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This is a very good point about having a different procedure. I went with the SADI because it was a revision to an existing sleeve and revision surgeries do not produce the same results in terms of weight loss and durability, but the SADI offered more. In terms of other medical issues, though you will constantly have to have your bariatric doctor in the loop with any issues that may even remotely have to do with your gastro system and this can be complicated because the doctors don’t want to step on one another’s toes. But in terms of family doctors or doctors of any other specialty, I have not met one since I started researching this surgery or since I’ve had it that I have even heard of it. If you do go with this one, you need to educate yourself so that you can explain that to them. And it is possible that you find yourself in a position where something could get messed because the doctor just hasn’t seen it before where it’s more likely if you had something as common as a bypass they will have seen it. I mean there’s pros and cons with everyone. There’s no perfect answer or they would only do one and we wouldn’t be here naming off a handful of surgeries that are sort of commonly done and in terms of revisions, they do even more. I think they just make up names for them as they go along, honestly. My best advice would be to educate yourself as much as you can and go back a couple of times to make sure you get all of your questions answered by the doctor. They usually only want to give you one appointment but if you say you’re not ready to choose, they should give you another appointment with the doctor or a PA or NP. But that is a very good point about having the less common procedure does present obstacles or potential ones down the road. I mean if you raised the fact that you have it to any good doctors attention, they know where to find the information and should be able to still provide you adequate care but in an emergency situation it’s better for the information to already be in the doctors head.
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Hi, did anyone here have the mini by-pass? If not, why is it not popular?
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Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A. Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
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When my wife and I were first looking into WLS 20+ years ago, there were several newer procedures, including the MGB mini-bypass, DS duodenal switch and the VSG vertical sleeve gastrectomy, that were circling the periphery of bariatrics, which at the time was mostly lap bands and the RNY gastric bypass. These were the only procedures that were endorsed by the ASBS (American Society of Bariatric Surgeons) - the predecessor name for today's ASMBS. Since that time, the DS, VSG and newer SIPS/SADI/"Loop DS" that have gained endorsement from the ASMBS and general insurance coverage in the US. The MGB never made it past that hurdle here in the US, so isn't commonly done or covered by insurance. Bile reflux seems to be the major legacy problem that caused the profession to move away from it at the time. There are claims that some new techniques have been developed to minimize that problem, and maybe they do, but it's a hard sell to make it mainstream in the US. It has become more accepted in other countries. Overall, being in the States, I wouldn't be overly eager to go with the MGB as it is not commonly done here, so there are fewer MDs around who are familiar with its' care over the long term; the RNY, in contrast, has been done for around 140 years for reasons other than weight loss, so is a well known configuration in the medical world, as are the problems one may encounter over the years. If you have an unusual configuration like an MGB or BPD/DS, it can be harder to isolate any health problems one may have years down the road owing to the general unfamiliarity with the procedure -at least the DS has significantly better weight loss and diabetes results than the other procedures to make that a worthwhile consideration. If you live in a country where the MGB is commonly done, then it would be a worthwhile consideration, but the US has too many other mainstream procedures commonly available and accepted that do as well or better than the MGB that it doesn't make much sense here.
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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.
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Has anyone else experienced severe, stabbing pain in the left side of their abdomen after eating - sometimes not even then but random times. About 3 inches to the left of the navel that is sharp & stabbing. Bowels normal for patient, never experienced constipation, no particular food sets it off and lasts for up to 30 minutes? Patient is 4 months post sleeve revision to mini gastric bypass.
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also, your surgeon may not want to do a re-sleeve. Some still do but many consider it to be too risky and it yields too little reward (the weight loss for a second sleeve is statistically less than a virgin sleeve which is already less than the other surgeries). The typical surgery for revision is usually the bypass although a newer alternative to that is to revise to a surgery called the SADI which is what I just did and it is a little more aggressive so it yields faster loss and so far the research shows more durable loss as well. I have lost quite a bit rather quickly with it. You don’t need to know any of this yet. Your doctor of course will know if any of the options apply to you and explain them at that point but just know that it may be a little different surgery if you do go with a revision. One that alters your intestines this time which is a bit riskier.
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Hi, did anyone here have the Mini-Gastric Bypass? Why do so many surgeons do this, if it is a safer procedure that regular bypass or sleeve?
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November 2024 Surgery Dates
Boomerldy replied to Lisa Gilkison's topic in Gastric Sleeve Surgery Forums
I had bypass on 11/25. Down 20 lbs! I keep reminding myself that my stomach is the size of an egg, so anything with mass, even eggs, is baby bites and only a few still. -
So a couple of things here... Regarding hospital stays: Most Gastric Sleeve patients stay only one night in the hospital, but more and more, we're seeing this surgery being done on an outpatient basis. As a general rule, people recover better at home than they do in a hospital, so there's a really good reason to send them home as soon as possible. Gastric Bypass patients tend to stay in the hospital a couple of days, on average. It's just a more involved surgery and the risks of infection, dehydration, etc. are higher. Regarding the question of pain meds: Generally NSAIDS are a no-no after any gastric surgery due to the potential to irritate the lining of your stomach. This pretty much leaves either Tylenol or opioids like hydrocodone or oxycodone. The problem with opioids is that they have a really bad side effect for most people in that they are quite constipating. Because constipation is a really common problem post gastric surgery to begin with, prescribing opioids is just going to make a bad problem much worse. This is not to say that surgeons will never prescribe them, they certainly will if you really need them, but it's never going to be the first line pain med post gastric surgery. Bottom line, you'll probably be fine with just Tylenol, but if you really feel like you need something more, your surgeon may be willing to prescribe something stronger. Just be sure you know what you're in for if you go this route, because you may find the pain from opioid induced constipation is worse than the surgical pain!
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Conversion from sleeve to bypass
swimbikerun replied to Georgetown's topic in Revision Weight Loss Surgery Forums (NEW!)
Fixed the hernia, did the bypass, happier than a pig in slop. I had medical issues (multiple), so I'm in a different category than almost all here. I was obese. I'd do it again in a heartbeat. The surgeon and his staff I got this time are the absolute bomb. I couldn't ask for better. -
Good Evening everyone!!!! Today is Saturday December 14, 2024. I had the Gastric bypass surgery on 10/9/18. I started at 510, pre op weight was 420lbs, and my lowest weight was 261 lbs in october of 2020. I relocated to Upstate NY in August of 2019, to meet the love of my life and we've been together solidly for 5 years. When 2020 hit, of course we all went down. My epilepsy took over along with my depression issues, so I gave up. I have a eating disorder and did not accept it until after surgery. I fell back into my eating disorder, along with drinking alcohol. Fast forward to 2024, February hits and I decided to get back on the journey. I started at 486 lbs and now am down to 344 lbs. I want to continue, until i hit my lowest weight again, of 261 lbs. What I am looking for is an accountability partner. I am wanting someone to talk with daily, someone who will take advice and will give advice also, someone who will accept hard love and encouragement, also provide it. Its just me and my woman, she has her own health matters and is not on the same journey as i am. So, i am alone with this. I dont have friends locally. And ive tried groups on facebook, no success. So, if anyone is interested, let me know please! it will be a judgement free zone and I do understand that everyones journey is different and we all have different goals. 4
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Conversion from sleeve to bypass
Arabesque replied to Georgetown's topic in Revision Weight Loss Surgery Forums (NEW!)
Many surgeons repair the hernia during the sleeve surgery. Was there a reason your surgeon didn’t? Of course once you’ve had one hernia there’s always a chance of it recurring. Are they doing a bypass to reduce your risk of a recurrence versus just repairing the hernia alone? -
Conversion from sleeve to bypass
Georgetown posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello out there! I had the sleeve done 6 years ago. It was successful but I have a hiatal hernia and was recently told that the best way to fix it, that makes it actually go away, is to convert the gastric bypass. Wish I had known the sleeve was not the best procedure for someone with an existing HH. Has anyone experienced this and how was your outcome? -
Slowing Down 😶🌫️
NickelChip replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
One thing I've learned through experience is that it's hard to predict what will happen next. My weight loss slowed significantly in July but then I dropped a lot in August and September, but slowed again in October and even more in November. A lot of it not really because of any major changes in my behavior, either. There's a lot going on that you can't really see throughout this whole process. I notice, for example, that my body shape changes when my weight is steady. I do try to be honest with myself. Sometimes, I know for certain I have been doing everything correctly and am not losing. That's fine. Sometimes, I lose weight and I know I did so despite making some poor choices. I try to be aware of that because it will not be as easy as time goes on (it already isn't for me!). I know that if I have things in the house, I will be tempted by them, but I rarely would leave the house to go buy something I didn't already have just because it sounded good. If I buy cookies, I may end up eating four of them instead of the two I said I would eat. If I don't buy them, I will eat zero. So, after the holidays, not buying or making the stuff is my main strategy. For me, it's all about figuring out how I want to live. I want to be healthy, but I don't want to be miserable. I'm working on being more intentional with what I eat and how I exercise. My goal now that my appetite and capacity have kind of settled into a fairly predictable pattern, is to strengthen my routines around food prepping and setting regular meal times. If I can stick to that most of the time, have a solid list of things I make on a regular basis and keep in the house ready to go in an instant, and things I do NOT keep anywhere near me, I won't feel like I need to worry about the occasional indulgences. Because skipping all holiday snacks or treats, or never ordering a dessert or a special cocktail, isn't a way I want to live! But I also don't want to lose track and let myself indulge all year because I forgot to set limits. -
Stricture Gerd correction now bypass!
summerseeker replied to Mark1107's topic in Gastric Sleeve Surgery Forums
I too want to say, I am sorry you have gone through so much. There are a few people active on here who have had the extra bypass surgery. If you can bear to wait, you will get the answers you need. Everyone works and we don't always come on here every day -
Hello all I am getting a circumferential belt lipectomy and some liposuction in less than a week, and honestly feeling kind of nervous. I've heard a number of people say the recovery process is much harder than the bypass - I had a roux en y in Oct 2022, and while it wasn't terrible it also wasn't fun. Has anyone else had this procedure? Any tips or tricks or words od reassurance? I know people have recommended getting a lazy boy recliner but it seems insane to get one for just a couple of weeks. I'm hoping I can make do with lots of throw pillows on my sofa, where I imagine I'll also be sleeping - less chance of me rolling over and hurting myself. Also, does anyone else have any photos of scaring they would be up for sharing? I had originally thought I would be getting more work done (including chest and upper arms and possibly inner thighs), but I spoke with two surgeons and they both said that the scarring wasn't worth what kind of difference I could achieve in those areas, and said I should just stick with the lipectomy and some liposuction. I have to say I felt a bit disappointed by that, as I am pretty self conscious about my chest and 'bingo wings'. Now I'm worried I am spending a huge amount of money and will have substantial scarring, but won't actually see that much positive change. I've attached some photos - what do all of you think?
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I was 330 lbs in 10/2019 had the sleevectomy. Since day one massive pain in my stomach. Never healed. Kaiser Dr. Edward Zane Southbay medical center. Was in hospital 2 days went home with a bottle of hydromorphone. I’m 56 years old, 6’1 and weigh 195. In 2021 I was as high as 220 but taking daily opioids and now I’m weaning myself off of them switching to cannabis gummies. Even on cannabis with the munchies I can’t eat anything. I never healed and I’ve struggled for 5 years. I was prescribed hydromorphone since 2019 and I need it at every meal or drink. If I drink water I cramp and bowl over in pain. I eat anything cold or hot I bend over in pain. I had ultrasounds endoscopies etc. I have serious GERD and been on proton pump inhibitors for 2 years. I can’t eat protein of any type without massive pain and opioids from a hamburger white fish pork steak chicken turkey it all hurts all of the time. Carbs and minor fat also hurt but not as much as protein. I switched to BCBS the new bariatric Dr says I either have a stricture or I need the bypass surgery now. current weight is 195and I’ve been losing weight this past year and really hate all food. It doesn’t matter if it’s carbs fat or protein it hurts my stomach. I also get nauseous and throw up if I eat too much regardless and have massive cramping 5years later. Also have burning sensation with bowel movements but was tested negative for crohns/ulcerative colitis. after 5 years addicted to opioids I went to BCBS and they said Cedars Sinai surgeons can look at stricture correction surgery or just go for the bypass. They want me to eat nuclear egg salad and barium drink during an mri to see what is wrong. Last endoscopy was 10/24 and my esophageal ulcer was 90% healed. I had an untreated ulcer since 2019 that also contributed. Current medication metoprolol 100 mg x a day lisinopril20 mg 2 x a day, Amlodipine 5mg 2 x a day, omeprazole 2x a day, gummies and Vicodin daily with every meal. I can stop opioids once the pain stops. after 5 years of losing weight and my quality of life has deteriorated I’m leaning towards bypass surgery. please help group. I also have massive starvation and nutrition issues and take vitamins but still can’t get even 2k of calories in my body and have low energy all of the time. sincerely, Mark
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I had my sleeve done by Dr. John Rabkin at St. Mary's (he also works out of California Pacific.) I was in LA at the time, but the Rabkins had more experience with the sleeve than anyone down there (they had been doing them as part of the DS for around twenty years then.) Other names to look into are Dr. Gregg Jossart and Dr. Paul Cirangle. Jossart did his DS residency with the Rabkins and Cirangle seems to have specialized with the sleeve. I like that all three are DS qualified, even if one is not particularly interested in that procedure, since owing to its technical challenges, only the better qualified surgeons perform it routinely. And, as it is based upon the sleeve, it means that the DS guys tend to have more sleeve experience than others. Also, while they are all fully capable of doing bypasses, they generally don't do them as a default, reserving them only for those patients have a particular need for it. If one has any liver related comorbidities (not uncommon in the obese population,) Rabkin would be the choice as he is also a liver guy, doing biliopancreatic transplants in his "spare" time. The other thing that I liked with the Rabkins is that their whole process is pretty straightforward - no extensive pre-op diets (other than the usual day before thing,) and a fairly rapid post op progression, as tolerated. Good luck in getting through all of this!
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Looking for Inspiring Stories - Gastric Bypass Journeys!
Christina B1128 replied to Justarwaxx's topic in Gastric Bypass Surgery Forums
Congrats! Welcome to the post-op club! I will be 2 years post-op next month. I can't believe how fast the time has flown! I am now at 132 pounds and feeling the best I have in years. To be honest, I have not had many issues so far, the most difficult one being my hemoglobin and ferritin levels were down to 8 and 5 respectively back in February. So my nutritionist said I needed to start iron (nature's way ultimate iron) that and along with iron infusions for 5 weeks brought me up to hemoglobin 13 and ferritin 22. To be fair, I've been anemic most of my life, but a gastric bypass makes iron harder to absorb as it is. I have a membership to the YMCA. I dance and I love Zumba and Pilates. I've also started Vinyasa Yoga. My biggest chunk of weight came off last March after a 3-week stall. I don't have dumping syndrome as much. I like to stay active and now that I have way more energy it is doable. It's been a year since I'm off of CPAP. Prediabetes gone, A1C at 5.5. Inflammation is nonexistent in my lab draws. I love buying smaller clothes and I love this new me. Maintenance has been fairly easy, I keep in mind that I never want to be obese again. -
August Surgery buddies
Justarwaxx replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hey, congrats on starting your journey! So, sleeve and bypass are both great options, but they work a bit differently. With the sleeve, they remove a part of your stomach, so it’s smaller, which means you’ll eat less and feel full faster. It’s a simpler surgery, and you don’t have to worry about rerouting your intestines or major long-term complications. But, it’s irreversible, and if you have or develop acid reflux, it might get worse. Now, bypass is a bit more intense. They make your stomach smaller and reroute part of your intestines. It’s great if you have diabetes or really bad reflux because it helps with those. Plus, people often lose weight faster. But the downside is you have to be super committed to taking your vitamins forever, or you’ll run into deficiencies. And there’s this thing called dumping syndrome if you eat too much sugar or fat, which feels awful. Honestly, it depends on your health and your goals. Like, do you have reflux or diabetes? How much weight do you want to lose? And are you okay with a more complex surgery if it gives better results? Your surgeon will guide you based on all that, so don’t stress too much now. Just go in with your questions ready. You’ve got time to figure it all out. Good luck at your consultation—it’s a big step, and you’re doing amazing by researching! i did the bypass and lost 20 kgs in 3.5 months Starting weight 109 kg and now 89 kg Also regain is harder with bypass. I suggest u keep reading and also there's more information on YouTube and tiktok -
I am new to this. Can anyone explain the cons and pros of Sleeve versus Bypass surgery? What are the considerations for each? Due to a first consultation in a month
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Im glad to hear it hasn’t been a big issue for you. I have a family member who just died from it so it scared me a bit. I bet the pain is for sure the most difficult thing to deal with nowadays. Everyone is so afraid to prescribe pain meds. I guess what really doesn’t make sense to me, though, is that my liver enzymes were always normal pre surgery and now that I am 4 months post up exercising like crazy and eating great I have it?! Just seems backwards. I did read that “bypass” and “rapid weight loss” are risk factors but would that be something that’s just temporary and not the typical presentation I wonder.
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Looking for Inspiring Stories - Gastric Bypass Journeys!
The Greater Fool replied to Justarwaxx's topic in Gastric Bypass Surgery Forums
Congratulations on your surgery and success. To answer your questions first: How much weight did you lose after gastric bypass, and over what period of time? I lost 500+ pounds over a period of 2 years. Have you managed to maintain your weight loss, and for how long? I have managed my weight at just about a Normal BMI for just shy of 20 years. What were the biggest lessons or hurdles you faced during your journey? The biggest hurdle I had was the actual surgery. It was an open surgery where they cut from stem to sturn so they can reach in and manage the surgery then staple things back up. The staples at drain were extraordinarily painful with the slightest movement for the month until they took them out. Another couple weeks after that I was as good as gold. Next was learning how to eat, chewing, swallowing, learning when I was full, learning that I dumped on fats, then learning I dumped on sugars. Listening to my stomach on what I would be able to tolerate, then how much. Learning not to take that one more bite. My highest point was running 5 marathons, the third of which was across the Golden Gate Bridge (twice). Never even a hint of a possibility before my surgery. Good luck, Tek -
So I am four months post op from my revision and I just had an MRI for something unrelated but my dr said I have fatty liver. This is very puzzling to me because I get my labs every 6 months and nothing has been off to indicated elevated enzymes and of course they were just in there and didn’t think it looked bad?? Google does say that “bypass” and rapid weight loss are risk factors on one site but I would like to think that would be a temporary issue that resolves itself? I am going to call my surgeon first thing tomorrow but I’m just curious to know if anyone else has had anything like this. I recall a few people saying their liver labs came back elevated and their bariatric teams were not concerned but what about imaging?
