Beginning process to revise GS to GB or DS

[Virginia B. 5]

Short update: I had my gastric sleeve procedure done in November 2019. I lost around 85 lbs and then stalled eventually regaining around 50 lbs back and a horrible case of GERD. I had never had symptoms of GERD before my surgery and about 3 months later, I had to begin taking omeprezole daily to deal with it. If I forget a dose I can tell by the afternoon. During the first year post surgery, I lost my husband (not unexpectedly but it DID happen 10 days post-op for me), moved across country from Florida to New Mexico, bought a new house and started a new job.

My daughter is 1 year post-op and lost approx. 150 ibs on the DS. l just started the process to obtain a revisional surgery. Will be discussing the benefits of either the DS or ByPass. I had the upper GI completed which showed a small hiatal hernia with evidence of GERD. It also showed mild cricopharyngeal hypertrophy. Any suggestions regarding which of the 2 procedures would help with the GERD and to help lose the 130 lbs. that I still need to drop to get to my goal weight?

[catwoman7 11,166]

either one should do that. For some reason, DS seems to improve (or cure) GERD even though it has a sleeved stomach. And bypass has always been known to improve or cure GERD.

You may be able to lose more weight with the DS because it bypasses much more of the small intestine, but then on the flip side, complication rate is higher than it is with bypass (but then again, complications with either surgery aren't very common).

another thing that comes to mind is that most PCPs are familiar with bypass, but not so much the DS. So if you have issues, you may have to see a specialist.

beyond that, either would be a good option. Check to see if your surgeon recommends one over the other.

[jeri131 0]

Dr. Josh Roller (Roller Weight Loss) has a GREAT segment on the podcast he’s on going over best surgeries if you need revision. I just finished listening to it. It’s on Spotify (& others) “The Skinny Truth”. I’m set up to get the Modified DS in the next few weeks with him.

[ShoppGirl 4,393]

I am looking to revise my gastric sleeve for similar reasons. I had my mind on bypass but my dr just suggested today that I do some research on the SADI. I could be wrong but I believe if you already have the sleeve part that they do the SADI. From what I understand the sleeve and the Sadi make up the DS. But there is also something about a modified DS so I’m pretty confused at this point. Anyways, I have to choose between the SADI and the bypass and I am curious to hear what people have to say about both options.

[Virginia B. 5]

They decided I needed an upper GI and noticed that I had a very small hiatal hernia and that I'm beginning to develop cricopharyngeal hypertrophy. Because of the test results of that, I am now scheduled for a motility study with impedence using manometry and a 24 hour impedence ph study. Can't wait to get these tests over with so I can take my omeprezole again. This GERD is killing me since I can only take Tums right now. Have to be off the ppi medicine for a week. This should help to get my revision scheduled.

[ShoppGirl 4,393]

Them tests and being off PPi’s for a week do not sound like fun. Hopefully all that is a means to an end, though and you get scheduled for your revision very soon.

[SleeveToBypass2023 2,507]

On 4/20/2024 at 12:00 AM, Virginia B. said:

They decided I needed an upper GI and noticed that I had a very small hiatal hernia and that I'm beginning to develop cricopharyngeal hypertrophy. Because of the test results of that, I am now scheduled for a motility study with impedence using manometry and a 24 hour impedence ph study. Can't wait to get these tests over with so I can take my omeprezole again. This GERD is killing me since I can only take Tums right now. Have to be off the ppi medicine for a week. This should help to get my revision scheduled.

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