Bypass or sleeve?

[Siyaa Ela 59]

Hi everyone

I wanted to ask you why did you choose sleeve instead of bypass? I heard that sleevers tend to gain weight and bypassers not

Is this correct. Sorry if this question is to private

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[Slim and Trim 14]

You can gain weight back on both

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[Siyaa Ela 59]

You can gain weight back on both

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How come?

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[Armygalbonnie 643]

^{I know 3 people who have gained all of their weight back with bypass. They never changed their eating habits, primarily stuffing themselves with junk food. For either of the procedures to be successful, you have to totally change your lifestyle. You will never be able to eat like a skinny person. The surgery is just a tool. Of course you will lose weight, but if you return to your old habits, you will gain the weight back regardless of which surgery you choose. For me, my surgeon decided I was a better candidate for the sleeve.}

[OutsideMatchInside 10,166]

Bypass people regain. I think they depend on Malabsorption too much, and when it is gone in 18 months or so, they start gaining.

The surgery you have doesn't matter, you have to make a lifestyle change

[hdiaz 22]

Yes both regain. Personally I didnt want to huge switch which what comes with bypass and the complications. You havet to train your self totally how to live and eat again or you will gain.

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[suz02 21]

I chose sleeve because the thought of bypass was really scary. While having the sleeve is removing 80%of the stomach, bypass changes the natural path of things and there are far more issues with eating involved. I know you can gain weight with any bariatric procedures. People figure out ways to get around the problems enabling them to eat whatever they want. This journey is a long one. While I know I will eat a few chips and some dip or a bite or so of desert now again, I won't eat the entire thing. It's still about the choices we make. I believe that having the sleeve just encourages me to make better choices.

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[reree6898 1,164]

For me I chose the sleeve because I didn't like the idea of my intestines being moved around. My issues with weight were due to the volume of food I ate for the most part and so the sleeve was ideal for me to help me with Portion Control. Now at 14 months out from surgery I can eat more then I did right after surgery but I make sure to always measure out everything before I eat and still stop as soon as I start to feel full. I never go over my 3/4 cup volume of food that my NUT recommended.

[gonefromhere 32]

My surgeon suggested that if I had a problem with refined sugars (like candy), the bypass may be more successful because it gives you more feedback if you eat the wrong types of foods (through dumping). If your problem is just volume (that's my problem) then the sleeve will help you learn to control that without the intestine changes (that make a lot of people, including myself, nervous)

[Paulaski 26]

My surgeon told me I wasn't a candidate for the sleeve due to having GERD. I was told it can make it worse not only by him but also the nurse working with me thru my insurance. Also, as stated above, the negative re-enforcement of the dumping syndrome with sweets. One other thing the bypass helps with controlling cravings due to the absence or lessened amount of grehlin with the rerouted intestine. So, the bypass is what I am having on Jan. 10, 2017.

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[Armygalbonnie 643]

The sleeve removes the ghrelin hormone so it helps control hunger too. I do have GERD but I had to have the sleeve because I have Rheumatoid Arthritis and I take steroids. You can't take steroids with RNY, due to risk of ulcers.

[Melser 17]

I chose the sleeve, because the complications and malabsorption with bypass always bothered me. When I heard the sleeve was proven effective I knew it was the one for me if I was going surgery route. I first attempted to lose on my own a few years back. I also have hormonal conditions such as autoimmune thyroid and PCOS, which lead me to believed I had malabsorption issues just from things I noticed with how I felt. They did confirm when they did Vitamin levels that I was deficient in several and close to being deficient in one. I feel more comfortable giving my body the change to absorb as much as it can by still having my stomach and not re-routing GI tract and lose/maintain healthy weight at the same time. Plus, I've never been fixated on being an unrealistic weight goal or loss. I am very realistic - my goal was in line with the weight range my dietitian gave me which will still have me in the obese category technically for my height... I'm looking to be healthier, more mobile, and have more strength not to be thin per se or a certain pant size. Lastly, I had hoped to avoid as much distress of loose skin, and thought I'd be better with sleeve since my end goal after surgery would still be quite overweight. I've lost around 7% so far of my body weight at a normal, healthy rate, and honestly I've already started noticing changes with my skin. When I lost significant weight (almost 100lbs) a few years back I had virtually no loose skin except an unnoticeable to others amount on my stomach. As I lose now I am coming to terms with the likelihood I will require some skin removal, and should start savings now. I had hoped I could just be okay with it and wear it proudly, but I'm actually having skin irritation already just from around 25lb loss. Each weight loss journey a person has is different. This experience is so much different from my last one just a few years ago. And as everyone pointed out you can gain with either option which is often shown on weight loss documentaries. I was told by my program's psychologist to prepare for a 10-20lb weight gain after you hit your goal weight, and to set a limit you will not allow yourself to go over i.e. 200lbs, so if you reach that point you reevaluate yourself and get back on track, because weight will always be an issue for each of us, and everyone that loses through whatever means has to stay on top of it or it'll become uncontrollable.

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[Missbeauty16 51]

If you have problems with really bad GERD and acid reflux I would go with the bypass. Also I know quite of few people with sleeve who have gained all there weight back, however I also know quite a few people who have gained weight with the bypass but only 15-30lbs back which is not much compare to the sleeve!! And I have seen sleepers revise to the RNY bypass. I just had RNY bypass done yesterday! It's painful but well worth it!!

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Edited November 23, 2016 by Missbeauty16

[Melser 17]

If you have problems with really bad GERD and acid reflux I would go with the bypass. Also I know quite of few people with sleeve who have gained all there weight back, however I also know quite a few people who have gained weight with the bypass but only 15-30lbs back which is not much compare to the sleeve!! And I have seen sleepers revise to the RNY bypass. I just had RNY bypass done yesterday! It's painful but well worth it!!

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Originally, the intention of the sleeve was to go on to have bypass it was seen as part 1 in the process. It was called the first part for people that weren't candidates for bypass, so that might be why you've seen them later have bypass. Now some choose to just go with sleeve alone. Honestly, there is only a 5% success in terms of long-term maintaining weight loss regardless of how you lose your weight with or without surgery. I've seen where people do not even lose weight initially after bypass, and I mean within first 3 months, because they never adhere to the diet changes or get up and move. Or after a year or two go back to old habits and end up back to their old weight. My program required us to take a life after surgery, and talked about the honeymoon period for all surgery candidates, and how most end up back at their starting weight. They stressed the importance of exercise with strength training to maintain or increase your RMR (resting metabolic rate), which is the only way to burn more calories to maintain or lose weight long-term. As everyone has mentioned this is a tool to retrain yourself and to be more active. It is not a quick fix or magic pill in the least. I've done a lot of reading on both surgeries for years, and as I said my program put me through a 12 week wellness course and 4 week course regarding life after surgery to give the best and latest research currently available.

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Edited November 23, 2016 by Melser