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Pre op- which should I choose ?



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I have severe heartburn and after researching I don't know if I should have sleeve or bypass? I really hate being uncomfortable in my body and want to choose the best one time surgery. I would hate to have the sleeve only to have to convert to the bypass'

Your genuine thought would help!

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I'm having the same hard time choosing as well... I think I'm probably going with RNY

thanks for your honest reply! I'm kinda leaning towards RNY too! My surgeon said he considers RNY mostly for those who are diabetic. Currently I have no comorbities but it's scary because the sleeve is such a new procedure and if complications happen I don't want to be the experiment!

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My surgeon told me that actually the sleeve isn't all that new. He said that with really, really obese people who were having bypass surgery years ago that they would do a sleeve first so they could lose some weight and then go back in and do the bypass. And they were finding that people lost weight with just the sleeve procedure and were able to do well with that so they started offering just the sleeve procedure by itself.

However, if you have GERD or severe heartburn, many people have found that the sleeve makes it worse. I got rid of my GERD with a hernia surgery but many on here have talked about the heartburn with the sleeve.

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I went in wanting sleeve but have since changed my mind and will be having bypass, primarily, but not entirely, due to the possible GERD issues.

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Will the pre-op GI with Upper Endoscopy and H Pylori biopsy detect if I have GERD issues now? I mean I have to have tums at all times and I don't want it to get worse after VSG (I don't think I could handle it's horrible now)!

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My surgeon told me that actually the sleeve isn't all that new. He said that with really, really obese people who were having bypass surgery years ago that they would do a sleeve first so they could lose some weight and then go back in and do the bypass. And they were finding that people lost weight with just the sleeve procedure and were able to do well with that so they started offering just the sleeve procedure by itself.

However, if you have GERD or severe heartburn, many people have found that the sleeve makes it worse. I got rid of my GERD with a hernia surgery but many on here have talked about the heartburn with the sleeve.

your are right! The more researching I'm doing the sleeve isn't that new.

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@@Running2theSleeve not sure if you were asking me that question. But sorry, I don't know.

I wasn't required to do those tests. You'd need to ask your doctor/surgeon. I haven't been diagnosed officially with GERD, but I do get heartburn now, and I don't want chance it being made worse, or having to have a revision later. Plus my father suffered terribly with it, and I just don't want to chance going down road.

Good luck!

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@TheCandidate .. Sorry but yes I was directing the response to you ,, I see I wasn't clear. I meet with my surgeon again in 2 weeks and you are correct def a question for him!

Thank you for your explanation of your reasonings. You just don't know how it helps me knowing I have similar issues.

Thanks!! You really give good responses and clarity

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I have 5-6 friends who have had the sleeve, and that is primarily why I chose it. One friend said, you are only disrupting one organ, your stomach. Not the stomach and intestine. That was my selling point! I think it depends on your dr. But the sleeve has been very successful for over 5 years!

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I had a barium swallow and EDG which indicated I had GERD and I hiatal hernia. I am almost 3 years post op with sleeve and converting to RNY. I feel bad most of the time and hoping the RNY will get rid of GERD along with the fix of the hernia. I did not have GERD presleeve and no comorbs either. I was the perfect sleeve candidate. There is no way for them to know if it is something u will develop on down the road...

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Have bypass!!!!!!!!!!!

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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.
      · 0 replies
      1. This update has no replies.
    • 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💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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