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Showing results for 'revision bypass'.
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I am pending a Sadi revision to my sleeve and I know it’s pretty close to DS so I am looking for info from people with knowledge of both surgeries. I have read a couple of people mentioning issues with meds not absorbing properly making it difficult to treat common medical issues. Is this common post SADI or DS?
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January 2025 Surgery Buddies!
S-jay82 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
Is it a gastric bypass you’ve had? What was your pre-op diet? -
A Change is Coming...
Kris77 replied to KimBaxleyWilson's topic in General Weight Loss Surgery Discussions
Happy for you!! Glad all went well!!! So you had bypass and your husband did inguinal hernia repair and a facelift, Any updates? Can’t wait to see pics! Congrats!! -
Polyps diagnosed before surgery
summerseeker replied to magicinitiate's topic in PRE-Operation Weight Loss Surgery Q&A
Hi I am sorry to here that. its always disappointing when we can't have our first choice. Unless you already have GERD, there is little difference in the end results of sleeve v the bypass. Both need lots of work on our part and the weight loss is what we are comitted to doing.- 1 reply
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Hi all, I am almost 8 months post op bypass. I'm down 68 lbs (31 kg) I feel and look fantastic and I'm quite happy but I still need to lose 33-44 lbs and well it's barely coming off these past months. Now my question is I'm eating pretty well and counting calories and protien content. I'm focused on calories mostly but I think that's where the problem is. I should focus on my protien only which means I should eat 115g of protien daily which might mean more calories and it scares me.. I m active and go to the gym too (not as gym rat but not lazy) so what am I doing wrong? Do I need to up my protein? Also how much of the food is actually absorbed? Does bypass really mean ill def lose and maintain the weight? I need reassurance. Help me understand what to do now and if I'm safe
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Hi all, I had bypass on Feb 19 and my BP really seemed to correct itself and even go a little low for a couple months but now, out of nowhere, it is super high again. I'm still losing so not sure what is causing it but I started taking my pre-surgery bp meds again. I don't need a stroke at 45.
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Sleeve to Bypass Revision Aftercare Fears
SKOrtiz78 replied to SKOrtiz78's topic in Revision Weight Loss Surgery Forums (NEW!)
I appreciate all the advice and kind words of encouragement. I bounce between the scary feelings I have about eating and being excited to lose weight and be a healthier me to enjoy life with my family as much and as long as I can. I was and am just a little overwhelmed because I initially went to my surgeon about the hernia repair. He informed me of this sleeve-to-bypass revision that would be in my best interest which I was not expecting. Hence, this isn't so much of a weight loss journey for me as it is a quality of life journey, With that being said it brought me back to confronting my unhealthy relationship with food and took me back to a time after my sleeve in 2009 where the smell of food would take me into an anxiety-riddled panic attack. All the byproduct of not taking the appropriate steps in getting my mind right before the procedure since I went to another country for my initial procedure. The hernia repair to me has now taken a back seat to the lifestyle changes needed to move forward with the bypass and everything that entails. This time I hope to do it a little better and taking the appropriate steps to making my lifestyle change more healthily. It's still very early in my journey. I don't have a date yet. Tomorrow is my initial consultation with the registered dietician and nutritional counselor and hopefully I will feel comfortable discussing my fears of failure. Again thank you for the advice I am truly humbled. -
if you lose a ton of weight, you're likely to have some loose skin. I had a ton of it (I had mine surgically removed three years after my bypass). No one but me (and my husband and doctor) knew it was there, though - it was pretty easy to hide in clothes. Even if it didn't have it removed, though, I still would have taken loose skin any day of the week over weighing 373 lbs (and yep - we had the same starting weight).
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Someone tell me this is going to be possible
SleeveToBypass2023 replied to Adam B.'s topic in POST-Operation Weight Loss Surgery Q&A
I had the sleeve and was doing well until I was hit with all kinds of complications. I had the revision to bypass and couldn't be happier. It's like night and day. I think you'll do just fine. -
Hello, I just had my gastric bypass surgery on February 12. Is it normal to come home with a 16 lb gain? Is it from all the Iv’s ?
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January 2025 Surgery Buddies!
S-jay82 replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
I’m having a gastric bypass on 12th February, at the moment I’m on the milk only pre op diet. -
January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
I'm scheduled for a gastric bypass on January 30. Excited but nervous too! -
Congratulations on making your decision to take your life back. Only those who are obese truely understand how limiting and challenging it is as well as its impact on you psychologically and emotionally. There are a number of reasons why people undergo a revision from sleeve to bypass: they develop GERD, weight regain, don’t lose as much as they hoped. Don’t know the rate of this occurring. Doesn’t mean this will happen to yiu.I know people who have had a revision on this forum and people who haven’t. Personally I have three friends with a sleeve all between 4 & almost 7 years out and no revisions. I ‘m 5.5 yrs out with my sleeve and am happy with it & my younger brother just had one done. But we’re all different & the surgeries work in different ways to different people. Sometimes surgeons will recommend bypass over sleeve because of the weight their patient has to lose, weight loss and gain history, pre-existing conditions (like GERD, etc.), etc. Are you able to ask why the surgeon/clinic is encouraging you down the path of a sleeve rather than bypass as this is less common (more common to recommend bypass over sleeve). My cyclical side wonders if it’s because a sleeve is a less complicated surgery, takes less time to perform and sometimes doesn’t require an overnight hospital stay. So do they want you to have a sleeve because it’s less demanding on their services. Ultimately it should be your decision as to which surgery you get. Have a look at some of the you tube videos by Dr Matthew Weiner (pound of cure) & Dr John Pilcher. They cover many topics so you’ll need to work through quite a list (great resources for you post surgery) & will have some on the differences and benefits of the different surgeries. All the best.
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Another factor is insurance. For example, I know my insurance would happily (as happily as they do anything) cover sleeve or bypass. Meet the requirements and you could have either one of those, no questions asked. Everything else was considered "experimental" and was not covered. Based on my brother's experience of significant regain after sleeve, plus not wanting to risk GERD and the possibility of a revision, I opted for bypass right out of the gate. I felt like that would be a one-and-done surgery, and I have zero regrets. A few key differences to consider are bypass is a stronger metabolic surgery, so you tend to get more durable weight loss if you look at 5-10 years post-op. But weight regain after sleeve can be managed with GLP-1 meds (if you have coverage or can pay out of pocket). If you have reflux or diabetes/pre-diabetes, seriously consider a bypass as this surgery is great for reducing or eliminating these conditions. If you smoke or require a lot of pain meds, seriously consider sleeve because your risk of ulcers with bypass is elevated by smoking and NSAID use, and the ulcers are very hard to cure. Dumping can be unpleasant but managed through dietary choices. I have had a couple very minor instances of dumping. Once after eating too much sugar (I absolutely knew better when I did it), and once after a few bites of a very rich, very fat-filled Thanksgiving side dish (this one surprised me). In both cases, my heart raced for about 15 minutes to the point my Fitbit thought I was exercising and awarded me "zone minutes." For me, that was the extent of it and nothing I couldn't handle. I'll just avoid that green bean dish next time. Some people do get worse responses. A lot of people never dump at all. One thing to consider if choosing a less-known surgery in the US is your doctors outside the surgeon who performs it may not be very familiar with it. Everyone should know what a bypass or a sleeve is. Hospitals or EMTs might not know much about your anatomy with a MGB or a DS, and that could cause delays in treatment, which in an emergency might become an issue. Not to say don't get those if they're right for you, but you may have to spend more time educating yourself and your healthcare team if you do.
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Post SADI help <3 Save me from the farts
Dawndarkling replied to ParkerUsagi's topic in Duodenal Switch Surgery Forum
Actually, the Sadie is only 25% more male absorptive than the bypass. It absorbs about 25% less of vitamins and food and everything now the traditional duodenal switch is very malabsorption by 50% -80% I believe depending on what material we’re talking about -
Revision, are things going as they should?
joya09.24 replied to Kak7365's topic in Revision Weight Loss Surgery Forums (NEW!)
You sound like me. I was lapband to RNY revision. 5 weeks out. Not a single issue. I can eat and drink anything I try. Scale is moving and I am not hungry. -
Urgently need a sleeve to bypass conversion but my new Insurance won’t pay.
SpartanMaker replied to Fran Quarles's topic in Gastric Sleeve Surgery Forums
There's really no reason for your insurance company to deny coverage here. While gastric bypass is obviously performed for weight loss, that's not the only reason. There are normal weight people that sometimes have it done for various issue like severe GERD and issues with gastric emptying. My point is that even though we think of it as a bariatric procedure, in your case, you need it purely for medical reasons. They can't deny it on the basis that they don't cover bariatric surgery, since that's not why you need the surgery. -
Modified Duodenal Switch
ShoppGirl replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
For me the recovery was a great deal worse with the SADI than the sleeve but it was just gas. I think the gas thing is hit or miss and some of us are just unlucky. With my sleeve I was up walking in recovery and home the next day off pain meds and having to be reminded that I just had surgery and to take it easy. After SADI I was literally crying, begging the nurse for more pain meds after five days of not passing gas. It was awful until one morning I passed fade like 5 or 6 times and with each one I felt more and more relief. I honestly don’t think that pain medication does anything to touch the gas pain and if you are unlucky and get it stuck somewhere bad you just gotta deal with it unfortunately. My revision was robotic assist and the sleeve was not. That’s the only real difference. Same surgeon. Same incisions. Similar starting weight. But night and day difference in pain. I did get my gallbladder out with the revision but it was the gas pain that was the issue. After that it was about the same. -
Co-Codamol & Bypass
SpartanMaker replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
I'm a bypass patient and have successfully taken a prescription NSAID since my bypass without issues. I do take Omeprazole as well just in case, but I'm glad to hear that the risk of GI issues may not be as bad as once thought! -
Not the same starting weight, but have been obese all my life and this has been the best decision of my life, other than the man I married. He loves me no matter what I look like. But, I did this for health reasons and not to be skinny. I feel healthier, and my diabetes medications are no longer. I had the bypass, because I didn't want to deal with the possibility of GERD. I had some issues with it, but not any more, and mostly because I'm eating the right food. I wish you well.
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Surgeons will have their preferences based upon their experience and background. When I had my VSG around 14 years ago, the sleeve was fairly new, but most surgeons included it in their practice, though most were not that experienced with it yet (and it often showed in the outcomes, with quite a few rapid revisions needed.) I travelled to SF to have my sleeve done as there wasn't anyone in the LA area where we lived that was very experience with them, but there were several good BPD/DS surgeons in the Bay area, and as the DS uses the sleeve as its basis, those are the guys most experienced with it - my surgeon had been doing them for around 20 years at the time. Note another difference is that we do see more revisions of the sleeve, in part because of that "infant mortality" problem of when most surgeons were still working up the learning curve on it, but also because it CAN be readily revised, whereas the RNY is difficult to revise, so it, or reversals, are not done commonly owing to the complexity. So, if one does wind up with, say, a GERD problem, which does happen occasionally with the RNY, too, then one is stuck with medicating it, or reversing it if things are that serious.
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January 2025 Surgery Buddies!
NoSnowHere replied to Melissa💖💜💙's topic in Gastric Sleeve Surgery Forums
Thanks for that -- I'm hoping to do the same after my gastric bypass this Thursday! Best wishes for a speedy recovery! Keep us posted. -
Anyone else told their stall was probably caused by not eating enough calories I am 6 months out from bypass and eat about 700 calories a day. Have been in a stall for 3 weeks. My surgeon said I needed to start eating more not sure how I can barely eat what I do now
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New here. Looking to start a new journey.
WendyJane replied to SammyGold's topic in GLP-1 & Other Weight Loss Medications (NEW!)
Hello SammyGold, Welcome to the Bariatric Forum. I was on a GLP-1 since 2013 without knowing it was a GLP-1, and it changed over time. I was prescribed it by my endocrinologist for my diabetes. What I did once I started on Mounjaro was to lose about 70 pounds, and changed my eating habits to protein and veggies. That's all I ate. More Veggies than protein. I have a bad hip and decided I would take the next step and get the Roux-en-Y Gastric Bypass Bariatric Surgery. While I am only 7 weeks out since surgery, I have seen a huge difference on the scale, and in the size clothes that I can wear already. My face doesn't even look like my picture anymore. I had to lose weight and get my BMI down so I can get a new hip, and I'll be getting that in August, I have exceeded the goal, and plan to keep on going. With the GLP-1s that I was on, I never experienced nausea, but that is a huge side effect for many. It has to be the right dose for you, so look carefully at the different meds, and find out what your insurance covers before you ask for a specific medication from your provider/doctor. Insurance companies are getting ridiculous about weight loss drugs and surgery. They deny due to the cost of the medications. 6 months worth of GLP-1s can cost what it would if you had a gastric bypass surgery!! So contact your insurance company to find out what they cover for weight loss. That is my big take away! -
Post sleeve revision
catwoman7 replied to Diane Kay's topic in Revision Weight Loss Surgery Forums (NEW!)
I had bypass ten years ago, and I've never dumped. Lots of others I know have never dumped, either. I used to know the percentages (I don't live and breathe this stuff like I did the first few years post-surgery), but I seem to recall it was something like 30% dump. You can control that by not eating a bunch of sugar or fat at one sitting, since that's what sets it off. DSers have a sleeved stomach, so I would think dumping would be pretty rare with them.
