I'm interested in hearing how people who have already had surgery decided between the sleeve and bypass. I'm really leaning toward the sleeve as I have RA and will most likely need prednisone/NSAIDs periodically for the rest of my life. One of the two bariatric surgeons I interviewed really seemed to think my significant GERD would likely become worse with the sleeve. She thought if I lost enough weight I might not need anti-inflammatories - but that's a big "might not" and a lot to gamble with. I do also have a hiatal hernia, so there's a chance that fixing that plus weight loss might actually improve the GERD - so many unknowns...

Has anyone had the Linx procedure for reflux either with or after the sleeve instead of revision to bypass? BTW - the surgeon who was worried about worsening GERD is a specialist in this procedure.

Maybe I'm overthinking all of this - just don't want to do something for my health and then end up in worse condition than I am now.

Thanks for any replies.

Brenda

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?

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

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.