Hello All!

So I am currently in the pre-op stage and I have completed most of the testing. I had originally thought I would choose the GS, but have started looking into the DS. They seem to be fairly similar, but with the DS adding restriction, thus increasing Vitamin maintenance.

I meet with the surgeon in 10 days and have been reading very helpful posts here, as well as reviewing the surgeon's manuals for each surgery.

I have considerable weight to lose (BMI 45). I once was down to 185 lbs by counting calories and maintaining a log, but slowly gained it all back plus extra. So, I am a little worried about making the right choice the first time, as opposed to having to potentially gain weight back and have a revision surgery. This is what led me to the DS, which is the highest "rung" on the surgery ladder per the surgeon.

The vitamin regiments seem fairly similar between the two, with the DS adding ADEK (fat soluble vitamins). I don't think I would have an issue with the vitamin routine. Has anyone been caught between these two surgeries,and if so, which way did you go and why? Any and all comments are welcome! Thanks in advance!

So glad to hear you've made it home. Sorry you're in pain. Hope you're taking something they gave you for it.

For the OP,

If I had it to do over & the single-anastomosis duodenal switch had been available when I had my sleeve in 2013, I probably would have done that rather than the sleeve. The amount of malabsorption with the classic DS scared me then & still does. I did loose close to 100 pounds after the sleeve & then a panniculectomy but regained about 20 pounds. I had a revision of the sleeve & then the SA-DS on December 29, 2015, & am no down 115 pounds from my pre-sleeve starting weight.

For the OP,

If I had it to do over & the single-anastomosis duodenal switch had been available when I had my sleeve in 2013, I probably would have done that rather than the sleeve. The amount of malabsorption with the classic DS scared me then & still does. I did loose close to 100 pounds after the sleeve & then a panniculectomy but regained about 20 pounds. I had a revision of the sleeve & then the SA-DS on December 29, 2015, & am no down 115 pounds from my pre-sleeve starting weight.

My Single-Anastomosis Duodenal Switch was performed by Dr. Cottam who owns that patent on this procedure and also teaches all the other doctors how to do the surgery. I am glad I chose this procedure. I am on my second week post op and my own side effects is nausea which is being treated by medication. The nausea is so bad it is effecting the amount of fluids I take in and how much I eat. I am hoping in a few days that the meds will help this. I seem to be dropping about 1 lb per day somedays about 1.5. Right now I am being told to eat, eat, eat which is hard to do but I try. Glad to hear you were able to lose the weight you gained. That would be heart breaking to have a procedure that worked for a while and then made you start to gain weight. Glad its working this time for you