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Gastric Sleevr Vs. Bypass
Arabesque replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I didn’t start at as high a bmi as you but I still thought I’d share my experience so far. I chose sleeve with my surgeon’s support, even though I suffered from stress related gerd. Yes, I have some issues but manage it with medication. I chose sleeve surgery because it doesn’t change the digestive tract as much as other surgeries. Yes my stomach is smaller but it is the same length as it was as are my intestines. I think this is why absorption is not as great an issue with sleeve. My nutrient absorption is good. I haven’t taken multi vitamins since I reached my goal a year ago & my blood work come back fine. Yes, bypass patients do tend to lose weight more quickly to begin but the 5 year average of weight lost & maintained across both surgeries is about the same - 60-65% of the weight initially to be lost. Dr Vuong has a great video that explains this very well. Think it’s called how to maximise your weight loss. The amount of weight you successfully lose & maintain really comes down to the individual. Even though I’ve exceeded my original goal (lost about 135%), I’ve had the view that I would find a place of balance between maintaining my weight & maintaining my lifestyle. I believe that if you restrict your food choices & intake to a point you can not enjoy your life & the things you like to do your diet will fail because you will consciously or subconsciously revolt against the restrictions you employed. Honestly, my diet is still pretty restrictive but I’m not quite 2 years out so I have a long way to go to find the balance of what works for me. Currently, I eat low sugar & artificial sweeteners, low fat, moderate carbs (whole or multi grains but no breads, rice, pasta), fruits, vegetables & of course I’m protein & portion control focussed. I have the odd glass of alcohol but I often don’t finish the glass. It’s easy to manage & doesn’t affect how I socialise so far. The keto debate is an interesting one. My 3 week pre surgery diet was keto but I know I could not maintain the high fat requirement long term but that is me - I don’t like overly fatty foods. But it certainly gave me a kick start. There is research that says the high fat content causes cholesterol problems. There’s research that shows that while it may help people with diabetes to begin, long term it can cause erratic insulin levels due to the low carb intake. And of course there’s research that it’s great. I think you have to find the diet that works for you. Good luck whichever surgery you choose. -
Gastric Sleevr Vs. Bypass
blackcatsandbaddecisions replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I started at 48.6 BMI and I chose the sleeve. My doctor says that regain is about your choices in what you eat, not your choices in your type of surgery. Anyone can screw up either surgery. There are plenty of people on this site who lost all their excess weight with either type of surgery. There are also plenty who regained it all with either type. Both are very valid forms of surgery, if you have reasons to pick one over the other then do so. It sounds like you’re pretty set on the bypass. You should advocate for yourself for that surgery. -
Gastric Sleevr Vs. Bypass
catwoman7 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
yes it was an open surgery in the 90s (and thus more risks), but a lot of people in my generation remember the intestinal bypasses they did back in the 60s and 70s. Those were the ones where they didn't bypass the stomach at all, like they do now - they bypassed most of the small intestine. Those surgeries were very risky - but those aren't done anymore. But I think when some people say "bypass", those are the ones us old farts remember - so that's why a lot of people - esp older people - think weight loss surgery is really dangerous (for the record, it's not anymore - they do them completely differently now) -
Anyone have trouble with brain fog after surgery?
Bbarb replied to dena1258's topic in Gastric Sleeve Surgery Forums
I just had gastric bypass on Monday and I feel the exact same way. It’s so hard to explain. It’s like I’m in my own world. I had complications with anesthesia and I was worried that might have effected me -
Feeling Depressed Due to Complications
Sara_Lee posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi everyone, I really need some advice from people with similar situations. I had my surgery on Nov. 17. At first I was doing well, and I went home. Then I could barely keep anything down, not even water. I went back to ER for dehydration and then was again sent home. I still was feeling extreme nausea. Then a few days later I went right back. The doctors kept telling me I was not tolerating the VSG surgery and that I should consider a Bypass. I do not want a bypass and that got me depressed. They told me not everyone can tolerate a VSG. Which makes no sense because there are complications with the Bypass as well. Anyways then ended up doing a endoscopy and found a stricture. I was operated on again and this was resolved. Afterwards I still wasn't tolerating food, so they put me on picc line because I was malnourished. Then they told me if I don't start eating they would have to put a food tube in. I finally began eating (poorly, but I am managing). I was sent home. The problem now is that I can't tolerate protein shakes or any medication. I am going to ask my family doctor for patches. I am eating and its staying down but I feel like crap. I am so nauseous in the morning that I gag when I take my ppi. I also sleeep 12 hours a day. I love sleeping because its my only escape. I don't know what to do, should I go back to the ER? They told me if I feel nausea that I can go back. I have had nausea for the last 3 days in the morning. Please help. Does it get better? -
Hello fellow ladies! I'm sure this topic has been covered A LOT on this forum, but I thought I'd post anyways. So, I'm 31 years old and have never been physically intimate with anyone before in my life. I've certainly done my sharing of dating, but in the past, it seems men were either only interested in me because I was heavy or they lost interest fast because I was heavy. I couldn't win, so naturally, I never ended up in a relationship and physical intimacy never happened. Anyways, I've been seeing someone, and (dare I say?) it is actually going amazing and is starting to get pretty serious. However, I have my...concerns. Although I'm happy and am starting to think this guy might be "the one," the trouble is, I'm TERRIFIED of getting naked with him. The only people who have ever seen me naked were myself and my gyno. What is he going to think when he sees my...pooch (it looks like that's what most people on here call it, personally, I call it my "squish")? He knows I've had gastric bypass and says I'm sexy and my "squish" won't bother him. But I don't know. I'm still scared! What if when he sees me, he changes his mind and disaster strikes? I could be overthinking this, but I think it's only natural to feel this way if a person's never been in the situation before. Does anyone have any tips for building confidence? For those who have been there before, what helped you? Was your partner critical or accepting? Thank you for your help!
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Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I am more leaning towards the bypass but I just wanted to see opposing views and see someone who had the sleeve maybe 3 or 4 years ago with my starting weight and see where they are now, I still have yet to. It's not even that the people I know didn't follow the diet, but overtime the stomach stretched and they said the appetite control is completely gone at that point, whereas with bypass I still see patients after 5 years more successful at keeping the weight off and their stomachs not as stretched as with sleeve due to smaller portions than with sleeve so that still keeps them eating fewer calories. But I'm not knocking the sleeve, I just wanted to be challenged in my perspective and the research I've done and see people who have been successful at it 5+ years cus I've seen plenty of bypass patients who have but not sleeve, if that makes sense Sent from my SM-N986U using BariatricPal mobile app -
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Gastric Sleevr Vs. Bypass
cellbell replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I'm struggling with this statement because it would be really unusual to follow the program's diet and gain back 70 lbs. On the other hand, it seems like it's really easy to gain 70 lbs by slowly letting your food habits creep back to your pre-surgery ways, and it can happen slowly enough that it still feels like you're following the rules! Regardless, it sounds a little bit like you already know you want the bypass and just want everyone to confirm your decision, which is totally relatable but just thought I'd point it out. The choice is really individual since we all have different bodies. -
Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
For me to stay at my 150 loss goal I would need to lose 170-180 so when I regain I stay at 150 and I see bypass being more effective at that for my starting weight as opposed to sleeve I'd def regain more than where I need to be. Sent from my SM-N986U using BariatricPal mobile app -
Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
You definitely will gain back 10-15% at the 18 mark, thats stated as a fact by all Dr's but from bypass it happens after 3 or 4 years and with bypass, from what I've researched, many lose much more with bypass and then when they gain back the 10-15% it's not over their goal weight, as opposed to sleeve, most lose less than 80% excess weight and then gain back 15% after 18 months and I just didn't wanna risk it. I know 3 people personally who had the sleeve, no GERD, and got resleeved or went to get a bypass all because they all gained 4o, 50 even 70 lbs back after 3, 4, 5 years and they dieted and did everything accordingly. I rather just get bypass the first time as it does have a more effective and higher rate of success. It's still the gold standard. But a part of me considered the sleeve mainly due to less complications, however I dont want the weight to creep back in so fast at 18 months that I didn't have enough time to lose all the weight. Again, every body is different. Sent from my SM-N986U using BariatricPal mobile app -
Hello I am looking to connect with people who has hypothyroidism and have had the gastric bypass surgery.
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Well, GERD is nothing to mess around with, as it can lead to cancer of the esophagus. If it were me, I'd just go for the bypass and get the HH fixed at the same time. That's what I had done, and can't be happier. My GERD resulted in a Barretts polyp - very high cancer risk. Since the surgery I have had no GERD issues, and subsequent exams and biopsies have shown that the Barretts is completely resolved. Personally, I think it is riskier to keep going under the knife, trying to fix things bit by bit.
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Revision complete.......Now what
Nurse Crystal posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I was excited and inpatient waiting. I finally had it on 1/11/21. Overall I’m doing good. I have been drinking and I’m already on phase 2 which seems fast to me. When I had the sleeve and left the hospital I was 15 pounds. As of now the scale hasn’t moved. Hoping I’m doing everything right. -
Gastric Sleevr Vs. Bypass
alissajs replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
Well I never had GERD, and really thats the primary reason for a revision. I may develop it later on, but only 30% of sleevers have this issue.My sleeve was done right, so it definitely isnt an inferior surgery. Actually, the weight loss between GB and GS is very very similar at 5 years post op. Because it is so similar and the rate of complications with a sleeve is lower than with a bypass, this is why my doc recommended it. Weight regain is not a side effect of the surgery (either one...regains happen with bypass just as often), but rather choices made by the patient. I am still losing. I'm confident in myself and my choices. I will check back in July 😊 -
Gastric Sleevr Vs. Bypass
catwoman7 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
I know you didn't ask me this, but I've been hanging out on BP for several years. A lot of people (although I obviously can't speak for alissajs specifically) choose the sleeve because they feel it's less invasive than the bypass. Although I think they both could be considered pretty invasive - cutting out 80% of your stomach and throwing it in the trash seems pretty radical, too - at least to me... I think a lot of people also know about horror stories from 30+ years ago, when they used to do severe intestinal bypasses. The RNY is actually a gastric (stomach) bypass, so it's not the same "bypass" surgery they did years ago. They DO bypass part of your small intestine in an RNY - but we're talking about maybe a foot (to do the "Y"). Years ago, with those old intestinal bypass surgeries, they used to bypass many feet of small intestine (and the stomach wasn't bypassed at all - so very different surgery). No one does those anymore....haven't in a really long time. Anyway, a lot of people who had those ancient surgeries got very sick from malnutrition - and some died - and I think some people are remembering those and think that's what they're doing now with the RNY. But they're not.. -
Gastric Sleevr Vs. Bypass
catwoman7 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
most often, it's revised to bypass due to GERD. Most sleevers don't get GERD, but there's a significant minority who do. Often it can be controlled by meds, but sometimes a revision is the only option for dealing with it. I chose bypass from the start because I had GERD even before I had surgery - didn't want to risk it getting any worse. -
Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
Whyd you choose the sleeve if you know the weight loss rate is not as much as bypass? Or whyd your doctor recommend it? Sent from my SM-N986U using BariatricPal mobile app -
Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
The only good thing I know is with the sleeve the appetite is suppressed better due to the ghrelin being removed, but I see so many sleeves then getting bypass a second round so I rather just get it done right the first time Sent from my SM-N986U using BariatricPal mobile app -
there are more potential complications with bypass than with sleeve, but then, major complications with either surgery are pretty uncommon. I do hear about ulcers occasionally here on BP, but not that often. Not sure what other complications he was referring to...I know there's a risk of bowel obstruction, but that's pretty rare. Dumping? That's a minor one that happens to about 30% of us, but it can be controlled by avoiding or limiting sugar (and for some, fat). Did he bring up anything else?
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Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
Have you had any issues with kidney stones or ulcers or hernias after bypass?? Sent from my SM-N986U using BariatricPal mobile app -
Gastric Sleevr Vs. Bypass
NYCGirl9269 replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
Thank you so much to all of you for your replies. My consult is next week. I hope Dr. approves me for bypass as that is my primary preference but I know many Dr's push for sleeve nowadays. How about eating high fat low carb? Since high cat curbs your hunger and keeps u feeling fuller longer, can any of you eat traditional keto now years later? Or you still have to keep the fats low? Sent from my SM-N986U using BariatricPal mobile app -
Hey guys ive had the sleeve done roughly 10 years ago when i was 21 years of age, did well lost all of my weight was in the best shape of my life and in the last 3 years now at 32 years of age I have suffered from extreme gerd 2 hital hernias repaies and now on my 3rd hital hernia and have gained 35 lbs back . Intermittent shoulder and left under armpit/rib pain I have seen a new bariatric doctor who seems very understanding and knowledgeable and has offered me to options. 1 revise to gastric bypass Or 2 repair the hital hernia and put in a linx magnet system to help with gerd. I really don't know what to do here. I have regained some of my weight and in the last 3 years have been in pain with shoulder and chest due to what I belive is my hital hernias and Gerd. I wanted to get with the community and ask you guys/gals first hand what you recommend and why. One topic that came up was ulcers with the bypass and medications that i take such as meloxicam. Which i can switch to something else. I currently take omeperazole, temazpam,meloxicam and duloxetine. A big part of me wants to get the bypass just becuase I have regained the weight but he kind of scared me with complications that some people can have with bypass. I dont see much talk her about the linx system for sleevers is this something new that most people just don't know about or doctors just performing for bariatric patients? Please give me your thoughts
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Gastric Sleevr Vs. Bypass
AZhiker replied to NYCGirl9269's topic in General Weight Loss Surgery Discussions
All I can say is that I am 2 years post bypass. I lost 100% of my excess weight in 7 months, am keeping it off, and am not deficient in vitamins or minerals. The restriction is much less now than it was a year ago. I focus on whole, plant based foods which allow a tremendous amount of volume. I can eat basically as much as I want, and control weight by monitoring the grains, nuts, nut butters, and seeds. Those are the most caloric dense foods I eat, and it is easy to tweak caloric intake up or down by adjusting those. I think the people you know who have had bypass and are vitamin deficient are the exception to the rule. Are they taking their supplements? The malabsorption part of bypass gradually goes away, but bypassers are still supposed to be taking their vitamins unless directed otherwise. You do not see all the other bypassers out there who are doing fine, look great, and are not deficient. I had bad GERD, so bypass was my only real option. But I would have chosen it anyway. This is major surgery and I only wanted to do it once, and get all the weight off once and for all. -
Hello, I'd like peoples advice on which surgery to go with. Here's. My stats. I'm 5'7, 295 lbs. My BMI is 46. I need to lose 150 lbs to be at 150. I'd like to get the sleeve but with 60-70% excess weight loss plus 10-15% regain, I'm looking at being around 220 lbs when this is all said and done. With bypass, I know several people who have lost 100% of their excess weight and had it easier keeping it off. The problem is they have bad vitamin deficiency even a decade later and can't even take some antidepressants. My question is to you is, how many of you got sleeved with a 46 BMI? Did you lose more than 70%? And for the bypass patients, if you've had the surgery over 5 years ago, how restricted are you now? Sent from my SM-N986U using BariatricPal mobile app
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I had an ESG in Oct 2018, I had a VSG revision in March 2020. I do regret having an ESG, in Australia its not covered by medicare thus not covered by health insurance, I self funded. It was a waste of my money and. The sutures did not anchor properly and/or loosened. Looks like Dr Blosser has been around for awhile and hopefully well experienced with ESG. Questions I would ask are how many ESG procedures has he done? Success / failure rate after a year? Complication rate? What can you expect for recovery? What medication prior to and post procedure? What was the heaviest an ESG patient has weighed (his patient that is) and how much did they lose? How many of his ESG patients that he knows of have had a surgical revision? What is the average excess weight loss (EWL) % (it used to be about 20% it may have changed) vs EWL % for his patients. What is the post op program? How much on top of the procedure expenses will this cost? if you have to attend dietician and/or behavioural coach appointments)? One of the selling points of ESG is less complications and quicker recovery, however, this is generally offset by lower weight loss. If you have a lot of weight to lose (BMI 40 and over) you may be better off going with a surgical option. Typically a ESG leaves a stomach with more volume than the surgical option, hence, weight loss will not be as significant as for surgery. LIke the surgical options, many people have had success with ESG and many people haven't.
