Would you change?

[Down South Aussie 65]

So i am right in the middle of getting my requirements done (NUT, Psych, classes etc) and i am still undecided if i want to go with the sleeve or the by pass.

So my question to the community at large is; if given the opportunity would you change the type of procedure you had and why?

Im curious what people think, both those that are just now post op and those who are years out and everyone in between.

Thanks in advance everyone.

[orionburn 1,024]

Just had my one year anniversary, and no, nothing I would change. The restriction I get with my sleeve is more than enough, and with some foods I still struggle to eat much without filling up too quickly (and feeling miserable). I liked the idea of the sleeve because it required less worry/fuss with Vitamins and I was also a problem child with Portion Control. If I was a sweet tooth junky I likely would have opted for the bypass instead.

I also went with the sleeve because it was supposed to be less invasive. Then I ended up having some complications anyway so I guess in the end it didn't matter much...lol. Point is that in the end that was something I was really concerned about initially and then realized that it shouldn't have played into my decision as much as I thought.

[Healthy_life2 8,324]

13 minutes ago, Down South Aussie said:

So i am right in the middle of getting my requirements done (NUT, Psych, classes etc) and i am still undecided if i want to go with the sleeve or the by pass.

So my question to the community at large is; if given the opportunity would you change the type of procedure you had and why?

Im curious what people think, both those that are just now post op and those who are years out and everyone in between.

Thanks in advance everyone.

I have sleeve 3 years 8 months out. I wouldn't change my choice to have surgery. I don't think it would matter to me wich type I had. I am beyond happy the weight is gone and I have my healthy back.

My Dr. suggested sleeve because I'm a type one diabetic. When I have low blood sugar, I can still use my glucose pills With the sleeve you don't get dumping syndrome when you ingest sugar. I also liked that they do not reroute your intestines.

I am maintaining. It's still as much work as any other surgery. I have to eat healthy and exercise.

[Sadiebug 206]

I had RnY - but I do wish I had considered the sleeve more seriously. I honestly would have still gone with the RnY because of pre-existing issues with GERD though. I had a very high starting weight and a terrible sweet tooth/binge eating. So, I didn't even consider the sleeve - I figured I had to have the restriction AND the "get sick if you eat sugar" to be successful. Well, that backfired because it turns out only a percentage of RnY patients experience dumping syndrome and I'm not one of them (didn't know this until after surgery). So I can still eat practically anything and not get sick. Had I known before surgery that I would be the one that doesn't get sick from sugar I would have probably weighed my options more closely.

[Down South Aussie 65]

1 minute ago, Sadiebug said:

Had I known before surgery that I would be the one that doesn't get sick from sugar I would have probably weighed my options more closely.

Interesting, I didn't know that either, thank you.

[Down South Aussie 65]

7 minutes ago, jenn1 said:

I don't think it would matter to me wich type I had. I am beyond happy the weight is gone and I have my healthy back.

Thanks, im really torn, my goal is about 85% of my excess weight, which traditional wisdom says go for the By-pass, but the idea of having my intestines moved around and the additional potential for risk doesn't make me feel all warm and fuzzy. I have type 2 diabetes, again traditional wisdom says by-pass but i have been reading some medical studies recently that were published on the JAMA network that show at 5 years there is actually very little difference between the sleeve and by-pass on diabetes, even weight loss at 5 years was only slightly different (just a little in favor of the by-pass for more lost).

sooo torn.

[Down South Aussie 65]

31 minutes ago, orionburn said:

Just had my one year anniversary, and no, nothing I would change. The restriction I get with my sleeve is more than enough, and with some foods I still struggle to eat much without filling up too quickly (and feeling miserable). I liked the idea of the sleeve because it required less worry/fuss with Vitamins and I was also a problem child with Portion Control. If I was a sweet tooth junky I likely would have opted for the bypass instead.

That is very good to hear, one of my concerns was the whole restriction issue, would the sleeve not give me enough. One of my concerns is that im always just feeling hungry. I do have a sweet tooth but it is something i can keep control of.

[Healthy_life2 8,324]

6 minutes ago, Down South Aussie said:

Thanks, im really torn, my goal is about 85% of my excess weight, which traditional wisdom says go for the By-pass, but the idea of having my intestines moved around and the additional potential for risk doesn't make me feel all warm and fuzzy. I have type 2 diabetes, again traditional wisdom says by-pass but i have been reading some medical studies recently that were published on the JAMA network that show at 5 years there is actually very little difference between the sleeve and by-pass on diabetes, even weight loss at 5 years was only slightly different (just a little in favor of the by-pass for more lost).

sooo torn.

It is a hard choice. I understand why you feel torn. Think down the road of what is going to make you successful long term.

[orionburn 1,024]

21 minutes ago, Down South Aussie said:

That is very good to hear, one of my concerns was the whole restriction issue, would the sleeve not give me enough. One of my concerns is that im always just feeling hungry. I do have a sweet tooth but it is something i can keep control of.

Head hunger is a real struggle even after surgery. For instance I can eat right before I leave work (and feel full), then get home an hour later and feel like I need to eat because I'm hungry. But...that's due to old/bad habits of always eating something as soon as I got home and sitting down for a few minutes to unwind from the day.

Bare in mind different foods will make you feel fuller than others. I could a cup of cottage cheese and some fruit and not have any full sensation. However a cup of chicken and some greens would leave me feeling really full. My typical lunch is a salad, so about a cup or so of lettuce and some canned tuna. I'm stuffed from that. The thing my office always warned us about was grazing and giving in to head hunger. In the early months I had no choice but to eat 5-6 meals a day to get my Protein in. Now I can do that in 3 meals and a Protein Shake no problem (some days no shake at all). Head hunger is something I'm always going to battle, so no matter how small our stomach may be it's the mental battle that is the real struggle.

[Mattymatt 491]

1 hour ago, Down South Aussie said:

So i am right in the middle of getting my requirements done (NUT, Psych, classes etc) and i am still undecided if i want to go with the sleeve or the by pass.

So my question to the community at large is; if given the opportunity would you change the type of procedure you had and why?

Im curious what people think, both those that are just now post op and those who are years out and everyone in between.

Thanks in advance everyone.

I honestly think it depends on your set of circumstances. I am a T2 diabetic so every one of my healthcare providers strongly encouraged RNY because of the well-documented effect of curing the diabetes. This is what made the decision really easy - I want to have the surgery best suited to end the malady of diabetes. T2 is a misery that I just want gone. I was also concerned about GERD from the sleeve and I do not want to potentially have to do a revision surgery. Going through one of these is enough.