Sadi is so lonely

[ShoppGirl 3,449]

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

Edited March 19 by ShoppGirl

[catwoman7 10,975]

like the DS, it's not a common surgery - but in addition, it's also fairly new - which is probably why you haven't seen much about it. It supposedly as fewer complications than the DS (although it's sort of a new-fangled version of it)

[ShoppGirl 3,449]

19 minutes ago, catwoman7 said:

like the DS, it's not a common surgery - but in addition, it's also fairly new - which is probably why you haven't seen much about it. It supposedly as fewer complications than the DS (although it's sort of a new-fangled version of it)

Yea. He said it’s definitely a more aggressive option than the bypass for revision with a few more risks but better weight loss for most people. I read somewhere that when you eat the wrong foods that it causes gas pain and bathroom issues which if that’s true I think as much as it would not be fun it may be just what I need to remind me to keep making the right choices. Also If I understood correctly it does more to reduce the hunger hormone which was definitely my biggest issue. From day one with the sleeve I was able to eat more than expected at every given stage. I just chose not to and that was easy while the hunger was gone but when it came back it came roaring back so I lost most of my weight and then gained it all back like a yo yo. In the beginning I was still eating all the right foods but I was starving so I ate more than I should have. I am really hoping that this procedure the hunger hormone remains less intense for good.

[catwoman7 10,975]

the malabsorption from it also helps - you won't absorb all the calories you eat (or the nutrients, either, so keeping on top of your supplements will be more important than ever..). I know some people with the DS get really gassy (and sometimes get loose stools) if they eat too many carbs - not sure if that's an issue with the SADI or not.

[ShoppGirl 3,449]

7 minutes ago, catwoman7 said:

the malabsorption from it also helps - you won't absorb all the calories you eat (or the nutrients, either, so keeping on top of your supplements will be more important than ever..). I know some people with the DS get really gassy (and sometimes get loose stools) if they eat too many carbs - not sure if that's an issue with the SADI or not.

One site says that the gas and more frequent/ loose bowel movements are a little less than the DS but definitely an issue with the SADI and the gas can be quite stinky as well which is probably the biggest fear I have right now aside from the real scary risks.

I THINK the bathroom issues are just when you eat bad and if that’s the case that may actually help keep me on track because I obviously don’t want to have those issues. I have an appointment tomorrow morning with my family PA and that’s definitely a question I will be asking her if she knows.

I think the supplement question is more likely going to be one for the surgeon but I will ask her about that as well. I have until the end of next month when I meet with the surgeon to come up with a list of questions for him (whatever I can’t get answers for before then).

Thanks again and please Let me know if you think of anything else I should ask. Until yesterday morning hadn’t even heard of this procedure. At least I have a list of questions to start with now.

[cjbowers2005 1]

I am having my Sadi revision from sleeve next Tuesday 5/28, I am excited and nervous but looking forward to it

[ShoppGirl 3,449]

4 hours ago, cjbowers2005 said:

I am having my Sadi revision from sleeve next Tuesday 5/28, I am excited and nervous but looking forward to it

Good luck with it. My dr decided I need to have a scope on Friday to make certain that SADI is most appropriate for me.

[Arabesque 6,679]

Hey @ShoppGirl, not sure if this has been discussed or not, but what are your thoughts about the GLP 1 drugs? I remember someone on Dr Weiner’s podcast saying how it stopped the food noise in her head & reduced her hunger. Dr Weiner has been doing a few podcasts about the medication which may be worth listening to. May be an avenue to consider especially has you have concerns & questions about proceeding with the Sadi & hunger is an issue for you.

[ShoppGirl 3,449]

1 hour ago, Arabesque said:

Hey @ShoppGirl, not sure if this has been discussed or not, but what are your thoughts about the GLP 1 drugs? I remember someone on Dr Weiner’s podcast saying how it stopped the food noise in her head & reduced her hunger. Dr Weiner has been doing a few podcasts about the medication which may be worth listening to. May be an avenue to consider especially has you have concerns & questions about proceeding with the Sadi & hunger is an issue for you.

That is something that’s still in the back of my mind. I have heard mixed things about them though. I plan to speak with the surgeon about them before I make my final decision.

[Hiddenroses 5]

On 3/19/2024 at 10:38 AM, ShoppGirl said:

Okay I am a second timer. I had gastric sleeve 3/9/21 and I gained it back. I am considering the SADI and I am looking for information about it. I have posted on the revision forums and the duodenal switch forum without response. Is this just a really rare procedure or am I posting in the wrong place? I worry that even if this is the right surgery for me I may regret it if I can’t find the support along the way because it is less common.

YES! I see you!! I'm super curious as to how you are doing after your revision surgery, because I'm on a similar path. Right now I'm waiting to see if my insurance will approve STARTING with the SADI-s/SLIP rather than either going with the Roux-y or a sleeve and then a revision. I don't really WANT to go through two surgeries (sleeve and later revision) but with a BMI in the high 50s/low 60s I keep getting nervous about which surgery to choose. I've posted elsewhere about my concerns with the Roux-y (higher chance of hernias / dumping syndrome /long term malabsorption/no longer taking NSAIDs) and read probably the EXACT same sites you have cautioning about the SADI-s and its main two possible side effects being 'bathroom issues/gas'. I came to the same conclusion myself; seems like a better, less complicated surgery, especially if I can START with it. After hearing a bunch about the Duodenal Switch I started second guessing yet again. Choosing is SO hard. How is it going for you?? I hope fantastically!

[ShoppGirl 3,449]

1 hour ago, Hiddenroses said:

YES! I see you!! I'm super curious as to how you are doing after your revision surgery, because I'm on a similar path. Right now I'm waiting to see if my insurance will approve STARTING with the SADI-s/SLIP rather than either going with the Roux-y or a sleeve and then a revision. I don't really WANT to go through two surgeries (sleeve and later revision) but with a BMI in the high 50s/low 60s I keep getting nervous about which surgery to choose. I've posted elsewhere about my concerns with the Roux-y (higher chance of hernias / dumping syndrome /long term malabsorption/no longer taking NSAIDs) and read probably the EXACT same sites you have cautioning about the SADI-s and its main two possible side effects being 'bathroom issues/gas'. I came to the same conclusion myself; seems like a better, less complicated surgery, especially if I can START with it. After hearing a bunch about the Duodenal Switch I started second guessing yet again. Choosing is SO hard. How is it going for you?? I hope fantastically!

I am still pending my revision. My dr ordered a few tests to help him decide between the Sadi and the bypass as a revision and the SADI. I see him on Monday and hopefully I will have some answers.

[ShoppGirl 3,449]

On 5/22/2024 at 4:02 PM, cjbowers2005 said:

I am having my Sadi revision from sleeve next Tuesday 5/28, I am excited and nervous but looking forward to it

How are you doing?