Mini gastric bypass vs. Sleeve

[kinipela24 80]

I thought I was 100 percent set on getting the gastric sleeve as it seemed to e the "least invasive." However, I have been reading up on the mini gastric bypass and I am wondering if that would be better for me. I am 5'5 a little over 300 lbs with a BMI of 51 and wonder if I will be able to get to my goal weight at that size with just the sleeve alone. I have scheduled my surgery or June 14th for the sleeve but now I am wondering if I chose the right surgery. I do not suffer from acide reflux, I don't want it and of course I want the least amount of complications possible. I also dont want to have a second surgery if one doesnt go as planned. Feedback would be appreciated. Thanks!

Edited April 7, 2017 by kinipela24

[RickM 1,747]

I can't speak to specifics on the MGB, but when my wife and I first started looking seriously at WLS some fourteen years ago, it was an offbeat procedure looking to gain respect and legitmacy. Since then, both the DS and the VSG have gained general acceptance by the ASMBS, the insurance industry and Medicare as routine, mainstream bariatric procedures, while the MGB remains on the fringes. I would focus your research on understanding why this is. Usually the reason lies with some combination of effectiveness and complications.

No one goes into this planning to need a revision (excepting the few cases where two step procedures are planned from the outset,), but having a viable "plan B" isn't a bad idea, and some procedures are more flexible in this regard than others.

[biginjapan 647]

@Kinipela24: What does your doctor say? My stats were similar to yours: I'm a little shorter than you (5'3") and my BMI was 49 right before I started the pre-op diet. I went with the sleeve because it seemed like the least complicated surgery, and because I did not suffer from GERD. I've lost over 30 pounds in 2 months since sleeve surgery and I'm very happy with it. I know it's easy to start second-guessing your choices, but if your doctor thinks the sleeve is best for you, then it probably is.

[kinipela24 80]

Thank you both for replying. I have contacted my surgeon about it but he has not gotten back to me yet. I hope to hear from him soon. I do not suffer from GERD either. I am a second guesser in general. The rerouting the intestines thing does scare me.