Bypass vs Sleeve

[ren0318 81]

I'm curious why you went with the bypass over the sleeve. Just trying to make the decision as to which one I want. I do have type 2 diabetes, I read that the bypass is really good for that, however the pouch can stretches which concerns me.

Thanks for the input.

[TinyMamiOf3kids 1,280]

I went with the bypass cuz I would lose the most weight. I wanted a permanent fix not something I could reverse. In my mind I don't ever want to be fat again.

[Jacqueline K 93]

I went with the bypass because its been around longer and so we know the long term results. Also it has the highest percentage of excess weight loss. I also know someone who had the sleeve and hasn't lost even half her excess weight and its been more than a year. I know myself enough to know that I needed the malabsorption aspect of the bypass.

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[SoccerMomma73 1,867]

FYI you can also stretch out our stomach after gastric sleeve...

I had a lap-band that sucked, I was a pretty good lapband patient but stress, allergies, colds, etc made me miserable and I couldn't eat, would live off of hot tea with honey for days at a time. Eventually my band prolapsed, herniating my stomach and I had urgent surgery to remove the mess. One of my most hellish issues with the band was reflux, at times I'd wake up at night with stomach acid coming out my nose. Even on meds it was miserable. I was not going to have another surgery that might cause reflux. It was HORRIBLE!!!!

I have 2 friends that were sleeved 2 years ago and have both had minimal weight loss, I know exactly 2 people with sleeve and neither has been successful (mostly their fault but still, not liking those odds).

And finally, though I have no intention of reversing my RNY ever, I guess I like knowing that there is always that option if something catastrophic happens to me....with the sleeve, they cut off your excess stomach and its simply gone, no back-up plan. Though I'll admit if my friends had been successful with their sleeves I wouldn't have let this be my sole reason for not getting a sleeve.

For me, ultimately, I was just more comfortable with the RNY overall. I've watched many people succeed with it, and a few fail, but I felt like it was the right match for me and my causes for being obese. So far so good!

Good luck with your decision!!!

HW 312, pre-op (RNY) 255, current weight 204.6

[cfergie911 90]

I chose bypass because of the dumping, I needed that sense of secuity. Also I want my diabetes to go away. And with the malabsorbation period will help me the most.

[SoccerMomma73 1,867]

And I'll add, if I had diabetes I'd absolutely pick the RNY, no doubt. The improvement in glucose control and often complete remission of diabetes is ASTOUNDING with RNY. I suggest not relying on dumping though, many many of our members (if not most) have no dumping or minimal dumping that really doesn't significantly impact their day to day dietary intake. It's not reliable or consistent a did hate for you to pick a surgery expecting it and be one of the many that don't experience it.

HW 312, pre-op (RNY) 255, current weight 204.6

[ren0318 81]

The malabsorbation (is this not absorbing nutrients?) and dumping, what is that?

[deaddemmama 474]

The malabsorbation (is this not absorbing nutrients?) and dumping' date=' what is that? [/quote']

Malabsorbtion means not absorbing a portion of your calories( and nutrients) because of the nifty rerouting they do between the stomach and small intestine. Dumping happens to some rny patients if they eat sugar or fats. Because they're not digested the same, they cause severe diarrhea, cramping,and rapid heart rate as liquid rushes into the intestinal track.

[Kat23 47]

Go bypass with diabetes. My husband was on 7 pills a day to treat it. He was sent home from the hospital with no meds for diabetes. In less than 3 months he was diagnosed no longer diabetic with an A1C of 6. Best decision ever for us. Good luck.

[ren0318 81]

Thanks everyone, very helpful!

[alleyoop08 1]

My surgeon also recommended the bypass for me because I have pretty severe GERD and the sleeve has been known to make it worse.

[ren0318 81]

I have severe GERD! MAJOR! That adds another vote for bypass:)

[Jacqueline K 93]

I have severe GERD! MAJOR! That adds another vote for bypass:)

My doctor always said with GERD the sleeve is a bad idea.

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[TheThr33 3]

It's really difficult to stretch your pouch to the point that it will make a big difference. Or so I've read. I think the more common reason for weight re-gain is grazing, snacking, and slider foods. Of course do your own research, that's just what I've seen.

I chose bypass because its been around longer and because the weight loss is slightly higher than with the sleeve. I also like the idea of possibly dumping. I feel I might need a little more incentive to eat right occasionally... Also because if all goes horribly wrong you still have all your parts floating around, and I assume they can put it back together if needed. Granted it still won't be the same as it was. but it makes me feel better to have all my pieces.