Modified Duodenal Switch

[Clueless_girl 16]

Wow. Maybe the surgeon, nurses, and dieticians didn't go over any of this with me because they were focused on fixing my nausea and pain? But I'm going to have to ask a lot of questions on my next followup in a few weeks.

"Reframing" is the perfect way to put it! Now, how to figure out how to do that 🤔...

[ShoppGirl 3,340]

Hello everyone. I think I finally found the forum I am looking for. Is the SADI S fhe same thing as the SADI?? I had gastric sleeve three years ago and was looking to convert to bypass but My dr told me today to start researching the SADI procedure.

[ChunkCat 660]

23 hours ago, ShoppGirl said:

Hello everyone. I think I finally found the forum I am looking for. Is the SADI S fhe same thing as the SADI?? I had gastric sleeve three years ago and was looking to convert to bypass but My dr told me today to start researching the SADI procedure.

Yes, the SADI-S and SADI are the same procedure! When you are converting from a gastric sleeve you can either convert to bypass, convert to SADI, or convert to a Duodenal Switch. All 3 impact the small intestines, they vary by degrees of malabsorption. SADI is in the middle of the 3 in terms of malabsorption and doesn't require changing the stomach like the bypass would. They'd just be going in to do the small intestine component. It's a great option for a revision.

[ChunkCat 660]

On 3/8/2024 at 10:05 PM, Clueless_girl said:

Wow. Maybe the surgeon, nurses, and dieticians didn't go over any of this with me because they were focused on fixing my nausea and pain? But I'm going to have to ask a lot of questions on my next followup in a few weeks.

"Reframing" is the perfect way to put it! Now, how to figure out how to do that 🤔...

I posted this elsewhere on the forum but I thought I'd put it here in case you didn't see it.

This is what one of my typical days looks like at 4 months post-op. My personal macro goal is 120-150 grams of Protein a day, under 50 total carbs, and 100 grams of fat. Also, I can't tolerate any raw fruit at the moment. And calories are not relevant for DS patients because we malabsorb most fat and a good chunk of our protein...

8 am: Premier Protein Cafe Latte shake

9 am: Ratio Keto vanilla Yogurt with 2 tablespoons of toasted coconut chips, 1 tablespoon of Keto nut granola, and 1 tablespoon freeze dried strawberries

12 noon: 1/4 cup roasted Spaghetti Squash, 1/4 cup of ricotta cheese, 1/4 cup of a beef bolognese sauce

2 pm: Cafe Macchiato with espresso and 4 oz Fairlife Protein Milk

3 pm: 2 mozzarella cheese sticks, 2 mini baby cucumbers and 4 cherry tomatoes

6 pm: Roasted chicken leg and thigh quarter, 1/3 cup of vegetable Soup

9 pm: Homemade Keto banana Walnut Dark chocolate Muffin

Total Macros: 150 grams of protein (yay!!), 43 grams total carbs, 97 grams of fat, 1634 calories.

[ShoppGirl 3,340]

14 minutes ago, ChunkCat said:

I posted this elsewhere on the forum but I thought I'd put it here in case you didn't see it.

This is what one of my typical days looks like at 4 months post-op. My personal macro goal is 120-150 grams of Protein a day, under 50 total carbs, and 100 grams of fat. Also, I can't tolerate any raw fruit at the moment. And calories are not relevant for DS patients because we malabsorb most fat and a good chunk of our protein...

8 am: Premier Protein Cafe Latte shake

9 am: Ratio Keto vanilla Yogurt with 2 tablespoons of toasted coconut chips, 1 tablespoon of Keto nut granola, and 1 tablespoon freeze dried strawberries

12 noon: 1/4 cup roasted Spaghetti Squash, 1/4 cup of ricotta cheese, 1/4 cup of a beef bolognese sauce

2 pm: Cafe Macchiato with espresso and 4 oz Fairlife Protein Milk

3 pm: 2 mozzarella cheese sticks, 2 mini baby cucumbers and 4 cherry tomatoes

6 pm: Roasted chicken leg and thigh quarter, 1/3 cup of vegetable Soup

9 pm: Homemade Keto banana Walnut Dark chocolate Muffin

Total Macros: 150 grams of Protein (yay!!), 43 grams total carbs, 97 grams of fat, 1634 calories.

Two questions. One I thought I read somewhere that caffeine was a no no post SADI?? Or was it just carbonation, maybe. After I gained it all back I started back on my Coke Zero and I have to kick that again pre op if sugar alcohol is bad. I gave it up for over two years so I can do it though. Second, , have you eaten out yet? If so, How are you with oils and stuff that they tend to sneak in even the “healthier options” I am a little worried I won’t be able to eat in public ever again.

[ChunkCat 660]

1 hour ago, ShoppGirl said:

Two questions. One I thought I read somewhere that caffeine was a no no post SADI?? Or was it just carbonation, maybe. After I gained it all back I started back on my Coke Zero and I have to kick that again pre op if sugar alcohol is bad. I gave it up for over two years so I can do it though. Second, , have you eaten out yet? If so, How are you with oils and stuff that they tend to sneak in even the “healthier options” I am a little worried I won’t be able to eat in public ever again.

Caffeine is usually restricted for the first few months in a virgin DS/SADI surgery to help prevent dehydration. You may not have this restriction put on you since you already have your sleeve and should keep food and fluids down fine post-op since they probably won't resleeve you unless yours was done wrong. Even if they put you on caffeine restriction, it is only for a little while. There is no reason to restrict it long term, it doesn't harm the digestive system.

My partner loves to dine out and we don't have kids, so I've been eating out since a month after surgery. I am careful with my choices, the first thing I ate out was grilled swordfish and sauteed green Beans. It was fine. I've since eaten Thai curries (mild), pho without the noodles (they put veggies instead), sashimi, fajitas with guacamole and cheese sauce (no tortillas, rice, or beans), steak (ribeye is my favorite and digests better now than it even did pre-op), wings, traditional Chinese food (nothing fried, no rice), Peruvian chicken, the list goes on and on. I try to stick to protein/veggie options. Anything I wanted to eat at a restaurant I tried to have a version of at home first to know how it would affect me. I tolerate most things pretty well, though it seems my digestive system prefers baby spinach over iceburg or romaine lettuce, but that's not a huge sacrifice. And I can't eat beans at all, but I never really tolerated them pre-op either. Also I try not to have too many cruciferous veggies at once (broccoli, cauliflower, cabbage), as they cause bloating, but I had that problem before surgery too. (I have had IBS and an inflammatory bowel disease since I was a teenager.)

That said I try to make healthy choices in general whether eating out or eating at home. DS patients don't really need to restrict fat because we malabsorb so much of it (regardless of what the dieticians tell you) and SADI patients can eat a moderate amount of fat as they malabsorb a moderate amount of fat. Too much fat in one sitting can cause diarrhea, but you'd have to really make an effort to do that, and any bariatric surgery other than the sleeve can cause that issue.

Coke Zero does not have sugar alcohols in it, it has Splenda, so it is fine from that perspective. Carbonation is only an issue if it bloats your sleeve. However, it can cause you to be hungry faster, or cause gas due to the air bubbles, so it isn't the best habit to have long term. But it won't piss off your intestines. I switched to unsweetened iced tea and carry Splenda or Equal packets with me! Sugar alcohols are things like erythritol, xylitol, and malitol. Allulose can also cause gastric upset depending on how tolerant you are of it. I can usually have a little of any of those, but more than a tablespoon and I'll be in the bathroom half the night. 🤣

[ShoppGirl 3,340]

6 minutes ago, ChunkCat said:

Caffeine is usually restricted for the first few months in a virgin DS/SADI surgery to help prevent dehydration. You may not have this restriction put on you since you already have your sleeve and should keep food and fluids down fine post-op since they probably won't resleeve you unless yours was done wrong. Even if they put you on caffeine restriction, it is only for a little while. There is no reason to restrict it long term, it doesn't harm the digestive system.

My partner loves to dine out and we don't have kids, so I've been eating out since a month after surgery. I am careful with my choices, the first thing I ate out was grilled swordfish and sauteed green Beans. It was fine. I've since eaten Thai curries (mild), pho without the noodles (they put veggies instead), sashimi, fajitas with guacamole and cheese sauce (no tortillas, rice, or beans), steak (ribeye is my favorite and digests better now than it even did pre-op), wings, traditional Chinese food (nothing fried, no rice), Peruvian chicken, the list goes on and on. I try to stick to protein/veggie options. Anything I wanted to eat at a restaurant I tried to have a version of at home first to know how it would affect me. I tolerate most things pretty well, though it seems my digestive system prefers baby spinach over iceburg or romaine lettuce, but that's not a huge sacrifice. And I can't eat Beans at all, but I never really tolerated them pre-op either. Also I try not to have too many cruciferous veggies at once (broccoli, cauliflower, cabbage), as they cause bloating, but I had that problem before surgery too. (I have had IBS and an inflammatory bowel disease since I was a teenager.)

That said I try to make healthy choices in general whether eating out or eating at home. DS patients don't really need to restrict fat because we malabsorb so much of it (regardless of what the dieticians tell you) and SADI patients can eat a moderate amount of fat as they malabsorb a moderate amount of fat. Too much fat in one sitting can cause diarrhea, but you'd have to really make an effort to do that, and any bariatric surgery other than the sleeve can cause that issue.

Coke Zero does not have sugar alcohols in it, it has Splenda, so it is fine from that perspective. Carbonation is only an issue if it bloats your sleeve. However, it can cause you to be hungry faster, or cause gas due to the air bubbles, so it isn't the best habit to have long term. But it won't piss off your intestines. I switched to unsweetened iced tea and carry Splenda or Equal packets with me! Sugar alcohols are things like erythritol, xylitol, and malitol. Allulose can also cause gastric upset depending on how tolerant you are of it. I can usually have a little of any of those, but more than a tablespoon and I'll be in the bathroom half the night. 🤣

lol. You reminded me of the sugar free Gummy bears I didn’t have an issue with them but I didn’t like them so I didn’t have but one maybe two. I sent them home with my friend who was living a couple of hours away so she ate the rest of the pack on her way home 😂 . She now buys those instead of bothering with Fiber or laxatives when she is constipated she swears they work better.

I am really hoping that my sleeve is still okay. That’s one of my questions for the surgeon is what happens if he goes in and it’s bigger than it should be. He is the one that don’t it and he is known As an excellent surgeon but For whatever reason I could eat more than I should’ve been able to at every given stage from day one when I was drinking without any issue. I also had very little pain post op so maybe I just advanced through the stages faster because of less swelling or something?? At first I questioned whether they even did the surgery but I definitely do haxe Restriction it’s just not as much as some peoples

Anyways, I definitely need to save this post for future reference. In terms of all the dining out options and potential trigger foods this is such valuable information!!