Why Not Bypass?

[SleeveandRNYchica 1,155]

I chose the VSG for the same reasons as everyone else: no rearranging of intestines, no dumping, etc. My surgeon warned me that having more than 100# to lose & having a history of problems with sweets, I may never lose all the weight with VSG but he'd do whatever I was most comfortable with. I wish I'd done RNY. My sleeve has been nothing but a PITA since day one, & I'm still 100+ lbs overweight, 2 years out. And not because I don't follow the plan (that's always the 1st thing ppl accuse you of when you stop losing at 5-6 months post op).

Have you had an EDG for them to look at your sleeve?

[SleeveandRNYchica 1,155]

I was the perfect sleeve candidate. No GERD and no other comorbities.I went in wanting the bypass. I have been overweight since the age of 5. I thought bypass would be a much better surgery for me. I was on a NUT plan a year before surgery and it took me 6 months to lose 12lbs. Anyways, I let the dr. talk me into sleeve. Almost 3 years later I am in the revision process. I have had some complications that has lead to the RNY path. I wish I had the RNY first.

[BarrySue 602]

I prefer least invasive methods first. If the sleeve fails, I can always do the duodenal switch or gastric bypass. But I'm young, mobile, no co-morbidities, lower rate of complications, and the success rates were statistically insignificant. I don't have to deal with dumping or malabsorption, fewer Vitamins, and no costly revision if it needs to be reversed.

Also, I love my doctor, but I know he makes more money on a 40k procedure than a 14k one.