I had the VSG in 2014 and lost 110lbs. Unfortunately a mix of sleeve failure (after an egd my gastroenterologist said if he hadn't known I had the surgery he never would have guessed, my stomach was normal sized) and emotional eating cause me to gain back about half.

My surgeon offered a revision with option to do resleeve, RNY, or DS. I don't wanna do an RNY because I need frequent EGD'S. I've always wanted the DS so that seems most logical.

Vitamins and bowel movements don't worry me. What worries me is the amount of Protein malabsorption. Has anyone had issues with this?

I already have a protein losing enteropathy so this is a concern.

On one hand adding the DS could exacerbate the issue since it's not certain where the protein loss is located .

On the other hand, it could help. My last biopsy showed the small intestine villi were enlarged. Which could be (and most likely is) the reason for the protein loss. If the diseased part is bypassed with the DS then it could potentially give me a better shot at protein absorption.

Now people say eat 80-100g of protein a day and no worries. Has this amount ever given u an issue?

Thanks in advance!

I had a Traditional DS but my surgeons left the length of a modified, about 9 ft. I have pretty regular morning bowel movements. I take a tablespoon of castor oil if my eating has been on point, so it moves easily. If I have sugar, i do get faul gas and an oil slick loose bm...so, I don't do it often and know I'll be home, alone, near the bathroom. Never trusting a fart. I usually always have one premier Protein shake 28g or a myprotein 30g chocolate cookie. I aim for 80g a day in diet, so I probably get 110 a day. My 3 month labs were perfect.

I had a Traditional DS but my surgeons left the length of a modified, about 9 ft. I have pretty regular morning bowel movements. I take a tablespoon of castor oil if my eating has been on point, so it moves easily. If I have sugar, i do get faul gas and an oil slick loose bm...so, I don't do it often and know I'll be home, alone, near the bathroom. Never trusting a fart. I usually always have one premier Protein shake 28g or a myprotein 30g chocolate cookie. I aim for 80g a day in diet, so I probably get 110 a day. My 3 month labs were perfect.

Ty for the reply. How has your weight loss been with the modified DS length?

Great! 219 lbs, day of surgery- 11/7/16,, today, 3/6/17, 16 weeks later 173lbs. My goal, at 5'7", is 150-155lbs, so about 20 more to go!

Great! 219 lbs, day of surgery- 11/7/16,, today, 3/6/17, 16 weeks later 173lbs. My goal, at 5'7", is 150-155lbs, so about 20 more to go!

That's great, congrats!

20 hours ago, snowkitten said:

That's great, congrats!

Not to be a downer, at all. Just remember he's a man. Their loss rate/amount is often different than ours.

Edited March 7, 20179 yr by Postop

Not to be a downer, at all. Just remember he's a man. Their loss rate/amount is often different than ours.

LOL, no worries, I have no disillusions about losing that fast. I'm a slow loser anyways. Thanks for the warning tho.