I had Originally planned to do the sleeve, but after my consult I feel the bypass would be better bc of the long term evidence of keeping off the weight. Any input?

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I hope to eventually get a bypass for the same reason as well as the fact that I have GERD and diabetes runs in family.

I was dead set on having the sleeve until I actually talked to my surgeon and he cleared my mind a little bit. My BMI would lower more than it would with the sleeve.

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I had severe acid reflux (GERD) prior to surgery and that is the reason why I had RNY gastric bypass surgery. The sleeve will only make this condition worse. Also RNY has been around the longest. It is almost the gold standard.

I chose sleeve because that's what my doctor recommended. I thought I wanted lap band. Sleeve was perfect for me because I had relatively low BMI (42) and no insurance recognized comorbities. If your doctor is pushing you towards gastric bypass's listen to them and if your not sure get a second opinion. WLS is not one size fits all. If I had diabetes or GERD I would definitely considered gastric bypass.

Ditto to all these. Acid reflux and Diabetes and never recommended bypass as best option for me.

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I was not a candidate for anything but bypass as I have autoimmune issues- rheumatoid arthritis, lupus and Hughes syndrome.

And pretty much everyone I know personally had severe issues with the lap band and eventually had to have them removed.

Edited April 6, 201610 yr by LisaMergs

My surgeon told me it was basically my choice. My BMI was only 43 and I didn't have any other issues yet, but after looking more at the statistics and knowing that I tend to enjoy sugary/fatty things I thought the risk of dumping would be beneficial to me. Plus I didn't want to risk not losing weight and having to go back in for a conversion to bypass.

As far as the lap band goes, I didn't really even want to entertain the idea of that. In 2014 more lap bands were removed than placed in the US.

Edited April 6, 201610 yr by kjwrn

I recently heard of a balloon they insert in your stomach for a total of 6 months. My moms neighbor is no longer a surgery candidate because her weight is too high with her co- morbidities making it too dangerous. I'm trying to find a way to introduce this to her. She was denied surgery when she was around 400 lbs years ago, then fought for it , was approved and then lost her job. So sad. Now she is on disability. I wonder if Medicare covers surgery?

It depends on the states probably, I think in Missouri I heard it is 80% covered and you would have to pay the 20% out of pocket

Medicaid covers it completely in Kansas @@LisaMergs

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I recently heard of a balloon they insert in your stomach for a total of 6 months. My moms neighbor is no longer a surgery candidate because her weight is too high with her co- morbidities making it too dangerous. I'm trying to find a way to introduce this to her. She was denied surgery when she was around 400 lbs years ago, then fought for it , was approved and then lost her job. So sad. Now she is on disability. I wonder if Medicare covers surgery?

I am in IL and on Medicare/Medicaid. My surgery and hospital stay is 100% covered and I only have a few copays on the medicare side that Medicaid usually picks up. I might have to pay for my nutritionist out of pocket because Medicare did not have it listed as a covered benefit but in the past Medicaid has picked those up for me.

As far as the original poster about the decision between rny and sleeve, I am having the same exchange of thoughts as I look for which would be the best. Right now I have a BMI of 56 so my surgeon is saying rny would be best. My father in law had the rny and honestly I can't see it helped me. I know it is only a tool but he lost 140 pounds and has regained 100 of it. But my mother in law had the band and hers is still working just fine and she looks amazing. I keep hearing from people that the rny is too dangerous and the sleeve is better. Last night I even met someone who went from 367 to 205 in one year on the sleeve. He said he lost about 50 preop but 11 months post op he is doing amazing.

I will probably keep researching and researching until it is time to lock in a decision.

@@LisaMergs I heard of this too, when I went to a WLS Seminar last month. None of the Surgeons at the Bariatric Center for Excellence I am going to have done this yet. But they added it to the "options" and let everyone know at this point it is a self pay only procedure... i.e.. they know no Insurance is covering it. From what I could gather, they made it sound like it was a procedure for someone that needed to loose a little weight. Like someone that is 40lbs overweight, has money they don't know what to do with and a Class Reunion in 6 months. They also said it's completely an outpatient procedure. That's all I recall...

RE my comment on this post - Acid Reflux is the reason I am having RNY instead of a Sleeve. I was actually way more afraid of the RNY being done vs the Sleeve.. but when I found out it was my only option and the best option I guess.. I am not so afraid anymore. Needs to be done, I need my life back.

I originally went thinking I would only do the band - then I heard that 50-60% of banders need secondary surgeries at some point due to complications and the weight loss is the lowest of the 3 options. My surgeon recommended the sleeve after reading my history and our discussion. I don't tend to eat sweets often so I don't need to have the added deterrent of dumping syndrome to my weight loss attempt. I also don't graze so the restriction only surgery is a good choice. The surgeon, nutritionist and psych along with the patient decide the best option in my practice. I just started my journey.

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Edited April 10, 201610 yr by KristenLe

Same here, acid reflux and diabetes. Leaning toward the gastric bypass.

Dawnie_doo

I was also dead set on the sleeve. After my initial consult with my surgeon (who told me it was up to me which one I wanted) I started doing a LOT of reading and research. One thing that is consistent no matter what book, pamphlet, success story etc you read is that you have to be 100% honest with yourself through the whole process or you won't be as successful. I had chosen the sleeve bc I didn't think I needed the negative reinforcement of dumping, not thinking I have a problem with sweets or fried food. But once I began to really be honest about my relationship with food I realized that I do eat those things more than I initially wanted to admit (let's be honest, if I didn't I most likely wouldn't be overweight enough to be considering WLS in the first place lol). So I went back to my surgeon to talk to him about it and I ended up switching to RNY.

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