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Lap Band to Sleeve or Bypass?



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I unfilled my band 3 weeks ago due to over a year of vomiting daily. The next step is getting a revision, just waiting for approval from the insurance company. I have been doing hours of research every night to determine revision to gastric sleeve or a bypass surgery. I want the sleeve because I am worried about malabsorption and anemia, which runs in my family without surgery. I also don't want to get rerouted. Comments from trusted friends/family say that they believe the bypass would be better. Their reasoning is the sleeve is comparible to the lap band, which I was unsuccessful at losing all my weight. I lost about 45lbs in 6 months and got pregnant. A healthy baby later, I just maintained weight, although I needed to lose 100lbs more. Then the vomitting started and I went up 20lbs which leads to now....I can't live that way anymore but don't want to be without anything because I will only gain more and be more miserable.

Please anyone who can give advice on what they found was better about the revision to a sleeve vs bypass....and those who went from a band to sleeve, give me some success stories about it because as a lot of people on this site, I'm not wimpy, afraid of the surgery or scared to put in the work....I am TERRIFIED of failing to lose the weight after going through surgery again. I have children to raise, love the thought of being healthy/thin and am finally ready (at least in my mind) to give up food as my coping mechanism for life! Thanks to anyone who has some constructive and hopeful comments.

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After reading my post, I did not mean to suggest that people on this site were wimpy or afraid...I meant that I have read people are scared of not losing weight after surgery. Just wanted to make that clear...I have wanted to post many times and just got the courage to try and I admire everyone who posts on this site and encourage others to be successful. I need help so thought I could get it from this site. Thanks.

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After reading my post' date=' I did not mean to suggest that people on this site were wimpy or afraid...I meant that I have read people are scared of not losing weight after surgery. Just wanted to make that clear...I have wanted to post many times and just got the courage to try and I admire everyone who posts on this site and encourage others to be successful. I need help so thought I could get it from this site. Thanks.[/quote']

I am 6 weeks post op and was band to sleeve revision. The sleeve was what i originally wanted 3 yrs ago but it was too new for my insurance to cover it. The sleeve was my choice over the full bypass due to the mal nutrition possibilities. I know many people who have issues because of it. From what i have researched, its not that big of a difference long term in weight loss between the two procedures. I will b honest and tell u that the weight does not seem to b coming off as fast as i would like it too, but it is coming off. I pre opp was 230. Surgery day 220 and today 205. From what ive read on this website, it is common for alot of people to b loosing at about the same rate as me, so im not discouraged at all. Especially because even when i followed weight watchers and had the band this is around the weight that my body seems to try and hold on to the excess fat for as long as possible (it also happens at 190). For me it was an easy decision to choose the sleeve because i know i was already putting my body through a drastic change and my thought was to do the one that would have less strain long term on me, even if it means i loose a lil slower and a few lbs less. My goal was to b as healthy as possible when im done with my weight loss journey and for me the sleeve was a better option. Not to discredit anybody elses choice or journey, this was just for me!! Also it is to my understanding that long term its very hard to stretch the sleeve because as opposed to the bypass, the part of the stomach that stretches easy is removed. Some of the people who i know that had the bypass can eat practically as much as before their surgery and have gained alot of it back. I think inpart due to stretching their pouch! Either way u choose it is just remember they are both just a tool to help u succeed. Good luck!!

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Thank you for sharing your experience. I want the sleeve and you gave new information I had not heard before, that the part of the stomach that stretches is taken away and it is difficult to stretch the sleeve. Again, thank you for answering my plea for help. I wish you much success in your journey to healthy living.

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I didn't realize it existed, so on to that forum I go. Thanks.

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    • 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!
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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