Bypass Or Sleeve

[Pamalam 11]

I told doc that I wanted the bypass but now leaning toward the sleeve surgery. I am so afraid that if I lose weight I will gain it back cause I live to eat and eat long after I am full.

[ariesgirl 17]

I definitely love my sleeve and I love to eat. However, with the sleeve it is impossible for me to overeat. I simply cannot get it down.

[UTGal99 327]

I haven't had surgery yet but I have done ALOT of research, attended seminars, talked to people who have had all 3 types of WLS (bypass, sleeve and band) and thought LONG and hard on this decision.

For me, I have chosen to go with the sleeve and here is why:

1) No malabsorption

2) No dumping syndrome

3) Is the 1st step in the 2 step process for bypass (if you need bypass later they can do a revision)

4) Results with the sleeve are impressive alone

5) I don't believe in rerouting my plumbing - no thank you!

6) I refuse to have a foreign object placed in my body with the lap band

7) No fills, adjustments, etc.

8) It is permanent - you are either all in to change your life or you're not

9) The fundis (largest curvature of the stomach) is removed eliminating the hunger hormone ghrelin

10) It appears to have the least amount of complications of all the procedures

Whatever choice you make don't feel bad to tell your surgeon you have changed your mind. You will be stuck with whatever choice you make for life. Make sure it is exactly what you want.

Good Luck and keep us all posted on your decision!

[Pamalam 11]

I like the sleeve surgery better cause there no rewiring like the bypass. I take Prozac, cholesterol medicine and blood pressure medicine. There are two people at work had the bypass and now look too skinny. One had the extra skin removed and he looks too skinny, I asked him what he ate now since had been a couple of years. He says yogurt and Protein Bars. This seems to harsh for me. Can I eat more foods then this and still lose weight?

[ariesgirl 17]

I eat whatever I want, but in small portions. I would be miserable if I only could eat yogurt and Protein Bars. @UTGAL99 - great reasons for choosing the sleeve!

[Kabooboo 4]

I'll just add to the great list that UTGAL99 posted that the VSG keeps your pyloric valve intact and the RNY does not. Here are a couple of articles that explain some about that.

http://www.lenoxhillhospital.org/press_releases.aspx?id=2106

http://www.nxtbook.com/nxtbooks/matrix/bt_supp0609/index.php?startid=5#/4

Also, the malabsorbtion of the RNY that many rely on to lose weight (my sister for one) means that people can loose a lot of weight in the first 18 months or so. Then, the body adjusts and the malabsorbtion goes away. If you haven't really learned how to eat and make lifestyle changes, you will start to regain, which my sister has experienced with the RNY. You will have Vitamin malabsorbtion for life with the RNY.

For me it was a no-brainer. I would not have gotten weight loss surgery at all if the RNY was my only option.

[Izuri 428]

I just am seconding all the great reasons that were posted before me. I also wanted to say that the live to eat thing just is something you're going to have to be willing to change. Maybe I am reading the statement wrong, but it just sounds like you're giving up to that mindset. No surgery is 100% foolproof. They're tools and need the work behind them to sustain weight loss over time.

That being said, sleeve seemed way more realistic for my life. Less restrictions. Fewer complications.

I hope that you find what you're looking for and that it goes well =)

[O.T.R. sleever 3,386]

Much like the bypas, your diet is pretty restricted in the early phases. However unlike the bypass, as time goes on you will have the ability to eat anything you want, just a lot less of it.

There are advantages & disadvantages to both surgeries, obviously the opinions you are going to see here are going to favor the sleeve. It is a much less invasive procedure that carries a much lower complication rate. It can be a very effective tool if used properly, however it can also be abused like anything else. If you feel that you are the type to sabotage yourself, I highly recommend getting some counciling before committing to the surgery. Honestly, I wonder if it would have helped me.

[Pamalam 11]

I just am seconding all the great reasons that were posted before me. I also wanted to say that the live to eat thing just is something you're going to have to be willing to change. Maybe I am reading the statement wrong' date=' but it just sounds like you're giving up to that mindset. No surgery is 100% foolproof. They're tools and need the work behind them to sustain weight loss over time.

That being said, sleeve seemed way more realistic for my life. Less restrictions. Fewer complications.

I hope that you find what you're looking for and that it goes well =)[/quote']

Sorry I love to eat not live to eat, however I live because I eat. That being said thanks for all the advice. I am having the sleeve surgery cause I have done some research and this is not as invasive.

[missjenny 43]

The doctors would not do bypass on me because of all the meds I'm on. I'am also on blood pressue,cholesterol, rheumatoid arthritis,asthma and depression medications. They said with the sleeve my meds will get absorbed and with bypass I could end up with some serious problems and a lifetime of always having to adjust the meds. I am soooo happy I got sleeved. Good luck with your journey.