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DS possible after gastric sleeve?



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Actually, I have 2 questions:

1) I had a gastric sleeve almost 5 years ago; after losing 60 lbs., my pannus changed size & shape, becoming EXTREMELY uncomfortable. I stopped losing weight, gained back 20 lbs., and fortunately maintained my net 40 lbs. weight loss. Does anyone know if I can has DS after a gastric sleeve?

2) I originally wanted DS but the bariatric surgeons in my area did bypass or sleeve only. I live in eastern Washington State; does anyone know of surgeons anywhere around my area (WA state, Idaho, Montana, or Oregon) that perform DS?

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yes! Gastric sleeve for years was phase 1 of the DS, back in the days when a lot of surgeons did the DS in two stages - first, they created a sleeved stomach, and then, several months later, they'd go back in and bypass most of the small intestine. However, enough people lost enough weight on stage 1 alone that they started offering it as a standalone surgery - and the VSG was born!

long way of saying - of couse you can, since the sleeve is the first stage of the DS.

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Yes, absolutely possible, as Catwoman suggests; indeed, many talk in terms of this as being a "completion" of the DS rather than a "revision".

I don't know specifically of anyone in those states who does it - DS surgeons are still fairly few and far between, at least ones who do the "traditional" or Hess DS. The simpler SADI "loop DS" has more who do it, but that's really a distinct procedure that should be considered on its own merits. In earlier years, Dr. Rabkin in SF (who did my VSG and my wife's DS) had an active support group in the Seattle area as he had a fairly large contingent of patients there, though they have dissipated in activity, as we tend to do over time.

For a DS, one should usually count on having to travel for them, even if one is in a major metropolitan area. Fortunately most DS surgeons are very used to travelling patients and are equipped to do remote consults before and after surgery, so it's mostly a trip of a couple weeks time for the surgery and everything else can be done remotely.

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I had a revision from sleeve to a SIPS by Dr. Cottom of Utah. Really happy with it so far.

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On 4/19/2023 at 7:45 PM, midniteblue102 said:

Actually, I have 2 questions:

1) I had a gastric sleeve almost 5 years ago; after losing 60 lbs., my pannus changed size & shape, becoming EXTREMELY uncomfortable. I stopped losing weight, gained back 20 lbs., and fortunately maintained my net 40 lbs. weight loss. Does anyone know if I can has DS after a gastric sleeve?

2) I originally wanted DS but the bariatric surgeons in my area did bypass or sleeve only. I live in eastern Washington State; does anyone know of surgeons anywhere around my area (WA state, Idaho, Montana, or Oregon) that perform DS?

DId you find someone? Rockwood in Spokane does DS.

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