Why did you choose bypass?

[jdk524 12]

I am looking for personal experiences. What did you choose bypass over sleeve and are you happy with your choice?

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[prairieprincess 13]

In Canada where I live we are not given the choice the doctors once in decide what's best. The will do the bypass over the sleeve due to the fact that for if in the future it becomes medically necessary they are able to reattach the stomach. That is the reasoning in all my meetings I have had. I have yet to receive my date for surgery but I have done 2 preliminary meetings and I go again on the 18th of this month and if my Iron levels are where they need to be I will get an appointment with the anesthesiologist in prep for surgery. Excited and terrified all in one.

[dhrguru 1,238]

I chose bypass cause with the amount of weight I had to lose- I wanted the double effect of malabsorption and restriction. A large part of why I did not want VSG was because of the large possibility of reflux. It was never an issue for me before and I didn't want to come out Of surgery with new issues. I've lost 137# so far, zero complications . I'm happy with my choice.

[Tayfusion304 39]

@@dhrguru Congrats!! I'm going for RNY as well. I pray, I have no complications as well. I'm starting out at 255. I have diabetes, gerd, amongst other things so that's why for me. As I'm typing this, I remember you asked for personal experiences and I'm still pre op... Lol

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[jdk524 12]

I chose bypass cause with the amount of weight I had to lose- I wanted the double effect of malabsorption and restriction. A large part of why I did not want VSG was because of the large possibility of reflux. It was never an issue for me before and I didn't want to come out Of surgery with new issues. I've lost 137# so far, zero complications . I'm happy with my choice.

That's awesome! Congrats! Would you mind sharing SW & CW?

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[jdk524 12]

@@dhrguru Congrats!! I'm going for RNY as well. I pray, I have no complications as well. I'm starting out at 255. I have diabetes, gerd, amongst other things so that's why for me. As I'm typing this, I remember you asked for personal experiences and I'm still pre op... Lol

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That's fine, still tells me why you chose the type you did. I was so sure I wanted the sleeve and my surgeon suggested considering bypass! Now I'm not sure but I have time to think about it!

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[Tayfusion 7]

I was set on a sleeve to start as well... Lol

[James Marusek 5,244]

I am 3 years post-op RNY gastric bypass surgery. I choose RNY because I had severe acid reflux prior to surgery. The sleeve will only make this condition worse. Also RNY gastric bypass is almost the gold standard. It has been around a long time and most of the bugs have been worked out.

[mimi_rnyjourney 13]

I chose RNY because of the amount of weight I need to lose. My surgeon agreed with me so on the 24th I will

Be getting RNY!!!

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[JJCool 104]

I hope you don't mind me weighing in, although I got a sleeve. When I was making the decision my surgeon suggested the sleeve would be best for me for surgical access reasons. People carry their fat in different places and sometimes it can make it hard for the surgeon to get to the bits they need to operate on. For instance, she told me it can be difficult to do a RNY on men who carry their fat in front like a pregnant belly (no offence meant to any men who are that shape, it's just so you know what I mean). I carry mine differently, more like a tyre (if you know what I mean lol) and still she suggested the sleeve would be better for me for this reason. Hope that makes sense!

Jo x

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[catwoman7 11,212]

a few reasons - I wanted the malabsorption (I also started at 300+ lbs), I had moderate GERD pre-surgery and did not want to risk it getting any worse (it completely went away with surgery), and I liked the fact the bypass has been around for a long time and there's a lot of research on it - so they know what they're doing.

I've been very happy with it. Other than two strictures early out (which are an easy fix), I've had no problems with it.

[Djmohr 6,965]

I was set on the sleeve and after my first appointment with the Bariatrician, they suggested I change to bypass because I had severe gerd. They were worried that if I had the sleeve, they would have no where to go with PPi meds.

Then after doing more research, I was thrilled with the idea knowing how much weight I wanted to lose.

I started at 310 and I am currently 158, down 152lbs.

Best thing I ever did. I have had no complications.

[bypasswitch 30]

i chose bypass because i felt the sleeve was more invasive, losing most of my stomach scared me. my surgeon also says in the long run you are more successful keeping the weight off years down the road with the bypass. i am 3 weeks post op and have had zero complications, sw 272 cw 235. good luck!

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[Cervidae 2,389]

I'm going to copy and paste something I wrote a couple weeks ago explaining my reasons for choosing the RNY over the sleeve. Hope my perspective helps in some way.

I did consider sleeve and would have happily gotten one if my surgeon had had some reason for me not to do the rny. But rny seemed like a better option for me based on a lot of different things.

- There is much more long-term data on it.

- It's considered the "gold standard" of wls.

- My bmi was very high at the beginning of the program... about 67. From everything I've observed/researched and learned in the surgeon's seminars, those with higher bmis tend to lose more during the honeymoon phase and continue to lose more/easier in the maintenance phase. I had a looong way to go to get to my goal.

- I wanted the accountability of the rny. Many sleevers I talked to simply didn't have dumping, or were able to tolerate slider foods even in the weight-loss phase. I wanted the most strict accountability either surgery could offer, and that meant the rny.

- Many sleevers I talked to years out that had started very heavy as I did were not really happy with the larger amount they were able to eat, how easy it was to eat bad foods they should not eat, etc. The rny offers more restriction. True, I can stretch out my pouch just like a sleever can stretch out their sleeve but it seemed to me (and statistics back this up) that rny-ers had more restriction farther out than sleevers, and I wanted that.

- I also knew a lot of sleevers who, for whatever reason, wanted revisions years later and couldn't get them because of insurance, etc. I could mess up my rny too, of course, but I wanted the smallest chance possible, and the biggest bang for my buck.

- I saw many sleevers, particularly ones with high bmis, entering maintenance with 50, 60, 80 pounds left to lose to reach goal. Of course, this wonderful tool will help you reach goal after maintenance has started with enough work and dedication regardless of the type of wls, but since I had such a long way to go and I wanted to lose weight as quickly as possible to give me a good head start on my life-long road to health, the rny seemed a better option. As it is, I'm not yet in maintenance and I'm about 45 pounds away from my goal. Chipping away.

- The only arguments people had against the rny did not really matter to me at all. I have to take Vitamins for the rest of my life? Okay, no problem, most people probably should be anyway. There's a slightly higher risk with the rny? Okay, it's really a tiny extra risk, and with all the added benefits, entirely worth it. It didn't scare me at all. I may deal with malabsorption and other complications? Well yes... but so may the sleeve. The different percentages of risk were so close anyway, it didn't worry me at all to take that leap for what I perceived to be my best chance at getting the best head start I could, which would not only greatly improve my health (it has!) and greatly improve my self-esteem (it has!) but also greatly reduce the difficulties of everyday life (it has!!) as soon as I possibly could. I'm 24 and I left college two years ago because I was so sick. I've been sitting here fixing my body and essentially saving my life, and I really don't want to and can't wait another second to start my life. I'm enrolled and going back to school in about 3 weeks, and I look and feel pretty much normal now. I've had no complications, and I've lost 172 pounds since the day of surgery less than a year ago. This was my dream, and it felt like a silly and ridiculous fantasy before. But here I am, and everything I could have possibly wished for has come true for me. AND BONUS! It only gets better from here!

For all these reasons and many more that are more personal and harder to explain, I would choose the rny all over again, and again, and again...

[Daisee68 2,493]

I went in my first consultation asking for sleeve but had terrible reflux that day and mentioned it to the Dr. She said sleeve can make reflux much worse and strongly recommended bypass. Plus I had a lot to lose and was Type 2 diabetic. It took me a few weeks to get my head around the idea but 14 months post-op, and at goal weight, I am extremely glad I went with bypass.

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