Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Just had revision from Sleeve to SIPS



Recommended Posts

A year ago, I went in for a Lap band to SIPS revision, but there were complications with the removal of lap band, so the surgeon cut things short and only did the sleeve portion of the procedure. I was massively disappointed (especially since I was self pay), but wasn't much I could do about it. I had good results initially. I lost 50 lbs during the first 'honey moon' 4-5 months, then things just stagnated. I dieted really really hard, went to gym every other day, and even tried Intermittent Fasting, but my weight would just bump around the same 3-4 lb range. I just was stuck. This went for 2-3 months, until I finally gave up, at which point the weight starting coming back pretty fast.

Kinda crazy (and very $$$$) but I decided to go back in and have the SIPS procedure completed. My surgery was a few days ago. I now have a ton of questions post-op, but for starters, I'm wondering if anyone else out there is Sleeve to SIPS revision. I figure there can't be too many of us...

My #1 question would be: Will there be another weight loss 'honey moon'? Or - since my sleeve wasn't touched - will my eating habits remain pretty much were they were pre-op? I ask because I've heard that the Sleeve is responsible for losing the weight, and the bypass part is responsible for keeping it off. Just curious.

Share this post


Link to post
Share on other sites

Id be interested to know what people's experiences have been also. I'm wanting a revision but totally unsure as to what as I've had very crappy results with my sleeve

Share this post


Link to post
Share on other sites

@AussieLiz . your avatar is what I will look like after a week or 2 of Protein Drinks Only difference is I may also have my,hsnfs clenched into claws.😉

Share this post


Link to post
Share on other sites

Finally dropped 1 more pound after 6 days stuck at the exact same weight (which is in itself, kinda weird. Normally I bump around 1-2 lbs day-to-day) . I still don't understand why it's this slow, given that my eating is significantly curbed, and I hit the bathroom at least 5-6 times a day with frothy orange diarrhea; I haven't had a solid BM yet. I assume this is the new normal, and is the DS doing it's malabsorption thing

Also, since posting, I spent some time reading through a ton of older posts, and it looks like sleeve to SIPS revisions is more common on this board than I would have thought (Is this a clue to anyone considering sleeve vs SIPS that Sleeve alone has high failure rate?) Seems like the results of SIPS revision are generally positive, but more Tortoise then hair. It's feels a little frustrating compared to how fast I remember the lbs dropping initially with the sleeve, but then again, those came back after 6 months. So if the DS lbs come off and stay off.... totally worth it.

Something to note: My BMI was under 40 when I got this latest revision, which is unusual. As a result, the Dr gave me a longer channel than he would have if I was in the 50's. Also, a couple of people have noted that speed of weight loss is slower the closer you started to goal weight, so I'm probably in that boat. Just gotta be patient i suppose.

Share this post


Link to post
Share on other sites

Thought I'd add a couple other observations specific to Sleeve to SIPS revision:

  • Compared to my VSG, the surgery and recovery for SIPS revision was a breeze. I was literally walking around a few hours after surgery and didn't feel the need to take a single pain or nausea pill afterward. Felt great the next day too. Back when I had the VSG, I slept for 3 days and was miserable. Stomach was fully bloated and entire lower portion turned an ugly black and blue a few days latter which lasted a week or so. I'm a little swollen after SIPS, but not as bad and no discoloration. Bottom line, the VSG procedure seems to be much more traumatic than the DS procedure.
  • Given that my stomach wasn't touched, I was able to go to solid foods way faster. To be honest, I probably pushed it, but at the same time, I have yet to eat anything that's really pushed back at me (except for the need for a quick trip to the restroom). This was not the case with VSG

Your milage may vary.

Share this post


Link to post
Share on other sites

On 4/23/2018 at 9:03 AM, disco stu said:

Finally dropped 1 more pound after 6 days stuck at the exact same weight (which is in itself, kinda weird. Normally I bump around 1-2 lbs day-to-day) . I still don't understand why it's this slow, given that my eating is significantly curbed, and I hit the bathroom at least 5-6 times a day with frothy orange diarrhea; I haven't had a solid BM yet. I assume this is the new normal, and is the DS doing it's malabsorption thing

Also, since posting, I spent some time reading through a ton of older posts, and it looks like sleeve to SIPS revisions is more common on this board than I would have thought (Is this a clue to anyone considering sleeve vs SIPS that Sleeve alone has high failure rate?) Seems like the results of SIPS revision are generally positive, but more Tortoise then hair. It's feels a little frustrating compared to how fast I remember the lbs dropping initially with the sleeve, but then again, those came back after 6 months. So if the DS lbs come off and stay off.... totally worth it.

Something to note: My BMI was under 40 when I got this latest revision, which is unusual. As a result, the Dr gave me a longer channel than he would have if I was in the 50's. Also, a couple of people have noted that speed of weight loss is slower the closer you started to goal weight, so I'm probably in that boat. Just gotta be patient i suppose.

I started with a BMI of 40, so my doctor gave me a longer common channel also. I was losing about 8-11 pounds a month to begin with. Now at 10 months, I lose maybe 3 pounds a month. I'm 20 pounds from goal, but it's the hardest weight to lose. The weight is still coming off nevertheless. Hopefully, I'll drop faster this summer when I'm more active. The BM of a DS patient is always interesting. They will never again be what they were pre-op, but that's the DS doing its job of keeping the weight off (not diarrhea but always soft). Yikes, kind of gross but we since we were on the topic, I thought I'd add to it. My recovery was pretty much a breeze. I had very little soreness. The Lap-band was lot more painful.

Share this post


Link to post
Share on other sites

19 hours ago, Strivingforbetter said:

I started with a BMI of 40, so my doctor gave me a longer common channel also.

Were you a sleeve revision, or did you go from lap band to full SIPS in one shot? In other words, how many surgeries? I've had three: Lap band, VSG, then mini DS.

Share this post


Link to post
Share on other sites

UPDATE: Happy to report for the last 4 days, I've lost a pound each day, so looks like the "three week stall" is a real thing, and I was a victim <grin>.

Not expecting to maintain this pace forever, but glad to go along as long as it does.

Share this post


Link to post
Share on other sites

On 4/25/2018 at 12:30 PM, disco stu said:

Were you a sleeve revision, or did you go from lap band to full SIPS in one shot? In other words, how many surgeries? I've had three: Lap band, VSG, then mini DS.

I went straight from a lap band to the traditional duodenal switch. They don't call it SIPS unless it's a single anastomosis. So, two surgeries for me. This one had to work. I couldn't afford a third one.

Share this post


Link to post
Share on other sites

On 4/26/2018 at 7:55 PM, Strivingforbetter said:

I went straight from a lap band to the traditional duodenal switch. They don't call it SIPS unless it's a single anastomosis. So, two surgeries for me. This one had to work. I couldn't afford a third one.

Totally makes sense. I was supposed to do the same thing (although single anastomosis), but my lap band was stuck to my liver, and the surgeon ran out of time to do the full procedure. Ended up with just a VSG.

I ask, because you had what looks to me to be pretty rapid weight loss, which is expected with DS. I'm trying to figure out what to expect speed-wise in the case of revision from VSG.

Share this post


Link to post
Share on other sites

On 4/28/2018 at 8:16 AM, disco stu said:

Totally makes sense. I was supposed to do the same thing (although single anastomosis), but my lap band was stuck to my liver, and the surgeon ran out of time to do the full procedure. Ended up with just a VSG.

I ask, because you had what looks to me to be pretty rapid weight loss, which is expected with DS. I'm trying to figure out what to expect speed-wise in the case of revision from VSG.

I've always felt my weight loss has been slow, so thiank you. Right now, I'm lucky if I lose 3 pounds in a month. I don't know about the amount of weight a person loses with a revision, but the DS is the mac daddy of weight loss surgery so I would think it would be just as powerful as a revision unless you've stretched out your sleeve. I still have pretty good restriction.

Share this post


Link to post
Share on other sites

17 hours ago, Strivingforbetter said:

I've always felt my weight loss has been slow, so thiank you. Right now, I'm lucky if I lose 3 pounds in a month. I don't know about the amount of weight a person loses with a revision, but the DS is the mac daddy of weight loss surgery so I would think it would be just as powerful as a revision unless you've stretched out your sleeve. I still have pretty good restriction.

Not sure to what degree I stretched out my sleeve. I definitely can't eat as much as I used to pre-VSG all in one sitting, but at the same time, I can drink beer or other carb beverages without any problem which isn't supposed to be the case.

What's interesting is that I asked my surgeon pre-op if he was going to tighten my sleeve while he was in there adding the DS, and he said, "No, it's been proven that revising an old sleeve doesn't work."

Things are just really strange right now. I feel better. Things are looking better in the mirror. I'm getting compliments about losing weight. I know for a hard fact that my appetite is way down (in part because I feel nauseous pretty much all the time). I'm in the restroom 6 to 10 times a day and have yet to have a single solid BM (which tells me the DS is working.) But the scale is stuck again. Hasn't moved in the last 4 days. Sigh.

Take yesterday: I'm a dude and I ate probably around 1000 - 1500 calories tops... and it wasn't even hard. One of the people we were at brunch with even said "You eat like a chick." Nothing to eat past 5:00. Got on scale this AM.... nada. No change.

Share this post


Link to post
Share on other sites

8 hours ago, disco stu said:

Not sure to what degree I stretched out my sleeve. I definitely can't eat as much as I used to pre-VSG all in one sitting, but at the same time, I can drink beer or other carb beverages without any problem which isn't supposed to be the case.

What's interesting is that I asked my surgeon pre-op if he was going to tighten my sleeve while he was in there adding the DS, and he said, "No, it's been proven that revising an old sleeve doesn't work."

Things are just really strange right now. I feel better. Things are looking better in the mirror. I'm getting compliments about losing weight. I know for a hard fact that my appetite is way down (in part because I feel nauseous pretty much all the time). I'm in the restroom 6 to 10 times a day and have yet to have a single solid BM (which tells me the DS is working.) But the scale is stuck again. Hasn't moved in the last 4 days. Sigh.

Take yesterday: I'm a dude and I ate probably around 1000 - 1500 calories tops... and it wasn't even hard. One of the people we were at brunch with even said "You eat like a chick." Nothing to eat past 5:00. Got on scale this AM.... nada. No change.

Sometimes your body needs time to think. It's wondering what's going on with all of the new changes, so give it time. I remember weeks when I didn't see a change on the scale until day 6 of the week, and then it would always drop. I didn't hit a stall until I was 7 months out. Are you tracking your Protein levels? With the DS, protein is very important and key to losing weight. How much Water are you drinking? That's also important. If you're doing well in both of these areas, then it's only a matter of time. The DS does work. The malabsorption component is very effective. Oh, and another thing, I've been dropping sizes but my scale says I've only lost 4 pounds this month. How does a person lose two sizes with that little weight loss? At this point, I haven't been exercising, so it's not that I'm toning up. It's bizarre. I'm wondering if that's also happening in your case. Get out your tape measure and start keeping track.

Edited by Strivingforbetter

Share this post


Link to post
Share on other sites

16 hours ago, Strivingforbetter said:

Sometimes your body needs time to think. It's wondering what's going on with all of the new changes, so give it time. I remember weeks when I didn't see a change on the scale until day 6 of the week, and then it would always drop. I didn't hit a stall until I was 7 months out. Are you tracking your Protein levels? With the DS, Protein is very important and key to losing weight. How much Water are you drinking? That's also important. If you're doing well in both of these areas, then it's only a matter of time. The DS does work. The malabsorption component is very effective. Oh, and another thing, I've been dropping sizes but my scale says I've only lost 4 pounds this month. How does a person lose two sizes with that little weight loss? At this point, I haven't been exercising, so it's not that I'm toning up. It's bizarre. I'm wondering if that's also happening in your case. Get out your tape measure and start keeping track.

THanks! Good advice. Yes, I do focus on protein. Also been drinking a ton of Water (for some reason, I found that I like the taste of distilled water best, which is great because it's cheap!)

I weighted in this AM and am down a pound, so I guess I'm just being impatient.

But this brings up an interesting question: Daily weigh-ins? Yes or No? I've read differing opinions on the board. Here are my thoughts:

Why not to daily weigh in: If I've "been a good boy" the day before, worked really hard to avoid temptation and cravings, and then see the scale not move the next morning - or worse, bump up a pound or two, It is TRAUMATIC. Screws my whole day.

Why to do daily weigh-ins: Even though these WTF? moments are traumatizing, in a sick way, they are motivating. For instance, yesterday I was so pissed off at the scale, that I ate even less than I had the day before.... and now the scale finally moved.

So even though it's emotionally devastating to get on the scale every day, I guess it's worth it? The medicine tastes horrible but leads to the cure? Thoughts?

or...

The DS is so powerful, I'm gonna lost weight no matter what, so might as well just chill out and let it do it's thing, and only check in on the scale every month or so...

Edited by disco stu

Share this post


Link to post
Share on other sites

I personally still weigh every day, even though I'm 11 months out. I have to know where my body is at. Just like you mentioned, I'm either very encouraged by what I'm seeing (today I was down another pound!), or I stay the same. I've never had a gain so far. This helps me see a pattern with my weight loss and I feel more in tune with it. I know at this stage post-op that my body will do a "whoosh" after maintaining for two weeks. I freak out a little before the "whoosh" because I'm worried I'm not losing, but then I drop 2-3 pounds. So, for me, the daily weighing has a purpose, not just to torture myself. I can't imagine only weighing once a month. Not for me.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×