Weight regain sleeve vs. bypass

[P7rancher 27]

Thank you for all the thoughtful ideas. I am making a list of questions to ask my surgeon.

One question raised above:

"Months post-op, after the sleeve has healed, what does the ideal sleeve look like next to the

hiatal valve and next to the duodenal valve?"

I need to learn more about the anatomy of the stomach. Any suggested reading would be appreciated.

Thanks to all of you again. I know the sleeve is my future.

[BestDayEver 418]

VSGAnn2014 : after reading Facebook and BP for a year now, I've often thought how grateful I am that I was in the care of a great surgeon that has done many, many sleeves. I never had one complication.

I think that a properly performed sleeve will provide restriction for life. Our food choices and ability to eat around the restriction are what causes regain after the metabolic effect of the surgery has worn off. Best wishes to all of us as we work to maintain our hard fought losses.

[Inner Surfer Girl 12,015]

Instead of focusing on anatomy questions, I would be more concerned with a surgeon's experience. I lucked into an outstanding surgeon. I think he is in the sweet spot of being old enough to have a LOT of experience (over 4000 sleeves) but young enough to be open to the latest techniques. What I have been most impressed with though is his knowledge of the disease of obesity and his compassion and his program's support services.

My surgeon spent about two hours explaining everything and answering questions in a group setting --- that is where I learned the most throughout this process.

I probably wouldn't choose a surgeon who I was not confident in his or her judgement when it comes to the details of the surgery.

It doesn't hurt to ask questions so you can understand exactly what is happening. And it is ok to keep asking until you understand. But, I am not one of these people who worries about the size of the surgical tools, etc.

I did have the option of having my surgeon at a hospital with a new robot and one without. After talking with my surgeon I chose the one without because he was confident that my experience would be no different either way.

[patrisarichard 0]

There are several things to consider when trying to decide between gastric bypass surgery and gastric sleeve surgery. Unlike the laparoscopic adjustable gastric band (Lap Band), these two operations are both permanent, reduce hunger, and lead to the highest percentage of weight loss.