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Duodenal Switch after Gastric Sleeve

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Hey there fellow bariatric pals. I am looking for advice or anyone with similar experience.

I have GS March 2014 with top weight of 250 at 5'6" BMI 41.

I lost about 55 lbs which my lowest weight has never exceeded about 185. (Goal weight about 165)

So, at this time, I have gained back some weight and am at 200 lbs. So about 15 lbs back again.

My doctor recommended perhaps having the Duodenal Switch/Revision to continue to take more weight off.

But, I really only need to lose about 30-35 lbs. I am afraid that I will get under 160 lbs and be too thin.

Has anyone had the DS after the sleeve? Still researching and trying to make the best decision.

Thanks to all for your time to read and comment.


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A lot of us have had the DS (or simpler SIPS) after re-gaining with the sleeve.... more that I expected when I first joined these forums.

On positive side, most of us found the recovery to be a breeze compared to the sleeve procedure. Also, I have read a few posts from people complaining about lengthy stalls, but almost zero stories of regain. This thing absolutely works!

On negative side, you will have to get used to some significant, potentially embarrassing, life-style changes - most of which revolve around the restroom - that will be with you the rest of you life; much more life altering than either lap band or sleeve. As someone going through this, I say it's 100% worth it, but be forewarned.

If cost is a factor and you live in an expensive state like California or New york, consider going out of state. I'm from California, and was able to save 10k to 15k by having the procedure done in Vegas. Texas is lower cost as well.

DS does seem a little extreme to just lose 35lbs. But if you want to lose it and keep it off forever, it's something to consider. With DS, there is something called the "common channel" which depending on it's length, can somewhat control the total amount of weight you will lose. The longer the channel, the more nutrients you retain. And like my surgeon said, if you find yourself too skinny, eat more cheese burgers!

Edited by disco stu

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Hi. Thank you so much for posting this. I’m trying to find a group of people who had the sleeve and are now getting the Ds -
Or had it. Any help pointing me to the right forum is appreciated. I’m digging through as many as I can find for reference.

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Wish I could be more helpful. The "Duodenal Switch Surgery" forum on this site has been my go-to. It's a mixture of full DS and Sadi\Sips\mini DS'ers and doesn't get that much traffic, but the vets who regularly post here are informative and not Judgemental ( More than once I've gotten unloaded on at other sites by old school Full DS'er who seem genuinely pissed or threatened by Sips\Sadi\mini-DS'ers. Not pleasant.)

I'd say something like 40% of the people on this forum are revisions from band or sleeve. I had both; Sips was my "third time is the charm" solution. Coming up on 1 year anniversary, and so far, so good.

Regardless, I encourage you to post your questions, even if you're not sure this is "the right place." We'll do our best to get you the answers you need.

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I in the process of being approved for revision. My doctor plan is to go from sleeve to ? I was sleeved in 2014.
I recently found out my sleeve is not a sleeve at all. That is why I have GERD.
I also have a hernia. I been suffering for awhile. My GERD gets me up in the middle of the night. The bad stuff like bread does not give me reflux. However, get harburn from Water. I was testing this week there is damage. I just didn't want cancer.

I also have a hernia. I am happy to have this second chance. I am also worried. Can you share with me a little of your studies and why you did the revision?

Sent from my SM-J727T1 using BariatricPal mobile app

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Hi. Anxious to hear how everyone is doing that had the sleeve and went to DS. I’m debating.

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