VSG or Bypass

[lakegirlmn 20]

I am 5' 2" 199# with a BMI of 36. I have been approved for surgery. I am torn between having VSG and gastric bypass. I understand that surgery is a tool but I am so worried that the VSG will not be restrictive enough and feel the potential for regain is higher

Than with the bypass. I have such craving for sweets that I feel I need a physical deterrent to keep me on the path of a healthy lifestyle. Any suggestions?

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[KristenLe 5,980]

Do you have any medical issues - GERD, diabetes? Your cravings may change after surgery but maybe Bypass is the way to go if you need a deterrent. I would be concerned of 2 things with Bypass - the malabsorption of Vitamins and minerals and with a lower BMI - losing too much. What does your Bariatric Team recommend? My program has a NUT, Psych and surgeon who all help decide what surgery would be best based on their evaluations of the patient.

[lakegirlmn 20]

Thank you- I have sleep apnea and mild GERD. No official diabetes. I have a friend who had VSG 3 years ago and has put back on 20# because she slipped back into old habits. The VSG is new so there isn't a lot of data to indicate long term success. I know that even with the malabsorption risks with bypass the data indicates long term success

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[lakegirlmn 20]

I love my sweets so I really feel like I would need a physical deterrent to keep myself and habits in check

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Did you have surgery? If so which one and how are you doing?

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[KristenLe 5,980]

@@lakegirlmn I haven't had surgery yet but will be having the sleeve. I am not a sweet eater so we didn't think I'd benefit anymore from Bypass. You can slip back into old habits with both surgeries - they both are only tools to help us. If you have GERD and are a sweet eater - I would think Bypass would be better for you.

[the sleeved plastic surgeon 23]

I'm almost as your measurements

I'm 5' 2.5" and I weight 211# my BMI is 38

I'm a stress and a sweets eater

I'm a plastic surgeon and my figure is very important for me and my clients

I hv been obeese my whole life

This year I got hypertension and knee pain and decided that enough is enough

My surgeon who is a colleague recommended mini gastric bypass obviously bcs I'm a sweet and stress eater

But I totally refused it I'm a surgeon and I know that is it a malanatomical procedure and I can't handle malabsorption syndrome or dumping syndrome!! My friend had 3 car accidents due to damping syndrome and almost died

So I promised myself and him that I will control myself post op and I hope I can control the cravings after I start loosing weight and seeing results

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[lakegirlmn 20]

I am opting for the RNY. I do not trust the temptation and want to be sure that I am selecting a procedure best suited for my success. It is a difficult decision no matter what you decide. Good luck to you!

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