The RNY is usually better for reflux, although that in part depends upon what is causing the reflux. If it's a hiatal hernia causing it, then that can usually be repaired surgically along with the revision, and a DS is a reasonable alternative, and will generally provide better results as it is stronger metabolically than the RNY, which is similar to the VSG in that respect (why regain revision results are often disappointing with that revision.****asionally we see someone come through here with fantastic results on their regain problem, and they seem mostly to be those who took the "I'm not gonna let that happen again" attitude towards it, really knuckled down and did everything right, and more. You almost have to consider that you are getting the RNY to treat your GERD, and you are on your own to fight the regain - don't consider it to be the magic bullet that will do it for you. The DS option will make that job easier, if it is still an option depending on the cause of the GERD, but it's doable with the bypass - just harder.

Good luck on this....

Thank you for that. Yeah I know what caused my weight gain. Complacency, not following the rules. My son got very sick and had to have open heart surgery. I quit my job and stayed at home with him 24/7. We had been working for some time on adopting as well and got the chance to adopt three children, a sibling group. We adopted them and I became a stay-at-home mom and it became easy to throw an Oreo in my mouth while I was packing lunches. That made it easier than to grab something quick and unhealthy for lunches for myself. It was all downhill from there. My can't wait game was my own fault and I see that clearly. I've decided this time that I'm going to take time to focus on myself and not JUST be a caregiver. I still don't eat much but what I was eating was non nutritional junk. All that equals my weight gain.

Tanya

yes - RNY is a gastric (i.e., stomach) bypass (with a small portion (maybe a foot or so?) of the small intestine). The bypass associated with the DS is an intestinal bypass, so a lot more of the small intestine is bypassed. So they're different surgeries.

You'll have a bit better results going from sleeve to bypass than if you already had the bypass and were revising that. It is still going to be work and you will have to stay on top of your vitamins and your annual blood work. Many bypass patients have iron issues more than those with the sleeve so be aware of that.

I went from band to bypass and even though I have had issues with my iron after several years my pouch is still small and as long as I have proteins first and track what I eat I can still lose weight (gained some over Covid).

I would look at what caused you to gain weight back with the sleeve and not make that mistake with the bypass. It really doesn't matter what WLS on has they can all have weight gain if you fall back into bad habits.

Look at posting on the daily menu thread on the RNY board.

Hello and welcome!

Looks like this just posted, and I hope you got what you need for surgery tomorrow. Nervousness is super common and this is a huge, life changing decision.

Per your question, I'm just at six months post SADI, whi*****ludes a sleeve half. No complications during surgery or immediately after. I was 249 at surgery. It helped me to walk through the process with my surgeon and ask questions about how they check the staples, how many procedures they've done...and on and on. It inspired a lot more confidence those last couple of days. I spent one night and checked out as soon as they let me. At six months, I'm working through some symptoms that are gallbladder related and I have some deficiencies related to the malabsorption component of my SADI. The regular follow up helps to calibrate responses there.

Ultimately a lot of the things that come after surgery can still be easier to handle than the lifetime of obesity I've struggled with.

Hope you've been able to reach the decision that's best for you. Cheers!