Why did you choose bypass?

[Seraya 46]

Hi,

I'm considering both Gastric Bypass and Gastric Sleeve and trying to unspderstand why folks have chosen one over the other. I had thought for sure I wanted the sleeve to avoid the possible nutritional deficiencies and it just seemed like bypass had a lot of other issues like dumping, etc. the only reason I'm doubting my original plan is that I have acid reflux and have been on what's considered a low dose of omeprazole (20 mg daily) for about 7 years. I've read that for some people reflux can get really really bad after the sleeve. But there also seems to be stomach ulceration as a long term risk of bypass. Help! I feel paralyzed trying to make the right choice and afraid of the possible bad outcomes. I'd love to know why you all chose bypass over sleeve. Thanks!

[shedo82773 1,236]

Hi, I had the bypass. I was insulin resistant and took 100units of insulin 2 times a day plus 500mg of Metformin 2 times a day. I lost 132#'s in 6 months, some In contribute to having strictures (like scar tissue in the opening of my pouch) I got down to 117#'s which was way to low I looked horrible. I did gain 8#'s back but I have maintained my 125#'s for 3 years. I used to take 12 different medications, now I take 4 most for my blood pressure, I just don't know how to let the stress go. LOL I stress over everything. Any how when I was making my decision I'm 57 years old and this will be my only chance to at last lose the weight, which I have lost plenty of times but always gained it back plus more. I had great results BTW I am off all Diabetes meds and have been within my first month after surgery. I think this was a great decision on my part. Now you did say you have Reflux I have heard that it does make it worse with the Sleeve. And many need to have a revision to the Bypass. For myself it was "GO BIG OR GO HOME" one of the very best things I have ever done for myself. It rates up there with me getting married and giving birth to 2 children which are grown and has given me 8 beautiful grandkids. Good luck in your choice of surgeries.

[LadyDarkness415 41]

I had bypass. I chose it because it has the best rate of success, it helps some of my other existing med problems, and it has the fastest rate of weight loss. I just follow what the docs tell me not to take and not to do and roll with it. No carbs. No NSAIDS. Omeprazole. Vitamins. Done. I am very happy in my choice. My only regret is not having done it sooner.

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[catwoman7 11,211]

I had acid reflux and I didn't want to risk it getting worse with the sleeve.

Acid reflux is very common with the sleeve. It's uncommon with the bypass. Ulceration is also not common with the bypass.

[JustRobin 1]

Bypass. Most people struggle more long term with sleeve. Its too easy to gain back the weight.

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[mskami77 295]

I had serious reflux issues prior to RNY. My surgeon told me the bypass would eliminate my reflux. I'm 3 years out and have no issues with reflux. Dumping is not really an issue either for me but I know my limits when eating things that aren't Bariatric friendly.

I would go over your medical history with your doctor and determine which surgery will give you the best outcome.

Good luck on your journey!

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[Moorekat 78]

I wanted the Sleeve for the same reason. My surgeon wouldn't do the sleeve because I had Gird and Barrett's Esophagus. Since my Bypass, I haven't had one ounce of acid reflux! GONE! That's worth it in itself! I haven't had any Vitamin deficiencies, but I did lose a lot of my hair. It's growing back now though. That is common when losing rapidly. I take a high dose of Biotin daily and that's helping I think! Either surgery is great but, the sleeve will make Gerd worse. Good Luck to ya!

[TinaKimani 64]

I chose Bypass because I was a diabetic and had pretty bad acid reflux. I'm only 6 days post op and my sugar levels are totally normal.

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[QuilterGal 216]

I chose bypass because it is the gold standard of weight loss surgeries and has the highest long-term success rates.

[WW0747 23]

I went with bypass due to Type 2 diabetes.

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[alysia.rush 24]

Surgeons have preformed Bypass's for over 30 years. Its has the most research and is the gold standard as someone else mentioned. Plus it helps u eat right or u get dumping. So it almost forces u to choose better food.

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[Travelher 915]

Also bypass for all of the reasons above. Mine was a revision from a lap band.

[laura4ney 0]

(Still Pre op)

I'm an emotional eater, and the psychologist agreed that dumping from bypass would help me curb that. (Be careful, though- I'm told you can overeat through dumping to where it doesn't happen anymore)

My mom died of gastro-esophagael cancer last fall; her only symptom before stage 4 diagnosis was bad reflux. Knowing that's in my family, I wanted to avoid reflux from the sleeve.

I also have PCOS, and the "clock is ticking."

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[mrsto 2,925]

Also bypass for all of the reasons above. Mine was a revision from a lap band.

I'm considering a revision from a lapband/plication to a bypass. Did your surgeon do the revision at the same time he removed the band? Are you happy so far?

[Daenerys Targaryen 109]

I revised from lapband to bypass because 1) I had reflux and sometimes sleeve patients have to revise to bypass due to reflux. I didn't want to have another surgery down the road. 2) bypass is the gold standard with the best success statistics and longest history 3) I have a lot of weight to lose and needed the biggest bang for my buck.

I've lost 109 lbs since my revision surgery day six months ago. I am happy with my decision.