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I had a lot of complications with the sleeve and the decision was made for me. My surgeon told me in no uncertain terms that I HAD to have the revision. It wasn't because I wasn't losing weight.

Two hours for any stomach, one that's gone through a revision or not is a completely normal time frame. In order to be considered rapid gastric emptying, it should occur within 30 mins +-

I got really sick of the Protein shakes too actually after my sleep surgery, one thing that helps if you like coffee is to use coffee to cut the sweetness, either hot or cold. I like it cold and I mix one caramel protein shake in a tall Tervis cup and fill the rest of the way with cold coffee and it’s pretty good. I actually learned about this after my sleeve, and even though all of my other habits went out the window that was something I was still doing before my revision because it actually tasted so good.

I'm so sorry you went thru all that! Wow! That's a lot to think about. Did you have gerd due to a hiatal hernia? I thought that some surgeons repaired that while they are in there and that would take care of the GERD. Glad to hear you are so much better after the revision.

Hi all, I had revision from sleeve to bypass on August 26th (5 weeks ago), the surgery itself went well, no complications or issues (so far - touch wood!), but I do have a few side effects that I'm concerned about. I had the revision to fix the severe acid reflux/GERD that I was dealing with from the sleeve and to repair a hiatal hernia - the acid is gone!! (I'm so happy about that!) - but, in its place I am now dealing with constipation (with crippling pain), constant stomach cramping (and gurgling, so much gurgling!), and terrible nausea (making it hard to consume anything, but especially hard to drink any protein drinks or zero sugar drinks). Per my surgeon I am taking a stool softener 3 times per day, plus drinking Smooth Move tea at night before bed, and they have me on Zofran to help with the nausea. TMI - my stools went from an olive green, almost clay-like consistency, to a pale beige that floats (in a matter of a few days - keep in mind that in the last 5 weeks I've had maybe 4 or 5 bowel movements). I can eat some food (I'm on week 2 of the soft portion of the post-op diet) without needing Zofran, but if I want to have any protein drinks I HAVE to have the Zofran. I feel so disheartened. I feel like I traded one problem for another, even though I know in my heart and my head that things will get better and I will find a good balance, I'm really struggling. I started back to work yesterday and I find myself disinterested in being out in the workforce anymore (I'm 53, way too early to retire), I just want to be at home in my bed cuddling my pets in an almost constant state of near-crying. I am on antidepressants, I don't feel like the surgery has affected the medications in anyway, overall I feel good mentally, I'm just not used to struggling this much physically and I'm at a loss as to what to do. I've been in near-daily contact with the surgeon's office and they are super supportive and have been trying to work with me, but I don't want to become "that patient" that sucks up all of their time and patience because "my tummy doesn't feel good". LOL You know what I mean? Anyway - not sure if I'm just looking to vent or looking for suggestions or what, I think I just needed to be able to say it all out loud because I can't have these convos with my family or friends without sounding like a constant whiner. LOL Thanks, Christine

Thank you for this post. It meant a lot to me. My bypass is scheduled for Aug 12, and I am on day three of my two-week liver cleanse. Your post just added to my excitement. Thanks again.

I was taking my creon tablets like they were going out of fashion. Because I wanted to absorb nutrients from the food and vitamins I was having. I found some bloating and constipation but nothing major. The part I didn't like is the having to take tablets before eating. Sometimes I'd forget and then have a mouthful of the tablets straight after finishing my food. My issue for malabsorption was MGB, pancreas was healthy so creon was never going to helps, and didn't. I revised from MGB to RNY.

Hello all - Has anyone developed IBS post Gastric Bypass surgery? I feel like my stomach is bloated. I experienced this at one year out last July and my APN told me to change my diet. I’m feeling the same symptoms at almost 2yrs out and wanted to know if this is common. It’s more of a full or bloated feeling with or without eating. No diarrhea or gas. Thoughts?

With sleeve, I don't think there is a real issue when it comes to foul smelling stools. But with mini gastric bypass and sadi etc, it's off the charts.

So pleased to hear this @ShoppGirl. I know you have researched this to the hilt. I wish you all the luck in the world. Please tell us EVERYTHING about your revision. Here for you.

You're probably right; the InBody is likely more accurate than the smart scale, but it’s definitely not 100% either. I totally get where you’re coming from—I’ve also decided to move on from stressing about the numbers. I think I might be barely hitting my protein intake, and that could be part of the issue. Honestly, I feel like I should just be snacking on chicken breast to get those numbers up! I appreciate the reminder about protein and carbs; it’s helpful to know that our needs can change with activity levels. It sounds like you’re really on top of things with your goals. Keeping track of our intake can be tough, especially with everything else going on! f you don’t mind sharing more about your regain, I’d love to hear about it! I understand if it’s too personal, though. I’ve also been curious about why it seems more common to regain after sleeve surgery compared to bypass, especially since so many people still opt for the sleeve despite bypass being around longer. What do you think contributes to that? Thanks for any insights you can share!

Not so much because we need something that gives drastic results, that's permanent and can't be undone, and will be a tool that will help and almost force us to stick to the diet and make good choices. If it's something that can be easily undone, then when it gets hard and we feel like it sucks, we can go in a moment of frustration and have it undone. Not to mention, the weight loss isn't as much, which is something most of us need. At my surgery weight, I was 388. My goal weight was 190. So my excess weight was 198 pounds. With this surgery, I only would have lost 40-50 pounds. That wouldn't have made any sense at all. There are a few articles I saw that had people lose 35% of their excess weight, but that's the exception and not the rule. But even then, I would have only lost 65 pounds. Still would not have been enough. Wouldn't have even gotten me out of the 300's. My heaviest weight was 421 and my surgery day weight was 388. With the sleeve, I lost 113 pounds but had complications and needed a revision. Once I had the revision, I lost another 100 pounds. No way could I have done any of that with this particular surgery, and I'm guessing that's why most of us don't look at it. We need something more drastic. Losing 40-65ish pounds wouldn't cut it.

Ii haven’t had my revision yet but for the sleeve I was told about 6 weeks and I could do exercise. For the revision it’s a little more complex so at the skull part group meeting we were talking about fitness and I said that I needed to do core exercises and the PA said that 6 weeks was fine for them too and the surgeon was right there and didn’t correct him so I took that for myself as it means I’m pretty much cleared at that point for most things. I think they do say to wait a bit longer for weight lifting and one girl asked about roller derby 3.5 years ago. But outside full contact stuff and weights it seems to be 6 weeks that we are healed enough to be safe from outside stuff so I would imagine all swelling and stuff would be gone by then for sure.

Hello I am new here. I just had the roux en y gastric bypass and hiatal hernia repair last Thursday morning. I was 260 going in and I'm down to 250 . I'm on the clear liquids phase 1 and my dietitian said I can advance to phase 2 on Friday. Is it just me or is this liquid diet thing extremely frustrating at times and I get moody too because I do like to drink sometimes on the weekend. I am trying to take things slow but it's such a lifestyle change for me.

I'm 9 months PO and I am having some reflux issues. I am trying to figure out how serious they are and what my next steps should be. The pain doesn't sound as intense as what you've been through, but I can really only keep it from happening with taking a PPI. My PCP advised me against taking PPIs this long, but I have been unsuccessful in weaning myself off of them. I really don't want to have a revision if I can help it, but I also know I can't be on PPIs forever.

That’s what I’m in the process of doing right now it’s going from the sleeve to a bypass. I have three more months of nutrition classes and then I’ll be having my surgery.

Get the revision don’t concern yourself with the negativeness. What’s done is done now move on. Stop beating yourself up.

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.

morbidity rate is 0.3% with bypass - which is super low. These aren't the same surgeries as they were years ago. They're only slightly more risky than the sleeve. Complication rate is really low, too. The most common (other than dumping) is stricture, which happens to about 5% of bypass patients, and that's an easy fix - they just do an upper endoscopy and stretch it out (I had one of those). Dumping happens to about 30% of bypass patients, and you can prevent that by not eating a ton of sugar or fat at one sitting (most dumpers can eat *some* sugar and fat, just not a ton of it at one sitting). I've never dumped, and I know lots of other bypassers who've never dumped, either. yes you do need to take supplements forever because of the malabsorption "feature" (which makes it a more powerful surgery than sleeve). But you get used to it pretty quickly. I don't even give it a thought anymore - taking them is now just part of my regular morning, afternoon, and evening routines, Most sleeve patients have to take vitamins as well - although slacking off on them has more dire consequences with bypass than it does with sleeve. Missing a day here and there - or even a few days in a row, isn't likely to cause problems. But simply not taking them can cause huge problems over time. To be honest, cutting off 3/4 of your stomach and throwing it in the garbage doesn't really seem that less radical to me than stapling across the top of your stomach and re-attaching your small intestine, but I know that thought seems really radical to a lot of people, so you're not alone in thinking that. Although unlike the sleeve, the RNY is reversible (although they'll only do that in extreme circumstances), which seemed oddly comforting to me. I chose RNY because I had GERD prior to surgery - and it did "fix" that. I'm very happy with my decision - I've had a lot of success with mine and no problems other than the aforementioned stricture I had at four weeks out. I'd make the same decision today.

Hey @MrsFitz, I’m a little confused. Sleeve does reduce hunger hormones - where it is produced in the tummy is in the section of the tummy that is removed. Unfortunately, hunger hormones are also produced in the brain which can compensate which is why hunger comes back in varying degrees for both sleeve & bypass.

I had more random scrapes with my revision to SADJ than I did with my sleeve and it was the same surgeon so I thought that was kind of peculiar until I really thought about it. The SADI was robotic and the sleeve was not. My surgeon had many many years more experience doing it laparoscopically than he did doing it robotically so maybe even though the robot is supposedly more precise once it gets down inside of you it’s a little harder to maneuver getting the incisions done? obviously I don’t really know for sure that was just all I could come up with. The good news is I’m two months out now and all the superficial scrapes and scratches are long gone.

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.

How are you now? What were the results of your tests? Are you scheduled for a revision yet? Which one are you doing?

Ok so almost 13 months post sleeve I am just 2.4kg / 5lb from my goal and have already passed the target weight set by my surgeon so I may revise my goal a bit, for a buffer, will see. Anyway here is a picture of me taken on holiday end March 2023 (4 months pre-op) which a friend sent me and a picture of me today in size 8 UK / 4 US (wide leg) jumpsuit. Not brave enough (yet anyway) to share my face.

So I am just over a year out and lost 115 pounds in total. Got approved for skin removal surgery for my stomach, Had that done last Friday I had no idea how much this would hur. My bypass surgery was cake compared to this I can still hardly move anyone who has been through this have any recovery recommendations?