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I had severe acid reflux with the sleeve, and had to get a revision to bypass. Before that I had a few instances of GERD but nothing serious. So please seriously think about this because if you have the slightest history of GERD, You're risking having serious acid reflux in the future, and then having to go through a bypass revision just to stop it. Having been through both, it is a very similar recovery period. No side effects, for me at all after revision.

I didn’t have band either, but I had the sleeve and gained it all back. My surgeon explained that obesity is very complex and for many people the sleeve is great and it’s less risk so they go with it when they think it is appropriate but it does not offer the same metabolic changes as the bypass or the SADI (which is what I revised to) that some people need in order to be successful. I believe the Lap band offers even less metabolic changes than the sleeve, if any. Basically with these surgeries mostly everyone will lose weight, it’s the keeping it off part that’s difficult. And that’s when you need a surgery with enough of a metabolic change to help you long term. I am 2.5 months out from my revision and I was so worried about the same thing, losing it only to regain again but I can already tell that there is more or a metabolic change. I mean I am exercising!! Me….everyday!! That never would’ve happened without this surgery. Healthy foods taste better and my mood has improved. I have tons of energy and motivation. I never got that with the sleeve. The bypass has been around for a very long time for good reason. For me the sleeve and SADI difference has been night and day. I think you will find a similar experience with your Bypass.

Hello, I am new and want to introduce myself. I’m Gina and I am 13 days post op. I had the SIPS procedure and hiatal hernia repair. I had Gastric Sleeve in 2019. Reached a plateau, switched from Kaiser to United Health Care - Sutter Health (N. Ca). Five years ago my pre surgery weight was 286. My pre-op weight on January 10 is was 230. When I was still under Kaiser, I contacted my bariatric team about having revision surgery and they advised me to just stick to a thousand calorie diet and that I was not eligible for revision surgery. My family and I had to switch healthcare providers and I joined the weight management in nutrition program at Sutter Health, and I was immediately referred to a Bariatric surgeon who recommended a revision! I was pleasantly surprised, because I was not even going to ask because of my experience with Kaiser. So here I am 13 days post surgery and looking forward to reading about your experiences. 🙂👍🏼

Hi everyone 🩷 posting here as well as in the revision surgery forums in hopes to get a discussion going. I’m considering having revision surgery and have an appointment with my doctor next week. I’d love to hear some of your experiences with revision surgery, what surgery you ultimately went with for the revision, the process and road to your actual surgery date, post op experience - anything you’re willing to share ☺️… soo lay it on me ! The good, the great, the bad, and the ugly! I had gastric sleeve surgery and lost about a 100 lbs and kept it off for about 4 years but since having a baby about 2 years ago I’ve really been struggling with my weight again. Gastric sleeve to bypass seems to be the most popular route however I also see that some people have had other surgeries done such as a duodenal switch. Just curious as to how you and your doctor decide which surgery is best for you. TIA 🩷

Hi!! We had the same revision date due to GERD as well! I hope yours went well if you decided to do it! i felt very similarly to you when they gave me the option of revision. I didn’t choose gastric bypass 12 years ago for a reason! However, if I had known how bad my GERD was going to get, I might have made A different decision. Back then I wasn’t even told that GERD was a possible side effect. Anyhow! I just wanted to say hi and check in since we are revising date buddies.

I have the sleeve and my starting weight was 297 and I am 5'9. It has been super successful! I am already maintaining my weight and I haven't had any issues with GERD, or anything like that. I might be a lucky one- not sure. Just depends on what your needs and health issues are.; I chose the sleeve because I did not want my intestines re-routed, I did not want to prohibit the usage of NAISDs, the lack of absorption of nutrients and the dumping syndrome. I know there have been many many people very successful with the bypass and glad they did that, and those who had to revise the sleeve to the bypass! I would just do your research, its took me a couple of months to figure out which one I wanted.

Hi everyone ! I am a newbie here and English is not my first language so please, bear with me 😛 I am a 24-year-old college student and I'm getting a ByPass on Sept 11th but my classes start on the 14th. I am fully aware I won't be able to go back to college literally 3 days after surgery, obviously ... but I was hoping that I could go back on the 21st. What are your thoughts/opinion ?

I had to sip for a good 6-8 weeks when I had my sleeve. I really struggled with the sleeve, and ended up with a revision to bypass a year later because of complications. I didn't have to sip at all when I had the bypass. I finished an entire 20oz bottle of water the day I had the revision in 2 hours in the hospital. When they saw that, they unhooked me from the IV because they saw I was getting enough fluids lol

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.

Well your not totally off base if your okay with the bypass. It’s a little more aggressive so it carries with it a little more risk than the sleeve. The reason they do the sleeve I believe is because it’s a bit safer and it is adequate for many people to lose and keep it off but there are some (like me) with regain that need a revision and some that need revision because of GERD and other complications. I would ask the surgeon what percentage of patients need revision because of inadequate loss and/or regain and what percentage for GERD. I believe I read somewhere that it’s 26% need revision but I would definitely not swear to it and I am not sure if that was just for weight or for complications too. I think even if you do end up having to wait it is a good call to get all of your questions answered and feel confident in your decision that it is what’s best for you.

I had gastric bypass in July of 2019. Highest weight was 400 before losing a bit on my own. Current weight varies from 167 to 173. I still feel some restriction to this day. My meals are usually small although I know we can all 'eat around' the restriction by eating smaller, but continuous meals and this was a slippery slope I fought back against. About 2 yrs ago, I started experiencing right sided pain. It felt like the pain I used to feel when I ovulated so I assumed it was ovarian (post menopausal). Saw OB & had 2 ultrasounds and they couldn't even see my right ovary (like, where did it go?) and the left was fine. Since they couldn't 'see' the right one, they said that was good since there was no obvious signs of..I don't know tumors, growths? The pain continued to worsen & I finally had gall bladder taken out about 1.5 yrs ago. I adjusted diet again to deal with gal bladder being gone and things seemed to go ok. A ew months after that the right sided pain returned. About 4 mos ago, the pain got so bad at times I'd be in a ball on my bed considering going to the ER (which I HATE doing). Went back to primary and he sent me for CT scan. CT came up with no findings. Then he referred me to GI doctor for colonoscopy and upper GI. I thought finally 'this was it, we've ruled out most other things'. I also had seen blood in my stools and it was old blood, like coffee grounds so I thought ok, not hemorrhoids? Just got back home from colonoscopy & upper GI. I thought doing the prep was bad 10 yrs ago, but it is much harder having had bypass surgery. Good news is they found no polyps or other concerning things. Bad news is I was stunned their main finding was regarding my bypass "Patient's surgical anastomosis was noted to be widely dilated, raising the possibility of Dumping Syndrome as a cause for her complaints". OK, most know what dumping is. I thought it was post surgery when we ate food (i.e. sugar, high fat) that processed too fast or was too much for us to handle. They recommended I see a gastric bypass revision specialist. My question is, has anyone else had a revision NOT due to their 1st bariatric surgery not being successful but for a "medical reason" like this (other than GERD, heartburn). I'm not even sure insurance will pay, but I have 2 yrs worth of history on this pain. Even it if does pay, I dread what this means for me - even more hair loss? If I do this, will I need another revision in 5 yrs again at which point I'll be getting up there in age. I've also wondered with the CT scan, etc. is there any chance of some straggler/stone from my gallbladder surgery 1.5 yrs ago that should be considered? Should I post this in the revision group instead? I read through some and was unsure. Are we allowed to cross-post? Any input would be appreciated. This is causing issues on my job as the pain hits out of nowhere (not X amount of time before OR after a meal, that I have been able to discern. Thank you!

I had a revision to bypass from the sleeve a little over a year ago because of complication from the sleeve and my only regret is that I didn't just get the bypass to begin with. I was so afraid of the complications that I chose the sleeve and regretted it almost from the very beginning. I have not had 1 single moment of regret with the bypass. I've only had dumping 3x, and since you should take vitamins anyway for health, and since I always took them anyway, it doesn't bother me at all to keep taking them. The malabsorption really hasn't been an issue. It's really just for extended release meds, some vitamins and supplements, etc... You just take extra or take it at 2 different times during the day. It's a lot less overwhelming than it seems. My life is actually SO much better and easier since I had the revision.

I don’t think anyone here has had a bypass?? I had a sleeve and I’m revising to SADI but my surgeon suggested the SADI for me because the risks of leak are less and the risK of malnutrition issues are less than The traditional switch.

Surgery went well - it took me the rest of the day of surgery to have some conciousness. I do not understand why they begin to attempt to get you out of bed when you are still under the influence of the anesthesia and can barely keep your eyes open. The next day was much better and I was able to walk slow laps around the floor. My surgeon had the staff provide me with a stomach band that wraps around and closes with velcro which helps tremendously hold my abdomen stable when up and walking around. I still have lots of swelling and I am about 7 lbs heavier (per scale) than on surgery day due to the swelling, fluid etc. I hope that within this next week most of that will subside. Weight DOS - 195 Today - 202 I am staying on target with protein/fluid requirements 60g/64 oz - I was given Boost Glucose Control Max in the hospital and decided to get a pack of that as well as a pack of the Premier Protein Shakes both 160 cal/11oz/30g protein. I had an issue of jaundice while in hospital and upon coming home my face and body had a distinct yellow tone. My blood work had elevated as well a low levels due to surgery. I looked up my pain meds which all had an effect on the liver and could cause levels to increase. I made the decision to stop these pain meds. I was also given liquid Oxy which I was able to take a couple half dose to help with the pain. This morning I was able to get away with Tylenol (powdered). My skin looks like it is getting back to narmal as well. I am not saying it was the medicine, it could have been just the trauma of the surgery and or a combo of both, I followed what I thought was best for me. I don't have an appetite which I am not complaining about at all & I am consuming my nutrition one sip at a time. I'm anxious to hear how you guys felt 2-3 weeks after surgery with the swelling , fluid weight etc. ❤️

Did you ever have your procedure? If so, how did it go? I never knew there was a revision for the bypass. I had a revision from the sleeve to the bypass, so it's nice to know if I ever need another revision down the line, there's an option.

I am scheduled for a revision. I am having my sleeve revised to the SADI on 8/7/24. I am incredibly nervous. Second guessing whether i should just go with the bypass since it’s more common. I have an appointment with the NP on the 19th. Hopefully she will help calm my nerves a little.

I'm in Ireland and our healthcare system is totally different. Might your first port of call be your GP? They should know what is allowed on the NHS and what isn't. Also I had a sleeve and I know that can be revised to bypass but not at all sure what the options are for a revision of bypass. But someone more knowledgeable will be along soon. I'm so sorry that having stuck to the rules and lost so much weight your medical condition has contributed to a regain. This is every bariatric surgery patient's worst nightmare. I hope you can get back in control.

Oh thanks for picking that up, revision is what i ment

Basics: GENDER, AGE, HEIGHT F, 45, 5'5" Total Weight lost in the 6 months BEFORE surgery (if any) 33 pounds Weight on DAY OF SURGERY. 388 pounds (day of sleeve surgery) **13 months later** 275 pounds (day of revision surgery) I am 2 years post op from sleeve and 1 year post of from revision to bypass Type of Surgery (Sleeve, ByPass, etc...) Gastric sleeve and gastric bypass

For the sleeve, I was told 6 weeks and I was cleared for everything except weight lifting. I was cleared for that at 8 weeks. For the revision to bypass, I was told since that's a longer and more involved surgery, I was cleared for everything at 6 weeks except weight lifting, which was 10 weeks. And nothing full contact until 12 weeks, although I don't do that anyway. Swelling for the sleeve was gone by 6-7 weeks. For the revision, about 8 weeks.

Mine was due to complications from the sleeve. I had gastritis, esophagitis, and horrendous gerd. I was taking such high amounts of PPI (80mg of Nexium per day plus Pepcid and TUMS for break through gerd) that I developed so many polyps throughout my stomach it took 4 endoscopies to remove them all. Had my revision from sleeve to bypass and have been great ever since.

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.

Me 🙋‍♀️ I always drank cow's milk. My entire life. Never had an issue. After my sleeve, I switched from full fat to 2% but was still fine. HOWEVER, after my revision to bypass, I became COMPLETELY lactose intolerant. I drink almond milk now and use non dairy cheese and nutritional yeast. Anything dairy gives me all kinds of problems now. I developed a few food allergies after my bypass that I never had before. Super weird...

I would ask about the GLP-1 first and if that doesn’t fit for whatever reason then consider revision to Bypass or SADI. I am 3 weeks post sleeve to SADI revision and down 29 pounds. We had similar starting weights although I’m a bit taller than you. I was 235 when I did my sleeve and i gained it all back plus some so you are in a better boat than I was. Since you have alot less to lose that I did and you have kept a big chunk of the weight off I personally would try the GLP-1 first if it’s medically appropriate but that’s a decision your doctor will be able to help you make.

As of this morning, I'm down 71 lbs. from my revision surgery.