Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Why did you Choose sleeve over RNY?



Recommended Posts

I'm curious how people chose the sleeve? I am on the fence but I'm leaning toward the sleeve. Could you please share what the cons were for you on choosing the sleeve?

Share this post


Link to post
Share on other sites

My surgeon said I would not be a candidate for the bypass due to the fact the I have issues with anemia. The bypass would only make it worse.

Share this post


Link to post
Share on other sites

My doctor refuses to do RNY.

Share this post


Link to post
Share on other sites

I had a couple. I was 240, so I needed to lose about 100 pounds, I thought I could do that with the sleeve, I thought sleeve was a more simple procedure since it did not involve rerouting. Also, I take meds for a small seizure disorder and the meds I take for that would not have worked with the malabsorbtion of the RNY but caused no issued with the sleeve, so it was pretty easy for me.

Share this post


Link to post
Share on other sites

I simply did NOT want my digestive tract cut TWICE, which is what a RNY does. I've also seen first hand issues with malabsorbtion of Vitamins and anemia because of bypasses. The sleeve works, is simpler and CAN be changed to a full blown bypass if necessary, while a bypass cannot very easily be converted to a sleeve.

Share this post


Link to post
Share on other sites

Just the thoght of having part of my intestines removed creeped me out to the point that it wasn't for me. My doc said the sleeve, in his experience, was just as successful as RNY - with fewer surgical and food absorption complications.

Share this post


Link to post
Share on other sites

Gosh, when I first started looking into WLS, RNY and the band were the only things out there. That was 12 years ago or more, I think. I never was comfortable with the idea of either. I didn't like the intestinal rerouting and I'd seen family members struggle hard with dumping (and regain). Research is also starting to show that the malabsorption stops sometimes after the first couple of years - your body learns to adapt. I saw the sleeve a few years before I had surgery and I was like "Now THAT is it". I just knew it was the one I wanted. My doctor agreed. Obviously, I've done very well with it. But it's still hard work. There's no magic. It's all about you - no matter WHAT procedure you choose. Just be sure you choose the one you're willing to work.

Share this post


Link to post
Share on other sites

I know 2 people who have been very successful with RNY. Originally that was the procedure that I was interested in. Once I serious and started my research it seemed to me that the sleeve would do all the same things, all be it a little slower than the RNY, without some of the side effects that both my friends went through. The biggest negative about the sleeve was a lack of long term data. It was 5 years vs. 15 for the RNY. That really didn't scare me and it didn't seem as big a deal as the malabsorption, dumping, gall bladder and other issues that the people I knew went through.

However, if for some reason I had been unable to have the sleeve I would have done the RNY. Doing nothing is a lot riskier in my opinion.

Share this post


Link to post
Share on other sites

I had less to lose so RNY seemed to dramatic for me. As well I was (that's another story) lactose intolerant and dumping supposedly feels similar to how I feel when I have milk and to be frank - I hate that feeling :( . It's horrible and I feel like death and I didn't want to chance that happening. Lastly, I already had several Vitamin issues and didn't want to make them worse. I've also read that's easier to stretch a RNY pouch than it is to stretch the sleeve - I don't know the data on this but I have read it a few places and I do know of two people who've stretched their RNY pouches - one gained back all the weight and the other didn't.

Share this post


Link to post
Share on other sites

I had decided on RNY, but my surgeon saw that I had been on and off anti-inflammatories for a couple years. She said there was a high risk of ulcers at the point they connect the intestine to stomach if you take certain medications regularly. She suggested the sleeve, which I wasn't familiar with. I had seen it, but I had it stuck in my head that people weren't as successful with the sleeve. My surgeon said her patients had just as much success with weightloss with the sleeve. I did more research on it and was sold. The things I was worried about with RnY rerouting and malabsorption were not issues with the sleeve. I am so glad I got my sleeve over RNY!

Share this post


Link to post
Share on other sites

I actually had a surgery date for RNY in 2006 that I backed out of. It didnt feel right for me.

Last year my husband and I went to a seminar to consider the lap band and that is when we were introduced to the sleeve. We looked at each other at the same time and said yep this is it!

I had surgery in August. Lost 116 so far and i am as happy as I could be :)

I always kicked myself for not following through in 2006 with the RNY, but it just goes to show that everything happens for a reason and to listen to your instincts!

Good luck with your decision :)

Share this post


Link to post
Share on other sites

Oh, and I forgot to add:

The only con I had for the sleeve was the whole idea of the leak from the large staple line. That scared me!!

Any other fears I had for any wls were fears i would have had regardless of which surgery i chose.

Share this post


Link to post
Share on other sites

i only had about 100 lbs to lose. My wife had RNY about 7 years ago and dropped a lot of weight, but didn't follow through and now has put most of it back on. I felt that this was less drastic than RNY and more feasible than the band. i could always go back and have RNY if need be but I don't think that it will be really necessary.

Share this post


Link to post
Share on other sites

I was all ready to have the RNY as a couple of my friends have had good success with the RNY. When I met with my surgeon, he would not do it because I have had some abdominal surgery which he said could cause the bowel to become stuck. He suggested the sleeve as the RNY could be very risky due to my age. I am 67 and I couldn't be happier. I was sleeved on 12/17. Now I am 5 weeks out and experiencing a stall for the last week. I just have to persevere and I'm sure it will eventually break.

Share this post


Link to post
Share on other sites

I was more comfortable with the sleeve procedure than Bypass. I did not want anything to be moved around and to deal with a lot of the issues bypass has.

When I met one on one with my surgeon he said there was no reason for me to have the bypass. Typically bypass is recommended for obese patients with other medical conditions. I am very lucky and I am just fat, no other issues. He said the sleeve will help take the weight off for myself the same as bypass.

He also let me know the sleeve will work for 2 years. Anything after that will be my own will power. <--- that is the reason I went with him. 100% honest about it.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×