Hi!
Has anyone done the DS without redoing the sleeve? What are the pros and cons?

there shouldn't be a need to re-do the sleeve - it's already been done. The sleeve historically was part 1 of the DS procedure, which used to often be done in two stages. They'd first create a sleeved stomach, and a few months later, they'd come back in and bypass most of the small intestine. Some people lost enough weight with just part 1 that they didn't end up doing part 2. Thus, the sleeve surgery was born.

Hi! I had the sleeve at NYU with Dr. Shweck in Aug 2018. I got my gallbladder removed May 2019. As I did regain 80 lbs, I consulted again (as recommended by my vascular doctor). I went to NYU Brooklyn and spoke to Dr. Cheema and he recommended the SADI over Gastric Bypass because I am a smoker and there can be a high rate of ulcers.

I am scheduled for 07/26/23 and I am very high risk so being admitted day before. Dr. Cheema and the endoscopy both showed my sleeve was perfect still and there was absolutely no need to redo it. The restriction is still there, just now we are adding the malabsorption which is typically stage 2 anyways.

As per Dr. Cheema, the SADI is a safer and newer version of the DS with slightly less intestine bypassed and it connects the sleeve directly. With the DS, there are 2 cuts for connections created to bypass. With the sleeve done already, it is much less of a risk and still goes straight to malabsorption.

You will need high A D E K vitamins plus iron and calcium and B12. You will experience different symptoms then just the sleeve such as increased dumping likely for sugar and fat. You will still be restricted to eat small meals and you will still need a ton of protein.

Until I get mine, that is the best I can tell you. Look up different articles on DS and SADI and ask your doctor specifically which procedure is being done and what are the cons.

Good luck!