I am almost through the pre op process just have to see the nutritionist 1 more time then off to meet with the surgeon...I am HW 319 pound I am tossed up on which surgery to have....any suggestions?..

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Without knowing your other measurements (height, BMI, etc) it's hard to gauge. What comorbidities do you have? Any GERD? If you have GERD then gastric bypass is the way to go.

I had this discussion with my surgeon and discussed why I was getting WLS as well as my previous attempts a weight loss. His recommendation was bypass (you'll also see it called RNY here). Especially if you have comorbidities. Plus, no anatomy is physically removed from your body.

I actually started the journey with the sleeve in mind, but the NP said that it wasn't a good idea with my history of gerd. And since I had some bacon this morning and had reflux episode, I'm kinda glad she talked me into the bypass.

I think I am leaning towards the RNY I do have a past with gerd. If you dont mind me asking how long ago did you have the RNY done? Any information you would like to share?

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My surgery date was 3 1/2 mos ago. Down almost 70 lbs. Definitely glad I decided on the RNY.

Good job!

Wow that's crazy how fast you lose it...

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That's great your weight loss!! How was your pain after surgery??

I previously had a band which was removed two years ago and initially wanted to get a sleeve but my surgeon recommended RNY due to the very bad gerd that I had when my band was slipped/eroding and the likelihood of bad scar tissue which might mean leaks on the staple line of a sleeve.

Take your surgeons expert advice about which is better for you.

If you scar/keloid easy, then the sleeve is not good?

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I wanted to have the sleeve but the dr told me that since I'm diabetic, I can only have the bypass.

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He said that would be better for me because of everything else I have going on

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I was told by my Dr that the sleeve is just basically taking out part of the stomach. But with the rny they have to do more cutting and connecting. It actually helps you with the craving. He said the sleeve is more for ones who has is more a food eater. The rny is better for the ones who love the sweets and chip snacking. He said it with more medical terms, but that's what i told him how i understand it and he agreed that's what he was explaining. In short terms anyone else get told this?

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My surgery date is next Tuesday, but I went with the RNY because I wanted the most restrictive option since I have a lot of weight to lose. My mom also had bariatric surgery---she started with the lap-band and revised to the sleeve, and she's having a hard time losing more. I'm surprised by how much she can still eat, so I definitely am happy thus far with my decision for the RNY. We'll see how surgery goes.

If I can stop the snacking I probably could lose before

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I also started the journey was the sleeve in mind, but after 6 months of SMWL and going to several support groups I decided to do the Gastric Bypass RNY. My doctor recommended it, but I had to do the research myself.

I went to the Doc thinking I would have the RNY, but he kind of talked me into the sleeve. I do think you have to be more disciplined with the sleeve because I haven't found any food that I can't eat yet. His main concern was that I could have issues with the malabsorption related to my B-12 deficiency. He told me that at 2 years out the results were about the same for RNY and the sleeve. With RNY you loose faster in the beginning. I'm happy with my sleeve so far. 5 mos post op. I also liked the idea that I would not have to worry about dumping if I wanted a special sugar treat every once in awhile.