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Sleeve vs. Bypass



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I am seriously thinking about switching from sleeve (which is scheduled for Sept. 18th) to a bypass. Any reasons why I should or should not?

I KNOW it is an individual decision, I would just like some experienced feedback.

-Thanks-

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24 minutes ago, RSM said:

I am seriously thinking about switching from sleeve (which is scheduled for Sept. 18th) to a bypass. Any reasons why I should or should not?

I KNOW it is an individual decision, I would just like some experienced feedback.

-Thanks-

Are we meant to guess why your thinking of changing or.. Is that to follow in another post?

I have had a sleeve , feel free to ask specific questions, other than that I am not sure what you are asking sleeve suits some people , bypass suit some people. etc.

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Which procedure does your surgeon recommend for you?

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5 minutes ago, dreamingsmall said:

Are we meant to guess why your thinking of changing or.. Is that to follow in another post?

I have had a sleeve , feel free to ask specific questions, other than that I am not sure what you are asking sleeve suits some people , bypass suit some people. etc.

Just wanted some feedback from someone reading this, that may have switched from sleeve to bypass is all. Sorry if I wasn't clear. I doubt follow up posts are probably going to be necessary.

BTW, I do not have a gerd issue.

Edited by RSM

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4 minutes ago, MarinaGirl said:

Which procedure does your surgeon recommend for you?

My surgeon and I discussed this and she is leaving it up to me to decide.

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3 minutes ago, RSM said:

Just wanted some feedback from someone reading this, that may have switched from sleeve to bypass is all. Sorry if I wasn't clear. I doubt follow up posts are probably going to be necessary.

BTW, I do not have a gerd issue.

So.. What made you feel you should switch? This post needs more information, there are big reasons people decide sleeve is not for them, so who knows.

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1 minute ago, RSM said:

My surgeon and I discussed this and she is leaving it up to me to decide.

I would just have a sleeve if i was under 300, which I did, have you got any worries. I already have issues taking vits so id be really sick by now if i went for bypass. but I KNOW it works for some

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1 minute ago, dreamingsmall said:

So.. What made you feel you should switch? This post needs more information, there are big reasons people decide sleeve is not for them, so who knows.

From what I understand, bypass is the gold standard for bariatric surgery. To name a few;

Gastric bypass patients lose between 60 to 80 percent of excess body weight in the first year. Gastric sleeve patients lose between 50 to 70 percent of excess body weight in two years. Bypassing the intestines produces a malabsorptive aspect (less time for your body to absorb calories since your intestinal tract is shorter) that effectively reduces calorie consumption. Gastric bypass surgery has been around longer. Its results and complications have been studied and its benefits proven. Gastric bypass is more complicated, has a slightly higher overall risk profile but it does produce more weight loss.

I appreciate your posts, but seriously I will setup a consult with my surgeon to determine what is best for me. Just thought I would get a head start and receive feedback from individuals who may have decided to a bypass vs. a sleeve is all. -Thanks-

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I switched from sleeve to bypass before surgery. I didn't want to deal with GERD. I also wanted to not feel hungry longer, two months out and I haven't had any hunger yet. While watching this board, I saw several revision posts and that factored into my decision. I want to do this right the first time. I was 292 at my highest and 256.8 at time of surgery. I liked the idea of having two mechanisms for weightloss.



HW-292 • SW (6/29/17) 256.6 • CW 225.8

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2 hours ago, alcn1derlnd said:

I switched from sleeve to bypass before surgery. I didn't want to deal with GERD. I also wanted to not feel hungry longer, two months out and I haven't had any hunger yet. While watching this board, I saw several revision posts and that factored into my decision. I want to do this right the first time. I was 292 at my highest and 256.8 at time of surgery. I liked the idea of having two mechanisms for weightloss.



HW-292 • SW (6/29/17) 256.6 • CW 225.8

Sleeve: Most sleeve patients do not feel hunger ghrenlin is removed. I am 7 weeks , no hunger, have to remind myself to eat.

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22 hours ago, RSM said:

I am seriously thinking about switching from sleeve (which is scheduled for Sept. 18th) to a bypass. Any reasons why I should or should not?

I KNOW it is an individual decision, I would just like some experienced feedback.

-Thanks-

Because I've had 28 previous surgeries & have a lot of adhesions, my surgeon thought the Sleeve would be a better choice for me. Hope that helps.

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If you have GERD, diabetes, or are over 100 pounds overweight I would get a bypass. Otherwise I would go for a sleeve. If you've had certain abdominal surgeries before your surgeon might also recommend a sleeve but that's something they would surely tell you

I would absolutely prefer to have a sleeve it's a less risk and slightly less successful procedure. But because I already have bad GERD I would be a fool to have a sleeve which would result in future problems/surgeries for myself

Edited by Mhy12784

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3 minutes ago, Mhy12784 said:

If you have GERD, diabetes, or are over 100 pounds overweight I would get a bypass. Otherwise I would go for a sleeve. If you've had certain abdominal surgeries before your surgeon might also recommend a sleeve but that's something they would surely tell you

I am just at about 100# overweight, have diabetes 2, sleep aepnea and hypertension. No gerd.

-Thanks-

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Just now, RSM said:

I am just at about 100# overweight, have diabetes 2, sleep aepnea and hypertension. No gerd.

-Thanks-

Well sleep apnea and hypertension shouldn't have much of an impact on which procedure you choose as they'll both improve them significantly as you lose weight. But the bypass is king for diabetes. If your diabetes is poorly controlled or something you struggle with (or just a long term concern of yours) then the bypass is the way to go.

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