had sleeve have gained almost all of my weight back

Hello, I had a sleeve back in 2011 i think, and my weight has pretty much all returned, and I am looking at getting a SIPS DS from Dr Gagner out in Montreal Canada, I'm in British Columbia so it's quite the trip

But what I'm wondering is how much weight I will lose with the only change being in my intestines... has anyone had an experience like mine? advice?

Also do I have to llive on a high protein diet forever with this surgery?

Thanks so much, anybody that can help 

Laney, you are far from alone. We see at least one new person each week with a sleeve with either significant weight regain or never lost enough to start with. It is the nature of the operation - no matter how narrow the sleeve starts, it will eventually stretch out, and lasting success requires a low calorie, low fat, low carb diet that is very difficult to sustain permanently. And even when that is accomplished, some people find they can maintain at an undesired weight at best.

But there is no such thing as a "SIPS DS". The DS and SIPS, which is aka SADI or loop DS, have some elements in common but are NOT the same thing. Research both carefully before you make any decisions.

I can only speak from experience with a virgin DS, and tell you that the DS has the best statistics of any bariatric surgery for percentage excess weight loss, for maintaining that weight loss, and for resolution of almost all comorbidities. There are excellent long term studies documenting these results and the DS is a standard of care bariatric surgery. The SIPS is being touted by some surgeons as being just as good and perhaps with less risks of nutritional problems, but long term results are not yet known, and it is still experimental. Personally I would not find that acceptable, esp as a revision where you have already had the miserable experience of pinning your hopes on surgery and had those hopes dashed. Others may disagree.

And yes, you would need to eat plenty of protein with a DS because we absorb about 40 - 60% of the protein we consume, but the good news is that because we only absorb about 20% of the fat we consume, we can use all varieties of protein, not just lean protein, and also any cooking method. And it isn't an "all protein" diet, we do eat other foods as well, it's just protein first and limit the carbs.

I will send you a pm with more info, so be on the lookout for it.

Larra

 

I had the DS, but not a revision so I cannot comment on everything you asked. Changing your intestines will boost your metabolism, but you are going to have to work a bit to reach your goal weight.

Yes you will need to eat a lot of protein and take vitamins....forever.

The amount of carbs you can eat can vary. I can eat a tremendous amount of food (carbs included) and not gain weight....however, not everyone is like that. It seems women have to keep lower carb then men. The older you are the less carbs you can tolerate and maintain your weight loss.

I lost 300 lbs ..and have spent about 10 years at goal. I did have a 20 lb bounce back ...so I had to go low carb for a few weeks till it came off.

Good luck to you.

BTW Larra said it best....the SADI is not the DS. It is another surgery. I know it's called the loop DS, but it is not the DS. There are a lot of surgeries that have come and gone that have called themselves the DS. So be careful and know what your re getting.

Scott

In 10 years of observation (this is not scientific data) on this site...it seems that men have an easier time maintaining weight loss then women...and those with longer common channels have a much more difficult time maintaining weight loss. There was a move about 7 or 8 years ago to give a much longer common channel with the DS (smaller sleeve longer common channel). This resulted in good initial weight loss because of the restriction, but there seems to be a lot more struggling with weight loss maintenance.

I have a short common channel...have no issues maintaining my vitamin levels..I actually only get tested about once a year..but haven't had to adjust my vits in about 9 years.....(except to add iron then take iron away).

Scott

I have a revisional DS. VGS to DS. I am so happy with the DS. I have lost about 10% of my excess body weight each month which has been fantastic. You do need to eat high protein and take supplements for the rest of your life. For me it is a good trade off. 

Thank you everybody!! I didn't get email replies so had to come here to see if anyone had replied and much to my pleasant surprise, I found y'all...

I think I will get the regular DS after listening to you guys, but can you tell me, is there a 'DS vitamin all in one' for sale somewhere, as i'm actually worried about the cost of vitamins every month, tho that may be a silly question, my husband live paycheck to paycheck

i'm also not toooo worried about a high protein high fat diet, i lived on the atkins diet for years! but my husband would rather i added in some complex carbs like brown rice, because he's the cook lol you know, the meat and potatoes type of cook!

thank you so much for all your help!! and send more lol

Don't trust the "all in one" vitamin claims.  I plunged into deficiency with Vita4Life brand with the same claim.  You can get vitamins at a reasonable cost by piecing together what you need and taking advantage of BOGO sales and stocking up.

Gagner is a good surgeon, but Larra is right on SIPS (aka SADI, Loop DS) having very limited long-term data available, so there's a chance you're taking with this procedure.  The good news is that Gagner is a well respected DS surgeon, so he can do either with precision.

I had the sleeve done in 2005 and lost 80 lbs. I've gained 60 lbs back. I ate well most of my weight gain was from prescription medication for constant pain. But I had a revision to a DS 6 months ago. I felt like a failure because I couldn't really exercise but my history was I was skinny my entire life until the Army screwed up my leg and over weight for 7 years before my first surgery. I had back surgery last year which helps with my pain and had the revision and love it. I had the single loop DS surgery and I'm loving my results. I am not losing like I did the first time but I am seeing more inches losses. I eat less but have to get more protien in because of the amount of protien your body can observe because of only having 3 feet of intensitines left. Good luck!