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Bypass was once the gold standard of weight loss surgeries up until a few years ago, when sleeve took over. It's easier for surgeons to perform, it's cheaper, and a lot of people are afraid of the bypass. Thus, sleeve is currently the most popular weight loss surgery. I went with bypass because I had GERD prior to surgery. Bypass usually improves if not outright cures GERD, whereas sleeve can make it worse (doesn't happen to everyone - and some people say their GERD even improved after getting sleeved, but the risk of having it get worse was too high for my comfort, so I chose bypass). bypass is the stronger of the two surgeries, but sleeve is close. And yes, you have more options for revision after sleeve, but then, very few people who have bypass get theirs revised. honestly, they both have their pros and cons. There are some health conditions (like GERD) that would make one surgery more appropriate for you than the other, but barring that, it really comes down to personal preference. They're both good surgeries and you'll find many examples on here of people who've been very successful with both. I love my bypass and would choose it again if I had to make the choice today.
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My doctor also said that if you go with Sleeve, if you need a revision, you have more options.
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Thank you, everyone! My doctor's take was I could go either way, but Bypass is the ultimate when it comes to many patients that have sleeves and need a revision due to heartburn. In my mind, If I could do one surgery and not a possible two, I thought that was the wise decision for me. She and the NP there also mention so many people really do have bypass but realize that social channels its is full of sleeve advocates, which does isolate a whole large group. So I stuck with bypass, but I have to say mentally I struggle with "why" still. Am I missing info? I am not sure!?! I am not questioning the want and need for surgery just that I am choosing the right one I do have a hiatal hernia so back to leaning to the bypass more for that reason as well..
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I can tell you my experience as someone who had bypass. My weight as of January 2022 was 245; on surgery day (May 13th, 2022) my weight was down to 223. As of today it's at 134. My height is 5'2. The surgery itself went fine, but I had some issues with pain management (don't let that freak you out, it's very individualistic on how people experience pain). I was in the hospital for 3 days and released when I was able to keep a bit of broth down. I found that walking around and heating pad helped with the gas, but it took quite a while for that feeling to go away. A week out from my surgery I had to go to the ER because I couldn't keep more than an ounce of fluid down and was dehydrated. 3 bags of fluids and a GI study later, they found there was still some internal swelling that was making it hard for me to meet any fluid/protein goals. I followed the nutritionist advice and start the mornings with a warm drink, which does help. Now, all of these months later, I'm not able to eat much (once again, this is more the exception than the norm), but clearly the amount of food I've been able to consume is providing energy to get me through the day. My sister also had bypass without complications and she lost 85 pounds in a year. She's been able to eat most things, though she's learned the hard way about dumping syndrome. I have no regrets about my surgery and feel much healthier than I've felt. I've gone from a size 22 to a size 8. Something I never thought would happen. Good luck on your surgery.
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My daughter & I both had bypass. We both have GERD & that is the only way to go if you have GERD. She started at 305 & lost 150 lbs & has kept it off for 4 years. I started at 200 & have lost 70lbs & have kept it off for almost 6 years. A lot of people have the sleeve revised to a bypass because of GERD. What does your doctor recommend for you?
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Sleeve is an easier surgery for doctors to perform and it's an easier recovery usually. I was back home the day of surgery and back to normal within a week or so. My surgeon recommended it over the bypass because if it wasn't successful there was still the bypass to do later, which is what ended up happening. I got severe GERD from the sleeve and ended up gaining some weight back. I just had the revision to bypass last month and wish I had just went straight to bypass a few years ago instead of doing the sleeve first. Sleeve recovery was simple and I lost 78 lbs in a year, then my gallbladder had to be removed, acid reflux/GERD got worse, and the weight gain started right after that. I didn't have acid/GERD issues before the sleeve. Recovery after bypass was harder for me, took me about a month to get my energy levels back up, but totally worth it so far. I took 3 weeks off work, but should have taken 4 weeks, but I work from home so I got through it. Congrats on getting your surgery date!
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Hi everyone!! I am so curious I am dying for bypass info videos chats all the things, but it seems like so many sleeves. Why is that? I think Bypass is my best option and I just got my surgery date for 2/20. I do worry I have regrets about sleeve vs bypass. Can anyone tell me why you chose it and how it went? What was your weight loss like? n All I see is sleeve!
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Rheumatoid Arthritis - Revision to Bypass
ClareLynn replied to Lovesmuffins75's topic in Revision Weight Loss Surgery Forums (NEW!)
I had my sliding hiatal hernia repaired post sleeve without having to switch to a bypass. It went well and I don't have GERD anymore. I also take hydroxychloroquine and it crushes fine, mixed with applesauce, still works. -
February 2023 surgery dates!
JFreeman replied to Erin18's topic in PRE-Operation Weight Loss Surgery Q&A
I'm having bypass on Feb. 6 -
HOW DO YOU HANDLE THE QUESTIONS
MountainClover replied to kla7403's topic in General Weight Loss Surgery Discussions
If someone asks I will tell them because maybe they are looking for answers for their problem too or someone they love. I had 2 people tell me that they had a gastric bypass 10 years before. l had always known them thin so I was surprised to learn that they had had a bypass, but also encouraged by that too. I mean they have both kept they weight of for 10 years!! These two ladies are the reason I got started on the path of weight loss. So if some one asks me I will tell them truthfully. -
February 2023 surgery dates!
RaiderRhode replied to Erin18's topic in PRE-Operation Weight Loss Surgery Q&A
I'm getting gastric bypass on February 13, gonna be a fun valentines lol -
4 month update from ESG
Miamigirl replied to Forensikchic's topic in Endoscopic Sleeve Gastroplasty Forum
Thank you for posting this. I am interested in revising vsg to esg as well. I had the sleeve in 2012, lost 65 lbs (that was my goal) I regained 30 and struggling because it’s slowly creeping up. I eat really healthy just too much from stretched sleeve. My maintenance calories was 1500 at my goal weight and to lose I had to eat 900 to 1200 calories. I’m wondering are you eating even less calories with esg? -
Do you still have the support of your surgical team? Dietician? Maybe start there, get with your team and see if they can help before jumping to a revision. Best of luck!
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Rheumatoid Arthritis - Revision to Bypass
Tomo replied to Lovesmuffins75's topic in Revision Weight Loss Surgery Forums (NEW!)
I had bypass after menopause. I had no issues at all. I don't have any experience with those meds so what Alex and the others said[emoji115]. -
Rheumatoid Arthritis - Revision to Bypass
SleeveToBypass2023 replied to Lovesmuffins75's topic in Revision Weight Loss Surgery Forums (NEW!)
I recently found out that I have to have a revision from sleeve to bypass because of gastritis and GERD. I'm no longer on my blood pressure med or all 3 of my diabetes meds, but I do take meds for my MS. They are extended release, I take them twice per day, they cannot be crushed or broken, and they are not interchangeable with any other MS meds (specific meds are for specific stages of MS and there aren't things to swap them out with). I specifically didn't choose the bypass when I was given the option for sleeve or bypass because of the MS meds, and now I'm told I don't have the choice. It's freaking me out because my MS meds are non-negotiable, but the GERD and gastritis are causing different types of polyps to form all over the inside of my stomach, making things even worse. I was told by my GI specialist that a revision is now non-negotiable. So...I'm worried. -
February 2023 surgery dates!
Kris Poole replied to Erin18's topic in PRE-Operation Weight Loss Surgery Q&A
Feb 14th gastric bypass as well. Sent from my SM-N960U using BariatricPal mobile app -
Bari things that give you the ick
BigSue replied to kbsleeved's topic in General Weight Loss Surgery Discussions
I don't mean to be judgmental about this because I went through it, myself. I first heard of weight loss surgery when I was in college, and I had already struggled with my weight and countless diets over the years. Gastric bypass sounded like an absolute miracle -- something that would just magically prevent me from overeating! I went to an informational seminar and a consultation with a surgeon, but when I started learning about how much work it would be, I thought, "If I had that much willpower, I wouldn't need the surgery!" I read people's personal experiences with WLS and was very turned off by how much their surgery affected their lives, because I wanted something that wouldn't require me to devote my whole life to weight loss. I backed out and it took me another 15 years before I was ready to put in the effort of the lifestyle changes. I'm very grateful to have the "tool" of weight loss surgery, but it required (and continues to require) a lot of work on my part. -
I have quite a bit of medication I take daily. At what point after surgery could you take medication? Did they need to be crushed or chewed? I don't get to talk to the pharmacist until final approval. Cross-posted. I meant to write this in the bypass forum. Oops.
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Thanks for the input everyone. I think I'm settling in on the bypass. I don't want to get sleeved and the GERD increase and end up bypassed anyway.
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Just had an interesting and instructive experience. I’m starting my fourth week post op and am allowed cream of wheat (which I loved as a child, and apparently still do). I’ve been told to keep my meals to 1/2-3/4 a cup but was enjoying this so much and the recipe/serving on the box was for 1 cup so I made one cup. After having my 3/4 cup (thinned) a bit faster than my usual 10 min between 2-4 tablespoon fulls as a time I decided to have the last 1/4 (the rest). Mistake, 10 min later I start sweating, little pain in my chest and generally not feeling great. It all passed in about 30 min but I am grateful for the gentle yet firm lesson from my body that 3/4 is my limit for now. Being 10 years post sleeve the bypass has very different cues (at least at this point) and I’m paying attention.
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Hello all, I am having my gastric bypass tomorrow. For the most part, I am calm and yes, a bit nervous. I just wanted to know what others who've been there what was your experience like on the day of and what can I expect after the surgery? And what was it like the first few days home? I know everyone experiences things differently. But some reassurances from those who had this procedure would be greatly appreciated. Thanks in advance for any advice.
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Hi all newbie here. I had the sleeve surgery back in 2015. I did super well until 2020 when I was placed on a depression/anxiety monthly injection that caused some serious side effects. Unknown to the doctors, therapists and myself one of the non-listed side effects were to lose weight. At this point I was already at goal of 160# but the injection made me loose down to 121# within 2 months. I had become super weak, with almost no mobility. It was so bad that I could no longer take care of my personal needs without assistance. I could no longer walk but shuffle no more than about 6 feet before giving out and having to rest. My family doctor told me I absolutely had to gain weight of a G tube might be in order. My phyc doctor change my meds and unfortunately, I went from 121# to now 225# within about 6 months. Here I sit literally only 42# away from my WLS starting weight Now every time I try to do a reset or just simply get strict with eating and watching all my intake, I do good for about 3 days then I goof up again. For all those years I was able to keep my diabetes at bay, but it showed it weary head last year and has been acting up ever since. My mom died in 2004 from complications of diabetes so I have to get back on track. My dad passed away in August this past year (I am a daddy's girl 100%) and he begged me to have the revision and get my life back on track so this is what I shall do. Any tips or info you wished you would have known prior to the revision from sleeve to bypass? I greatly appreciate any info and prayers. (NOTE: I am in the midst of getting my medical records to locate the name of the injection I was on as I do not recall the name of it)
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Everything tastes bland 5 weeks post-op
ryan_86 posted a topic in POST-Operation Weight Loss Surgery Q&A
I I’m close to 5 weeks post-bypass, and food just tastes bland. I do get hungry, and I do get full (sort of), but I don’t feel satisfied. Feels like I have to over-season stuff just to taste it. This gets better, right? -
Loss of restriction from VSG to bypass
ryan_86 replied to Bella1506's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm close to 5 weeks post-revision from sleeve to bypass, and I noticed the same thing. The doctor told me it's normal. Here's my explanation for what's going on: The place where a normal stomach meets the intestine is called the pyloric valve. The stomach churns to further break down food, the valve opens to let food pass into the intestine. We (meaning sleevers) had a small stomach, and because the valve was still present and behaving normally with a sleeve, we felt restriction, meaning the valve didn't open more frequently just because the stomach was smaller. With bypass, the valve is removed (technically it's bypassed since they leave it in along with the first 30cm or so of the intestine). The connection between the pouch and intestine is called a stoma, and liquids and purees will move right through it because it's not a valve/it's open all the time. In my experience, it's possible to drink/eat purees too fast so that they don't drain through the stoma quickly enough, but you're right, it takes some special effort to do that. Restriction is a bigger factor when you get to solids, which I did this week. If you eat too much too fast, it just sits in the pouch. Think about a sink that drains slowly because there's junk in the pipes; that's the same principle - too much stuff trying to move through a too-small pipe. The pouch doesn't churn food up like a stomach to make its passage easier. If the solid you too big/too much/too dry/too fast, it sits and feels very heavy, your body starts producing mucus to lubricate the passage of the food through the stoma (this is what people call "the foamies"), and if that doesn't do the trick, that food is coming back up. I had that lovely experience with ground turkey and thus learned that while I was told to chew thoroughly with my sleeve, I could ignore that advice. Not so with a pouch; when they say chew until it's a paste, you have to. So restriction does become a greater factor when you proceed to solids. It really does force you to slow down, eat small bites, chew VERY thoroughly. Like with sleeve, I imagine it's still possible to overeat if you graze, so it also still takes some discipline to make smart food choices, pay attention to when you're satisfied, and be deliberate with how long a meal is. Also bear in mind that bypass is not just a restrictive procedure. It's malabsorptive as well. Good luck! -
My gastric bypass was on the 23 of Jan. I'm 5 days out. I'm very sore- feels like tugging in my stomach. When I walk I can't stand straight- I'm working on it, but I lean forward, holding on my belly like it is about to fall off! I am able to drink liquids- protein shake and clear protein, water, tea... thats all- pretty easily. I had major gas pains in the beginning- but they are mostly gone. Thankfully my husband is tracking all my pills and seeing that I take what I need. I'm sleeping in a recliner and haven't attempted to go upstairs-I don't mind. I'm hoping to feel better soon!
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