries. Dr. Zavalza has 5 years of surgical experience, is bilingual and was proctored by Dr. Jaime Ponce de Leon. Dr. Francisco Zavalza has performed and assisted more than 3000 bariatric surgeries. Dr. Zavalza continues communicating with his patients years after surgery, providing extensive follow up care, to insure long term and successful outcomes. read more Dr. Mario Camelo RamosCertified Bariatric Surgeon Dr. Mario Camelo Ramos is an accomplished weight-loss surgeon, who practices in Tijuana, Mexico. He has trained under one the world’s top bariatric surgeons and has performed over 6,500 bariatric surgeries. Dr. Camelo Ramos Performs Surgery at Florence Hospital. read more Dr. Juan Antonio Lopez CorvalaCertified Bariatric Surgeon Dr. Juan Antonio Lopez Corvala MD FACS has over 30 years of experience, more than 10,000 laparoscopic surgeries, and more than 6,000 bariatric surgeries. Dr. Juan A. Lopez Corvala is one of the 10 most renowned bariatric surgeons worldwide, a true expert, member of C.A.B. (Council of Advance Bariatrics). read more Fill out the form below to get more information or reserve your weight loss surgery date. {block="bp_surgery_deal_form"}

{{$title = \IPS\Output::i()->title;}} {$title} Roux-en-Y gastric bypass (RYGB) is the most common type of gastric bypass weight loss surgery.1 It is usually laparoscopic. It is reversible if necessary, but is designed to be permanent. The surgeon first divides your stomach, leaving a smaller upper portion and stitching shut the larger remainder of your stomach so that it can't be used any more.2 Normally, food in your stomach empties to the upper portion of the small intestine. In RYGB, the surgeon attaches the small stomach pouch to a place lower down on the small intestine, thus "bypassing" the majority of your stomach, the duodenum (upper portion of your small intestine) and at least part of the jejunum (middle portion of your small intestine). A long-limb RYGB procedure bypasses more of your intestine; in this case, the surgeon attaches your newly formed small stomach pouch to a place even lower on your small intestine. The long-limbed RYGB procedure can lead to faster weight loss because of greater nutrient malabsorption (fewer nutrients absorbed). Why is the procedure called "Roux-en-Y?" The gastric pouch is called the "roux limb," and the "Y" shape is formed by the three arms coming together at a junction. The three parts are: The small stomach pouch that holds food The large stomach pouch that secretes digestive juices The far portion of the small intestine that the two portions of the stomach are connected to Buchwald H. ASBS 2004 consensus conference statement: bariatric surgery for morbid obesity: health implications for patients, health professionals and third-party payers. Surgery for obesity and related diseases, 2005;371-381 Ibid. Advantages and Disadvantages of the Gastric Bypass Advantages of the Roux-en-Y Gastric Bypass No bands, staples or other foreign objects in your body An established procedure with more research on safety and effectiveness than the vertical sleeve gastrectomy and sleeve plication More weight loss in the first year than the gastric sleeve and the adjustable gastric band (lap-band)1 Reversible if necessary (but not easily) Can be revised to a longer-limb Roux-en-Y gastric bypass if an initial short-limb procedure does not lead to expected weight loss. Quick improvements in your health, especially in your blood sugar control with better insulin resistance, lower blood sugar levels and possible resolution of diabetes May be a good choice for individuals with a sweet tooth because sweet foods are not typically tolerated Jackson TD, Hutter MM. Morbidity and effectiveness of laporscopic sleeve gastrectomy, adjustable gastric band and gastric bypass for morbid obesity. Advances in Surgery, 2012;46:255-68. Disadvantages of the Roux-en-Y Gastric Bypass Higher risk of nutritional deficiencies due to malabsorption than the lap-band, sleeve plication and vertical gastric sleeve Weight regain can occur after a couple of years if appetite levels increase and/or the stomach pouch is stretched High-sugar and high-fat foods can cause dumping syndrome, with symptoms of shakiness, nausea, vomiting and diarrhea Stomach pouch can be stretched if patient overeats, leading to less restriction and less effectiveness Complications are less frequent, but are more likely to be serious Possible Complications/Risks of the Gastric Bypass Intolerance to certain foods Gastroesophageal reflux disease, or GERD, with severe heartburn Nutritional deficiencies due to low food intake and nutrient malabsorption Dumping syndrome Staple line leaks from the stomach and intestines where they were cut and stitched during the procedure Vomiting, nausea, diarrhea Strictures Weight Loss and the Roux-en-Y (RYGB) Rapid weight loss in first 6 to 12 months About 65 to 70% of excess weight loss (EWL) within 2 years Often more than 100 pounds lost Many RYGB patients regain about 20 or more pounds after the first two years of weight loss The RYGB is restrictive and malabsorptive and it affects your appetite hormones. Restrictive: Right after surgery, the top portion can hold only about one ounce, or two tablespoons, of food. This forces you to have smaller meals you fill up faster Malabsorptive: With RYGB, food doesn't go into your duodenum, which is where a lot of nutrient absorption usually occurs. Absorbing less protein, fat and carbohydrate leads to fewer calories and faster weight loss. Hormonal:1 2 changes in your hormones after RYGB can decrease hunger. Ghrelin: a hormone that causes hunger and whose levels decrease after RYGB PYY: (neuropeptide YY) a hormone that reduces hunger and whose levels increase after RYGB GLP-1: (glucagon-like peptide 1) a hormone that reduces hunger and whose levels increase after RYGB Mechanick MD, Kushner RF…Dixon J. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Obesity, 2009;17(S1):S3-72. Morinigo R, Moize V, Musri M, Lacy AM, Navarro S, Marin JL…Vidal J. Glucagon-like peptide-1, peptide YY, hunger and satiety after gastric bypass surgery for morbid obese subjects. JCEM, 2006;91(5):1735.

There have been lots of posts that discuss why we chose VSG over other procedures, so you might want to do a little light reading of the site for additional info. However, my reasoning was pretty basic. I decided against the band because I didn't want a foreign object installed in me that had to be tended to constantly (filling and unfilling) and as the years have progressed, more and more people are having complications from their lapband and having it removed/having a revision surgery to another option like sleeve or bypass. I didn't choose bypass because of similar reasons to yours. After doing a lot of research, I could see that the sleeve appeared to be less intrusive to my digestive system (no re-routing of the system, thus malabsorption problems are not typical). While short term complications are slightly higher than the band, long term the fact seems to be that there are less complications. There are other reasons, but these are probably the most obvious ones.