Hey, everyone!

I went to the PI seminar on, June 15th, had my Psych test and met with the Dietician on, July 15th, then had my first appointment with the Dr. on, July 29th. I have been looking into the Sleeve. I have always been kind of afraid, if you will, of the Bypass because of Nutrient Deficiencies, rerouting the intestines....etc. When I met with Dr. Nguyen, he said, given that I have irregular periods, PCOS, and infertility he believes I also probably have a Metabolic issue. Which would be why I can eat clean, and kill it in the gym with minimal results. He recommended that I consider the Bypass, instead of the Sleeve. He said he doesn't want me to sell myself short, by getting something that may not give me maximum weight loss results. Has anyone else had their Doctor tell them this? If so, which surgery did you go with? How did you do with it?

Thanks,

Becca

Thanks, everyone! This information has helped! I got a call yesterday from my Drs office to schedule my Psych evaluation. It all feels kind of like a dream! I'm so ready to get this done!!

Just went to the dr. Today....I now have to really reconsider whether it is the sleeve or bypass .I need to lose a minimum of 125 pounds .....no ifs and or but about it.This new dr doesn't perform bypass(his associates )do.He only performs a 2 part revision ...so it would be band removal,wait 3 months then another surgery.Now this is the same difference.2 surgeries....:-(.Maybe the bypass is the way to go.

I've had to think long & hard too... Although I'd prefer the sleeve the RNY is what I am choosing since I feel it has great long term effects & enough research to support it

I think it all comes down to what you feel is best for you.....one thing is sure as day.The band has to go!

I think it all comes down to what you feel is best for you.....one thing is sure as day.The band has to go![

Agreed!!! More come out than stay according to statistics!! Many offices no longer offer in our region! Ugh

I would say that if you think you will have a hard time staying away from sweets, even though at a reduced quantity, then go with the bypass. The sleeve only restricts quantity but you can eat whatever you want. Sometimes I wish I had gone the other route because of this. But I know it's still up to me and my willpower!!!!

From the American Society of Metabolic and Bariatric Surgery:

"Short term studies show that the sleeve is as effective as the roux-en-Y gastric bypass in terms of weight loss and improvement or remission of diabetes. There is also evidence that suggest the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-y gastric bypass."

Gastric sleeve surgery has skyrocketed in popularity. In the United States, it now makes up over 60% of all weight loss surgery procedures performed, up from 24% in late 2011. During the same time frame, gastric bypass dropped from 62% to 37% of all procedures performed while gastric banding (e.g. Lap-Band) fell from 7.5% to 0.8% of all procedures performed - See more at: http://www.bariatric-surgery-source.com/gastric-sleeve-surgery.html#sthash.PdjJlFPe.dpuf

The sleeve is by far the most popular and still gaining ground of all WLS. Notice the band is almost non existent.

I think they want to quietly phase the band out....quietly.Real slick I may add.I see Governor Christie got the lapband...he has lost a significant amount of weight....if he had gotten the sleeve or Bypass it would be interesting to see the results in comparison.Like the rest of us he will see that the band is complicated...I myself never really lost a great amount of weight initially.I have become a grazer and a reluctant Bulimic because the vomiting when it does happen is unhealthy.My reflux and Gerd coupled with the vomiting is a secret hell.

I need to consider long term success.

@slvarltx. Wow, I have to say that's confusing. I was going with bypass at my surgeon's suggestion because it had the most long term data, was the gold standard, had better weight loss and didn't cause GERD. So hard to know what's right. I work about things like ulcers, strictures, malabsorption with bypass but also feel like I'd benefit from the threat of dumping with high sugar and high fat foods. I guess I just need to trust my doc, take a deep breath and go with her recommendation!

After having the problems with the band ,my body has been through war.Dumping is not something I would be looking forward to.

I had bypass Jan 2015 and have had no dumping!

How do you feel after a bypass?No dumping?How often do you have to see your doctor?Any GErd?I heard it gets worse with the sleeve.

@choosehope I have found throughout this process and even reading on this forum, there is A LOT of confusing and contradictory material from doctors and NUTs. My conclusion from all of this is that WLS is a dynamic field of study and that we don't have all of the answers yet.

The hormone Gherlin comes back in Sleeve patients after several years.Is that true.Is it the same for bypass .It is that hormone that once removed makes it a bit easier.

What are the long ter results of the sleeve?

I want to make the right decision with no regrets.