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Why sleeve?

toby585

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toby585    25

toby585
Posted

Hello all! This will be my first post on BariatricPal, so lets see how it goes!

I am going to my first informational meeting regarding weight loss surgery, and I'm wondering, what made you all decide to go with a gastric sleeve vs the RNY bypass? Just weighing the pros and cons here, and would appreciate any input you might have.....

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OutsideMatchInside    10,166

OutsideMatchInside
Posted

@@toby585

Long term results are the same, with less risks and drama. Not having my intestines touched and not having a foreign object like band. Also people have had gastric sleeve type surgeries for about 100 years for other issues besides weight loss. Safest with the least issues, IMO.

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provenzee    262

provenzee
Posted

Agree with this. Also, I thought sleeve would give me a "normal life" as opposed to bypass which has a deeper risk for bathroom issues, etc...

@@toby585

Long term results are the same, with less risks and drama. Not having my intestines touched and not having a foreign object like band. Also people have had gastric sleeve type surgeries for about 100 years for other issues besides weight loss. Safest with the least issues, IMO.

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KristenLe    5,980

KristenLe
Posted

@@toby585 I didn't want the malabsorption that went along with the Bypass (or have my intestines re-routed) I am not diabetic (which Bypass is usually the suggested surgery) and am not a huge sweet eater (so dumping didn't seem like a benefit from my perspective). I basically overeat - so the restrictive benefit of the sleeve was all I really need. My surgeon actually was the one to suggest sleeve. I am still pre-op but feel that this is the best decision for me.

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OutsideMatchInside    10,166

OutsideMatchInside
Posted

Agree with this. Also, I thought sleeve would give me a "normal life" as opposed to bypass which has a deeper risk for bathroom issues, etc...

@@toby585

Long term results are the same, with less risks and drama. Not having my intestines touched and not having a foreign object like band. Also people have had gastric sleeve type surgeries for about 100 years for other issues besides weight loss. Safest with the least issues, IMO.

Yeah, I felt the same. I wanted to be normal and I felt the bypass would leave me abnormal forever.

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kmorri    1,689

kmorri
Posted

Same here! I didn't want them in there muckin' with my intestines. My primary problem was with portion size and the sleeve is really helping me with that. I've not regretted my decision for even a second.

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Armygalbonnie    643

Armygalbonnie
Posted

I have an autoimmunie disease and sometimes require heavy doeses of steroids. My surgeon told me I couldn't take steroids with bypass. Basically, my surgeon made my decision.

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onedeterminedchick    118

onedeterminedchick
Posted

I decided on the sleeve because your body absorbs the nutrients from food. With the RYN you lose alot of the nutrients when you eat. That's what made my decision. Hope this helps. [emoji1]

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Jen-2+1    131

Jen-2+1
Posted

My primary reason was to avoid some of the serious bathroom issues people can have after having part of their intestines removed. I have a family member who has suffered (not weight loss surgery related) from having intestines shortened.

I know that there are plenty of people with no problems after bypass and there are people with the sleeve that have had digestive issues, I just made the choice that I hope will be best for me. My doctor also feels that my decision was the right choice. I would have reconsidered if he thought that I should go with something else.

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#BirdDog    604

#BirdDog
Posted

The weight loss is very close in percentages long term, so to me it wasn't worth the more invasive bypass for a minimal pound or two.

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ALittleMe0914    69

ALittleMe0914
Posted

@@toby585

I chose the sleeve for a lot of the same reasons that everyone stated above. When I first starting researching WLS a few years ago, I hadn't wanted the Bypass. But now after learning more about the sleeve, I think it's a better fit for me. It is overall less surgery than the bypass and while you still need to take Vitamins daily, you don't have the malabsorption issues that people with bypass struggle with. I also do not have any comorbidities associated with my weight so that helped with my decision.

With that said, I would definitely recommend going into the first visit with an open mind, and learn everything you can before you meet with the surgeon. I discussed both surgeries with my surgeon at length, and after we spoke, he recommended the sleeve as he thought it was a better fit for me and my lifestyle.

Good Luck!!

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

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    • Doughgurl

      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 1 reply
      1. Phil Penn

        Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • 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.

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