Sleeve or Bypass?

[VDLT 244]

Just wanted to note that my gerd resolved after my sleeve with hernia repair.

[CowgirlJane 14,260]

They are both good procedures. I weighed 308 to start.. currently maintaining in the "150s". My sleeve was 4 years ago.

I think that someone with GERD should definately go bypass, other than that, research and decide which fits your needs the closest!

[NikkiDoc 312]

Do you have diabetes or any other comorbidities? I'm going with the bypass per my surgeon's recommendation. I have PCOS which causes me to be pre-diabetic/insulin resistant. The bypass has proven to make more of an impact on my disease and the issues I battle with from it.

but the sleeve would have resolved these issues also

Yes, agreed. But I also suffer from GERD which the sleeve will/could only worsen. There are a multitude of reasons for my choosing RNY over VSG.

I also was PCOS, pre-diabetic and had been on Nexium for over a year. I was on metformin and Byetta off label for the PCOS. My A1C had one test result barely in the diabetic range. If I had another in that range I would have been considered diabetic. I was off all of those drugs within 3 months. I did have a hernia repaired at the same time. I have not had any reflux since the sleeve.

I would check if you have a hernia before making a final decision. My endocrinologist approved my sleeve and never mentioned that I should consider by-pass. Just some additional thoughts so you and others in your position know your options.

[WL WARRIOR 692]

http://guidedoc.com/gastric-sleeve-vs-gastric-bypass-surgery

This is a good article on the topic.

[emc28 1]

Thank you all for your wisdom!!! You are all great!!