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Sleeve or Bypass? Confused
SleevedK replied to GinSunflowers's topic in Gastric Sleeve Surgery Forums
While it is indeed standard practice to repair hiatal hernias with a gastric sleeve operation, I don't think any doctor can guarantee you that your hiatal hernia will never come back. The things I've read indicate that the gastric sleeve seems to make your stomach MORE likely to herniate (since a sleeved stomach is narrower and therefore can slide up through the diaphragm hiatus more easily than a normal stomach). I know for a fact that there are some gastric sleeve patients who have had multiple hiatal hernia repairs after the surgery (and others who were told to convert to a bypass because of their hernias). As far as the acid reflux issue, worse acid reflux is a known risk of the gastric sleeve. Some people are lucky and have no issues, but others do develop acid reflux for the first time after the sleeve or have much worse acid reflux after the sleeve. I would definitely ask him about why he thinks that this is not a concern in your situation and what his plan would be for how to deal with it if your acid reflux does get worse after the surgery. (If he tells you that you would just take a PPI for the acid if it gets worse after surgery, keep in mind that PPIs are not enough to control the acid for some people who have really bad acid reflux after the sleeve). You are smart to be thinking about these issues before your surgery. Personally, I deal with both acid reflux and a hiatal hernia after the sleeve (and no I didn't have a hiatal hernia before the sleeve - they looked for it when they did the sleeve). Knowing what I know now, I never would have gotten the sleeve. I think the bypass has stood the test of time better than the sleeve has - after decades of experience with the bypass, surgeons know the risks of the bypass and are better at managing them, whereas problems with the sleeve are often handled by just converting over to the bypass anyway. Just look at all the stories on the revision forum about people converting from sleeve to bypass because of sleeve problems: https://www.bariatricpal.com/forum/1302-revision-weight-loss-surgery-forums-new/ -
I’m starting the revision process because of gerd. Can anyone tell me if the pain from the sleeve surgery is comparable to the full bypass??
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- Full bypass
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WLS (sleeve) schedule for 4/26th 😁
ShoppGirl replied to Happy Stylist's topic in Gastric Sleeve Surgery Forums
it is more of a problem with sleeve. Some people who are not willing to take the risk go with bypass instead. -
WLS (sleeve) schedule for 4/26th 😁
Happy Stylist replied to Happy Stylist's topic in Gastric Sleeve Surgery Forums
I actually don't think I qualify for the bypass surgery. But no I don't want the bypass. My acid reflux doesn't happen everyday. So I don't consider it a problem. But it's to my understanding it can become a problem after wls. -
WLS (sleeve) schedule for 4/26th 😁
ShoppGirl replied to Happy Stylist's topic in Gastric Sleeve Surgery Forums
My goal is 160 but I am a little taller than you and I also have bipolar and statistically we do not lose as much weight. Have you even considered bypass if You get heartburn already or is it really infrequent and the doctor thinks your fine with sleeve? I wanted bypass because you lose a little more weight but the doctor advised against it because of medication absorption. Well he left it up to me but his first choice for me was sleeve. They are both really good and relatively safe surgeries. -
When am I gonna lose some freaking weight?!?!
lori posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had a revision from sleeve to mini bypass over two weeks ago and have followed everything to a "t" including daily walks and have lost like 3lbs!!!! When I had my sleeve 7years ago I was prolly 15 lbs down the first two weeks!!! Can someone say something to make me feel better ❤️🩹 -
Hey! I'm 23 days post op gastric bypass and feeling good. I can drink and eat without pain EXCEPT when it comes to water. It's a new thing, wasn't happening before but now when I drink even the tiniest sips of water about 20 seconds later I get cramping in my intestines almost like I need to go to the bathroom. Is this normal/has this happened to anyone? Sent from my SM-G975U using BariatricPal mobile app
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Why is your surgeon keen on one rather than the other? Perhaps he's not as confident in the more complex intervention of gastric bypass? Ask, but rather than forcing the issue, perhaps see a different surgeon for another view.
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Hey y’all! I would love to connect with my fellow low(er) bmi people! It can be harder for us to get approved for surgery and get support from our loved ones. Bmi 30-39.9. Are you self-pay, insurance-paid, Mexico or the U.S., what’s your pre-op bmi? Where are you located? We’re your family and friends supportive? What made you choose surgery? I’ll start…. bmi of 30.6 self-pay Surgery in Tijuana, Mx in April (hello….hot surfer dudes!) I live in a bubble on the gulf coast family freaked out at first, but overall supportive. I chose surgery (gastric bypass) as this was recommended to reduce or eliminate my 15-year history with GERD. Also bikini body would be nice 🤔
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Thank you so much And welcome! So in general, bypassers seem to drop more rapidly at first, and then taper out - whereas sleevers in general do seem to have a more consistent weight curve during Year 1. Within these averages, there's a LOT of variance. It seems like you're doing everything you can, so definitely don't stress about it. Are you tracking your food?
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March 2022 Surgery Buddies
Sulynfan22 replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
Good luck! I had gastric bypass on Monday -no complications so far! Have been in a great deal of pain because they kept giving me the wrong kind of pain meds. Finally got percocet and it has helped a lot. Will be going home today, Lord Willing! My very best wishes to you!! -
Bypass revision after sleeve? 8 years post op Sleeve
GreenTealael replied to Tink22-sleeve's topic in Gastric Bypass Surgery Forums
Hi! I was sleeved in 2017 and converted to bypass in 2019. 1) Your reasons for conversion from the sleeve to bypass. I wish I did the revision as soon as my symptoms started (GERD) Instead of waiting couple years but I didn’t understand that I was actually experiencing GERD. I just kept trying to rework my diet to see if the symptoms never occurred to me it was something that I could not fit without surgical intervention. 2) What was the post op period like compared with sleeve? It was a easier than when I was sleeved, I don’t know why but I’m grateful 3) What is the best and worst part of having the bypass? To me the bypass is almost exactly like having sleeved, I can’t tell the difference Until I remember the difference in restrictive feelings during eating. With a slave restriction was high in my chest almost near my throat. With the bypass I feel the heaviness disinterest in food. Some days if I eat and dryer proteins source (like grilled chicken breast) I can feel both types of restrictions. 4) Any dumping issues? Yes I do experience dumping although it’s well managed now. I do have a few additional food restrictions than I did it with the sleeve. I cannot eat really sweet things. Or if I do it is literally one bite and I’m done. I rather not feel terrible over food if I can prevent it. -
Bypass revision after sleeve? 8 years post op Sleeve
Tufflaw replied to Tink22-sleeve's topic in Gastric Bypass Surgery Forums
I was sleeved in Dec. 2016 and did extremely well at first - I dropped about 120 lbs in about 6 months, reaching my goal weight. I had some personal/professional issues including losing my job, starting and losing my business, health issues with my kids, etc. and I slacked off and just started eating like crap again and gained almost all the weight back. I had GERD both before and after the surgery but was maintaining it with esomeprazole. I got the revision to bypass in Nov, 2021 and as of today am down a little over 65 lbs. and the GERD is gone. As for your questions: 1) Your reasons for conversion from the sleeve to bypass. - My doctor said I was eligible for a second surgery and that he needed to do an endoscopy to see if the sleeve was dilatated (enlarged). If it was, I could resleeve or switch to bypass. If it wasn't, I'd have to go with bypass. They checked and it was enlarged so I could get either one but he recommended the bypass due to the GERD and potential future complications with long term use of the medication or effects to my esophagus from the GERD. 2) What was the post op period like compared with sleeve? - About the same. I think I felt a little worse right after the surgery because it was longer. My sleeve surgery was 26 minutes, the bypass was about 3 hours. It was supposed to be a little over an hour but there was an issue with one of the stapling devices not being able to reach a certain area so the doctor had to suture by hand which took longer. I believe I felt much groggier and a little more nauseous, but after the first day it was pretty much the same as the first time. 3) What is the best and worst part of having the bypass? - Best part is losing weight again and feeling healthier. Worst part was having to go through the surgery again due to my own screw up. Also this time they put a drain in my stomach for a week which wasn't fun. 4) Any dumping issues? - Not even once. -
Has anyone used Dr. Ramos Kelly at International Metabolic Bariatric Center
lessofme2010 replied to Mama-T's topic in Mexico & Self-Pay Weight Loss Surgery
Not sure if you ever got an answer, but Dr.Kelly did my sleeve over 10 years ago. No problems until this year and I have a hernia that now makes it so I need gastric bypass now. Going back to Mexico for it because my insurance won't pay. Sent from my SM-G965U using BariatricPal mobile app -
April 2022 Surgery Buddies
kuncles replied to Crinkles's topic in PRE-Operation Weight Loss Surgery Q&A
I received a call today and my gastric bypass surgery is April 6th. It felt like it was taking forever and now that I have a date I am really nervous. Any advice would be greatly appreciated. I have pre-surgery appointment on March 22nd and assume I will get all the information that day. -
Bypass revision after sleeve? 8 years post op Sleeve
Tink22-sleeve posted a topic in Gastric Bypass Surgery Forums
Hi All, I am about 8 years out from a sleeve. Overall, happy. But often in the middle of the night I wake up, literally chocking on acid from GERD that developed immediately after the sleeve surgery. I am looking to talk to people who have had a sleeve and then converted to bypass. Would you please share with me: 1) Your reasons for conversion from the sleeve to bypass. 2) What was the post op period like compared with sleeve? 3) What is the best and worst part of having the bypass? 4) Any dumping issues? Thanks so much! -
Sleeve or Bypass? Confused
Tink22-sleeve replied to GinSunflowers's topic in Gastric Bypass Surgery Forums
Hi GinSunFLoweres. I never had GERD until AFTER I had the sleeve. Thinking of converting to bypass. -
I have been doing pretty well, overall. Life goes on after surgery for sure. But, I have been blessed. Really my only complaint about the sleeve is that I developed awful GERD immediately after surgery, so I am dependent on Prilosec twice a day. I suppose a revision to bypass would solve that problem.
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Hello, any veterens around?
I♡BypassedMyPhatAss♡ replied to Tink22-sleeve's topic in WLS Veteran's Forum
Well, this veteran is starting over. I was married to a Lap Band for about 7 years, then I got that infamous 7 year itch and divorced him! I'm in the process of revising to bypass now. How's your journey going, @Tink22-sleeve? -
March 2022 Surgery Buddies
kcuster83 replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
From what I understand there are 2 main reasons. 1. If you have a large amount of weight to loose, they will start with the sleeve and when you max out the potential weight loose they can do a revision to bypass and you kind of "start over" and loose a lot more weight than if you just had the sleeve. 2. Acid reflux/GERD. Apparently it is VERY common to end up with it from the sleeve surgery and sometimes it becomes unmanageable which in turn can cause serious damage so they so a revision to bypass to stop the GERD. I am only speaking from, what I have read and what my surgeon explained to me. I have SEVERE GERD so the sleeve was not even an option for me. I am on 2 medications already, and eat tums constantly and have damage to my esophagus already. I need it resolved before I end up with major problems. -
March 2022 Surgery Buddies
Kelly Sweetheart replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
I have seen some sleeve to bypass posts. Just curious if anybody would share why? I'm scheduled to have a sleeve on the 24th. Is it normal to have to have a bypass in the future. I know those that have had a band are converting, but I didn't realize it was also happening with the sleeve -
March 2022 Surgery Buddies
KeyzWLSjourney replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
@Nurse2u I’m on day two of my pre-op diet and I’m doing ok. I have a headache in the afternoon but the strained soup at night helps me. Surgery on March 24th for bypass. -
March 2022 Surgery Buddies
SecondChance3.2022 replied to LilaNicole20's topic in PRE-Operation Weight Loss Surgery Q&A
Surgery day is tomorrow and I am so excited!! How is everyone feeling. I’m doing a sleeve conversion to a bypass. I would love everyone’s go to products for post-op. Food? Tools? Things? -
Sleeve or Bypass? Confused
kcuster83 replied to GinSunflowers's topic in Gastric Sleeve Surgery Forums
I didn't really argue too much, I just asked for information as to why he recommended the bypass. I see a LOT of people talking about GERD on these forums after they had the sleeve so I am comfortable with my choice. I don't really know if he would have done the sleeve if I was adamant or not. -
Are sleeve and roux-en-y bypass your only options?