Trying to decide bypass vs sleeve

[Nicki24 34]

I have to have my mind made up in a few weeks and I'm still so unsure if I want to have bypass or sleeve. My surgeon says I'm a good candidate for either and left the final decision to me. He initially suggested sleeve bc it's less risky and less invasive. I started this thinking I wanted bypass then was talked to about the sleeve and now I don't know. I'm 25, have a very high bmi, and a goal to lose 250 lbs. I have mild sleep apnea, and PCOS and had my Gaul bladder removed in 2011. Any advise, opinion, or success or even failure story would help! Thanks!

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[IncredibleShrinkingMan 437]

As a sleever (9 months out), I give the procedure my highest recommendation. I have lost 85% of what I want to lose, and I am confident the rest will come off. The sleeve is not just safer, but it does not force you to give up as many things forever. The main difference is carbs/sweets. While you will not want to have too much of these foods at any point in the future, the consequences of having some will not be as drastic. That said, an option for you would be to go have the sleeve, see what it does for you, and then if you are not satisfied with the progress after a year or two, you can go back and have a revision. It depends what your weaknesses are...mine weren't sweets, so the consensus was that sleeve would produce the same benefits as bypass. Your analysis may be very different. Congratulations on getting started!

[Nicki24 34]

Thanks, but I kind of want the added restrictions and giving up things forever that way I'm not as tempe in the future to have them. I'm terrified of regaining and not maintaining and eating foods that I shouldn't just because I can. So if I can't I feel like that's good for me. Also I like that I have the option of revision but I'd prefer to only have one surgery

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[Heatherg0907 36]

Thanks, but I kind of want the added restrictions and giving up things forever that way I'm not as tempe in the future to have them. I'm terrified of regaining and not maintaining and eating foods that I shouldn't just because I can. So if I can't I feel like that's good for me. Also I like that I have the option of revision but I'd prefer to only have one surgery

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Hi Nicki, I'm having revision from lapband to bypass and I can tell you, I wish I would have just gone with the bypass to begin with. For me, the gas pains from having the lapband was terrible and I'm not looking forward to that again and the lapband didn't work at all for me. I do have a sweet tooth so I'm keeping my fingers crossed that I dump to keep me away from those foods, not that I'm even thinking of having those things anytime soon after my surgery. Ultimately the choice is yours and you have to do what makes you feel comfortable. Good luck in your journey!!!

Heather

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[caligirltt 60]

I'm doing the bypass because I like sweets. May need a heart transplant due to a condition I was born with, and the Drs. Think I will have the best outcome and can still manage a transplant if needed. They don't want me going through two surgeries, it's very hard on your body. I love sweets and I know that. If I liked plates of food, I may have considered the sleeve...

Surgery 5/4/16

[Katrinakit 139]

Isn't the bypass usually a better option for pcos? Maybe I am wrong.

[Nicki24 34]

Isn't the bypass usually a better option for pcos? Maybe I am wrong.

I haven't heard? Is it?

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[achappex3 346]

@@Nicki24 my BMI is extremely high and I'm only 22. I'm going with bypass. It'll get me closer to my goals, and, like you said I would like the other restrictions!

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[Katrinakit 139]

I think bypass has more of a metabolic impact and will definitely help with insulin resistance

[Katrinakit 139]

So it just seems like, since pcos is a metabolic disease, it would make sense to do bypass.

[James Marusek 5,244]

I had severe acid reflux (GERD) and that was the main determinant on why I had RNY gastric bypass surgery. The sleeve will only make this condition worst. Also gastric bypass had one of the lowest revision rates. If I went under the knife once, I sure didn't want to do it again.

[Nicki24 34]

I had severe acid reflux (GERD) and that was the main determinant on why I had RNY gastric bypass surgery. The sleeve will only make this condition worst. Also gastric bypass had one of the lowest revision rates. If I went under the knife once, I sure didn't want to do it again.

I have acid reflux sometimes like maybe once a month. But also could it be that there's less of a revision rating bc there's nothing really to revise to? Except the duo switch but I hear that has alot of complications and you basically have horrible diarrhea for the rest of your life so not many ppl want to revise to that

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[Katrinakit 139]

I really wanted the duodenal switch because my friends who have had it had AMAZING results! But I couldn't find a surgeon in the area who does it. I will take diarrhea over being morbidly obese any day!

[caligirltt 60]

Bypass they do specifically to cure diabetes. PCOS is a metabolic/insulin type issue. Usually just losing weight cures it. If you have diabetes in the family. Bypass is a good option but it has to be the insulin resistant one. I'm not sure if that's type 1 or type 2. [emoji16]

[Cervidae 2,389]

you're almost the exact same age and starting weight I was! I chose the bypass.. and I am so glad I did. I have lost 141 since surgery 8 months ago, and have no complications. The RNY isn't for everyone but I chose it because of my extremely high bmi, and it has been paying off for me big time. Good luck with your decision! Either way, you'll do well.