Hi, my name is Krislynn, Kris, or just K., I'm new to this forum. I found it researching more about the duodenal switch. I turned 42 in July this year, and my highest weight before my first surgery was 536. I had the gastric sleeve in June 2017. The first year was a great learning experience in learning about healthy foods, changing my mindset, and what I needed to do to get healthy. That first year, I lost 221 lbs. But, then when I went back for the 2-year check-up, the surgeon that took care of me, had left the hospital and program and they informed me they had no one for me to see. But, then Covid hit shortly after that-- then I lost my job and ended up sitting home 2 years and gained close to 200 lbs back of what I lost and that was crippling to me because all my old health problems came right back.

during all this happening, my mom and I chose to move from California to Indiana to be closer to my sister, I decided I couldn't take care of my mom who has declining health because of her weight too, has been type 2 diabetic for more than 20+ years at this rate with my health starting to decline again too. So I reached out to the weight loss doctors here, I spent 6 months Feb-Aug '24 taking off 70+ lbs by following their 1200 calorie diet, getting back into a healthy mindset. It's a struggle at times, and sometimes I take two big steps forward, and then I end up taking a big step backward, it's a daily walk. once I completed the mandatory 6-month medical weigh-ins, things moved quickly, I got approved by the psychologist, and then the insurance approved me to have the Duodenal Switch or SADIS surgery quickly, within a week I heard back. My new surgeon who's great, got me scheduled quickly after I finished all the required testing, and preop classes, this Monday, the 11th at 7 AM. I am feeling nervous because even though every test they've made me do has come back normal and negative, I am 7 years older and worry that something might possibly happen.

I keep reminding myself, that I've already had the sleeve, so I won't be under that long, just long enough for him to do the switch. so basically, I'm going to go to sleep and then wake up on the other side of it.

Can anyone who has had this surgery, give some advice or maybe just let me what to expect after this kind of surgery?

The last time I woke up the only thing I remember is the immense pressure I felt on my chest from them feeling my stomach with gas to do the surgery. And The surgeon told me unfortunately I would be dealing with that again because it's something unavoidable. So, I'm prepared for that.

Love to everyone,

Krislynn☺️?

Edited November 7, 20241 yr by Krislynn

I don’t have any knowledge on sadis,however I just want to let you know that taking the first step to seek help is so brave and it’s the beginning of this victory. I hope all goes well for you!

29 minutes ago, newbegining2024 said:

I don’t have any knowledge on sadis,however I just want to let you know that taking the first step to seek help is so brave and it’s the beginning of this victory. I hope all goes well for you!

Thanks so much, encouragement and support are greatly appreciated. ?

Hello Kris and welcome to the forum. Like the above poster, I have no knowledge of sadi surgery. But I send my love and wish you well on Monday, new you day x

14 hours ago, Krislynn said:

Hi, my name is Krislynn, Kris, or just K., I'm new to this forum. I found it researching more about the duodenal switch. I turned 42 in July this year, and my highest weight before my first surgery was 536. I had the gastric sleeve in June 2017. The first year was a great learning experience in learning about healthy foods, changing my mindset, and what I needed to do to get healthy. That first year, I lost 221 lbs. But, then when I went back for the 2-year check-up, the surgeon that took care of me, had left the hospital and program and they informed me they had no one for me to see. But, then Covid hit shortly after that-- then I lost my job and ended up sitting home 2 years and gained close to 200 lbs back of what I lost and that was crippling to me because all my old health problems came right back.

during all this happening, my mom and I chose to move from California to Indiana to be closer to my sister, I decided I couldn't take care of my mom who has declining health because of her weight too, has been type 2 diabetic for more than 20+ years at this rate with my health starting to decline again too. So I reached out to the weight loss doctors here, I spent 6 months Feb-Aug '24 taking off 70+ lbs by following their 1200 calorie diet, getting back into a healthy mindset. It's a struggle at times, and sometimes I take two big steps forward, and then I end up taking a big step backward, it's a daily walk. once I completed the mandatory 6-month medical weigh-ins, things moved quickly, I got approved by the psychologist, and then the insurance approved me to have the Duodenal Switch or SADIS surgery quickly, within a week I heard back. My new surgeon who's great, got me scheduled quickly after I finished all the required testing, and preop classes, this Monday, the 11th at 7 AM. I am feeling nervous because even though every test they've made me do has come back normal and negative, I am 7 years older and worry that something might possibly happen.

I keep reminding myself, that I've already had the sleeve, so I won't be under that long, just long enough for him to do the switch. so basically, I'm going to go to sleep and then wake up on the other side of it.

Can anyone who has had this surgery, give some advice or maybe just let me what to expect after this kind of surgery?

The last time I woke up the only thing I remember is the immense pressure I felt on my chest from them feeling my stomach with gas to do the surgery. And The surgeon told me unfortunately I would be dealing with that again because it's something unavoidable. So, I'm prepared for that.

Love to everyone,

Krislynn☺️?

I’m a TDS which is somewhat different from the SADI. I’d probably suggested FB. There are SADI groups there.

Best of luck.

26 minutes ago, Postop said:

I’m a TDS which is somewhat different from the SADI. I’d probably suggested FB. There are SADI groups there.

Best of luck.

Thanks for the suggestion I'll do that! Best of luck to you in everything, too.

Edited November 7, 20241 yr by Krislynn

7 hours ago, summerseeker said:

Hello Kris and welcome to the forum. Like the above poster, I have no knowledge of sadi surgery. But I send my love and wish you well on Monday, new you day x

Thanks so much, I greatly appreciate it! ?

@ShoppGirl is a recent SADI. And she's full of helpful advice.

12 hours ago, NeonRaven8919 said:

@ShoppGirl is a recent SADI. And she's full of helpful advice.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal.

From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time.

For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad.

My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time.

One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me.

Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision.

it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Edited November 9, 20241 yr by ShoppGirl

1 hour ago, ShoppGirl said:

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just bit enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal.

from day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes. I am making, and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating the pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are easier this time.

for me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the Sadie, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad.

my doctor did not operate on the stomach, some do re-sleeve it, but he felt that relieving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time.

One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me.

aside from that, I could not be happier with my choice. I was told I could do Sadie or bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a c a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision.

it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now.

It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch.

Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! ?

I'll be sure to post an update after surgery.

41 minutes ago, Krislynn said:

When I had the Sleeve, and other than the gas pressure I experienced, I went home the next day and I was on my feet and feeling better by day 3 and feeling back to myself by day 7. It really was a breeze thinking about it now.

It seems straightforward, not complicated at all-- what SADI entails. My surgeon also did an EDG on me a couple of weeks ago and told me that my sleeve was in great shape and he did not want to revise it. So, really I'm just going in for the Switch.

Thank you so much for getting back to me, and sharing your experiences with me. Since I've been talking with more people I've been feeling better about the surgery. Everyone seems extremely happy with their decision to do it and is very excited for me to get it done. Everyone has sent some great positive vibes my way, which has helped with the anxiety over it. So, I thank you and everyone for that! ?

I'll be sure to post an update after surgery.

Awesome, Just remember to walk walk walk. The only thing that’s different is that your stomach will not be swollen to make you feel like you want to ear and drink slower. Of Course you still have to so your intestines can heal. Knowing the measurements for food at each given stage was very important because of this. I would’ve been able to eat alot more but probably would’ve hurt myself. Of course you won’t be hungry so it’s not hard. Just measure everything. Best of luck to you

7 minutes ago, ShoppGirl said:

Awesome, Just remember to walk walk walk. The only thing that’s different is that your stomach will not be swollen to make you feel like you want to ear and drink slower. Of Course you still have to so your intestines can heal. Knowing the measurements for food at each given stage was very important because of this. I would’ve been able to eat alot more but probably would’ve hurt myself. Of course you won’t be hungry so it’s not hard. Just measure everything. Best of luck to you

I'm huge on measuring everything, I make my family crazy. lol, but it is really necessary especially post weight loss surgery. I'm hoping the more progress I make, it will change my sibling's outlook on food being healthy, and eating clean. But right now I'm going to focus on myself and hopefully, they both follow suit.

Best of luck to you on your continued journey, Again thanks so much!

I wish you a happy healthy journey on your surgery and weight loss. I saw April Laren on YouTube had the DS and was very honest about her first few weeks. She might be worth a look.

On 11/10/2024 at 3:20 PM, learn2cook said:

I wish you a happy healthy journey on your surgery and weight loss. I saw April Laren on YouTube had the DS and was very honest about her first few weeks. She might be worth a look.

Yea I started following her about a month ago, I just talked with her after she posted a video update, yesterday.

Shes really sweet and encouraging like everyone has been with me, so big thank you! ?