VSG or Bypass

[lakegirlmn 20]

I am 5' 2" 199# with a BMI of 36. I have been approved for surgery. I am torn between having VSG and gastric bypass. I understand that surgery is a tool but I am so worried that the VSG will not be restrictive enough and feel the potential for regain is higher

Than with the bypass. I have such craving for sweets that I feel I need a physical deterrent to keep me on the path of a healthy lifestyle. Any suggestions?

Sent from my iPhone using the BariatricPal App

[KristenLe 5,979]

Do you have any medical issues - GERD, diabetes? Your cravings may change after surgery but maybe Bypass is the way to go if you need a deterrent. I would be concerned of 2 things with Bypass - the malabsorption of Vitamins and minerals and with a lower BMI - losing too much. What does your Bariatric Team recommend? My program has a NUT, Psych and surgeon who all help decide what surgery would be best based on their evaluations of the patient.

[lakegirlmn 20]

Thank you- I have sleep apnea and mild GERD. No official diabetes. I have a friend who had VSG 3 years ago and has put back on 20# because she slipped back into old habits. The VSG is new so there isn't a lot of data to indicate long term success. I know that even with the malabsorption risks with bypass the data indicates long term success

Sent from my iPhone using the BariatricPal App

[lakegirlmn 20]

I love my sweets so I really feel like I would need a physical deterrent to keep myself and habits in check

Sent from my iPhone using the BariatricPal App

Did you have surgery? If so which one and how are you doing?

Sent from my iPhone using the BariatricPal App

[KristenLe 5,979]

@@lakegirlmn I haven't had surgery yet but will be having the sleeve. I am not a sweet eater so we didn't think I'd benefit anymore from Bypass. You can slip back into old habits with both surgeries - they both are only tools to help us. If you have GERD and are a sweet eater - I would think Bypass would be better for you.

[the sleeved plastic surgeon 23]

I'm almost as your measurements

I'm 5' 2.5" and I weight 211# my BMI is 38

I'm a stress and a sweets eater

I'm a plastic surgeon and my figure is very important for me and my clients

I hv been obeese my whole life

This year I got hypertension and knee pain and decided that enough is enough

My surgeon who is a colleague recommended mini gastric bypass obviously bcs I'm a sweet and stress eater

But I totally refused it I'm a surgeon and I know that is it a malanatomical procedure and I can't handle malabsorption syndrome or dumping syndrome!! My friend had 3 car accidents due to damping syndrome and almost died

So I promised myself and him that I will control myself post op and I hope I can control the cravings after I start loosing weight and seeing results

Sent from my iPhone using the BariatricPal App

[lakegirlmn 20]

I am opting for the RNY. I do not trust the temptation and want to be sure that I am selecting a procedure best suited for my success. It is a difficult decision no matter what you decide. Good luck to you!

Sent from my iPhone using the BariatricPal App