When I have the DS done in a month and a half, I am REALLY afraid of not losing because I had the sleeve prior to this surgery and I won't be getting a sleeve revision. Am I really going to lose weight? Is getting just the DS worth it? The doctors say I will, but I would like to hear it from some veterans of this 2 part procedure who actually had 2 different parts! Thanks in advance...

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I had the sleeve done August, 2013, & stabilized at a loss of 85 pounds. I had a revision of the sleeve & conversion to a SA-DS on December 29, 2015. I'm currently down another 35 pounds. Most importantly, all of my co-morbidities have finally resolved. They hadn't resolved after the first sleeve even with the 85-pound loss so that was the main motivation for me to have the SA-DS.

I'm afraid because I have so much more to lose.... I still have another 150 or so to go. My highest weight was 470 and I'm down to 360 now. I'm afraid of not going anywhere with it.

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It's highly unlikely that you won't lose a significant amount of weight with a DS just because of the malabsorption. However, it is possible to "sabotage" it just as it is with any WLS, by eating what you shouldn't. After all, it's just a tool.

Have you had your sleeve checked to see how much it may have dilated since the initial surgery? Even though I was only able to eat about 4.5 ounces when I had a "pouch-restriction test" done, my sleeve had dilated enough to have it re-sleeved.

There are several reasons why my weight loss after my SA-DS is slower. I had already lost about half of my excess body weight, my BMI was just 35 & I'm 66 years old.

When I have the DS done in a month and a half, I am REALLY afraid of not losing because I had the sleeve prior to this surgery and I won't be getting a sleeve revision. Am I really going to lose weight? Is getting just the DS worth it? The doctors say I will, but I would like to hear it from some veterans of this 2 part procedure who actually had 2 different parts! Thanks in advance...

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My opinion is that the answer to this may depend on what you were doing when you were sleeved. Were you following your program; getting enough Protein and fluids; tracking your food; eating slowly and mindfully, and chewing thoroughly; avoiding sugar, starches, and fried foods; taking your Vitamins and supplements as directed; and exercising? Were you dealing with any food addiction and/or emotional eating issues?

If not, and you don't do anything different then another surgery may not give you the results you hope for. If you were, then the new procedure may help, especially if you continue to do your part.