Hi Everyone!!

I had my first meeting with my surgeon today. He said I was a candidate for either the sleeve or bypass. He explained both procedures and told me to do research to decide.

I am currently 300 lbs. would love to be at a goal weight of 180 or 190.

Any thoughts or advice??

Thanks!!

They are both good procedures. I weighed 308 to start.. currently maintaining in the "150s". My sleeve was 4 years ago.

I think that someone with GERD should definately go bypass, other than that, research and decide which fits your needs the closest!

Do you have diabetes or any other comorbidities? I'm going with the bypass per my surgeon's recommendation. I have PCOS which causes me to be pre-diabetic/insulin resistant. The bypass has proven to make more of an impact on my disease and the issues I battle with from it.

but the sleeve would have resolved these issues also

Yes, agreed. But I also suffer from GERD which the sleeve will/could only worsen. There are a multitude of reasons for my choosing RNY over VSG.

I also was PCOS, pre-diabetic and had been on Nexium for over a year. I was on metformin and Byetta off label for the PCOS. My A1C had one test result barely in the diabetic range. If I had another in that range I would have been considered diabetic. I was off all of those drugs within 3 months. I did have a hernia repaired at the same time. I have not had any reflux since the sleeve.

I would check if you have a hernia before making a final decision. My endocrinologist approved my sleeve and never mentioned that I should consider by-pass. Just some additional thoughts so you and others in your position know your options.

http://guidedoc.com/gastric-sleeve-vs-gastric-bypass-surgery

This is a good article on the topic.

Thank you all for your wisdom!!! You are all great!!