Revision from bpd-ds to a sadi version

Is this possible? I am very seriously considering revision because of years of malabsoption. To the point of malnutrition. Lost my legs because of poor supervision. A doctor who saved my life at that point thinks I need a revision after 17 years. He said it is just a matter of changing where the digestive enzymes enter making the common channel considerably longer then the 75cm it is now.

I would consider consulting someone who has done hundreds, if not thousands, of DS procedures, and be willing to travel. I don't think Dr. K does the SADI, but he would good place to start. It might be good to contact Dr. Roslin on the east coast, as he has done several of both. Dr. K is probably the best DS surgeon hands down, though, or up there.

It will be a difficult revision because malnourishment severely weakens the intestines. I would absolutely see specialists who are in the top of the field because it will be a very hard surgery to do.

The problem with some of these specialists are they are in it for the $$$ and I have none only medicare and a supplement. I can't afford to go to the east coast and most of these guys won't even talk to someone who has medicare. $$$ big money in these operations.

Also I know this doctor hasn't done 100s or 1000's of these operations cause he doesn't care for the DS never has but he is still a competent surgeon. He said he would have never given me this operation in the first place. I only needed to lose about 120lbs or less. He is a general surgeon who specializes in bariatrics. He saved my life once by recognizing what was going on when the others pretty much wrote me off. He amputated my legs and did an excellent job, as good as any specialist. Made it real easy for me to get around on prosthetics.

That is good... I truly hope it works out for you, and that you are able to get some of your health back :)

I didn't mean to sound snippy or anything. I've just about had it with these specialists who could care less if the surgery is going to kill you if you don't have the money forget it. The guy I'm talking to created some of these products such as perfect protein, ultra meal and others made specifically for bariatric patients. This is their website. It is supposed to be the easiest protein to absorb which I should've stayed on after it pullled me out in 07.

http://www.metagenics.com/

Oh and the reason I didn't stay on it after it had helped me gain back 40 lbs and had me feeling good enough to return to work in a different position then the one I had. I was a railroad engineer for 34 years and they didn't want me out on the trains with 2 prosthetic legs so they made me a lead driver which was mostly a desk job but it paid well not as well as being an engineer but kept me active till I was 61 years old and could retire with full bennies with the 36 years I had in. And I figured I could go to a cheaper product which I did but it never helped like the Metagenics did. The Metagenics is pricey but I'm back on it again and what he has me using at a cost of about $160 a month is making me feel better already and I think I have gained mayby 3 lbs in a month. He's told me that Surgery is a last resort and if I can get myself feeling better if I can just follow the regimen then surgery can be postponed. So I am working on it hard. He doesn't want me to have the surgery if I can pull myself out of it again. His name is Dr. Lee Trotter in S Dak.

Have you considered having your common channel lengthened? I had mine lengthened from 100cc to 200cc and also had my sleeve (too large in 2002) revised to a pouch. I have been doing great since then.

My problem wasn't malabsorption, it was issues with chronic bacterial overgrowth due to a blind limb but having a revision was the best thing for me. I hope you can get some help.

After speaking to him that is what he planned on doing is to connect the place where the gastric enzys go to the food further up then 75cm. He also said surgery is a last resort. He has me on a special protein and something called Ultra Meal and between that and eating more I have gain 3.5 lbs in a little over a month and am feeling better which is what he was hoping for if I can do it the surgery can be postponed. Just have to keep working on it.

With all due respect, after all you have been through a revision should have been the first thing he did, not a last resort. Unless you are in such a fragile state that surgery is life threatening I see no reason for him to allow you to continue to malabsorb at the rate you seem to be doing.

Perhaps he is just trying to build you up in order to do better with the surgery. I hope so. There is no reason for you to have to continue with that degree of malabsorption when a revision could improve the quality of your life a great deal. I just do not see any medical reason to allow you to continue to have a 75cc common channel.