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Vertical Sleeve Gastrectomy (VSG) vs Gastric Bypass (GB)



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I found out I had GERD during my upper endoscopy. never felt bad, or heartburn.... on meds now. knowing this, the doc and I still concluded that sleeve was my best route. listen and discuss all the pros/cons with your dr. I'm sure you'll make the right decision.... I don't think my GERD is severe at all. I didn't want malabsorption, or dumping syndrome to be an issue too.

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Hi. I just had my endoscope, and my surgeon told me he won't do the sleeve because I have a huge hernia. He said if he does the sleeve I'll suffer from horrible heartburn. He wants me to consider the bypass. I have been preparing for the sleeve for almost a year, so I am really disappointed. Since I've been home from the hospital, I have been reading all about bypass. Anyone else go through this?

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I too had planned on the sleeve. I also have a huge hiatal hernia. My surgeon called me on my cell phone the other day. Explained the pros and cons of both. He really didn't want to do the sleeve, but said he would go by my wishes. After he called, I talked with my husband. I've decide to go with the bypass...I'm scheduled for the 24th. My ultimate goal is better health..my concern was also with dumping, but after thinking about gerd and if by chance my got that much worse, I didn't want to have to go thru another surgery

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I have decided on the bypass too for the same reason. I am concerned about anemia and poor nutrition. I have chronic anemia now before the bypass, so I'm working to get my Iron levels up before surgery and resigning to future Vitamin supplementation.

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
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    • Teriesa

      Hi everyone, I wrote back in May about having no strength. I still get totally exhausted just walking from room to room, it’s so bad I’m using a walker with wheels of all things. I had the gastric sleeve Jan. 24th. I’m doing exactly what the programs says, except protein shakes. I have different meats and protein bars daily, including vitamins daily. I do drink my fluids as well.  I go in for IV hydration 4 days a week and feel ok just til evening.  So far as of Jan 1st I’ve dropped 76 lbs. I just want to enjoy the weight lose. Any suggestions or has anyone else gone thru this??  Doctor says just increase calorie intake, still the same. 
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