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Bipass Or Sleeve - Now I’M Confused

How do you decide?

I feel like they are STRONGLY encouraging me to to go rny because of my Diabetes (t2).

Thoughts?

  • Replies 43
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I was on victoza and metformin and left the hospital on neither and havent needed it since! So, sleeve is working beautifully! :-)

A rule of thumb I used for choosing between sleeve and bypass is...if you like to get ur drink on go with the sleeve cuz with bypass there is a higher chance of ulcers if u drink alcohol as opposed to the sleeve....just a thought. Good luck!

I'm a wine collector so this was actually a big deal for me. A friend had the bypass (she and her husband are also collectors) and she just cant drink anymore. She's about a year out on her surgery and while it's worked wonders, she misses the wine tasting experience. We are also big foodies and I wanted to be able to still eat out and taste everything I wanted. She is limited because if it's sweet or fat she ends up dumping. So no Desserts at all (she won't take a bite) and no pate, lamb, gad she's got a long list. I didn't want that for myself.

I'm a wine collector so this was actually a big deal for me. A friend had the bypass (she and her husband are also collectors) and she just cant drink anymore. She's about a year out on her surgery and while it's worked wonders, she misses the wine tasting experience. We are also big foodies and I wanted to be able to still eat out and taste everything I wanted. She is limited because if it's sweet or fat she ends up dumping. So no desserts at all (she won't take a bite) and no pate, lamb, gad she's got a long list. I didn't want that for myself.

I agree if I want a nice glass of IL Conte Mascato D'Asti I do not want problems afterwards. I wanted to be limited on my intake, but still be able to enjoy small amounts of foods I enjoy. :*)

My uncle, who was pushing 500lbs had the sleeve, and my aunt who was over 300lbs had RNY. He seemed to "bounce back" faster postoperative.

Amanda Rae

  • Author

I was on victoza and metformin and left the hospital on neither and havent needed it since! So, sleeve is working beautifully! :-)

If it’s not too rude - what was your a1c and does

i’m 6.5 a1c (retesting in about 2-3 weeks) taking 500am 1000pm met and 1.8 victosa -

been t2 for 12 yrs

VERY INTERESTING - I reallllllly didn’t want to go rny

If it’s not too rude - what was your a1c and does

i’m 6.5 a1c (retesting in about 2-3 weeks) taking 500am 1000pm met and 1.8 victosa -

been t2 for 12 yrs

VERY INTERESTING - I reallllllly didn’t want to go rny

My a1c was about the same as yours.

  • Author

I wanna have as much AMMUNITION - because if I do the sleeve - and everything works - and let’s say I do have diabetes (not chubby related) I’ll be ok - If I have the RNY and still find myself diabetic (which I believe we will always be diabetic) I have to then go straight to injections - which, for me, is so difficult - I do it because I have to - but I am just hoping against insulin - not even sure what cycle that will/can create

Thank you for answering me and helping with this dialog everyone - I’m still confused - but it will end up being the decision we all make together (me and the hubby)

I wanna have as much AMMUNITION - because if I do the sleeve - and everything works - and let’s say I do have diabetes (not chubby related) I’ll be ok - If I have the RNY and still find myself diabetic (which I believe we will always be diabetic) I have to then go straight to injections - which' date=' for me, is so difficult - I do it because I have to - but I am just hoping against insulin - not even sure what cycle that will/can create

Thank you for answering me and helping with this dialog everyone - I’m still confused - but it will end up being the decision we all make together (me and the hubby)[/quote']

Good luck, whatever you decide! Keep us posted!

  • Author

Did your team try to encourage you to do rny?

How did you decide?

I feel like my team is pushing more for RNY. I get the distinct feeling that VSG is not very common here at all. Though, my surgeon has been very fair & unbiased in handing out info on the different surgical options. The only one he recommended against was banding, due to trending results. He did say that he was leaning towards RNY for me due to my overall amt of wt to lose & history of GERD, but that he would do whichever one I chose...& would wait until the results from all my referral appts came in to make his final recommendation.

weight.png 347*294/285/135 (*347HW/294SSW) | @Mwrarr | mwrarr.wordpress.com

  • Author

My surgeon does rny/vsg/band

I think the argument is going to be rny because of a) amount to loose and 2) t2dm - and now I’m doing my research - the long term studies can’t be very long term as the vsg has only been 4-5 years approved therefor result studies about the remission of t2dm aren’t as readily available - whereas rny has a much longer history and therefor they can prove that result -

I’m conflicted

Sleeve has actually been around for almost 10 years in this country. I also saw excerpts of European studies where it's been done for quite a lot longer than here. I was inthe fence since the beginning, but now regardless of lack of studies, I will still do VSG. But, I also don't have diabetes. If I did, it may have more influence on my decision. This site has helped my choice immensely, I have to say.

weight.png 347*294/285/135 (*347HW/294SSW) | @Mwrarr | mwrarr.wordpress.com

Sleeve has actually been around for almost 10 years in this country. I also saw excerpts of European studies where it's been done for quite a lot longer than here. I was inthe fence since the beginning' date=' but now regardless of lack of studies, I will still do VSG. But, I also don't have diabetes. If I did, it may have more influence on my decision. This site has helped my choice immensely, I have to say.

347*294/285/135 (*347HW/294SSW) | @Mwrarr | mwrarr.wordpress.com

It's actually been around much longer than 10 years here. I think I read 20-40+. It just wasn't called the sleeve. Just like people say the DS is new... It isn't. Just a different name.

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