My dr told me when I got my sleeve last April that I can have a DS in a year.

Has anyone done this?

I've lost 100lbs but still am 250 and have a bmi of around 40.

I am going to see dr in April just wanted some feed back first

I haven't personally needed to do that, but it is sometimes done either as a planned two step DS procedure, or as a revision/completion of the VSG to continue the weight loss or counter regain. The point that my doc stressed in considering using it as a "plan B" in the event of inadequate results from the VSG is that the revision/completion works best if done before any substantial regain occurs.

One of the points that we have discussed over the years in our support group is that with the DS, the majority of the weight loss is due to the sleeve while the switch helps keep the weight off, implying that you may have already used the majority of the weight loss power available. If I were considering a completion or revision in similar circumstances, I would want to know whether there is any problem or defect with the sleeve or something about how I used it as a tool that has left me with less results than I may have expected, so that such can be addressed and corrected as part of the revision process. Is there something about my diet or other habits that has caused a shortfall in performance of the original surgery, which is something that I would want to address, or is there a metabolic problem that the switch would address that the sleeve alone does not?

Good luck in finding your answers and with decisions....

I got the sleeve knowing if I wasn't successful that I could get the DS as a revision to lose the rest. I have been very happy with my results from the sleeve and the DS isn't needed for me.

If I was going to revise to the DS from the sleeve I wait until after the 2 year mark. I lost another 50 plus pounds so far after the 1 year mark.

I would also look at how you are eating. What are you daily protein and carbs?

I got the sleeve knowing if I wasn't successful that I could get the DS as a revision to lose the rest. I have been very happy with my results from the sleeve and the DS isn't needed for me.
If I was going to revise to the DS from the sleeve I wait until after the 2 year mark. I lost another 50 plus pounds so far after the 1 year mark.
I would also look at how you are eating. What are you daily Protein and carbs?

I also got the sleeve knowing that DS was a back up if needed. Since I am fairly young, I didn't want to deal with malabsorbtion and any malnutrition that stemmed from that unless I had to.

I know some who have had it done. Their doctors didn't want to do it all in one step. They've done pretty well as the malabsorption does help to keep it off but also lets you lose more and usually more quickly. However, when it's done in 2 parts, the weight loss isn't quite as much as the one step DS (usually).

Edited March 16, 20179 yr by Postop