I'm 5'4 260 pounds in have no obesity comorbidities like high blood pressure or diabetes yet thanks to my lord I want to get the vertical sleeve done i can't wrap my head around gastric bypass... but also gastric bypass is the gold standard. .. dont know I don't think I need something so drastic. ..

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I would say go with the sleeve. Less complications, very similiar weight loss rate just slightly less, no rerouting of the insides and shorter recovery time. I'm in the hospital post op from Monday and doing fine. Already lost weight and I started at 5'4 and 240 pounds and I also had no comorbities. If your not sure I would definitely say go over options with your doc but I believe the sleeve is pretty much up there with bypass as the standard now a days. Good luck with whatever you choose!

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I had that same feeling.....I just felt by-pass was a little too drastic. I talked it over with my doc and he agreed that sleeve was my best option.

Thank you @ and congratulations may u have a fast recovery... ???? the only thing that worries me is that I sometimes get heartburn when eating spicy food... and I heard with the sleeve ur exposed to gerd... hmm ...

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I had that same feeling.....I just felt by-pass was a little too drastic. I talked it over with my doc and he agreed that sleeve was my best option.

Yeah.. I just hope that's the best option for me...

Since I don't really want gastric bypass is think the sleeve it's more simple.

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• On the other hand if you have a problem with heartburn and gerd prior to surgery make sure your surgeon knows that....I certainly understand the thought that by-pass is more drastic but you don't want to have sleeve and end up having to have it revised to by-pass because of gerd.....just talk it over with your surgeon and let them advise you based on your individual needs and condition. best of luck to you!!!

• On the other hand if you have a problem with heartburn and gerd prior to surgery make sure your surgeon knows that....I certainly understand the thought that by-pass is more drastic but you don't want to have sleeve and end up having to have it revised to by-pass because of gerd.....just talk it over with your surgeon and let them advise you based on your individual needs and condition. best of luck to you!!!

Yeah thank you kmorri I sure will.. I'm going to stay away from spicy food.. as well..

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I don't think the bypass is still the 'gold standard' today. It had been the most common procedure for many years, but VSG has taken over as the most commonly completed procedure today, for all of the reasons mentioned. Less involved, lower risk of complications and fewer issues after surgery, all with essentially the same expected weight loss.

With all that being said, the choice is one you should make after consulting with your bariatric surgeon. They will help you review your situation and decide which procedure best meets your needs.

Ask if your doctor can introduce you to some people who have had gastric bypass as well as some who have had the sleeve. Like, maybe a support group you can attend. Hear from real people about their own stories. Talk to your surgeon about the options, the pluses and minuses for each surgery. Personally, I think it's really important to make medical decisions on a medical basis, not "that scares me" or "that makes me feel ooky." I chose the sleeve and I think it was a good medical decision for me -- but I also know several people who have had gastric bypass and they are all doing great! No complications, they look very healthy and happy -- and slim.