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Sleeve or bypass? Please give me advice!

Nicki24

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Nicki24    34

Nicki24
Posted

I'm having surgery in June and still can't decide between bypass and sleeve. I'm leaning slightly more towards bypass but I know sleeve is less invasive and less risky. A little about me I'm 24 and have about 250lbs to lose in realitively good health, I have pcos and a mild case of sleep apnea. Not on any medications currently. Loosing weight is incredibly hard for me I was on the clear liquid diet for 2 weeks and only lost 1 lb.... Any advice or opinion is greatly appreciated. Thanks.

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KristenLe    5,980

KristenLe
Posted

What does your Surgeon, Nutritionist and Psych suggest? Mine asked about eating habits before recommending the sleeve. I don't tend to graze and don't often eat sweets. If I did - they would have recommended bypass. Good luck with your decision!

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Nicki24    34

Nicki24
Posted

My surgeon recommended sleeve right off the bat without asking me any questions but only bc I think his practice is trying to do away with bypass altogether he said it was my decision tho and than proceeded to sell me like sleeve was a Mercedes saying they're the same thing except less invasive and less risky and less long term complications than bypass he also said that the weightloss rate is slightly higher with bypass but could have the same outcome with sleeve. My eating habits have of course improved during preop but before I struggled with over eating and poor food choices. I have a weakness for Mexican food and still find my self craving it daily and sometimes giving into it. Not a big sweet eater or a snacker.

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Tonya83    6

Tonya83
Posted

I know when I went to the seminar the surgeon was saying the sleeve was similar to the bypass but I'm like u I don't know either even tho I have awhile before I get to where u are but I do believe that both is good and going to give u great results but the good thing is the sleeve is less time under the knife

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KristenLe    5,980

KristenLe
Posted

So if u eat a lot of sweets and so on the by pass is more suitable than sleeve?

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Sorry I was asking that question?

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That's what I was told. One reason is because other than the restrictive benefits it also has a malabsorption effect. It also has the added deterrent of dumping syndrome (worse than sleeve) with sweets.

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kaitlynm    335

kaitlynm
Posted

The bypass only discourages sweets if you get dumping syndrome. Not everyone gets this. I initially wanted the bypass for that reason, and my surgeon left the decision to me, but I definitely felt he was pushing me towards the sleeve. Ultimately that is what I went with because of the malabsorption of Vitamins and minerals. I already have some issues with B-12 absorption. You lose weight slower with the sleeve, but my surgeon said at 2 years out the results were about the same.

I guess it came down to risking that I could never have another piece of Birthday cake if I had the bypass and was I really willing to accept that. I wasn't. I'm happy with my sleeve so far at 6 mos out.

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Nicki24    34

Nicki24
Posted

See I'm ok with out bday cake or sweets in general and actually I kinda want the dumping syndrome so that if I ever do get that random urge for sweets I can't eat them. I want to give up bad foods for life not just for a few months then tell myself it's ok every once in awhile then that turns into the exact same eating habits I'm currently trying to break then I've gained weight and back where I started. I think the bypass will give me a better chance to keep away from the wrong foods longer but everyone I talk to says sleeve is the way to go bc it's less risky and less invasive. I don't want to make the decision to have the sleeve just bc I'm scared of the risks of bypass if bypass would be a better option for me.

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dadsrebel    24

dadsrebel
Posted

Niki I am 4 days post op from by-pass and had the best recommended surgeon in Phx. He does not feel any risks difference between sleeve and bypass. I was only under the knife less than an hour.

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Nicki24    34

Nicki24
Posted

Niki I am 4 days post op from by-pass and had the best recommended surgeon in Phx. He does not feel any risks difference between sleeve and bypass. I was only under the knife less than an hour.

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I'm also in the phx area thanks that helps alot

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inspyrdbyu    38

inspyrdbyu
Posted

I am almost done with all my requirements and will hopefully have a surgery date in June or early July. I had my mind set on the sleeve this entire time, but in reading some of the posts I am second guessing myself. Maybe go with bypass??? I am a terrible grazer and sweet addict once I get going. From what I have read, the bypass may be more of a reinforcement to help me get over these behaviors. I just am leary of rerouting my intestines if it's not necessary. Smh....anybody have any advice either way to help me make this decision? Thanks guys!!

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CallMeTee    77

CallMeTee
Posted

I'm a sugar addict myself and I'm heavily leaning toward the sleeve, for a few reasons. With the sleeve, a very large portion of your stomach is removed from your body; that part of the stomach produces ghrelin, the "hunger hormone," so your appetite will be greatly reduced. I'm also not a fan of having my intestines rearranged and whatnot, to me the sleeve procedure seems much simpler. Also, I like that there's not as much trouble with malabsorption; the main reason I'm having surgery is to lose weight in order to have kids, and it just seems like being pregnant with a sleeve would be at least a little safer than pregnancy with a teeny little pouch, I'd worry about starving the baby :( I also have PCOS and have heard awesome things about the sleeve and PCOS, I've talked to women who have been sleeved and it's like the best thing they've ever done :) So yeah, unless the surgeon can convince me otherwise, it's the sleeve for me!

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teaqueen    113

teaqueen
Posted

Sleeve is a great 1st procedure. You still have other secondary surgical options including doing a RNY after if you don't get the results you are going for.

Bypass does not leave any other doors open. There is no revision or 2nd procedure options there.

My sister did bypass 10 years ago and managed to stretch out her pouch (there is a ring or stoma that creates the pouch connection to the new intestine location.) Once you stretch the stoma ring...it won't unstretch.

With sleeve, you have a pressurized staple line the length of your stomach. It won't stretch out. The fundus (stretchy part of your stomach) is all or mostly removed during your surgery, so your restriction with a sleeve is permanent.

I went with sleeve because I didn't like the idea of rerouting my intestines and have seen that with deliberate bad eating, you can stretch the stoma with bypass.

Just a couple more points to think about as you make your decision. Good luck!!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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