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Obviously you need to decide what's right for you. I was in the same boat as you in that they discovered inflammation during my EGD. I had already been leaning toward RYGB anyway, but that sealed the deal as far as I was concerned. My doctor stressed that even though I wasn't having issues with GERD, there was a strong possibility I'd develop issues if I insisted on SG. As far as risk is concerned, all surgeries carry some risk and since RYGB is a more complex surgery, you are correct that some studies show a marginally higher risk profile. Interestingly, other studies show no difference. Keep in mind that obese people are all going to have a higher surgical risk for ANY procedure than a normal sized person. Other factors that increase risk are things like heart disease, diabetes, smoking, etc. Also, surgical experience and the quality of the facilities play a huge role in overall risk. My point is that cross sectional studies showing risk are not equivalent to YOUR risks of surgery. In terms of "convertability", I think my opinion is somewhat the opposite of yours. Technically, RYGB is completely reversible, since unlike SG, nothing is removed from your body. This to me was a huge plus in my decision making process. When we look at revisions, keep in mind that revision of SG due to GERD is pretty common and those revision surgeries basically revise the patient to gastric bypass to alleviate the GERD. I can't speak to your malabsorption concerns since first of all, malabsorption in and of itself is potentially a good thing for weight loss. i can see a concern for malnutrition, but I was willing to commit to a lifetime of vitamin and calcium supplementation. I also try hard to eat a fairly healthy diet, thus also upping the chances that I have no issues with malnutrition. If you are not willing to commit you those things then yes, this may be an issue for you. Keep in mind that while it's less common, SG patients can also suffer from malnutrition. It's actually recommended that all bariatric surgery patients use supplements and eat a healthy diet and I think as long as you do those things, neither surgery is going to be an issue. Best of luck whatever you decide.

Long post alert, just venting and catching up after so much time away... TLDR, I'm getting an arm lift. I want to hear from other people who got it and how it changed their body/body image, recovery, success stories, and whatever else you want to share! Wow, I haven't posted in a while. This forum got me through some dark times when I had my gastric bypass both before and after. I am posting today because I am FINALLY getting some plastics done. I have been waiting a while because I wanted to maintain my weight. I just turned 30, I'm not getting any younger and I've been doing excellent maintaining my weight loss so I finally scheduled a brachioplasty to start. I am getting an arm lift in other words. I included a pic of my arm and the skin hang-age. This is my before. Disclaimer, this pic is from a couple months ago it's the one I had handy on my desktop but I've been doing a lot of weight training and have built up my bicep a bit more. I would like to do a tummy tuck too (I have A LOT of loose skin in an apron belly shape and my boobs sag down to my ribs 😕 ) but I am okay with not getting it for now. I can't afford both and don't really have the time to recover from all that surgery. I am starting with just the brachio for now. I have spent my whole life hiding my body and after losing all this weight, I found I am concealing it even MORE because of how droopy and flappy everything has gotten. I am fed up of feeling uncomfortable in my own skin after all the hard work I put in. I'm sure a lot of people who get plastic surgery post-major weight loss can relate to this. At this point it feels like a necessity. My bat wing arms also smack against my body like crazy, I can't wear short sleeves without this happening and tops do not fit me right because of my wonky proportions. My bicep has very little fat on it and all the bulk on my arm is hanging under it so it's very uncomfortable. I've been holding off because of how expensive it is as well. I am paying out of pocket 15k and it's a chunk of my savings but I'd rather have this than a payment plan and I can start ASAP to recoup my savings. I have a lot of body image issues as one does from being morbidly obese their whole life... so honestly I am almost 100% sure this surgery is NOT going to fix the way I see myself. I am more looking at it as a way to feel more comfortable on a day-to-day basis whether I am exercising or just trying to wear a short sleeve outfit in this very hot state I live in. So that's basically my update. I have been doing well, maintaining my weight loss and a healthy lifestyle. Gastric bypass has completely changed my life and made it so much easier to make better choices for my body and my longevity. I am ready for the arm lift and I am so scared but also excited to see how this all goes. I want to hear from other people who got an arm lift or any loose skin removal and how the recovery went for you and how it helped you and your confidence. Thanks and you're all wonderful people!

That's exciting! I have a few weeks to go until my 3 month follow-up, but like you, I'm anxious to hear what my surgeon says. I started losing weight right after the first of the year during the pre-op diet, had my bypass January 30, and have lost a total of 41 lbs. so far. It's been quite a journey!

Hey lovely people, There is already tonnes of info out there on maintenance, but I just wanted to see if anyone had any tips? My two sisters previously have had a bypass, and they've both dropped into the very underweight category, and this is something I'd like to avoid if at all possible (I know my body will decide where it wants to be, ultimately!) I am trying to ignore that little voice in my head that is making me feel a bit scared about eating more, and just plough on. I don't track calories at the moment either! Any tips are greatly appreciated ❤️

I have what my surgeon called a mini bypass. Or a sleeve revision with single anastomosis. I had a sleeve in 2021 and bypass in 2024

So update-spoke with a surgeon today who recommended what I have been thinking--hernia repair and do the bypass. I had worries about lack of iron absorption with the bypass but I found out today because I am having to use so much famotidine I basically have very little to zero acid which is necessary for absorption so famotidine is REALLY unsustainable. Also found out on fluoroscopy, my sleeve is not dilated, but I have a kink at the top, which he said is not helping the reflux on top of the hernia. So now I need all the prayers, warm vibes and well wishes that my insurance can do the right thing and not make this a huge pain in the ass to the point I give up and go to Mexico. Also-just to get my ducks in a row--anyone SUCCESSFULLY fight and get a revision covered for use of medical need not weight loss where it normally wouldn't be covered? I'm not gonna lie, I'm not hopeful. Also, does anyone have experience with and can recommend the best Mexico center for sleeve to bypass with hernia repair? Just so I have plan B. Thanks for any insight or help anyone can give!! Sent from my SM-S908U using BariatricPal mobile app

Just had revision to bypass due to stalling for a year and losing 8.5st but still not near target so wanted the bypass to finish my journey, lost 23lb so far and had the bypass 3 weeks ago, no hunger and can get all fluids in with no problem at all

I just had a sleeve to bypass 3 weeks ago 23lbs down so far.

Gastric bypass on January 20th, I’m a great over worrier in general but I feel recently I’ve been eating a lot more than usual not in terms of size but frequency. Feeling full is still a sensation I’m getting used to so I’m settling for feeling not hungry instead but sometimes it tips into feeling uncomfortable. How would I know if I have stretched my pouch?

A content warning first... this post is about poop. I have been on the protein shake version of the LRD for 9 days, and while my... bowel had already slowed down today I suffered extremely painful constipation to a point I have never experienced before. I'm actually historically very regular, if anything I tend to have the opposite problem, so maybe I am more surprised by this than I should be. I was trying to... pass the really hard, dry, dark stool for hours, and there was bleeing involved at some point. I am wondering if anybody else has experienced this, and if they changed their LRD strategy because of it. I can't imagine this continuing for three weeks. I wanted to add that I am taking Rybelsus but I had tolerated it very well until now - however constipation is a known side effect so I thought it was worth adding. I have been on it since November, but my doctor increased my dose about the same time I started the LRD. I have contacted the coordinator for my surgery, but other than making sure I wasn't dehydrated I didn't really get much useful advice. Anybody had a similar experience?

I had gastric bypass almost 6 years ago & I lost over 60 pounds! This past December my best friends both got me tshirts. The shirts were very thoughtful, I was touched by both of the shirts they got me & how meaningful they would be to me, BUT I just realized that both of the tshirts are a size 2xl! They still have body dysphoria of me 6 years later!!!! It’s hard enough for me to deal with but it’s a whole other ballgame when your best friends don’t see it!!!! Sorry, I just had to rant & I don’t have anyone else to rant about this too since my best friends obviously don’t see me for the size I am now!

Hi. I’m 5 ft 6 and started at 13 stone 12. I had a mini gastric bypass 10 days ago. I followed the instructions. I’m walking for exercise. My weight is literally the same every time I weigh myself. Whether it’s morning, afternoon, night. Whether I have used the toilet or not. But my scales are manual so it’s not like it’s a fault on a digital scales. Before my operation it was normal for my weight to vary from morning to night etc. I’ve weighed myself since I came home 6 days ago a few times a day just to see if it changes & it doesn’t. I’m so frustrated. Did this happen to anyone else ?

I had gastric bypass surgery and did everything alone. I live alone, no husband, no kids, no local family, and I didn't tell anyone other than healthcare providers that I was having surgery. I took a taxi to the hospital. Hospital policy does not allow taking taxis/rideshare or public transportation home, so I hired a home healthcare service to pick me up from the hospital (I was in for one night), take me home, and pick up my prescriptions. After that, I had no additional assistance. The most limiting thing after surgery was not lifting more than 20 pounds for (I think) the first 6 weeks, and also not bending over, like when cleaning or doing laundry, so I had to be careful with household chores, but other than that, I didn't have any problems. I went back to work (desk job) after a week and I was fine. I will say I had a very easy recovery with no immediate complications, but you won't know how your recovery will go until you get there. I would recommend to anyone without support to have a backup plan. Is there a friend or family member who could come if needed? Could you hire a home healthcare service if you needed help? Also, if there is any physical labor your normally do, like cleaning or landscaping, consider lining up someone to do that for a while.

I might not have asked my question properly. For people that already have Gerd combine with gastric sleeve or gastric bypass, the popular GLP1 medications like ozempic, wegovy, semaglutide mostly would aggravate the Gerd condition. Is this program only prescribing these popular medication for weight loss? Are there other medications/injections that can help weight loss without side effect of acid reflux?

I wanted to share my experience of what happened 3 months post op with everyone so that they're aware as well! I had Gastric Bypass on October 15th and everything went amazingly well. Flew thru post-op without a hitch- diet was on track with where it needed to be, and I had even started back at the gym (all with the Dr.'s approval!) I had passed every post operative appointment up to that point. On December 12th (almost 3 months exactly after surgery) I was in the office eating lunch with my co-workers and after just a couple bites of food I felt what seemed to be dumping syndrome coming on but coming on a lotttttt quicker than it had ever before. As I got up from the table to head to the bathroom, the world started spinning and I had to grab onto the wall before I could finish my mad dash to the bathroom. Once I got in there, I never even managed to flip the lights on before I passed out on the floor. From what my coworkers said I was in there for about 30 minutes was their best guess. I don't remember much just that I woke up to find myself throwing up. Once I turned the lights on all I could see was bright red blood all over the floor. I managed to get up and open the door and flag a co-worker down before passing out again. Long story short- my body was going into hemorrhagic shock from an ulcer that had formed on one of the surgical connections which ate through the incision and finally broke through an artery. I was rushed to the hospital via ambulance, and you know something is realllllly wrong when they get you right into the ER and within 20 minutes you've seen a doctor, surgeon, they have a game plan and you're being wheeled into an emergency endoscopy. During the endoscopy they found the ulcerated site and cauterized the bleeding artery and placed 4 to 5 stitures to help close the hole. This whole ordeal landed me in the ICU for several days... not the type of vacation I wanted 2 weeks before the Christmas holiday but alas... I was stuck. I've been placed on 80mg of anti-acids as well as another stomach-coating medication with endoscopies scheduled for 6 months post fix and then yearly from there on out. Looking back there were signs... I should have clued in on. But most importantly listen to your body- if something isn't sitting right go to your doctor. I will forever remember waking up in recovery with the surgeon coming in and looking me dead in the eye and telling me I was one lucky lady to be alive... If I had gone another 30 minutes or so in the condition I was- I wouldn't be here today.

The basic procedure upon which the RNY is based has been done for some 140 years for a variety of GI maladies, so it's mostly a matter of billing codes, and some minor variations in configuration, that make it a bariatric procedure vs. one for cancer, gastroparesis, etc., so insurance shouldn't be a factor if that is what is needed. As to whether the "RNY" is needed for your case is a judgement call; try to avoid self diagnosis and let the doctors make the recommendation as to what is appropriate to treat your particular case. GERD is a classic symptom of a hiatal hernia, and given that you didn't have any particular problem with it for some years post op indicates that it is the hernia and not the sleeve that is the primary problem. Again, let the experts weigh in on this. My preference when considering something like this would be to seek out an opinion from a bariatric practice that is associated with a regional cancer center, as they tend to treat a broader range of GI maladies than a general bariatric practice, and will probably have a wider range of options to consider. If you come across a surgeon who quickly determines that you have GERD and a sleeve, therefore you need a bypass, without looking at any imaging, I would tend to move on to someone else - they probably don't understand the sleeve as well as they should to make that determination. My philosophy is to try to avoid going to a bypass is possible, as it does present some diagnostic and treatment limitations down the line should they be needed as we get older. The blind stomach and duodenum that can't be readily imaged or manipulated endoscopically and medication limitations (of which NSAIDs are the largest class,) are the primary things that come to mind. They usually aren't big deals if that is what is needed, but I don't like giving up options unnecessarily. RNY patients can develop GERD later on, and occasionally (though rarely,) such a revision does not correct a GERD problem, so we're talking more of a statistical improvement rather than an outright cure. If that happens, then where does one go - the bypass is something of a one way street surgically (though is can technically be reversed)? So, my inclination is to go one step at a time and treat the hernia and then go from there is that doesn't correct the problem.

Hello everyone.... So my husband is supportive of my going through with a Rou-en-Y Gastric Bypass, and I'm so close to getting a date; after April 2nd I should be good to go. He happens to be a chef and lately he has been telling me that "they are selling this surgery to me", which is not okay. I think he is really telling me that he fears that I will change so much and my diet is changing so drastically already that when he cooks, he cooks out of love, and always wants to make me happy. Food has always made me happy. I tell him that I can still eat whatever he makes, I just won't be able to eat a huge plate of his lasagna, maybe 1/4th of what a "serving" would be. This of course is causing me to question my decision to go through with something that I have been researching for the last 4 years. I finally decided to have it to lose the weight that my orthopedic surgeon said I had to lose so that I could actually get a new hip, which I need desperately. So, this is not to look like Barbie for me, it is so that I can have hip surgery, a health related situation, and may cure my diabetes as well, two-for-one perhaps? Bottom line, am I right by thinking that he equates food with love, and therefore fears my changes and his inability to show his love for me? Looking forward to answers, questions, thoughts, anything.....

I had the Sadie and my research on it from my doctor says that the Sadie is only 25% more mall absorptive than the bypass. Whereas the traditional Didal switch could be up to 80%. I don’t use Bariatric vitamins. I take the same vitamins and supplements. I have always taken, but I raised the amount by 50% to cover the 25% loss and my blood work is just fine.

Actually, the Sadie is only 25% more male absorptive than the bypass. It absorbs about 25% less of vitamins and food and everything now the traditional duodenal switch is very malabsorption by 50% -80% I believe depending on what material we’re talking about

Had surgery (gastric bypass) 2/24. It’s 3/13 today. Sharp pressure pain started around the incision that was stitched to the muscle. Normal? Or should I be worried?

Thank you so much for responding, everything you said made me feel validated in my fear and comforted as well. I actually do love cooked vegetables and meat cooked in other ways besides fried. I like a variety of foods in fact. I guess I just see people posting such healthy looking meals that don’t look appealing to me and I’m just like “do I have to eat that?” Like I’m not a fan of raw vegetables and cottage cheese, for instance. I haven’t seen anyone post something that I like which makes me think that what I like to eat are things I won’t be able to eat. I’m not too concerned about not being able to eat junk food at all because I’m not really a junk food eater more than I am a comfort food eater. I just love a good meal and I just don’t see anyone posting good food. Food is a concern bc it’s important, but my biggest concern besides food is being able to get out of my head and an even bigger concern is the things that can go wrong! Being dehydrated, vitamin deficiency, extreme constipation, hernias, gallbladder removal, GERD, having to convert to bypass, being hospitalized for something. Like is there anyone who has not had a complication? Even people who don’t regret the decision seem to have so many scary issues. I’m so afraid of what could go wrong. I’m afraid of being sad about food the rest of my life. I’m sad now about the control food has over me. I feel trapped. I hate that I have to be fat and even go through all of this. I hate I’m on a forum complaining about being fat. Lol. I just need someone to tell me to do it and that it will be ok and worth it! I guess I just keep imagining I’m going to be sitting here physically feeling a cut off stomach, if that makes sense. Lol. Like, I know I won’t be able to eat a lot anymore, I know I’ll need to make the better choices with food which is fine, but I just don’t want my life to revolve around food anymore! I don’t want to sit around everyday worried about food. It seems like I have to go from thinking about what I’m going to eat everyday to worried about if I’m going to be able to eat enough or eat too much or get dehydrated or get enough protein or something with food! I’m just sick of food! Lol.. Will my life ever not be about food and weight?!! If the sleeve makes me go from worrying about weight to worrying about weight on top of a bunch of other stuff, is it going to be right for me? Am I trading one woe for another? I hope that makes sense.

Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’m going to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated! Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.

Same here! Overweight all my life. The only reason I had the surgery at 35 (5 months ago) was because the NHS here in the UK finally approved me for the surgery. They don't cover Wegovy etc for weight loss so this was my only option. I wish I had started the process of getting approved sooner, but it wasn't until I lost my mother and step-father within a year of each other (my stepfather died at age 62 from pneumonia and liver disease that certainly was aggravated by his extreme weight, and my mother died almost year later age 67 from a perforated bowel that they couldn't repair because of her gastric bypass ten years before). While I knew the risks, I knew I didn't want to go that young so I was going to take my health more seriously. I'm glad I did it and have no regrets.

Yes, I echo this. My uncle had to have a bypass because he had oesophageal cancer and extreme reflux as a result. He had insurance cover it.