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I am scheduled in less than a week, May 28th for Sadie revision

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

i had my plastics done just shy of 14 mnths post op. i would have done it earlier (at 7 mnths post op when i reached goal) but my surgeon of choice was booked up. i had tummy tuck, arm lift and boob lift in one shot. second best decision ever (after wls, ha). if its worth anything, i understand that further weight LOSS affects the results more than further weight GAIN. but i mean, if you have the means and inclination, you can always have revision plastics if need be.

Do people think they've lost more weight than they hoped to, or are you happy with end weight? Any others who feel they didn't lose enough and what did you do, revision etc for example.

I agree with @swimbikerun. Don't go off of us exceptions. It's actually not common to lose a lot with a revision. Go into it expecting about 50% less weight loss than what you had with your initial surgery. Then if you lose more, it's a pleasant surprise. But if you don't, you're already prepared for that.

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

I had a sleeve and then a year later had to have a revision to bypass due to a LOT of complications. But I had the sleeve for 13 months before I had the revision, so here's what I can tell you. No matter what surgery you have, eventually your stomach will stretch out to a certain point. Will it go back to the size it was pre-surgery? No. But it will become a little bigger than when you first have the surgery. For example: pre-surgery, I would 6 scrambled eggs w/ cheese, 2 sausage patties, 6-8 pieces of bacon, and 2 pieces of buttered toast for breakfast. After surgery, I could eat 1-2 tablespoons of scrambled eggs. Now, I have a 2 egg omelet w/ cheese. I'm 2 years out from my initial surgery and 11 months out from my revision. For dinner, I would have an appetizer, a 12oz steak, loaded mashed potatoes (w/ butter, cheese, bacon, and sour cream), some kind of veggie, a dessert (pie or cake, depending on what was there). Right after surgery, I would have 1-2 tablespoons of hummus and avocado spread. Now I have 3oz of steak and 1/4 cup of cauliflower mash and 1/2 cup of veggies. If I want dessert, it's something with little to no sugar, or at the very least, no added sugar. So while your stomach WILL stretch a little bit (completely normal) it will not go back to its original size. Having said that, if you eat slider foods and a lot of crap, you won't see the results you're wanting. Just eating smaller portions and not making any dietary changes won't get you there. The surgery is a tool and needs to be used as such. Also, make sure you move your body. I was your size, so I know it's hard. Walking, water exercises, chair exercises, walking with ankle weights....all things that can be done at your size while you're losing. Once I lost the first 100 pounds, I was able to REALLY go ham in the gym lol I've lost 190 pounds from my initial surgery date. But I've lost 223 pounds from my highest weight (421). It hasn't been easy, but it's been absolutely worth it.

I had the sleeve almost 10 years ago, and yes, it does get bigger. However, I still can’t eat near what I used to eat in a sitting. For example, I can eat 3 pieces of pizza now. I used to be able to 5-7. It happened over time, though. I second those who recommend therapy. I am about to have revision to RNY, and I have been in therapy for several months to help me be successful this time around. In my case, because I didn’t truly deal with the reasons I eat, I regained almost of the weight. Best wishes to you!!

I had a revision from sleeve to bypass. Best decision I've ever made. But any kind of NSAIDS are a no-go with he bypass. And there are malabsorption issues to contend with as far as meds and vitamins go. But honestly, I wish I would have just done the bypass to begin with.

So sorry about all you’ve been through. I haven’t had a revision so I can’t offer a suggestion about that or share my experiences, but I wonder if your cough could be a symptom of reflux (GERD) especially as the asthma meds don’t work. Has anyone suggested it? If not it may be worth further investigation by your doctors. If it is GERD, a bypass (mini or full) would be the way to go.

yea I’m gonna have to ask the doctor to dumb it down for me because I don’t understand my normal anatomy, nevermind enough for that to make sense to me from just looking at the picture. When I said he won’t touch the stomach though I guess I should have said he won’t resleeve it for the SADI revision. So my thought was if he doesn’t do anything to make it smaller then I would still be able to eat as much as I can now post SADI (which is a lot more than most people on here). I would still have the benefit of less absorption but no real restriction. So maybe the bypass would be a better choice for me after all if it would add the restriction too. I could be overthinking it.

courtesy of google: you can see that the stomach is in fact smaller after a revision to bypass. and main diff is bypass also "bypasses" the pyloric valve, while sadi/ds still makes use of it (as does the original sleeve). ...but how your surgeon would do either surgery "without touching" your stomach is a head scratcher. can you go back to your surgeon and have them explain your surgery to you (with pictures, if need be!). dont leave until you completely understand. while we can offer our knowledge and experience, we are not doctors...and you may get conflicting info on here that confuses you more.

I am pending revision to my sleeve and my dr said he does not do resleeves because of the high risk and occurrence of leaks and low weight loss. I am pending testing to see if I will be getting bypass or SADI. Not sure if that helps or if your doctor feels the same way but it may be a good thing to ask about.

I had gastric sleeve in Mexico in 2008. It was a good experience and I lost over 80 pounds in less than a year and reached my goal weight. My sleeve was wonderful and it was a good decision for me. I kept the weight off with ease until 2014 when I tore my right rotator cuff at work, was put on steroid treatments for almost a year until the insurance would allow surgery. While on steroids and following the first rotator cuff surgery, I tore the left rotator cuff in 2 places ( starting a powerwasher) which required an additional year of steroid treatments and more surgery. In the process or healing the left side, I tore the right rotator cuff again which caused more steroids and physical therapy and another surgery. In physical therapy they caused damage to the nerve in my left elbow which required the nerve in my elbow to be moved into the muscle. This was a very painful surgery and was difficult to overcome, hence more steroids, Gabapentin and pain meds for nerve pain. Needless to say, 2015 thru 2018 was difficult and I began to put on weight ten pounds here and there that I could not take off. No matter what I did, the weight sticks to my mid section and thighs. After trying for several years, I had just given up the battle. I had regained all of my weight by 2020 and am now able to eat just as much as always. I developed a cough in 2012 that my doctors said was asthma. Meds rarely help it. The heavier I get the worse it gets. I am starting to developed sleep apnea and rather than being put on a breathing machine at night, I am determined to get the weight off and then see where I am with sleeping issues. I contacted my doctor in Mexico and requested information on the sleeve revision and they also discussed the Bypass with me. I was accepted to have either one and due to an out of state job I am on at the time, I am tentatively scheduled for revision surgery in mid August. I have until the end of July to pay the difference and elect to have the bypass if that is what I choose to do. I am looking for information on both and looking for surgery buddies that may be having bypass or sleeve revision surgery in August that may want to share information or may have suggestions to help me decide which surgery to elect to have. My surgeon recommended the bypass or the min-bypass as the best option for me at my age and indicated that I would lose more weight with the bypass than the revision. I was recommended to visit this site to see others experiences and suggestions. Anyone out here have any information they want to share?

I second the protein coffee. I had sleeve three years ago and heard all about it but never tried. Now I’m pending revision and decided to give it a try and I love it. To the point I have to be sure I don’t get too much protein because it’s so good. I got out of the swing of taking my vitamins as well and I’m working on a routine now. I take my multivitamin right after my morning coffee (just be sure it’s a whole protein shake or it may not be enough in your stomach to keep the vitamin down). I keep my multivitamin in the kitchen cabinet with the cups I use for coffee now to remind me to grab them. I sit them right next to my iced “proffee” as I’m drinking it so I don’t forget (I’m pretty bad so yes it does take that many reminders). Then I return the empty cup and the vitamins to the kitchen. As far as the calcium I haven’t gotten back into the swing of that yet but I intend to take it with lunch and dinner to make things easy. I think maybe alarms on my phone may be necessary untill I get back into a routine.

Hummm. I was thinking that maybe if they do change it then it would be smaller for me because I swear my sleeve was left too big from day one. The surgeon thinks I just have fast gastric emptying and that’s why I feel like I can eat more but I hope we will know for sure when he does the scope in a couple of weeks. It will be nice if I do finally get an answer as to why I was always able to eat more than everyone else. I was just thinking that even though statistics say I will lose more with SADI revision that I may be differnt if one involves changing the stomach and the other does not.

I don't think there's really a difference in how much you can eat. At first you probably won't be able to eat as much because you'll be swollen from the surgery for awhile, but after that - I don't think so because I've known several people who've had revisions, and I don't remember people mentioning that.

Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

I had a revision to rny in my sixties in 2021, It went so smooth and still going smooth. Really was the best thing that I've ever done for my health.

I am pending revision and just started with the Baritastic app too. I like it. It’s super easy to use. Set reminders to take your vitamins. Soon you will find yourself remembering to take them and silencing it before it goes off but a recurring reminder will prevent slips.

They reduced both my pouch size and the size of the opening during the revision. That's why I'm very puzzled by his comment that you wouldn't lose significant weight after the revision. It just makes no sense to me.

I'm not sure...surgeon just said that tightening that opening alone would not cause major weight loss. Unsure if during a full blown revision if they also reduce the size of the 'pouch' and tighten that opening. I would think 'pouch size' is a possible element as well but this doctor did not elaborate, I'm assuming since the goal of my revision if not to lose more weight maybe? If I ever get time with him outside of the investigation in the OR, I will ask.

OMG you have been through the wars. I am so happy that you finally got the right diagnosis. I hope you have an easier life after the new surgery. You have found the right forum. There are a few revision patients in here for you to chat to. Sent from my Lenovo TB-J606F using BariatricPal mobile app

WarrenInEC, I saw the bariatric revision surgeon. He doesn't think it is dumping and said that the upper and lower GI done would not have taken an image of the inside of my pouch so there could potentially be an internal hernia. He suggested possible laparoscopic investigatory surgery in a couple of weeks. He said a revision to tighten the opening wouldn't necessarily force me to lose more weight, which is perplexing to me but I'm not looking at it as a solution to lose weight, I just thought that would come with the "package". I'm assuming the reason I still feel restriction when I eat is simply because of the 'pouch' then. I thought I understood all of this 5 years ago when I had the surgery, but I obviously did not comprehend everything. Well, we'll see what the next few weeks brings... I assume you had a revision then as that is a big difference in the opening size..lol. If so, what was it like?

Hello I'm new here... 11 years ago I had gastric sleeve. Had Great success from 205 to 135 then after a horrific time in my life " DIVORCE" I went to 123 lbs. Then got divorce finally over moved to New state, have new career and put every lb back on and at this age weight for a women much harder to lose. I tried my old diet pills QYSMIA and ozempic lost 30 lbs 4 mths ( made me horribly sick) stop and put wt back immediately with diet pills kept getting sicker and sicker back on diet pills and nothing. For over 6months Gerd and reflux so bad when sleeping and anytime I was sitting or laying down. Couldnt eat many things. After several doctors endo and colonoscopy. I Went to ER with chest pain Heart burn so bad thought i was dying i was admitted for srveral days. A great Doc finally did another endo and found issue referred me to a fantastic bariatric surgeon. You name it I had it my stomach was pushed into my esophagus from hiatial hernia. So had to have surgery immediately. Revision repair of sleeve, duodenal switch, hiatal hernia. 5 hour surgery. It took a few weeks and some ups and downs. After surgery Stomach ulcer unknown Bleed, blood transfusion and 7 days in hospital I'm 3 weeks post op and on the mend. Feel Great. I definitely need a support group.