Trying to make a decsion between VSG/RNY

[sunnidaz 0]

I have 3 lbs. to lose be fore I can schedule for surg. I have an appt with the dietician on 05/11. If I can shed the 3 lbs by then she will send me to the scheduler. My surgeon said I need to make the decsion between the two. I am leaning toward VSG. My main reasons for not wanting to do RNY are future complications with mal-absorbtion. Not to concerned with dumping ( seems like a check balance), although it does not sound fun. As far as gaing weight back is one more sucessful than the other? Anyone have insight on why you choose VSG?

[MidwestGirl 8]

I have 3 lbs. to lose be fore I can schedule for surg. I have an appt with the dietician on 05/11. If I can shed the 3 lbs by then she will send me to the scheduler. My surgeon said I need to make the decsion between the two. I am leaning toward VSG. My main reasons for not wanting to do RNY are future complications with mal-absorbtion. Not to concerned with dumping ( seems like a check balance), although it does not sound fun. As far as gaing weight back is one more sucessful than the other? Anyone have insight on why you choose VSG?

I originally looked into the RNY. Then the financial advisor at my bariatric clinic (also one of their sleeve patients!) talked to me a little about the sleeve (I hadn't known about it), and I was sold. I am young (21) and want to have kids in the future, and that was one of my main reasons for getting the sleeve because I definitely didn't want to deal with the possibility of having Vitamin deficiencies during a pregnancy. Also, I knew that the restriction was what I needed, not restriction + malabsorption. Don't know if that helps at all, but that's why I went with the sleeve. And I couldn't be happier! :frown1:

[Oregondaisy 2,019]

The malabsorption can be very dangerous. You are looking at being diligent at remembering to take all sorts of Vitamins and supplements for the rest of you life if you choose RNY. I know some people who have gotten very sick from slacking off on taking them.

Another advantage of the sleeve is that they use the muscular part of the stomach when they do the sleeve and it does not stretch out nearly as much as the stomach/pouch they make for an RNY.

[sunnidaz 0]

Thank you. I looks like you are doing great! Keep it up!

[sunnidaz 0]

Thank you. That is good to know about the sleeve not streaching out as much. Looks like it worked great for you!

[CraftyChristie 62]

I would say the same as everyone else did so far. The mal-absorbtion is just too big a problem, especially with rare cases when someone can not stop losing weight. Also besides the comment about using the muscular part of the stomach and less stretching.... with VSG you also lose most of your Gherlin (sp?), the hunger hormone... so it really helps control hunger.

I haven't had sleeve yet but these are my reasons for wanting it over RNY :frown1:

[MidwestGirl 8]

I would say the same as everyone else did so far. The mal-absorbtion is just too big a problem, especially with rare cases when someone can not stop losing weight. Also besides the comment about using the muscular part of the stomach and less stretching.... with VSG you also lose most of your Gherlin (sp?), the hunger hormone... so it really helps control hunger.

I haven't had sleeve yet but these are my reasons for wanting it over RNY

Wow, how could I forget about the grehlin?! :laugh0: Yeah, the whole not-being-hungry thing is pretty amazing, too.

[Tiffykins 672]

I had the option of RNY or VSG for my revision. Here's some of the reasons why I chose VSG over RNY.

1) RNY malabsorption for calories/fat only lasts 18-24 months, but the malabsorption of Vitamins and micronutrients last a lifetime.

2) I didn't want the remnant stomach left behind which is not easily scoped, but can still develop ulcers.

3) Only 30% of RNY patients dump so for me it wasn't worth it either way. I don't feel like punishing myself for a bad choice is truly going to keep me from eating something that makes me very sick.

4) I had a pouch/stoma combo with the band. It sucks, it's not natural. I was still hungry all the time.

5) The regain stats and RNY patients that seek revisions due to pouch/stoma stretching, or needing malabsorption again, was just down right scary.

6) No rerouting with VSG, and I get to keep my pyloric valve intact.

7) I needed Portion Control, and to have my ravenous hunger somewhat subdued. The sleeve gave me both.

8) I wanted to eat and live as close to a naturally thin person as I could. I wanted to have the option to eat a balanced, well rounded diet. The food restrictions with RNY weren't for me.

I have lost just as much if not more than some RNY patients that started around the same time and with the same pre-op stats. For me, I knew that I didn't need malabsorption to be successful. It's a very personal decision, but for me it was really a no-brainer when I looked at all the pros and cons of both surgeries.

Best wishes on your research and decision.

[CraftyChristie 62]

I had the option of RNY or VSG for my revision. Here's some of the reasons why I chose VSG over RNY.

1) RNY malabsorption for calories/fat only lasts 18-24 months, but the malabsorption of Vitamins and micronutrients last a lifetime.

2) I didn't want the remnant stomach left behind which is not easily scoped, but can still develop ulcers.

3) Only 30% of RNY patients dump so for me it wasn't worth it either way. I don't feel like punishing myself for a bad choice is truly going to keep me from eating something that makes me very sick.

4) I had a pouch/stoma combo with the band. It sucks, it's not natural. I was still hungry all the time.

5) The regain stats and RNY patients that seek revisions due to pouch/stoma stretching, or needing malabsorption again, was just down right scary.

6) No rerouting with VSG, and I get to keep my pyloric valve intact.

7) I needed Portion Control, and to have my ravenous hunger somewhat subdued. The sleeve gave me both.

8) I wanted to eat and live as close to a naturally thin person as I could. I wanted to have the option to eat a balanced, well rounded diet. The food restrictions with RNY weren't for me.

I have lost just as much if not more than some RNY patients that started around the same time and with the same pre-op stats. For me, I knew that I didn't need malabsorption to be successful. It's a very personal decision, but for me it was really a no-brainer when I looked at all the pros and cons of both surgeries.

Best wishes on your research and decision.

Tiff, thanks for posting this list of reasons - it reflects my own and you worded it so well! I will definitely be sharing this on my blog if you don't mind!!

[Tiffykins 672]

Tiff, thanks for posting this list of reasons - it reflects my own and you worded it so well! I will definitely be sharing this on my blog if you don't mind!!

I don't mind at all.

[Swiftflow 6]

Tiff listed my main reasons as well. I also want to add that the most common sleeve complication risk is a leak even though many great surgeons cary less than 1% occurance, but the risk of a leak with the RnY is MUCH greater as you are joining two different tissues and using a different type of seam. Overall surgery risk is much lower on the sleeve.

[lmmore 0]

Good luck with your sleeve surgery......ha ha