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I am scheduled to have the same revision in 12 days and I am seriously stating to freak about whether the bypass would actually be better for me. I am concerned about the post op diet like you but I suppose I can tough it out if I’m allowed 3 shakes a day plus the tiny meals they suggest for the virgin surgery. Please let me know how you are doing. Whether you felt the weight loss was adequate. How much torture was the post op diet while still having your hunger hormone? Do you wish you had done bypass instead?!

It's pretty common. Happened to me after my sleeve and again after my revision to bypass. I was told it would likely be temporary, but so far, nothing has gone back to how it was before. Super weird. Things smell differently to me, too. And taste differently. Hate foods I use to love, actually like stuff I use to dislike. Very weird lol

I had my gastric bypass done in 2019, I had come across they unusual situation after the bypass surgery. Right after the surgery I was brought down to the ward where I was supposed to spend the night after the surgery. However, when the doctor told me to drink some water after the surgery I started vomiting and kept vomiting a lot and all that was coming out was red color kind of blood and all the toxic. The nursers informed the doctor about my situation and they found out that my stricture was opened up to the next thing you know I was again back into surgery ready open beyond that all the toxic was leaked ed into my other organs. After my second surgery I was knocked out unconscious and woke up after 2 months. It was quite rough for me because this situation is very rare it this kind of surgery. Yes for 4 months I was in bed in the hospital, due to that I had lost all my muscles in my lower body and I could not walk after that I had to have a lot of physiotherapy to help you get back walking that took another year. Well I had to go to all of that and right now I have a incisional hernia for which they said I would need another surgery however right now they cannot go thru because its quite complex and they are afraid of performing another surgery cost it's very complex and might cause under the leakage. I would like to use this platform to find answers how to solve my existing problem. I hope someone out there can help me get some answers.

So it takes about 6-8 hrs for food to pass from your tummy through your small intestines to your large intestines. It takes about 36hrs in total for anything you eat to fully leave your body (pooped out). I’m going to presume you’re having gastric bypass which involves surgery to your small intestines (sleeve doesn’t) so not eating for 6 hours before sort of makes sense. However, saying that every surgery I’ve had was nil by mouth from dinner the night before regardless of time of surgery. I know people who are told nothing after midnight, who get up & eat a meal at 11:30pm. I had a pelvic MRI last week & it was nothing for 6 hours before which was odd because the images the MRI took of the pelvic region of course included the large bowel which would have been full of waste which was odd to me. 🤷🏻‍♀️ Check with your surgeon. Only way to be sure.

Hopefully @Rosslyn will have something closer on her paperwork because that’s definitely not how mine is worded for the revision. The third letter in SADI does stand for duodenal though. It’s Single Anastmosis Duodenal ileal bypass and the SADI-S just means with sleeve from what I can gather. Mine says “robotic single anastomosis duodenal switch with intra operative esophagastroduodenoscopy” So that last part is the same for us. I think that’s just a scope to check that things are okay before they close. The “single anastomosis” part is what makes it a SADI vs a traditional Dudodenal Switch or DS. It’s means one anastomosis or connection instead of two. The one connection is what makes the SADI a little safer than the traditional DS because that connection is where you could get a leak. I would probably call their office to verify but The first part of yours MAY be a sleeve gastrectomy and the second part COULD BE the part I’m getting done (just the intestine bypass part) but I’m not sure why it says REPAIR? The third again I THINK is just a scope with a camera to check something. The extra ADEK should be for both the SADI and the DS. My vitamin for post op says SADI/DS on it. And it had a bit more iron and adds the ADEK plus a couple other things that don’t absorb as well.

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

I'm scheduled for gastric bypass on August 12th and I'm hoping some of you will tell me what your first week post-op was like? I'd like to know what to expect. I know the first few months will be ROUGH, but I would like more specifics.

👋🏻 Hi! I’m having a sleeve to bypass revision Sept 9th!

Grrrrr!!!! I don't like the people at your doctor's office!!!!! As a medical assistant (and former front desk person) that just grinds my gears!!! But at least you're in now. You can bypass all of them and talk directly to your doctor now. I'm so glad you got your answers and feel better. Are you starting to get excited??? I'm excited for you!!!

I'm going to the US in November to see my family. I haven't been home in 20 years so I will see my sisters fir the first time in 20 years (Yay!) And my dad and step-mother (ugh). My stepmother was always overweight. Larger than my mother was, but she made a point of telling me specifically how big I was getting and my dad would constantly tell me I was getting so big I was starting to look like my mother. (who again, was smaller than his wife) and they made me eat differently than everyone else and bought me clothes two sizes bigger to make look better. Apparently step-mother lost a lot of weight about 10 years ago. (i don't know if that's really true, I haven't spoken to either one in about 15 years. I will have my surgery before then and I'm certain I'll get more comments about having had the surgery so I'm just not going to tell them. The worst comments always come from those closest to us. Family really stinks sometimes.

Hi everyone. I'm really really new here. Just signed up some couple of minutes ago. I have undergone bypass surgery in 2021. It's going to be full 3 years pretty soon. I am also struggling with the weight-loss regain/comeback. It's almost as if it has been a 2-year-miraculous-weight-loss-bonus time frame where you lose weight almost automatically... Yes, in the last 12 months-or-so I have been neglecting systematic and disciplined exercise/physical activity. My dieting hasn't been particularly strict either... I'm just pretty much saddened for having regained almost 20 kilos again (around 40 pounds, i'd say? sorry, metric-system folk over here) and once more facing the REALLY REALLY hard struggle of losing weight once again, just as if I've never had the surgery. LUNAXINIAN, just like you, I'd really like to read/receive folks' advice if this same weight re-gain happened to any of you as well, and what did you do, how did you overcome it, and most of all, how did you manage to start losing weight once again?

I chose the sleeve. My mother had the bypass back in 2008 and had a lot of problems. She couldn't keep anything down for months after the sugery and the had to operate again and they made a mistake. So she basically couldn't really eat anything at all and suffered for years. She had a bowel perforation due to clot in April of 2023 that they couldn't diagnose until a month later and they couldn't repair because of what went wrong with her bypass surgery and she died in May of 2023. So I'm too afraid of having the same kind of problems. It's not the same hospital or the same surgeon, but I'm still scared. I did wonder if I should even consider any type of surgery at all, but my mother did lose weight and it did extend her life.

Thank you all for your advice - it has been really eye-opening to see that dumping isn't actually all that common in bypass patients. I remember in a leaflet given to me by my surgical team, it listed dumping as a 'common' side effect, so I was fully expecting it! I am going to introduce things slowly, with protein as suggested. And as @The Greater Fool has said, I do think sometimes it could pose as a bit of an educational experience for me if it happens!

Hey there, I had gastric bypass but it's basically the same thing for incisions. I suggest something loose and comfy. My surgery was in the winter, so I wore elastic waistband pajama bottoms and a loose top. You may be a bit puffy from IV fluids and surgical gas so expect to feel bloated and not wanting anything tight on your abdomen. If I were choosing an outfit for summertime, I would probably go for a sundress with no waistband or light pajama bottoms and a t-shirt. I actually wore my clothing in and back home because I arrived first thing in the morning and immediately changed into the hospital gown, which I wore until I was discharged, so my arrival clothing was clean. Just brought underwear, socks, and very basic toiletries. You won't need much, but I do suggest chapstick because dry lips is a real problem. Some hand lotion, too. I brought my Kindle and never turned it on.

I am one of the lucky ones that dumps. I dump on both sugars and fats. It turned out to be quite the educator, and honestly, something I hoped for pre-op. Back when I had surgery, dumping was more of a 50/50 proposition because bypasses were often more distal than today. I dumped more early post-op because a small serving of fruit was quite a bit compared to the small amount of anything else I ate. As I was able to eat more toward my plan, along with experience, dumping decreased. All these years later dumping is now just part of the joy of being me. Good luck, Tek

I am pending revision from sleeve to SADI but when i was considering revision to bypass my research brough up a lot of information of revision from bypass and it was to SADI or DS.

I had my roux-en-Y bypass in 2009. I was 5’7” and weighed 253 lbs. I had lost about 50 lbs. Then my parents began a two-year decline with an extremely complicated two years of dementia (both at the same time!), gout, broken back, shoulder, and ribs, triple valve replacement, gall bladder surgery, a search for a geriatric psychiatry bed which never came through, and multiple moves from assisted living centers, rehab centers, memory care centers, and nursing homes. There were at least a dozen ER visits over those two years. My self-care routine devolved. I developed ulcers. Five years after the surgery I went through a severe depression and started vomiting a few times a week. Two ER trips with bleeding ulcers. Deepening depression. In 2018, had surgery to remove the ulcers. I continued vomiting and dropped down to 146 lbs. I’m down to 5’4” tall because of scoliosis, a side effect of Parkinson’s I was diagnosed with a few weeks ago. I had the roux-en-Y procedure redone last week. I’m trying.

I used to hear about bypass patients getting longer "channels" or whatever (i.e., they'll bypass more of the small intestine so you'll malabsorb more - I think they call it a distal bypass), but I haven't seen anyone post about one of those in a long time. I think normally when people revise from bypass, they go with the DS or SADI.

like someone else said, only 30% of bypass patients dump, and it's not common to dump on fruit, even though it contains sugar. People who dump tend to dump on things like ice cream, cake, etc (and often they can eat SOME ice cream, etc - like maybe a few bites - but just not a lot) I'm several years out. The first few months I really only ate berries (once I was able to, that is - anything with seeds I was supposed to avoid the first few weeks post-op). I've been able to eat pretty much any fruit ever since - although sometimes acidic fruits like pineapple and citrus fruits irritate my stomach. I still eat them occasionally, though. P.S. I do know someone who dumped on pineapple once, so it IS possible to dump on fruit - but that was the only time I've ever heard of anyone dumping on fruit - so I think it's pretty uncommon.

It says you had the lapband. Did you already have a revision from lapband to bypass? If so, I'm not sure you can do another one. The only revision I know you can get after you've had a bypass is the SADI, but it's still really new, so not a lot of insurance companies will cover it yet.

I eat strawberries, blueberries, avocado, sometimes a pear, and every once in a while, an apple. I stay away from grapes (little sugar bombs), bananas, oranges (mostly because of the acid), pineapple (hard to digest still), and peaches (just don't like them). Absolutely LOVE watermelon. I don't eat cantaloupe or honeydew melon because I just don't like them. Blackberries and raspberries are excellent for bypass patients, but I don't like them so I don't eat them.

Happy Friday everyone! 😁 Hope we are all doing well! It is bloody hot in the UK today so I am doing my best not to melt in my office 😩 My bariatric nurse has flat out told me I need to be eating more, and I am really struggling to get on top of this. She tells me to aim for 20 mouthfuls per meal 😥 I will keep pushing myself by eating more frequently, but I would love to introduce more fruit into my diet. Are there any fruits which I should stay away from to avoid dumping with the bypass? I know berries are like the gold standard, but I am a bit nervous about other fruits! So far I have only had some raspberries and kiwis 🤣

I have to admit, I'm also unaware of revisions that can be done with bypass. I was under the impression your options are fairly limited after bypass, though I'm no expert. Reflux after bypass can certainly happen, but it's highly unusual, as is stretching out your pouch to an abnormally large size (aside from the regular increase in capacity that is normal). I would think a visit to your primary care doctor would be your first step, or an appointment with your surgeon's office if that's possible (I know it's been a long time, so maybe that isn't possible). You're going to want to determine if something has gone wrong that can be fixed surgically, or if it's something that medication or lifestyle changes could better address.

Hey, Bill! How was it? I had the Gastric Bypass RNY with the deep stitch to prevent a future hernia. Still hard to get out of bed without hurting, but definitely doing MUCH better on day 8!!