I've been lurking around these forums for a few weeks now and finally had the courage to post. I am 150Lbs overweight, with diabetes, high blood pressure with factor V Leiden thrombophilia. I had a consultation with Dr. Fielding at NYU. He was pressing me to go with the Lapband or the Gastric Bypass because of my factor V Leiden thrombophilia. He was in a rush to get over our consultation and I wasn't very impressed with him. I then went to a new surgeon, Dr. Mitchell Rosilyn for a 2nd opinion. He feels strongly that I should have the Duodenal Switch.

What would the benefits be for me to have the Bypass or the DS? I have no idea which surgery would be best for me since I got conflicting opinions from each surgeon I visited. Please help me decide!!!

I had the d.s. myself i felt it was the best with the least chance of regain and highest weight loss. My surgeon swears by it and said he wishes everyone would do it. My parents both had the bypass and are doing very well and maintaining well with all comormidities gone.

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Jill H, with your health history you will probably want to do some very extensive research, including searches involving Factor 5 Leiden and WLS. I would consider, if it was me personally, seeking a third opinion with a specialist who works with patients with Factor 5 Leiden thrombophilia because you will have considerations and a higher risk for clotting complications that others may not have. Your surgery may need to be a coordinated effort with your surgeon and Factor 5 specialist to ensure the best successful outcome from whichever surgery you select.

Remember that everyone is different and that a surgery that was appropriate for one person may not be appropriate for you. I would not let posts from a forum decide which surgery you select. The post may be helpful for information about that person's journey,, but you are a separate individual. Good luck with your research and finding a great factor five specialist.

As far as your factor V Leiden mutation, have you ever had a blood clot? Have you ever had to take warfarin? You should do a little research on each surgery on your own and then go back to the surgeon who you feel most confident in, and present to him your findings and then have him explain to you why he feels the option that he has presented to you is best for you, I would also ask about what he plans to use for VTE prophylaxis and for what duration (of course, if you have had a blood clot or take warfarin, this will effect this decision).

Sorry, I keep editing- for some reason my font isn't showing up as what I selected

Edited May 11, 201610 yr by futurefeatherweight

I am going to look for a specialist and go from there. Thank you everyone for responding with such detail and great advice!

I also have factor V Leiden thrombophilia and my surgeon is wanting me to have the bypass. I asked him if the longer surgery will be a problem and he said it is only a matter of half hour difference. He will be working with my hematologist to prevent blood clots during and after surgery. I have had a DVT twice in the same leg and the second time it went to a PE. I still haven't decided between the sleeve and the bypass but I do have GERD so will probably go with the bypass.

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