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Just had revision from Sleeve to SIPS



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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.

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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

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@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.😉
  • Haha 1

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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.

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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.

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