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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 know exactly how you feel. I had the sleeve and did great. Had to have a revision due to complications and had a bypass. In both surgeries, I never ever lost physical hunger, nevermind head hunger. I still have head hunger to this day. And yes, I have times (not a whole day, but just certain times during a day here and there) where I eat something I definitely shouldn't be eating. Have I over-eaten? Yep. Have I eaten things I shouldn't? Yep. Am I failing my surgery? NOPE. I still feel some guilt when I "cheat" but you know what? It happens. Life happens. The point is you have to recognize that you had a slip, it is what it is, tomorrow is another day to start over and get it right. There's all kinds of online support groups, online therapy, and bariatric forums (like this one) that can offer help, support, suggestions, and accountability. You can do this, just remember WHY you did the surgery. Remember why you wanted it and why you jumped through all the hoops to get it.

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.

For me I’m just starting to notice that people treat me differently. People just being nicer and going out of their way to help me in stores. Customers striking up small talk conversations with me WAY more often. It’s just weird. I have always been told that life is a fashion show growing up and I sadly finally admit that it’s true. After losing all my weight for the sleeve quickly, gaining it back and now loosing again with the revision I am seriously not imagining this. Some people are just that superficial…a lot actually. It breaks my heart for the heavier me and other obese people.

i am on day 134 since my revision from lapband to sleeve revision. everything started out ok. Now, not so much. I have periodic acid reflux (even with presciption meds). extreme fatigue, and I give myself a shot of B12 once a week. Now I have severe dumping syndrome every morning after breakfast. Doesn't matter if I eat oatmeal or a scrambled egg. The only thing that calms it down is metamucil. My surgeon suggested that I drink a glass of Metamucil when I wake up in the morning prior to coffee or breakfast. This has helped. Now eating is a different story...I feel like that band is still in there. Could it be scar tissue? I eat a small amount and I am almost sick. Severe stomach cramping. I keep wondering if it is dehydration. I don't drink water or those sickly sweet sugar free hydration drinks. Anyway...I am regretting this surgery every single day.

I first came to this board in March of 2022. I had my 1st surgery (sleeve) in May 2022. I had my revision to bypass (due to A LOT of complications with the sleeve) in June of 2023. Since then I have been complication free. But I was struggling to maintain my weight. I was put on a diet and exercise regimen to gain and then maintain my weight. Well, my metabolism finally sorted itself out, but I wasn't paying attention. I was supposed to weigh myself once a week to see how things are going. I went 4 weeks without weighing myself. And I was just eating whatever I wanted in hopes I would gain. And boy oh boy, I did gain. I went from 176 to 190 in 5 weeks. That shocked me, because I wanted to get to 180 - 183. Now I have to stop eating willy nilly, get my diet back on track, and focus more on my workouts. I became lax with what I needed to do and I found myself going back to old eating habits. Examples include eating whatever I wanted, even when it went against my diet. Not working out as much as I was supposed to because I was tired or didn't feel like it. Eating when I was bored. Eating something because it's there, not because I was hungry. Grazing all day and night, which was ALWAYS my issue. I'm telling you all this because I've seen so many posts where some of you guys really beat yourself up for messing up. You're afraid you'll undo all your progress. I admit, that has creeped into my mind a bit, but I remind myself that I know what to do and what not to do. I know how to get back on track. And I know how to give myself grace while still holding myself accountable. It's just a matter of doing it. So I'm going to course correct, get back to the proper diet and exercise routine, and really work on my eating habits. Just know that EVERYONE can slip up. It's not the end of the world....even if it feels like it is. Just own up to your mistakes, correct your actions, eat and exercise properly, and it'll all be ok. And with that, I need to go work out. Have a good one, and wish me luck that I get this sorted.

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?

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now. It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch. Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! 💜 I'll be sure to post an update after surgery.

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.

Hi!! We had the same revision date due to GERD as well! I hope yours went well if you decided to do it! i felt very similarly to you when they gave me the option of revision. I didn’t choose gastric bypass 12 years ago for a reason! However, if I had known how bad my GERD was going to get, I might have made A different decision. Back then I wasn’t even told that GERD was a possible side effect. Anyhow! I just wanted to say hi and check in since we are revising date buddies.

I was swallowing my normal pills the next day in the hospital but I was also drinking pretty good. And when I got home I could take my tablets just fine. If you are worried, though, order some bariatric advantage chewables. They taste decent and you can get them with and without iron. I actually took them the first month just cause they are a little lower iron than my SADI specific vitamin and I wasn’t eating as much to stomach the iron. It won’t hurt to have a couple of options on hand. Even if you have auto ship (which if you don’t have that you should look into it once you know what works for you because you save money and it’s one less thing for you to remember) you can skip a shipment anytime if you end up with too many vitamins. Also the bariatric advantage calcium chews are a good alternative to tablets and they are quite tasty (like candy). I still take them because I like them. They are a bit pricey but for the first month you don’t have to worry about swallowing issues and them being individually wrapped and not needing a drink is pretty convenient. I just keep a handful in my pocketbook and they are always with me when my alarm goes off. For the multi vitamin I use the procare health They are quite complete and reasonably priced. On their site you can do authorship and save some money. My labs have alway been great. Even now while I’m in the middle of chemo and have diarrhea everyday. That is one thing to keep in mind though. What works for me may not work for you. Whatever you do decide to go with take it with you when you go over your labs. You doctor may want to see how much of a specific vitamin is in there. They all have the same stuff for the most part but they have more or less of the different vitamins. If you end up being low in something you can always add that one vitamin but if you high you may need to switch to a different multi that has less a little less of that vitamin. I did the Pro care health multi with 45 mg I believe of iron after my sleeve and post revision I do their multi for the SADI which has higher ADEK and IRON that we need after DS or SADI. Ooh and it’s not a bad idea to eventually have one multi without iron on hand for days where you need to fast like lab days or if you aren’t feeling well and can’t eat enough to take it. I mean for twice a year you can just skip it but I’m doing a lot of labs and stuff right now that require me to miss it so I ordered an iron free and I feel better than I’m not missing all the other stuff at least. Also be sure to tell you Dr you take a BARIATRIC multi because some labs can be thrown off with the higher levels of vitamins. And if something is way off just google that and vitamins and see if that could be the issue to mention to your dr. I think it was biotin and cortisol that was my most recent one that was thrown off.

Calories snd weight loss aside, I was warned that immediately post op that you may physically be able to eat more than you should and you really need to measure to avoid injuring yourself by eating too much until your insides are healed. Those portions they put in your book are not just a suggestion. They are really important. Once things heal you should start to feel your restriction better but you do still need to eat slowly and to pay attention to it or you will overfill yourself. The difference between okay and stuffed can be just one or two bites for most people. That being said, I could’ve eaten more than expected with every single stage post op and I could eat more than most when I was healed as well. I still can’t eat a lot but more than most sleevers. I still lost a pretty significant amount with the sleeve and then I revised to SADI recently in which my dr didn’t touch my sleeve and I have lost a pretty big chunk of weight again. If you choose healthy foods you won’t really be consuming that much more calorie wise with an extra quarter or half cup of food, honestly. I’m talking about like broccoli or salad greens. Stuff like that. If you do your protein first and do fruits and veggies after that you still probably wont have room for much else even with a slightly larger pouch. I know that I don’t. Sometimes when I’m exercising pretty intense I do add a third cup of brown rice but I have to cut the veggies to do so.

Over 3 yrs from revision (gerd) and I can eat about a cup of food comfortably. I always think I can eat the whole steak though but that feeling goes away after a few bites lol. I think protein will always be like that for me. So it really depends on what I eat. Either way, it's really fun & liberating to be able to experiment and eat all these delicious foods and focus on quality instead of quantity.

Has anybody had surgery in Mexico bariatric Center in Tijuana Mexico? Could you share your experience? Thinking abt getting a revision DS there.

the majority are due to people who had sleeve who developed gastric reflux (GERD) that couldn't be controlled medically. They usually revise to bypass since bypass tends to improve (or in many cases, cure) GERD. a few are due to people who revise from sleeve to either bypass or SADI or DS because they didn't lose the amount of weight they'd hoped to I've seen a handful of cases in the nine or ten years I've been on here of people revising from bypass to DS (again because they didn't lose the amount of weight they'd hoped to), but that's a complicated revision that's not done very often and then there are a few cases that don't fit it any of these categories, such as Sleeve2bypass's case (she's still here on Batriatric Pal), but those are really rare

I had more random scrapes with my revision to SADJ than I did with my sleeve and it was the same surgeon so I thought that was kind of peculiar until I really thought about it. The SADI was robotic and the sleeve was not. My surgeon had many many years more experience doing it laparoscopically than he did doing it robotically so maybe even though the robot is supposedly more precise once it gets down inside of you it’s a little harder to maneuver getting the incisions done? obviously I don’t really know for sure that was just all I could come up with. The good news is I’m two months out now and all the superficial scrapes and scratches are long gone.

If your BMI is only 36, then there are many different reasons your surgeon may not want you to do the LSD (Liver Shrinking Diet). I would listen to what your surgeon says. You'll have to not eat 24 hours before your surgery anyway, and nothing to drink after midnight before your surgery. My guess is they feel that's enough for you. I wouldn't push it, if I were you. Anytime I had to deviate from my main eating plan, I worked with my nutritionist and spoke with either my surgeon or the nurse practitioner about it and we came up with alternatives together. I'm 2 1/2 years out from my original surgery and 1 1/2 out from my revision (due to complications from the 1st surgery) and I've been extremely successful. I suggest not doing things behind your team's backs. Speak to them about your concerns and see what you can come up with together.

Good morning! Im 143 days into lapband revision to GB and down 41lbs. I had a 3 week plateau. I was not eating enough protein and was starting to snack. (Death in family , depression, weather is terrible) perfect storm for over eating. So anyway . .. if anyone is struggling my recommendation is to tell your team. They hooked me up with a counselor, im taking some depression meds to het me through this tough time, dietitian gave me some tips, and really supported me. I lost 3 lbs this week!! Hang in there and talk it out.

There was this older lady in my craft group, and I told them that I had surgery because I figured it was more people to make me feel accountable. This is a revision surgery for me and the last time I didn’t tell people like that and it didn’t work out so well so I’m trying a different approach. Anyways, she is about 80 years old and she said to me she just wanted to tell me how happy she is for me because since my surgery, I have really blossomed. She said that I i have a healthy glow about me and I’ve really come out of my shell in terms of confidence and it shows. I think that was probably the nicest compliment I’ve ever had in terms of my weight loss. I just appreciated that it wasn’t about superficial things. Maybe there’s hope for all these superficial people that when they get a little older, they will view things in terms of stuff that actually matters.

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.

I got really sick of the Protein shakes too actually after my sleep surgery, one thing that helps if you like coffee is to use coffee to cut the sweetness, either hot or cold. I like it cold and I mix one caramel protein shake in a tall Tervis cup and fill the rest of the way with cold coffee and it’s pretty good. I actually learned about this after my sleeve, and even though all of my other habits went out the window that was something I was still doing before my revision because it actually tasted so good.

Sometime shoulder pain can be caused from the air that gets trapped from any surgery. I would probably run it by your surgeon though. Especially if you have already passed gas a few times and didn’t feel any relief. I was in the hospital after my bariatric revision surgery for 5 days because I couldn’t pass gas and the pain was so bad I couldn’t take it without the meds they weren’t going to send me home with so I stayed. Post sleeve I had no pain at all. I asked them to switch me to Tylenol the first time they brought the pain meds and I went home early the next day. The difference was all because of trapped air. I think it varies from person to person how much and where it manages to get stuck too. When I finally did pass gas I knew that I needed to keep it up because I instantly felt some relief. It took like 5 or 6 times and then I finally felt soooooo much better. I went home and took half a pain pill while my hubby went out for Tylenol and I didn’t take another. That gas is no fun.

This is the what one Hospital provided me for Gastric Bypass Medicare costs and requirements. One thing I noticed is "Consecutive diet counseling within 1 year of surgery" but did not specify a duration time for the diet. Anyway, thought some might derive some useful info from this. TRADITIONAL MEDICARE Insurance Requirements Primary Bariatric Surgery - covered benefit? Yes Revision/Conversion Surgery - covered benefit? Yes - BASED UPON MEDICAL NECESSITY Special Facility Requirements? N/A Specialty Referral or Authorization required from PCP? ● No referral required for clinic ● Policy Copay Fees Registered Dietician (RD) ● One on One Counseling Session ● Diet Class $0 DX: DIABETES $30 Psychology $0 Specialist ● (Surgeon, APP/NP/PA, Cardiology, Pulmonology, Obesity Medicine Specialist) $0 ● BMI requirements ● ‌ BMI >= 40 - OR - ● ‌ BMI >= 35 with 1 of the following: ● OSA on CPAP ● TIIDM ● HTN ● Nutrition Education ● ‌ Consecutive diet counseling within 1 year of surgery ● Documentation includes weight, diet education, supervised by an MD ● Must meet weight goal set by Dietician to return to see your surgeon and schedule surgery ● Psychology Evaluation ● ‌ Clearance within 1 year(s) of surgery (Special considerations may apply, to be discussed if needed) Medical Evaluation ● ‌ Letter of Medical Necessity by ANY medical provider Yes ● On his/her letterhead ● Signed and Dated by the MD/DO/RN/ARNP/APP ● Documents previous failed attempts at weight loss ● Lists co-morbid conditions related to obesity ● Additional Medical Clearances no

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Good morning I’m going through a bit of a little sad spiel because they denied my revision surgery so my surgeon is going to have a peer to peer. I have Molina care. I’m in Washington Seattle. Do anybody have any type of advice? Will they approve it or am I doomed?