Hi, I'm pre-op, 660 pounds - getting the sleeve in June/July sometime -not sure yet. I think as far as concerns go - I chose the sleeve because for one - Bands are a waste of money they have a pretty high failure rate from what I've read online and I've done a lot of research for the past 4 years. I didn't choose this lightly.
Secondly, I don't really want dumping syndrome, and as far as I know most cases Sleeve patients don't really get that.
Thirdly - absorption - I don't want to have to take 3x the medicine a normal person takes when I get older. People 65+ take a lot of medicine to maintain their health - vitamins, Cholesterol Medicine, Heart Medicine, Diabetes, whatever comes up - not being able to absorb the meds is going to be an issue down the line that I really don't want to deal with.
Fourthly - it may be somewhat new for weight loss - but it's been highly successful and just looking at this forum you can see all the great results, and not too many negative ones. I also did research before, and I can't tell you now, but I do know I read somewhere that the mortality rate for Sleeve is less than for Gastric Bypass.
Lastly, I personally just think I can maintain a healthier lifestyle with Gastric Sleeve because I will get a lot more nutrients that I need, and stand a less likely chance of malnourishment. Thank to removal of Ghrelin part of stomach, I will also have less cravings - which the people on this forum have told me is true, most of them have said they don't want the trigger foods they once did.
These are MY reasons, don't necessarily make them yours - but I think that if you see why I personally am choosing this surgery, you might think of something you didn't that might help you to make up your mind.