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I just noticed that you are talking about a revision. With the revision there really are more than just the main options. They will most likely do a few tests beforehand to get the best picture of what’s going on inside. I had a endoscopy, a barium swallow study and. A gastric emptying study.done before we decided for certain that the SADI was right for me. Some doctors will convert a bypass to Sadi I believe but they can also do something to revise only the pouch. I forget what they call that. Honestly when I comes to revision I know this isn’t exactly true but it almost seems like they make it up as they go 😆 they really do get a good look at your very unique circumstances and take all the knowledge they have from all the procedures they can do and come up with a plan that will work best for you. The names for the surgery get really difficult at that point because really what they actually do from one revision to the next is going to vary depending on the patient and the surgeon. Some surgeons for instance would’ve made my pouch smaller during the revision. Mine doesn’t think it’s worth it given the risks it brings. I would really recommend that you get started with a surgeon and see what options they even offer you and if you don’t love them maybe even get a second opinion because not all surgeons will approach it the same way and some don’t perform all of the procedures there are to offer either.

[MINI GASTRIC BYPASS THREAD – PLEASE CONSIDER YOUR SURGERY AND EXPERIENCES MAY NOT APPLY TO MINI GASTRIC BYPASS PATIENTS] Hi all BP’ers and lurkers out there; especially hi to everyone who had the mini gastric bypass (AKA the one-anastomosis gastric bypass/single-anastomosis gastric bypass/omega loop gastric bypass) It’s my surgiversary! I can’t believe it’s already been a year. But what a year it has been. Man. I wanted to share a lot of thoughts about my journey – there’s not a ton of MGB patients out there yet, and especially not in the US. I’ll admit I’ve been working on this for a while, because I want to share the good word about the MGB and contribute some of the things I simply cannot find out there. Well, now I know, at least how it’s been the first year for myself. So that’s my small contribution. Below, I’ll post the following posts individually so it’s easy to browse for anyone new: The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB? My journey to weight loss surgery My weight journey for a year after the mini gastric bypass My diet and calories – stages + what does a typical day look like after a year? Exercise – what and when and how much? Alcohol and MGB What I wish they had told me prior to surgery Setting a goal Why I think you should consider the MGB What it’s like being a mini gastric bypass patient on BariatricPal – what I found useful, and why I needed a pause from participating on the forum What now? I hope you’ll find some of this enjoyable.

Right now, you're having liquids, so feeling full won't really happen. It does for some (when I had the sleeve it did, when I had the revision to bypass it didn't) but not all at this stage. You had a lot of nerves cut, so you won't necessarily get the "I'm full, stop eating" signals right away. So you just have to be mindful of how much you're eating and how often until you're healed enough to start really feeling it.

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.

I did the TORE revision to my RNY and have had good results. Just got approved for Saxenda yesterday, so hoping to kick the weight loss into high gear in the new year!!

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 sleeve revision to SADI (just the bypass portion) and I am really happy with my decision. My surgery was August 7th so I am about 2.5 months out and including my preop loss I have lost 55 pounds. I am over halfway to my goal. I have been eating 100% on plan though and exercising a pretty great amount (2.5-3 hours a day). The revision surgery gave me the metabolic Hca Hes tk actually do Al of that though. I never exercised or prepared fresh homemade food with my sleeve. Didn’t have the motivation. It made a pretty huge difference for me. Did your Dr do a endoscopy, barium swallow and gastric emptying study? Mine did those tree before deciding I was a candidate for SADI or Bypass. If the sleeve didn’t work for you long term then I would probably lean away from a ReSleeve. Just thinking why repeat history. Try something different but that’s just me. The research does say that the loss is more durable witb the SADI revision than the Bypass. Not certain about the ReSleeve but my guess is that too since the Virgin Sleeve doesn’t have the best statistics for durability. Also, resleeve is kinda risky. My Dr said he wouldn’t touch the sleeve with the SADI not because of my BMI but just because he doesn’t think it gives that much more benefit to justify the risks so that’s something to look into as well. Ooh and if you do have coverage for the GLP-1 and you can tolerate them, they do work. They don’t have to be long term for everyone either. If you take the time on then ti make real lifestyle changes you may be able to go off of them and maintain. Ibvuously If you just eat a few French fries for your meal you will lose, but will obviously eat more when you don’t have the meds but if you genuinely change your habits then people do maintain the loss. I have a friend that is almost to goal and she has been asking me for advice of what foods to choose to be sure to get her protein in. Kinda odd because she is smaller than me but I have heard a couple success stories with them. My friend has to force herself to eat. It’s a chore. If you do go that route, talk to your doctor about staying on the lowest dose that works for you. That’s the thing that many bariatric doctors usually recommend and it makes sense to try to avoid the side effects. . And some people go onto a maintenance dose after they reach their goal if they need it. Also, see about a three month supply when you do get to the dose that works because for my friend it’s cheaper that way. I strongly considered them but I didn’t have adequate coverage. I even considered postponing to see if things would change but my family Dr advised against waiting since these things can take a long time. There are pros and cons of each option but do your research. This is a good start but make anothet appointment with you surgeon if you have more questions. I did several before I decided. You probably only have this one more shot at this. Not a lot of surgeons will do a second revision ooh and that is one thing to consider if you do go with SADI, it’s newer so ask your surgeon if you had a complication god forbid what you would do. Mine actually brought it up that he would send me to another hospital to someone with more experience with the surgery. I mean obviously he would stabilize me but if I needed a revision because of malnourishment or something he would send me elsewhere. I kinda respected the fact that he would admit what his limits were and appreciated it but maybe you feel differently about that. Or maybe your surgeon is fine with revising if necessary but I would for sure ask.

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?!

Hi everyone 🩷 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, 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 lost about a 100 lbs and kept it off for about 4 years but since having a baby 2 years ago I’ve really been struggling with my weight again. TIA 🩷

Is it a low dose PPI? If so it may be okay to stay on long term. I would ask your surgeon. I have been on a 20mg Omeprazole since after my sleeve and when I had a revision for weight gain I went witb the SADI knowing that I most likely will need to stay on the Omeprazole for life. My surgeon said it would be fine for me. I’m sure if he thought that there was any concern that he would’ve steered me towards the bypass. He left it up to me. He keeps his patients on them for a time post surgery anyways so I haven’t tried without it yet. They also may want you to try Famotodine if you are concerned about the PPI’s (it’s Pepcid). I tried the prescription version which was 20mg before my revision but it didn’t work. I just switched back to the Omeprazole without even asking if there was a stronger one since I knew I was gonna have to switch soon for my surgery anyways Maybe it will work for 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.

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?!

Ask him about the statistics of long-term success with the sleeve. The sleeve is great for many people don’t get me wrong, but I believe it was 26% of sleeves that need to be revised. If I’m not mistaken, this included because of Gerd as well, but also inadequate weight loss to begin with or weight regain, which was more common with sleeve than with the other surgeries. When I talk to my surgeon about revision, I wanted assurances that I wasn’t just wasting my time going to lose all of my weight. Only to turn around and gain it back and he said the sleeve does not have the same metabolic changes that the SADI or Bypass offer. While the. Sleeve is enough of a change for many people it’s just not enough for some. In my case when I lost my weight, I was basically on a diet with the sleeve which was a little bit easier because I wasn’t hungry, but once the hunger came back, so did the weight for me so this may be different for you because you did keep it off for a while, but I would ask what the statistics are in terms of people who gain it back down the road with sleeve is that more common than with the other surgeries? I guess one kind of pro for doing the sleeve would be that if you did regain the option for a revision would probably be a lot easier. Not trying to say that you want to think of that before you even start but it is a possibility for all of us I guess. It’s a lot of questions and a lot of information when you start weighing more than two options especially but just be thorough and ask all your questions you will know which option is best for you once you feel educated about them all. Best of Luck.

They may still consider you for the sleeve even with GERD. It’s gets super complicated and I don’t understand how he knew exactly what was causing what but I have MILD GERD post sleeve and I take only 20mg Omeprazole which controls it. The surgeon said if I wanted to revise to bypass I was good to go but if I wanted to revise to SADI that he had to do some tests first. He did a Endoscopy which found a hiatal hernia but because of my sleeved stomach he wasn’t able to turn the camera to get a good angle to determine the exact size of it. He then ordered an upper GI (I think that’s what he called it, but some call it a barium swallow test) and also a gastric emptying study). Then when he had all the results he said that the hernia is very small and he wouldn’t even repair it. Anyways, i will still have to be on PPI’S but he thinks they should control the GERD after the SADI. Many people choose the bypass so they don’t have to take the PPI’s again or if it’s so bad that PPI’s don’t always work but being able to take the occasional NSAID and the better weight loss statistics made me choose the SADI over the bypass anyways. That being said, just be aware going in that there is a percentage of people who need a revision post sleeve because they have inadequate weight loss or regain by like 3 years out. Your surgeon should go over all that with you. I have seen a few people on here say their insurance does not cover revision surgery so that’s something to consider when you make your decision. I hope I didn’t add to your confusion but it is a big decision and the more info you have the better to know what to ask at that appointment with the surgeon. My surgeon did not make me decide at the first visit either. I got to ask the NP questions every month at my weigh in and then decide which surgery I wanted (for my sleeve, the process for the revision was a little different).

I agree with sticking to the portions you are permitted by your team. . I had a sleeve in 2021 and then revised to SADI recently and because they didn’t operate on my stomach this was particularly hard. It wasn’t that I was physically hungry and wanted more. It was just that my brain couldn’t get past how tiny the portions looked because my stomach was never operated on for the revision and it did not feel full. Probably Similar to what yours may feel now without everything healed quite yet but just because it doesn’t immediately hurt doesn’t mean it is not hurting your healing insides. We don’t want any Emergency Surgeries on Thanksgiving for sure. ❤️

Thank you! Yes, this was a revision from sleeve to bypass.

@ShoppGirl just had a revision to Sadi. She’ll likely respond to your post but you could message her too and also read some of her posts about it. She struggled to find much information and personal stories from others who went through the same revision. Keep us updated about your experiences.

Great suggestion to call the surgeons office if you feel yourself wavering and ask if they can fit you in because you have a few more questions. I went to THREE additional appointments over the normal requirement until all my questions were answered. I was wavering between the bypass and SADI revision though and It was a really tough choice for me and because it’s so new there was little info online to answer the questions. Also as @Arabesque suggested they may be able to give you an anxiety med to relax you the morning of before you go to the hospital. I didn’t even think of that.

Hey all. I'm new here. Had a lap band installed in 2013. I've failed it. Gained it all back. Bypass scheduled in a month. I'm so worried that I'll fail this too. Any failed lap band to bypass success stories out there?

I got the sleeve done in 2010, lost a hundred pounds and then had 2 babies which basically stopped my weight loss. I have gone back to the yoyo effect between 200 and 245. I'm currently 243 and just want to get the weight off. I have severe sleep apnea and gerd that wakes me up sometimes from stuff in my throat.. Has anyone who has tricare select be able to get a full bipass after getting the sleeve? I had tricare prime for the sleeve. I called and they told me that one 1 biariatric surgery is allowed. Thank you in advance!

A couple of things. I have never heard of anyone having a sleeve and not spending 1 night in the hospital. It was done as a same day procedure? And it should have been done in a hospital. Was it done in a surgery center and not the hospital? If so, why? When I had my sleeve and later my revision to bypass, BCBS paid for both. Why did they not pay for yours? Typically if you're self pay, insurance won't pay for any care pertaining to that procedure if it was something they already wouldn't cover. Have you reached out to the surgeon who did your surgery? What did they say about the complications? And I guess I'm confused about how an artery was knicked and nobody noticed for 10 hours. And yes, if you had a sleeve and it was billed as a lap band, it most definitely needs to be corrected.

I sent my surgical team an email to say I would like to be considered for the bypass instead. My fear is that this will put me behind schedule and they will schedule me for next year when as it is the surgery is a month away. I don't want to feel like I'm going backwards, which is how I would feel if they had to reschedule my surgery, but I want to set myself up for the most effective way forward. Maybe the surgeon will reassure me that the sleeve is the best option for me? I don't know. But I should definitely have the conversation. Barring a complication, I don't think revision surgery will be possible unless I win the lottery and go private.

I had a revision from sleeve to bypass (hence my name on here lol) because I developed such severe gerd that I was taking the highest possible dose of PPI in the morning and at night. I developed gastritis, esophagitis, and so many polyps because of the high doses of PPI over an extended time that I needed 4 endoscopies to remove them. The surgery to the bypass was so much easier in terms of recovery. Like night and day. I wish I had just done the bypass to begin with. I was losing weight really well with the sleeve, but I ended up not being able to work out anymore, couldn't eat well at all (or normally), had to be so so careful what I drank, couldn't sleep, it was all just a big mess. I don't, for one minute, regret my revision. Not one negative thing about it at all. I would absolutely do it again. Had I decided not to do it, my quality of life would be in the toilet (already was, really). High levels of PPI over a long period of time can really cause problems, so if that's what you need in order to not have the gerd affect your daily life, that will likely backfire on you at some point. Personally, I say seriously consider the revision.

I never had reflux or gerd so I was a fantastic candidate for the sleeve. And after the sleeve, the gerd was so bad I was on 80mg of Nexium TWICE per day PLUS pepcid for break through and TUMS if really needed (and I was always doing all of it, sometimes still with no real relief). I developed so many polyps from the incredibly high amounts of PPI over a long period of time that I needed 4 endoscopies to remove them. I also developed gastritis and esophagitis. I was told I had no choice but to have the revision to bypass. So 13 months after my sleeve, I was back in the hospital having the bypass. The recovery was SO much faster and easier, the gerd was cured almost immediately, getting my fluids down was so much easier, my only real regret is that I had the sleeve at all. I just wish I had gone straight to the bypass to begin with. If you already have gerd, I STRONGLY advise at least thinking about the bypass instead of the sleeve. The bariatric surgeon may not even give you the sleeve as an option, so maybe start considering the bypass as a viable choice.

Hi, I’m a sleeve revision from 2020 gained back 50 of 100 lost and I’m scheduled for the sedi on 10/24.