Hi,
My Dr. Who is head of Bariatric program in CA. (L.A. area at least said he considers the vertical sleeve the Gold Standard now. I was asking about the sleeve compared to bypass.
To tell you the truth I don't know much about the duodenal switch.
I think it would depend on how overweight you are Vertical Sleeve was a good procedure for me however after about four years you can start getting your way back if you are a snacker if you are absolutely desperate to keep the weight off you might consider the other however all of my friends who had bypass are severely anemic they barf much more regularly than I do I never Barker ever I don't have any troubles like that you may really want to think about what the duodenal switch entails. I don't think any procedure is a magic pill, so to speak...but I do know that I see a lot of people that have had the bypass, and they just seem uncomfortable a lot more....or need to go be sick. The Vertical Sleeve is a tool but I feel perfectly fine I just get full when I'm eating too much so you do have to have a little bit of willpower at times push yourself away from the table.
Good luck in making your decision.