Which to do....

[Corey A Duplantis 4]

I am looking to have surgery in the upcoming month or so, but I am confused to which surgery would be best. I am a 5'4 male that weights 430lbs. I have high blood pressure, hypothyroidism, high cholesterol, and swelling in the legs. What would be a better option, the sleeve, band, or reau-y? I am a sedentary person, as I spend the majority of my days behind a computer doing research for my doctorate. Any suggestions???

[Ale Nunez 80]

I chose the sleeve because the weight loss isn't as fast as it is with the bypass. I guess I fear what will my body look like after I lose the weight and I prefer to lose 1 pound at a time. Before the GI cleared me for surgery he said that if I had reflux then my only choice would be the bypass. Have you talked to your surgeon about it?

[KristenLe 5,980]

I am looking to have surgery in the upcoming month or so, but I am confused to which surgery would be best. I am a 5'4 male that weights 430lbs. I have high blood pressure, hypothyroidism, high cholesterol, and swelling in the legs. What would be a better option, the sleeve, band, or reau-y? I am a sedentary person, as I spend the majority of my days behind a computer doing research for my doctorate. Any suggestions???

Speak to your surgeon. The band is probably not going to be recommended but the Sleeve or Bypass could both be good options. Based on your medical history and eating habits - they will recommend one that's best for you.

[Corey A Duplantis 4]

I chose the sleeve because the weight loss isn't as fast as it is with the bypass. I guess I fear what will my body look like after I lose the weight and I prefer to lose 1 pound at a time. Before the GI cleared me for surgery he said that if I had reflux then my only choice would be the bypass. Have you talked to your surgeon about it?

I see the surgeon at the beginning of the month. He requires all clearance before he sees you. Then he submits everything to the insurance. The only thing i am waiting on is to have the psych eval before I see him.

[James Marusek 5,244]

I would probably discourage you from having the band. Many doctors are phasing out lap-band surgery because of problems. You will probably have 3 choices: RNY, Sleeve and Duodenal Switch. If you have severe acid reflux (GERD), generally the sleeve is not recommended because it can make that condition worse. Listen to the advise of the surgeon and the rationale of why he recommended that type of surgery.

[ShelterDog64 2,364]

I am looking to have surgery in the upcoming month or so, but I am confused to which surgery would be best. I am a 5'4 male that weights 430lbs. I have high blood pressure, hypothyroidism, high cholesterol, and swelling in the legs. What would be a better option, the sleeve, band, or reau-y? I am a sedentary person, as I spend the majority of my days behind a computer doing research for my doctorate. Any suggestions???

Your BMI is about 74...in the practice where I was recently sleeved, you would be a candidate for a Duodenal Switch or a Roux-en-Y bypass, or for a sleeve gastrectomy as a first step, to help you lose some weight prior to a revision to a DS or RNY. This is definitely something that you can only decide in talking with your surgeon, because your co-morbidities will contribute to the decision in a major way. Good luck to you.

[Valentina 2,642]

I am looking to have surgery in the upcoming month or so, but I am confused to which surgery would be best. I am a 5'4 male that weights 430lbs. I have high blood pressure, hypothyroidism, high cholesterol, and swelling in the legs. What would be a better option, the sleeve, band, or reau-y? I am a sedentary person, as I spend the majority of my days behind a computer doing research for my doctorate. Any suggestions???

Your BMI is about 74...in the practice where I was recently sleeved, you would be a candidate for a Duodenal Switch or a Roux-en-Y bypass, or for a sleeve gastrectomy as a first step, to help you lose some weight prior to a revision to a DS or RNY. This is definitely something that you can only decide in talking with your surgeon, because your co-morbidities will contribute to the decision in a major way. Good luck to you.

Exactly! what she ^^^^ said. Spot on advice.