Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🎉 "1 per Day!" Bariatric Multivitamins

Question about the sleeve

mamasia

By mamasia, in Gastric Sleeve Surgery Forums

Recommended Posts

mamasia    5

mamasia
Posted

Hi all

I was on my WLS journey 2 years ago when I chickened out. The doctor recommended the sleeve surgery. I weighed 340. I now weigh 374 and I am at a whole new center, with a new surgeon. He says that I cannot have the sleeve and need to have the bypass because I am too large.

Is this normal? I thought the sleeve was often done in fact, to larger people to prepare them for bypass.

Pardon my ignorance. I am still learning things!

Thanks for all your help

Sent from my SM-N915P using the BariatricPal App

Share this post

Link to post
Share on other sites

Bufflehead    6,358

Bufflehead
Posted

I think your new surgeon probably means that someone of your size is more likely to be successful in losing all her excess weight with the bypass rather than the sleeve, hence being "too large" for the sleeve.

And yes, the sleeve is often performed as a surgery that is safer for very large people than the bypass. It can be the first step -- you get the sleeve, lose a significant amount of weight, then have the malabsorption component added in a longer, more complex surgery. That surgery is typically the duodenal switch (DS) rather than the gastric bypass, though.

Good luck in your decision!

Share this post

Link to post
Share on other sites

mamasia    5

mamasia
Posted

Thanks guys!! I really dont think I want to do the bypass at all.

I can understand him thinking I won't lose as much weight as he wants. But with my height of 5 ft 11 and my actual frame which includes a lot of muscle I think the sleeve could help me get where I want. You guys are awesome help

Sent from my SM-N915P using the BariatricPal App

Share this post

Link to post
Share on other sites

KristenLe    5,980

KristenLe
Posted

Thanks guys!! I really dont think I want to do the bypass at all.

I can understand him thinking I won't lose as much weight as he wants. But with my height of 5 ft 11 and my actual frame which includes a lot of muscle I think the sleeve could help me get where I want. You guys are awesome help

Sent from my SM-N915P using the BariatricPal App

Your BMI is the same as mine and I'm having Sleeve!

Share this post

Link to post
Share on other sites

ProudGrammy    8,322

ProudGrammy
Posted

@@mamasia

first off - welcome to the board

we've been waiting for you!!!

you will learn a lot here

people will give their thoughts, experiences, good info

dr/NUT (nutritionist) all have different opinions with everything

your present dr is giving his thoughts

saying your weight loss would be better served with the bypass

that's his opinion and his right to give his thought

doc says you should have bypass

but unless he gives more info, (bad result etc with sleeve, problems you might experience) you should make your own decision, go with YOUR wishes

as said earlier by @@Bufflehead @@#BirdDog @@KristenLe (me too, and i'm the cutest and smartest LOL)

many OP weighing 300+ lbs got the sleeve

whether you are 200, 300, 400+ lbs etc

anyones success or failure depends on how hard you work after surgery

the sleeve or any other surgery will assist your weight loss journey

but it requires lots of work, following basic rules etc

i know you can be a success story too :)

good luck

kathy

Share this post

Link to post
Share on other sites

mamasia    5

mamasia
Posted

@@mamasia

first off - welcome to the board

we've been waiting for you!!!

you will learn a lot here

people will give their thoughts, experiences, good info

dr/NUT (nutritionist) all have different opinions with everything

your present dr is giving his thoughts

saying your weight loss would be better served with the bypass

that's his opinion and his right to give his thought

doc says you should have bypass

but unless he gives more info, (bad result etc with sleeve, problems you might experience) you should make your own decision, go with YOUR wishes

as said earlier by @@Bufflehead @@#BirdDog @@KristenLe (me too, and i'm the cutest and smartest LOL)

many OP weighing 300+ lbs got the sleeve

whether you are 200, 300, 400+ lbs etc

anyones success or failure depends on how hard you work after surgery

the sleeve or any other surgery will assist your weight loss journey

but it requires lots of work, following basic rules etc

i know you can be a success story too :)

good luck

kathy

This was great ,????????????

Sent from my SM-N915P using the BariatricPal App

Share this post

Link to post
Share on other sites

heidikat72    935

heidikat72
Posted

Definitely ask for more clarification on what he means by "too large" for the sleeve - he may have some valid reasons. At my first appointment I weighed 442lbs and was worried that because of my extremely high BMI the surgeon would say I had to have bypass and instead he was quite the opposite. Said I was the perfect candidate for sleeve. He did go into the history of the sleeve as being the first step in a 2-step process where the second step is to add in the maladsorption factor BUT he said that so far his high BMI patients had done so well with the sleeve that almost all of them didn't need the second step.

So basically, be open to hearing your surgeon's explanation and give it some thought but at the end of the day, it is your body and your decision.

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Gastric Sleeve Surgery Forums

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×