Bypass or Duodenal Switch or SIPS

[mountaingirlCO 9]

I’m currently going through the process for a sleeve revision (tests, insurance clearance,etc.). Originally I was thinking duodenal switch (DS) or SIPS/DS loop but now I’m also looking into the possibility of a revision to bypass. I lost the majority of my weight with the band in 2010, revised to sleeve due to band slip in 2014 but never felt any restriction with the sleeve, and now have gained back almost half of my original loss following a hysterectomy about 2 years ago. I think I will likely be able to lose at least some if not all of my excess weight with any of these revision options but am most concerned about keeping the weight off long term. Any recommendations based on your own revision experiences would be greatly appreciated. Every time I think I’ve made a decision on the right path forward I start to reconsider again and need to make a decision soon. Thank you!

[mcfluffington 179]

Hey mountaingirl!

I am a RNY patient looking for a revision due to weight regain. I have decided on SADI. I think that is the same thing as the SIPS. It is the option that my doctor recommends and I have read some research that it is a better option for RNY patients because it has proven to give better initial weightloss.

Bypass does give you restriction but you can eat your way out of it.

I think in your situation any of these options would be a good call accept I believe the DS requires more vigilant attention to Vitamins and supplements.

I found it hard to find revision patients on forums who could give me much information. I suggest you do some research on the web and maybe at a college library on the revision surgeries.

Good Luck!

[GreenTealael 25,536]

9 hours ago, mountaingirlCO said:

I’m currently going through the process for a sleeve revision (tests, insurance clearance,etc.). Originally I was thinking duodenal switch (DS) or SIPS/DS loop but now I’m also looking into the possibility of a revision to bypass. I lost the majority of my weight with the band in 2010, revised to sleeve due to band slip in 2014 but never felt any restriction with the sleeve, and now have gained back almost half of my original loss following a hysterectomy about 2 years ago. I think I will likely be able to lose at least some if not all of my excess weight with any of these revision options but am most concerned about keeping the weight off long term. Any recommendations based on your own revision experiences would be greatly appreciated. Every time I think I’ve made a decision on the right path forward I start to reconsider again and need to make a decision soon. Thank you!

Go with the recommendations of your surgeon but I believe they are doing:

SIPS/SADI (less bathroom issues) if newly trained, DS if traditionally trained (stiil a very good long term maintenance tool) & RNY (if you have reflux).

I haven't seen too many resleeves but that happens also.

Good Luck again what ever you choose 💚