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RNY VS VSG @ Kaiser

Just got the okay from Kaiser to have WLS. They want to do the RNY bypass instead of the sleeve because of the success rate with keeping the weight off long term. They also said that because my weakness is sugar, it would be better at keeping me on track... I'm guessing because of the dumping that people experience after eating sugary foods.

I was hoping not to mess with my intestines and keep my plumbing intact, but I also don't want to have the sleeve and end up having to get that revised into the RNY because it isn't working for me long term.

Has anyone else here had their DR. tell them something like this?? Kaiser said they only do sleeves on a few select patients. mellow.gif

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Strange. My doctor said he is doing mostly only sleeves now. I told him I was concerned I wasn't choosing the right surgery and he said he absolutely wanted me to have the sleeve. I'm Kaiser Fresno

Just got the okay from Kaiser to have WLS. They want to do the RNY bypass instead of the sleeve because of the success rate with keeping the weight off long term. They also said that because my weakness is sugar, it would be better at keeping me on track... I'm guessing because of the dumping that people experience after eating sugary foods.

I was hoping not to mess with my intestines and keep my plumbing intact, but I also don't want to have the sleeve and end up having to get that revised into the RNY because it isn't working for me long term.

Has anyone else here had their DR. tell them something like this?? Kaiser said they only do sleeves on a few select patients. mellow.gif

Hey there...I'm new to this website as of today, but your blog caught my attention. I am also a kaiser patient in So. Cal and I am scheduled for my VSG on 9/08. I'm anxious/excited to say the least. I attended all the Kaiser classes and I heard them say that same thing that you said your people told you. My husband had the RNY in May/2010. I saw him experience "dumping syn" and I don't wan't to do that. He says it does keep him from eating sweets though and he was a sugar addict!! I opted for the VSG and I am praying that it is the right choice. I too, like you, don't want my intestines re routed!! The surgeon I'm going to says he does more sleeves than RNY now, but reccomends RNY for diabetics! Luckily I don't have that...yet?!! Good Luck to you...hope this helped out.

Also a Kaiser So Cal patient and I started out wanting the band but my surgeon advised against it and recommended VSG instead. After researching this I too decided it was the best choice. RNY was never an option I would consider...ultimately it is your decision. You know yourself best.

I to have Kaiser in Fresno. My surgeon prefers the sleeve also. If you want the sleeve try to get switched to Fresno Kaiser. No matter what surgery you get though. It is not a fix all. You will have to modify your eating habits for this to be a success. Once you see the results, it will be much easier to change.

Respectfully,

Joe Lopez

The doctor I saw at Kaiser told me that I would be having the RNY because of my weight and that I would have to have a really good reason to get the VSG instead. I went to the surgeon and he said that he felt the sleeve would be the better option for me and he was right. Also, some people do experience dumping with sweets after the sleeve.

I was also told by a Kaiser So Cal doctor that he recommended that I get the RNY because I had a lack of Vitamin D but I said "chale tamale"...My surgeon asked me what surgery I wanted and I said VSG and he said it was a good decision...Im scheduled to have my surgery on 09/16 with Inland Valley Medical Center...I also attended the options program with Kaiser and finished back in 02/2011 but stalled a surgery date since I wanted to make extra money at work...Best of luck in your decision...!!!

Don't let them talk you into a surgery you don't want! Stand your ground. Do your research. The results of VSG are very similar to RNY in terms of EWL and long term success, except VSG is newer so "long term" is sort of relative at this point. I'm Kaiser too and what they don't mention in classes is that the malabsorption of calories in RNY only lasts for two years while the malabsorption of vitamins lasts forever. That was really the deal breaker for me.

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