HELP!! Anyone here had the SADI or SIPS Bypass???

[Ren3012 0]

Hi, I have just stumbled across this forum and thank god I did as I am hoping to get some help. I has a the Sleeve surgery in 2009 and then had a SADI or SIPS Bypass ( I think that is the technical term for it) in June 2017. I am in Australia and they were just starting to use the SADI option so didn't have a huge amount of feedback available. After having the sleeve surgery done I was diagnosed with an auto immune condition Lupus (obviously not from the surgery). So after years of pred/steroids to treat my condition I had started putting weight back on so had the bypass done. When I had the surgery, everything went ok with that part, however from them moving my Pancreas I ended up with acute Pancreatitis and was stuck in hospital for almost a month. Anyhow fast forward to 2018 when I would consider myself completely healed from the surgery, I started having a lot of gastric symptoms like bloating, excessive gas, sometimes diarrhea sometimes Constipation that would come and go. I put it down to everything just getting used to the surgery. However, the past 18 months or more the symptoms have become progressively worse and after having all types of scans, faecal samples done, this test and that test and trying different treatments and diets I have finally had it with all the doctors as the cant give me an answer and now just put it down to my Lupus! The last "diagnosis" from different GI's was Chronic Pancreatitis (which my Lupus specialist says its not) and SIBO. But after changing to different diets and trying courses of antibiotics etc there is still no pattern and still no answers! I AM MISERABLE! I live each day in chronic pain but to add this to my health problems has been devastating to my mental health. I have basically become a recluse (I just turned 40) because if my Lupus isn't playing up I still cant leave the house because of these ongoing Gastro issues and I am so over it. Bellow are all the symptoms i have, some at different time depending on how bad it is and there is no pattern as to when it comes and goes or how long it lasts. I was wondering if anyone that has had SADI surgery experienced anything like this and if so were you able to fix it?

• Diarrhoea
• Constipation
• Excessive foul smelling flatulence
• Severe Bloating (I can wake up with a flattish tummy and by late afternoon it looks like I am 8 months pregnant and my tummy is rock hard)
• Abdominal discomfort
• Pale coloured stools
• Steatorrhea
• Foul smelling stools
• Nausea
• weight fluctuation
• Malabsorption

So that is most of what I can think of right now, but I am really hoping I can find some answers as I am just existing not living

Thanks....desperate poster

[catwoman7 10,859]

yes - I'd also suggest you post on the duodenal switch forums, since SADI is a version of that. Even traditional DS is a pretty uncommon surgery, so I don't know if you'll find many people on the general threads who'll know how to respond to that. Sorry this is happening to you - this sounds miserable!

P.S. you may want to post over at Obesity Help, too - I think there are more DS'ers over there (that site in general is much less active than this one, but they do have more DS people over there, from what I can tell. Also, you may want to check out some of the DS groups on Facebook. In general I can't recommend FB groups for bariatric patients because so many of them have bad info that never gets corrected, but then again, the DS community is pretty small, so you may find people on them who can address your issue)

Edited March 21, 2021 by catwoman7

[NovaLuna 710]

5 hours ago, Ren3012 said:

Bellow are all the symptoms i have, some at different time depending on how bad it is and there is no pattern as to when it comes and goes or how long it lasts. I was wondering if anyone that has had SADI surgery experienced anything like this and if so were you able to fix it?

• Diarrhoea
• Constipation
• Excessive foul smelling flatulence
• Severe Bloating (I can wake up with a flattish tummy and by late afternoon it looks like I am 8 months pregnant and my tummy is rock hard)
• Abdominal discomfort
• Pale coloured stools
• Steatorrhea
• Foul smelling stools
• Nausea
• weight fluctuation
• Malabsorption

So that is most of what I can think of right now, but I am really hoping I can find some answers as I am just existing not living

Thanks....desperate poster

I had the SADI-S/SIPS/Loop Duodenal Switch surgery almost 14 months ago now. I've had some of your symptoms, but not all:

• Diarrhea (maybe once a week?)
• Constipation (happens on occasion, but only been bad twice)
• Excessive foul smelling flatulence (yep. made worse by sugar alcohol. Avoid sugar alcohol's as much as you can)
• Severe Bloating (occasionally)
• Abdominal discomfort (the problem with this one is I have EOE so sometimes it's caused by that and not my surgery. I had issues with abdominal discomfort BEFORE my surgery with that)
• Pale coloured stools (nope)
• Steatorrhea (it happens. lessen your fat intake it gets a lot better. it did in my case, at least)
• Foul smelling stools (I think it just goes with the territory, but it's always worse when I consume sugar alcohols. Avoid them if you can)
• Nausea (rare occasions. Usually when I eat to fast or too much)
• weight fluctuation (yes, but that's due to me having hypothyroidism and not my surgery. According to my PCP and surgeon, anyway)
• Malabsorption (I KNEW I'd have this as they told me before my surgery that it was common to malabsorb Vitamins. Especially ADEK vitamins. However, I only have issues with Vitamin A and have to take extra. I also, for some reason have issues with my potassium though I doubt that's caused by the malabsorption. I DID develop a wheat allergy though. My surgeon believes it developed due to the malabsorption because it can happen that way. My PCP and gastroenterologist aren't sure though and said there's a slight chance I already had it, but the surgery made the allergy worse. So not sure on that aspect. I was never tested for the allergy prior to surgery)

I'm so sorry that you're going through all that and are miserable. I doubt anything I said really helped, but many of those issues are fairly common for the surgery, or so I've been told. I really hope things get better for you!

Edited March 21, 2021 by NovaLuna
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