I have appt this coming week, they are working me in so am not sure what date it will be on - for final meet with dr. I've been working on researching bypass vs. sleeve to make sure that I feel like I concur with what the dr. has suggested. I'm torn on some of the pros/cons of both surgeries based on following about co-morbidities/health situation:
I do NOT have high blood pressure
I do NOT have high cholesterol
I do NOT have diabetes
I do NOT currently have ongoing heartburn/acid reflux (get heartburn 3 or 4 times a yr, and acid reflux..maybe once a year if that)
My BMI started out at 60 and is now 54?
I am 50 yrs old (not young)
I have long clotting history but NO clotting disorder EVERY episode of clotting (DVT's/PE's) had known causation. Have permanent IVC filter since 2011.
Knees have severe arthritis and need replacing - have to get to 40 BMI to have kneed surgery
Here are some generalities I've gathered on sleeve vs bypass from searching here, google searches, and many youtube videos watched. If anything is wrong, please let me know. It's amazing that despite how much you read/watch, you can come away with questions still - maybe my retention is shot with long pre-op diet?:
Bypass – possible chance of bowel obstruction later after surgery
Bypass – possible chance of twisting bowels after surgery (don't know %)
Bypass - less chance of reflux/resolves reflux for many
Sleeve – chance of developing reflux (do not have more than 4 episodes a yr of heartburn, maybe 1 of reflux)
Sleeve – chances of clots forming in previous ‘stomach/fundus’ area - not able to get specific % (this was also something dr. mentioned)
Bypass – chances of clots/DVT's? (haven't found specifics yet)
Bypass vs. Sleeve - hair loss - tied. Rapid weight loss causes this and can occur with either surgery
Bypass vs. Sleeve - more long term data on bypass than sleeve
Bypass vs. Sleeve - overall amt of weight loss tends to even out for both at around 5 to 6 yr mark, but bypass has 10 to 20% greater chance of 'initial faster weight loss"
Bypass vs. Sleeve - chance for hernias, ulcers, etc. %? for both (need to find out)
Bypass vs. Sleeve – likely to cause more time in bathroom? Bypass due to dumping/vomiting (some see dumping as a 'pro'?)? Sleeve due to vomiting /diarrhea?
Bypass vs. Sleeve - % of Vomiting / Amount of Nausea (same?)
Bypass vs. Sleeve - easier to stretch out sleeve pouch??
Bypass vs. Sleeve - lesser % of chances or regain with bypass in long term? Statistically significant? True or False?
Bypass vs. Sleeve - sleeve has more reduction of hunger hormones ghrelin & leptin as fundus removed? Anyone know if bypass has statistically significant reduction in 'unger hormones'?
Bypass vs. Sleeve - more chance of malnutrition with bypass - what happens with my long term meds & how they will absorb/not absorb (take 2 anti-depressants and 1 is 'slow release' - take 2 diff meds for sleep due to shift work disorder)??
Bypass vs. Sleeve - bypass surgery longer
Dang..i feel like I'm missing some obvious stuff on this list!!!! Going to go look at snippets saved in Word doc.