saltykisses

Just a couple of things. Some people do get the dumping syndrome with the Gastric Sleeve. The Sleeve surgery is kind of invasive, they remove 75 to 80%. In extreme cases they can reverse the RNY (I have been told) Also many have their Gastric Sleeve revised to a RNY. It all boils down to both work. You need to also do the work with both surgery. Good Luck in your choice of surgery and your ongoing journey.

Sorry, the chart doesn't show up well on mobile.
A general outline of the advantages/disadvantages of each:
VSG Advantages: Safer and less complex procedure; Limits food ingestion; reduces hunger sensations by removing the portion of the stomach that produces Ghrelin, the hunger hormone; digestion occurs naturally and does not cause nutritional deficiencies resulting from intestinal bypass; does not cause dumping syndrome as the pyloric valve is kept intact; few problematic foods; option for high-risk patients (very high BMI or medical issues such as anemia, Crohn's disease, anti-inflammatory drug use, or extensive prior surgery)
VSG Disadvantages: General surgical risks including infection, bleeding, and blood clots; Leakage along the stomach sutured/stapled edge; Not reversible; Lack of long term data; considered investigational and not covered by some insurance companies.
GBP Advantages: Greatly controls amount of food that can be eaten; malabsorption assists with weight loss; dumping syndrome prevents the intake of sweets; Considered the gold standard for bariatric surgery base on long-term use and results.
GBP Disadvantages: General surgical risks including infection, bleeding and blood clots; complex operation; leakage along the staple line of the stomach; stoma obstruction; nutritional deficiencies; gallstones, ulcers, reflux and bowel obstruction; dumping syndrome.

Hello All!
For the first time ever, I voluntarily posted a picture of myself on FB. I was sleeved on 3/6/17. Just a couple days after my 49th birthday. My SW was 236, my CW is 163, and GW is 150. Other than my first week being a pure nausea hell, everything else went great.
I do miss eating more than a few bites of food when I'm really enjoying the taste of something. I also miss baking. One of my favorite hobbys. My co workers also miss my baking! Lol
But I feel better than I have in years! I would never have asked for, and gotten there promotion at work, had it not been for the surgery. I knew I wouldn't have been able to do my current job if I didn't lose the weight.
Anyhoooo...my pics
  
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I just found this forum today -- so excited to have found it -- so many success stories and supportive people.Hi everyone!!
I have a tentative sleeve date of 12/7 provided insurance approval comes through in time. I'm a little concerned though as I see so many people talking about starting their liquid diet pre-surgery...I guess every surgeon is different as my surgeon is not requiring that?
Anyone else for 12/7?

I started my liquid diet on Friday. I have been drinking Water, Powerade zero, and i had one apple juice the kids pouches with no sugar added. I am able to have sugar free Jello, sugar free pudding, and sugar free Popsicles. I also have a Premier Protein drink for Breakfast and one for dinner. It hasn't been too bad.

Just confirmed with my insurance, Medical Mutual, that my prior authorization has been approved. That was my last hurdle. I start the liquid diet tomorrow for surgery date of December 11th.

I would stay from butter. I had my surgery on Wednesday and everything went well, but it is very difficult to swallow Water. It feels like there is a huge lump between my breasts when I drink. Other than that I am excited to go home today and be in my own bed.
I know it is tough being on a liquid diet right now but remember this is preparing your body for your surgery and afterwards.
Good luck!

My surgery is on Wednesday...fed my family Thanksgiving on Nov. 7th! lol I wasn't missing out on that food. lol So I am on the 2-week liquid diet, it has been horrible. I cannot expect my family to do it with me. The Protein Shakes cause really bad stomach issues so I rather not drink them. I have been living off of sugar-free Jello & pudding and chicken broth. A lot of Crystal Light and Water. My family will not allow me to cave. They were eating pizza yesterday and I begged them for a bite and they said NOPE. I did get some Cream of Wheat and I cook it to where it is watered down so I considered that a liquid. I use Equal so that should be okay. I won't lie, I miss my Pasta and sweets..which most likely got me into this situation. The only thing I pray for is I lose my sweet craving, if that happens I will be golden!

I’m scheduled December 19th so I’ll only have to miss one day of work. I’m nervous but I’m thankful. It’s been a long road to where I am and I cannot wait to start my new journey healthier and happier for the new year.

I'm just too excited for this milestone and I know that you all would understand how major this is. Today when I got on the scale it read 198.8! This is the first time I've been in the 100s since probably high school (but I have no idea what I weighted then). I know in junior high I was 186 and I was probably shorter than I am now so this is a pretty huge success. I've never been able to lose weight like this with all of the different diets and workout plans before. I'm so thankful for the sleeve and that my doctor encouraged me to go forward with it. Since the sleeve my high blood pressure has improved, I was able to get rid of a CPAP machine and my chronic ankle pain from a childhood injury has improved a great deal. My last vacation in December I needed to use an ECV because walking was excruciating. I had another vacation last week that was three times as long and my ankle was sore some days but I was able to keep up and walk the entire time. The entire process has been so motivating and positive I couldn't possibly ask for any more.
I've now lost 112lbs since my highest weight and I'm thrilled. I definitely hope to lose some more, likely about 30-40lbs. Hopefully this will put be in a good goal range and I can focus on maintenance. I'm a little under 7 months from surgery and it feels amazing to actually have my goal weight in sight.

I got to recreate my 'before' picture and I love having the side by side comparison. I even took the same shirt and remade it into a much smaller size!

My first goal was to lose enough wait to make myself feel good and it has happened I got my surgery on 10/6 and I was 456.8 pounds and today I weighed myself and I am officially out of the 400's I have not seen a 3 in front of my weight since I was 13 or 14
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Prayers for a safe surgery and doctora steady hands. Can't wait to see all your progress!

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What a transformation!! Congratulations!

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Prayers for a safe surgery and doctora steady hands. Can't wait to see all your progress!

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Wow! this is an awesome post I totally learned something.

I think that the sleeve would work just fine for you since you probably only have 60-70 pounds to lose to place you into the normal range. If you already have acid reflux issues or Gerd, those issues can be agitated or worsened by getting sleeved, however, and many people undergo a 2nd surgery to convert to GB because of this. If that is the case, you might be better off with GB instead.
Other than that, see below:
Gastric Sleeve vs Gastric Bypass
Comparison of the Bariatric Surgery Procedures
Comparing the various methods of weight loss surgery can help you determine which surgical approach is the best option for you. As weight loss surgery is only a tool to assist with weight loss, what works best for one individual is not necessarily what will work best for another individual.
The following chart is a side-by-side comparison of laparoscopic sleeve gastrectomy (LSG), also called gastric sleeve surgery, and Roux-en-Y gastric bypass surgery. The information is intended as a general overview of these two types of weight loss surgery to help you quickly compare the similarities and differences of these procedures.
Weight Loss Procedure Gastric Sleeve Roux-en-Y Gastric Bypass Approach to Weight Loss Restriction Limits food ingestion Controls hunger sensations Restriction & Malabsorption Limits food ingestion Reduces food absorption Changes to Stomach Stomach size reduced 75-80% of the stomach is cut away along the greater curvature and removed from the body Stomach size reduced and new stomach outlet (stoma) created Stomach is separated into two and stoma is created in the smaller upper pouch; lower remaining portion of the stomach is bypassed Changes to Small Intestine Kept intact Cut and rerouted Small intestine is cut in the middle; upper section is bypassed and lower section is attached to the stoma Changes to Pyloric Valve Kept intact Bypassed Average Operating Time 1 to 3 hours 2 hours Average Hospital Stay 2 to 3 days 2 to 3 days Average Time off Work 2 weeks 2 to 3 weeks Average Recovery Time 3 weeks 3 months Surgery Advantages Safer and less complex procedure Limits food ingestion Reduces hunger sensations by removing the portion of the stomach that produces Ghrelin, the hunger hormone Digestion occurs naturally and does not cause nutritional deficiencies resulting from intestinal bypass Does not cause Dumping syndrome as the pyloric valve is kept intact Few problematic foods Option for high-risk patients (very high BMI or medical issues such as anemia, Crohn?s disease, anti-inflammatory drug use, or extensive prior surgery) Greatly controls amount of food that can be eaten Malabsorption assists with weight loss Dumping syndrome prevents intake of sweets Considered gold standard for bariatric surgery based on long-term use and results Surgery Disadvantages General surgical risks including infection, bleeding, and blood clots Leakage along the stomach sutured/stapled edge Not reversible Lack of long-term data Considered investigational and not covered by some insurance companies General surgical risks including infection, bleeding, and blood clots Complex operation Leakage along the staple line of the stomach Stoma obstruction Nutritional deficiencies Gallstones, ulcers, reflux, and bowel obstruction Dumping syndrome Causes Dumping Syndrome No Yes Dietary Guidelines 600-800 calories per day, during weight loss period 1000-1200 calories per day for weight maintenance Meals should consist of high-protein, low-carbohydrate and low-fat foods Drink 6-8 cups of Water or other low-calorie liquids per day 800 calories per day during weight loss period 1000-1200 calories per day for weight maintenance Meals should focus on protein-rich foods and nutrient-rich fruits and vegetables Drink 6-8 cups of water or other low-calorie liquids per day Chew foods thoroughly into a pureed consistency Eating Habits Eat five small healthy meals each day Do not eat and drink at same time Do not overeat, skip meals, or snack between meals Eat three small protein-rich meals each day Do not eat and drink at same time Chew foods into a pureed consistency Do not overeat, skip meals, or snack between meals Problematic Foods Not many problematic food as the stomach continues to function normally, but high-calorie and high-fat foods and drinks must be avoided and daily calories limited for weight loss to occur Foods that are dry, sticky, or fibrous can cause discomfort or blockage, including tough meat, bread, Pasta, rice, raw vegetables, nuts, popcorn, and skins of fruits and vegetables, and chewing gum Sweets can cause Dumping syndrome Carbonated beverages can cause bloating High-calorie, high-sugar, high-fat foods and beverages will ruin weight loss efforts Nutritional Supplements Multivitamin Calcium Vitamin B12 Multivitamin Calcium Vitamin B12 Iron Average Weight Loss Studies show greater than 60% excess weight loss at 12 months after surgery and a maintained excess weight loss of 53-69% at 5 year follow-up.(1) Rapid weight loss during first 6 months Weight loss settles 18 to 24 months after surgery 70% excess weight loss at 1 year 60% excess weight loss at 5 years

With a lowish BMI of 35 and less than 75 pounds to lose, I'd be reluctant to undergo gastric bypass unless I had PCOS or a confirmed diagnosis of diabetes.
You're prediabetic, but not yet diabetic. While both surgeries offer amazing benefits, I'd lean toward a sleeve if I were you.
It would be disastrous if you lost 100+ pounds with a bypass when you are a 'lightweight' who doesn't need to lose nearly that much.
Good luck with the decision-making process.

I chose the sleeve because it was a less invasive surgery with similar results.

I have chosen gastric bypass for myself (high BMI, diabetes), but I think if I were in your position, I would choose the sleeve and agree with Introversion. Good luck!

I would lean towards the gastric sleeve.

Sleeve will work well for you (you don't have GERD, do you?)

The best I can tell you is they both come with pros and cons. With the bypass you will have some Vitamin absorption issues and you can get dumping syndrome if you do not behave on your diet, but the long term weight loss is higher. I personally when with the sleeve do to less issues with absorption, but you will not lose as much weight long term. Do you research and talk with you doctor, this decision is totally up to you and each person has a different view on it. It is your journey make it what you want it to be

Man O Mighty!! They are the worst!!!!! But...you are looking amazing!! Hang in there you know good things come to those who work hard and don't give up!!! KEEP ON KEEPING ON!!!

I have Aetna and United Healthcare. I'm double insured. Both cover the sleeve surgery. My out of pocket will be $0 !!! Incredible. Definitely worth looking into.

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I have Aetna and United Healthcare. I'm double insured. Both cover the sleeve surgery. My out of pocket will be $0 !!! Incredible. Definitely worth looking into.

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