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As I am just a few days away from surgery I've come across many stories of revision procedures. For those who have had to do this or know someone who has... I'm curious what some of the reasons were ?

Like @Catwoma62 said it’s a switch surgery similar to the DS but the bypass portion of it is modified to make it a little less risky. It fairly new but they are starting to find it to be a good alternative to bypass. little as a revision to a sleeve. It’s a little more aggressive than bypass but the research is suggesting that the weight loss as a revision to bypass is not consistently great and with SADI revision it’s a little better. Plus the ability to keep weight off long term is believed to be better with the SADI revision. Not all surgeons do it yet and many will not reduce the size of the sleeve when they do a revision so they will do some tests to look at your sleeve first to make certain that it is still in good shape or it may not be the better option. There are many other factors in terms of which option is best and the surgeon is best to help you decide but it is another option to ask them about.

it's 50% of EXCESS body weight - not total body weight. Also, a 10-20 lb rebound weight gain after hitting our lowest weight is VERY common - it happens to the vast majority of us, usually in year 3. In fact, that's why I intentionally went under my goal, to account for that very common 10-20 lb bump up. (and like you, for most of us it just kind of happens without much "effort" on our part - it's basically your body settling in at a weight it's comfortable at) so everything you said is completely normal, and certainly not indicative of failure. That said, if you DO want to lose more weight, then yes, a revision or something like a GLP-1 would likely help. But you certainly didn't fail the surgery.

I think this also depends on what NHS Trust your hospital is in. My Hospital only does Sleeve or Bypass, no GLP-1 or revisions. Other Hospitals will offer Sleeve, Bypass, DS and GLP-1 etc. I think the best bet is to start with your GP.

Hello and welcome. I am three weeks post sleeve revision to SADI and doing well. I’m sure people will be happy to hear your experiences and will be here to cheer you on during this phase of your journey as well.

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.

I agree with @NickelChip, you’re not a failure. Not just from a statistical perspective but also from the perspective that you lost weight & kept it off for a while. That in itself is a success because we know how hard it is to lose any weight at all let alone keep it off for anything more than a week. Yes, there has been some discussion around the long term effectiveness of the sleeve but I think it could be said of any of the surgeries - it may work for some but not all. And what sometimes defines as a success may differ too. Too many external and internal factors can affect how successful you are in the short & long term too. I had my surgery when I was almost 54 because peri menopause & then menopause did a number on me & my weight. Quickly pushed me to my usual high weight then I swear overnight, to my all time high of 91kg, (Hormones are the gift that just keep giving whether you’re producing what you need or your production is decreasing as you near &/or are in menopause.). So yes, being in peri menopause or menopause could mess with your weight. I’d get in touch with your surgeon and ask him about a revision, GLP-1 meds and any other options. The fact you are ready & want to do something is such a positive position to be in. All the best.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

Hi, I just had a four year surgiversary yesterday. In the first two years I made it down to 185-187 from 252. I did the calculations, and that was only about 25%-26% of my body weight lost. Doing the research, I've found that anything less than a 50% weight loss in the first two is generally considered failure. I maintained around 185-190 for over a year, and then gained 20 pounds seemingly overnight without changing much--we all have our lapses, but this was not enough to explain a 20-pound weight gain. Also, I am approaching The Change, so maybe this is part of that. All I know is I'm frustrated, and I'm not even sure that my initial surgery was successful. I guess I'm asking what other members of The Order Of The Sleeve who got sleeved at late 40s-early 50s have experienced. I plan to talk to my PCP, but what do you think? Should I consider revision based on the initial results? Would it even be worth doing at this point?

Ooh I’m so glad to hear you have some guidance now that makes you feel confident that you are doing what’s expected of you. That makes all the difference in this journey I am doing really well. Tonight is my first in person support group meeting and I will be three weeks tomorrow. I feel like I have a pretty good handle on the purée diet now and i get to move to soft foods on Monday. That’s a little more scary for me with being a revision that didn’t not involve them operating on my stomach because I do not have the feeling of that was not a good call like the rest of you do to slow me down. Yet at the same time my intestines still need time to heal so I’ve got to be disciplined and return to food slowly. I am pretty anxious so I may end up getting there a little slower than the rest of you but I guess that’s better than too quickly.

Hi! I'm new to this forum but definitely not new to this journey! I'm a mum of three adult kids from Newcastle region in NSW Australia. I'm an RN and have gone back to University for more torture (learning lol) I was sleeved in August 2021 and was successful in losing weight for 6 months before I plateaued and then stopped. After extensive investigations from my surgeon and other surgeries, I was booked for a revision and underwent my mini bypass with single anastomosis on 19th August 2024. I'm recovering well and would love to provide support (but not medical advice) to others who are considering undertaking any kind of weight loss or bariatric type surgery.

Yes. I am 2.5 weeks post SADI revision surgery. The majority of us on this thread have already had our surgeries since we are getting to the end of August.

Ooh. I have been on the bariatric multi for a few years since I am a revision Although it is a different brand currently since I needed chewable for a while immediately post surgery plus we do have new allergies post surgery sometimes. I will definitely keep it in mind if it continues to happen. Thanks

Ok what??? HOW??? I was staying between 177-179 for the last few weeks so I thought I was FINALLY at the place my body was setting at. Apparently not!!! I've even increased how often I eat. But it seems like the more I eat, the more I lose. The less I eat, that's when my weight stays pretty much the same. And that seems pretty messed up to me. So I have to starve myself to STOP losing weight but if I eat well I'll keep going lower??? What??? I don't WANT to go lower. I was supposed to stop at 190!! Make it make sense, cuz the math ain't mathin. Just had blood work done. Other than being anemic (thanks lupus!!) everything was normal, including my thyroid. My nutritionist and I got my calories up to 1600 per day when not working out and 1800 when I am. Protein up to 90g on non work out days and 120g on work out days. Carbs are trickier since I'm super sensitive to them, but we got them up to 35g on non work out days (up from 20-25) and 45g on work out days (up from 35). Healthy fats we upped to 70g on non work out days and 100g on work out days. My fluids are always good. Normally I drink around 80 fl oz on non work out days and 100+ on work out days, which 20 of those being an electrolyte drink like Prime hydration, Propel, or Gatorade zero. Being that I'm 2 years and 4 months removed from my 1st surgery and 1 year and 2 months removed from my revision, she's really surprised that I'm still losing. I said "You and me both, lady. Now how do I make it stop?" She said to just keep doing what I'm doing and hopefully my body will eventually hit it's set point and stop on its own. Um...what?? I'm now 15 pounds below my goal. I understand the whole "bounce back weight gain" or whatever it is, but that can't happen until my body finally picks a weight to settle at. I really don't like how I look at this point, and it's frustrating that nothing fits...again. I know it seems crazy to complain about this kind of thing, and believe me, I never EVER thought I would be the one doing it. But something's gotta give, you know? I'm really starting to look sickly, and in my line of work, that's not a good thing at all.

I had sleeve 3.5 years ago and I gained all my weight back because I was too embarrassed to ask for help before it was too late. You already taken a big step in reaching out here for help. I would also reccomend that you make an appointment with your team for further support. I thought for sure mine was going to chastise me for messing up but that couldn’t have been further from what happened when i finally did. All they wanted to do is help. I ended up doing a revision but my preop diet was pretty doable and detoxed me from sugar and carbs. Mine was two shakes a day and then low carb dinner of 3oz lean protein with a cup to a cup And a half of lower carb veggies. Something like that may be a Reset of sorts but you shouldn’t do it without consulting a doctor. Anyways, doing that I noticed that each day it got easier and easier as my body stopped cravings the sugar and carbs so I didn’t feel like I was starving myself anymore. For me, that’s the biggest obstacle. If I’m not starving I can make the better choices. You may also reach out to your dietician. Be honest about what you are eating as ask for help to make small changes to get you back on track. Keep posting and let us know your progress of struggles.

I suffer from GAD as well (and bipolar and ADHD). I am 2.5 weeks post op from a revision to SADI and doing great. Taking the vitamins have taken a while to get used to but honestly it’s not that bad now that it’s habit. I take my multi in the morning and get out three calcium’s to take throughout the day and then take my magnesium at bedtime (you may not need it). The bypass type surgeries are quite a bit more scary. I think it’s because they are not as straight forward as just making the stomach a little smaller seems but honestly a cut is a cut and the risks aren’t much higher than the sleeve. What you need to ask is what are the risks of all the weight related diseases And illnesses if you do nothing. Not to mention your quality of life with GERD. What I found most helpful to get through all of this was reminding my team about my anxiety when I felt myself freaking out. I told them I just need patience and I can deal with this. I asked loads of questions. I scheduled a couple of extra appointments in order to get everything answered and I over prepared. The day I walked in for my surgery I knew that I had done any and everything humanly possible that I could do to control the situation for the better and I let the doctors and nurses take the wheel. All the while continually reminding myself that they do this procedure every day and that chances were it was going to go on without incident but if it didn’t then I was in the absolute best place to be and get the help that I needed. Best of luck with your surgery. You’ve got this!!

I may have to get padded bra to just feel like a woman, Its all in my head. My body has changed so much that I can't lie I am kinda freaking out lol I am muscular, a size 4, small top, my butt is flatter and its taking an act of God with workouts to just make it look like there is something there and my boobs are just gone. So I am not feeling super sexy. I have to wait a year and honestly I am only waiting a year because my surgeon highly encouraged it. I would've gotten my boobs done like yesterday. Then got a revision a few years down the road if needed.

Hello. What stage are you on? How is it going?! I am 13 days out. Post SADI revision surgery. My recovery has been a little more challenging that it was when I did my sleeve.

I had a sleeve revised to a SADI or modified switch and I am 13 days post op and haven’t vomited once. Because my stomach wasn’t revised I could physically eat anything I think. I just have to eat the smaller, liquid first And now purée foods so that my intestines have a chance to heal. I think the reason most people vomit is when their stomach is first cut and they have a ton of swelling on too of it being small and they eat too much. That shouldn’t be an issue for you since your stomach is already healed. Unless that hernia repair involves cutting your stomach. Then you could still have the mflammation but your stomach will still be much larger so I think you will be okay. Plus, isn’t it possible that vomiting would be less painful once they fix everything.

@draikaina8503 - It sounds like the struggle has been super real for you, and I hate to hear that you've had such a tough time. I didn't have a drainage tube because of the type of surgery I had (as far as I know, unless it was only used DURING the surgery itself). The staples are a pain; and bending or stretching too much causing pain is 100% something I empathize with you in regards to. I was really nervous about showering with them in as well, but honestly the warm water from the shower set to a gentle pressure did feel really nice. I also used the special soap they gave me when I washed my staple area lightly with a washcloth. I was afraid of using a loofah thinking it might snag or something. I also feel where you (and others) are coming from on the fluids and dry mouth - I still find myself super relieved when I can finally have a drink 30 mins after a 'meal'. I will say that as long as I keep my intake moist (super soupy purees or broths) that it isn't TOO bad - and I definitely have to watch how many ounces I intake for my meals. I eat slowly, but when the food tastes good and I'm eyeballing my protein goal it's HARD not to want to try to 'finish' my serving. I learned my lesson with my oatmeal this morning, though. It sat more heavily on/in my stomach after I ate than I expected and I struggled to have a few burps that relieved the weight and pressure I felt in my chest. Your mention of letting ice chips dissolve in your mouth helped me today - the cold really did slow my intake and provide relief. I hope you're starting to feel better now! I created a sort of 'routine' for my mornings that I think is working pretty well, though. I try to only have a sip of water when I first wake up and them immediately prepare my breakfast. With purees that are thick to the consistency of yogurt there's a trick where you basically just swallow your meds a couple at a time (if they are small) with a spoonful of yogurt/cottage cheese/medium thick puree. That's what I do to get down my morning meds, and as long as I don't overeat I go to have a brief warm shower afterward. The movements of me showering and standing help get my body to produce a burp or two, and putting my arms over my head when I wash my hair (yes, still some pulling especially on the left side so I have to go easy with THAT arm) does expand my torso and help my food settle. This also take sup some of the time gap I have to leave after eating before I can drink. Usually by the time I'm done with my shower, done drying, and have caught my breath it's almost time for me to be able to sip fluids again. @Pepper_No_Salt I'm still shocked that they sent you home from the hospital on the same day. Whew. I'm glad to see you're been feeling better each day, Moving on to strained soups was a biggie for me and I certainly can appreciate that having been one of your first planned stops! I did the same thing after I got my staples out. Today I am going to try to return to some broth for lunch and wish I had gotten more cans of chicken noodle when I went to the store. Maybe I'll try to season some of the 'cream of' soups I've got sitting around. My first try with them wasn't good, but then again they were room temperature then. Hopefully they taste better next time around! @ShoppGirl @Onemealplan @Greekmom4 @AndreaJD- Thank you all for the recipes and information! I tried my oatmeal yesterday with the whey protein powder a friend had given me and honestly - it was gritty, and I was disappointed. This morning I used part of a vanilla ensure and I used a potato peeler to slice off the exterior of three strawberries I mixed in with it and it was 100x better. I actually ate about 5oz of it super slowly and regretted that as it either expanded or wouldn't quite settle. I wasn't sick, but I was very uncomfortable for a while and had to shower and move around, then stand and take a couple of sips of cold water to initiate a couple of burps that provided some relief. Once I started to feel better I realized that the icy cold beverage helped me, and so I went ahead and had a sugar free popsicle. I took my time with it and found that the cold spreading across the inside of my chest felt very good and now I'm feeling much better. Has anyone had good luck finding an unflavored protein powder that doesn't feel gritty when mixed? Just curious - and if someone already answered this I'm sorry; trying to get caught up but not sit for too long! @CrazyDog&CatLady - Good luck to you on your revision and thank you for sending us all positive vibes for preparation and healing! Also, welcome to the thread! @ShoppGirl - I second what you said a thousand percent about using ALL the coping strategies you can to get through this. I'm having to completely re-learn my body, and in fact learning things about myself I never realized or understood before. The feeling of 'full' does echo my feelings of 'anxiety' and I've found that I'm extra sensitive due to that in the hour after I have a meal. I've also found that just like with the walking to get the gas worked out I also need to walk around a little bit after my meal to get my food to sit properly. Additionally, I'm learning the importance of remaining UPRIGHT until my stomach has settled past a meal. It's not even 'going to sleep too soon after eating, it's being at too little of an incline. I've woken up two nights in a row with heartburn in the wee hours that I can only attribute to drinking something maybe too fast before going to bed, or sipping at an incline rather than sitting up completely to deal with my dry mouth during the night. I do space my calcium out to later in the day and have been taking my multi w/Iron and ADEK about an hour after my breakfast. That seems to so far be working to stave off any nausea I would get from taking them on an empty stomach. Thank you for explaining about the B12 injections and congratulations on overcoming your anxiety giving them to yourself! Sorry if I missed anyone - I've hit my cap for sitting for the moment. Best wishes to all and encouragement to those who have surgery in the coming days! If I recall we have two having surgery tomorrow, yes? Another set of 8/21 surgery buddies? I'll try to recap and review later!

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'm getting revision surgery on August 26th. Next Monday. I'm nervous, excited, exhausted, SUPER anxious (anxiety disorders and major changes don't tend to work too well together 😂), and a little terrified. I was sleeved in March of 2015 but I literally blocked out everything that happened to me pre-and-post-op. Not kidding. I reached out to my ex last week, he was with me at that time, and I was like "was I this crazy-anxious before?" and is one word answer was "yup". 😂😂 Anyway - good luck to all of the August surgery-buddies - you got this!!! 💖

I was told the same thing about straws. Several months out from my sleeve I did end up using one by accident. I was out and they gave me one and I just forgot. Nothing happened so I went back to them but I wasn’t the model patient either or I wouldn’t have needed a revision so ask your surgeon. Some one else said to think of the sip you would take to test if something is too hot and to start with that. You will slowly increase your sips naturally though until you are drinking pretty close to normal again down the road with the exception of guzzling of course.

My program didn't offer anything either. We had 1 online group "power session" that basically told us what we can and can't eat before and after surgery, what recovery would look like, how long we would be in the hospital, and that we have access to the (fairly useless) nutritionist. That was it. I learned more from Google. Then I found this forum and the rest is history. This place is WAY more helpful than anything else, so I just stick with it. Now that I'm 2 years out from my original surgery and 1 year out from my revision, fully recovered my my SLEW of complications and additional surgeries, and not only made it to my goal but am below it, I feel like I have stuff to offer in the conversation now. I owe everyone here so much that I just hope to pay it forward to others.

I was sleeve in 2015 and am having revision surgery next week (eek!!) but I never thought about the "what I want to do" type ideas before. Mostly I just wanted to lose weight - I've been heavy my entire life - but I think that maybe I'd like to... Be able to sit in one of those plastic/resin chairs that everyone seems to own for their patio without fearing that it might collapse under my weight, or sit at a sidewalk cafe/restaurant without my butt hanging over the edges of the chair. Have a mattress last longer than a few years before the "dent" I've put in it causes me even more body aches. Be able to go grocery or clothes shopping without feeling like I'm being stared at (that's my social anxiety, but it's made MUCH worse by my weight). Be able to fly economy class again (I've only been able to fly first class the last few years, because I just don't fit in economy anymore) WITHOUT the extender belt! Take my dog for walks and to the park and run around with him. Be able to sit in my desk chair for longer periods before my legs fall asleep because the chair isn't deep-seated enough for my butt! 🤣 I have boring "dreams" 😂