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Bypass vs. Sleeve

I know this is discussed all the time but I want some input. And I get it's personal up to me and all that stuff. Here is my thing, I will have ONE chance at this. Due to a heart condition I was born with it's a miracle I am even being approved to get it done, and found a surgeon who will do the surgery. I am thinking I want the bypass because it seems to have a little better success rate, but with the sleeve they take part of the stomach and the hormone (supposedly?) that controls hunger. So after the bypass are you still hungry? I can't exercise a lot because of my heart, and by that I mean not a lot of cardio. I do go to the gym everyday and do circuit training with breaks, and when I am motivated I go twice a day....I just can't do tons of cardio and take breaks. So any input would be great!

Thanks!!

Stacy

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  • The bypass is the golden standard for weight loss procedures. There are many people who get revised from sleeve to bypass. I take medications, and never needed a higher dose of anything. As far as

  • aelovelady
    aelovelady

    I agree with cookarue! And because you only have only one shot, why wouldn't you go with the one with the most success? Not a sermon, just a thought! Btw - I reached my goal today 111 lbs in 16 mon

  • I originally planned to have sleeve surgery and ended up going the route of bypass for two reasons. I had severe reflux and learned that bypass would cure it and it did. Secondly I wanted to have 1 su

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When a gastrectomy is performed (sleeve) they remove part of the stomach that produces the Ghrelin, which is the hormone that controls hunger. They basically take out one side of the stomach and make it like a shape of a banana. You still have part of the stomach there, but the side the hormone that makes the Ghrelin is on is removed.

When you have a bypass, they leave only a tiny pouch so that would mean there should be no hormone making Ghrelin because that part of the stomach is disconnected isn't it? I can't imagine that if you had an actual bypass they would leave the area that makes the Ghrelin. I'm so sorry you are going through this. I also have the hiatal hernia again, which sucks too. I feel so bad for you and hope that surgery on the 28th helps you out.

I want it over with and I want to be on the road to recovery and I am sure you do too.

With bypass they make a tiny pouch, but they DO in fact leave the rest of the stomach in the body (the part that makes ghrelin, the hunger hormone).

However, it has been explained to me that bc of the intestinal rerouting of the RNY, those hormones are dumped lower in the intestines and therefore do not cause feelings of hunger. Can't say I completely understand this yet, though.

Sent from my iPad using the BariatricPal App

I know this is discussed all the time but I want some input. And I get it's personal up to me and all that stuff. Here is my thing, I will have ONE chance at this. Due to a heart condition I was born with it's a miracle I am even being approved to get it done, and found a surgeon who will do the surgery. I am thinking I want the bypass because it seems to have a little better success rate, but with the sleeve they take part of the stomach and the hormone (supposedly?) that controls hunger. So after the bypass are you still hungry? I can't exercise a lot because of my heart, and by that I mean not a lot of cardio. I do go to the gym everyday and do circuit training with breaks, and when I am motivated I go twice a day....I just can't do tons of cardio and take breaks. So any input would be great!

Thanks!!

Stacy

Do you have pictures of your before and after I started at your weight and just had to surgery 13

Sent from my HTC One_M8 using the BariatricPal App

post-263007-14667481028039_thumb.jpg

Before250

post-263007-14667481289071_thumb.jpg

6 months after bypass- 165

Edited by cookarue

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