Why the sleeve and not bypass?

[odetteNYC 58]

What made you choose the sleeve instead of the bypass ? What pros and cons help you choose sleeve ??? I'm am "5"5 I weight 240 my bmi is 39 and I'm 28 years old. I'm worried about long term affect on both surgeries , now I'm leaning towards bypass for the simple reason that I wanna be sure to lose 100pds . Idk what to do I thought I wanted the sleeve ... Please tell me your feelings.

[DanaMomto3 145]

I chose the sleeve for a few reasons. One, I have significant scar tissue in my lower abdomen from my 2 c-sections. I was worried that my Dr would have a hard time dealing with it and my intestines safely. Two, I did not want my body rerouted and worry about malabsorbtion for life/ Three, everyone I know who had bypass more than 5 years ago has regained about 60% of their lost weight. Four, it just felt right to me.

My husband is having WLS surgery in April. He is starting to lean toward the bypass from the sleeve. Reason being, he is 5'7 and 350lbs. He wants to make sue he loses at keast 125lbs. My advice, do your research, and go with your gut.

Good luck!

[FishingNurse 1,210]

For me it was not having to worry about significant Vitamin deficiencies due to the malabsorption from the bypass.

[AliveAgain 283]

I am 5'2" and my starting weight was 265 at consult. I'm 36 years old and hit my doctor's goal just before my one year mark after surgery. I had no complications, while it didn't seem like it at the time, the recovery was a breeze compared to others. They only cut the one internal organ. No malabsorption, my bloodwork is better than before I had the surgery. No dumping syndrome, I can still eat ice cream, Cookies, cake, candy (in moderation and small portions for sure) - but I never feel deprived or hungry!

You will lose it, with hard work and compliance - the sleeve can work for you!

[odetteNYC 58]

Thanks Dana , the rerouting is what kinda mentally freaks me out .

[odetteNYC 58]

To alive again

I have dumping syndrome now every time I eat mostly . It's not a good feeling. I'm worried I will still have the same issue with sleeve . The doc wants to wait to see what my endoscopy reveals on to why I'm always dumping as soon as I eat maybe then I could choose wisely .

[cartmansnj 105]

I chose the sleeve for a few reasons. It is less risky and the chance of death is about half that of the bypass. There are much less long term complications that can occur with the sleeve than with the bypass. The whole malabsorbtion issue mentioned by others. With the sleeve you are supposed to be able to eat all foods in moderation. With the bypass if you eat certain foods you will get very sick.

[MichiganChic 3,262]

I didn't want malabsorption, and I didn't like rerouting my intestines. I also wanted to be able to take NSAIDS if I needed them. Statistically, RNY results in about 10% more loss of excess weight, but you can lose 100% of excess weight with either surgery if you work at it.

[vsg_usd 3]

I elected for sleeve coz in addition to reasons stated by others above, sleeve has an advantage of not feeling hungry every 2-3 hrs since secretion of hormone GREHLIN is produced in less quantity. Results after both procedures are almost identical. After sleeve you would find easy to reach your goal by just taking an extra step by exercises and diet rules.

[fyre_storm 1,412]

I've had the sleeve and have lost ninty pounds in three and a half months so one hundred is doable with the sleeve.

[doreen70 268]

I chose the sleeve because I was afraid of the malabsorption issues. That, and I know a girl that had RNY and lost a ton-but she is always sick and has had 5 surgeries to repair a fistula.

[SMO 193]

At my surgeons office they advertise that they do RNY, sleeve and banding, but it became clear from the very first seminar that they want to do RNY as the default for everyone. The doctor I saw on my first visit was very candid that they want to do the bypass because all us fatties cannot control ourselves and there is immediate negative feedback for life in the fo of dumping when you get the bypass. She asked me which surgery I wanted and I told her that I was leaning toward the sleeve but was willing to listen to medical reasons if the surgeon disagreed. She said I just needed to decide no later than my surgeon visit just before surgery date. It turned out, of course that I really needed to decide before all the paperwork was submitted to insurance. They called and said the surgeon had approved me for both the bypass and the sleeve. I told them the sleeve. So fast forward to my first appointment with the surgeon the Friday before my scheduled Monday surgery. He hands me the consent to sign and it says--RNY! I said, "you are going to have to get me a new consent for the sleeve". He responds, "oh, you're not having the bypass"? "No", I say, "I am having the sleeve". He then asks me why I don't want to have bypass. I told him that if I can accomplish what I want (100 lb weight loss) with less trauma to my systems, that is what I want. Our bodies work, for the most part, best when left alone. I can accomplish my goal without re-routing my intestines and without malabsorption that goes with it for life.

Oh, and I told the surgeon that I was going to take a sharpie and write SLEEVE across my tummy the morning of surgery so he wouldn't forget!

[odetteNYC 58]

Wow this is what I needed !!! I do t know anyone with sleeve or bypass and hearing first hand for actual sleevers is great . !!! My first initial visit the PA said I should get bypass so she threw me off. I'm going to stick to sleeve it's best for long term not just getting the weight off ... I wanna live healthy Thank you so much for your help .. And I'm going to write on my tummy with a sharpie SLEEVE . Lol

[SMO 193]

I will say that if I was an insulin dependent diabetic, I probably would have gone with the bypass. It is supposed to address that issue for them immediately.

[Manajo 3]

To alive again

I have dumping syndrome now every time I eat mostly . It's not a good feeling. I'm worried I will still have the same issue with sleeve . The doc wants to wait to see what my endoscopy reveals on to why I'm always dumping as soon as I eat maybe then I could choose wisely .

I used to dump as soon as I was done eating.. I was sleeved on 1/23/13 and no longer have that problem

Good luck to you!