My first post! I'm 42 and a male starting at 397 goal of 225. I'm scheduled for the sleeve on Nov. 19. I have researched until I feel like I go in circles a bit. I'm aware of the pros and cons to both for the most part but I am curious to hear some success stories of others with higher bmi's and the sleeve. It seems to me that either rny or the sleeve will just be a tool and ultimately success is based on developing healthier habits. Other than the "penalty" of dumping as a deterrent is there any other reason I could not be just as successful with the sleeve? I can't find as much research on the sleeve so hoping to get some more insight here.

As far as I know the biggest difference between the sleeve & bypass is that with the sleeve the weight loss is slower. Of course the surgeries are different, but outcome wise the major difference is the rate of expected loss.

Edited November 10, 201411 yr by Blerdgirl

I was sleeved on 2/28/13. I was 53 and weighed 325 at my pre-op appt. i'm very tall, 6'1", so my goal is 220, which is still considered "overweight". So I got down to 225 but haven't made it to my goal yet. Still working on it. In the beginning I lost very quickly and my rate of loss slowed around 8 months post-op.

I never took the rate of weight loss into consideration when I chose the sleeve. I was initially going to have the RNY. I chose to have the sleeve because I felt it was a better choice for me. I really didn't like the idea of having my small intestine cut and rerouted. Also the dumping syndrome was a deterrent. However some people still get dumping with the sleeve too. I've had some very sugary or fatty things cause me to have nausea and diarrhea, especially if I ate it on an empty stomach.

Some people may lose more rapidly with the RNY but it seems like the difference is pretty minimal.

I think you have to go with your gut (pardon the pun) feeling about what is right for you. Everyone's experience is unique. You'll do great with either surgery!

You hit the nail on the head! Whichever option you choose, a healthier eating habit is a must for success. WLS is just a tool for us to get started on the right path. I am no expert on Gastric Sleeve nor am I an expert on RNY. I can give you experience. I had a really high starting BMI. I ultimately chose RNY over sleeve because of the malabsorption aspect. My cravings for "bad stuff" - sweets, high fats, fried foods, etc are gone. I have yet to experience dumping either.

You can be really successful at either surgery if you put in the work.

Best of luck!

At the top of this page click on Resources - Information - Which surgery is right for me. Then at the bottom of the page you can click for extending to the rest of the article about the different kinds of surgery.

As for me, I did not want a bypass because I did not want to re-route my plumbing. I did not want a band because I did not want a port on my abdomen. So I chose the sleeve and am happy with the result so far. At ten months out I have had no dumping, no more reflux and sleep a lot better.

I think it awesome that you are doing your home work. I wish you good luck and good health.

@@Miss Mac - I was the same. I didn't want to do the Bypass and reroute my plumbing. I was also told the band was the least successful and many end up having it replaced with the sleeve.

I hope everyone does their own homework and decides what works best for them.

Thank you all for the input!