Gastric bypass- Toronto Ontario - they wont do a sleeve?

[stefanie0804 36]

I'm a little confused, I went to my family doctor recently to talk about gastric sleeve. She agreed that she liked the research i had put in to it and refereed me to the Ontario Baratric network. After some ups and downs i finally got an orientation date Nov 30th. I got my info package in the mail today and it says "thank you for contacting us about gastric bypass sugrey" Someone else on this website said they just dont do sleeves in Toronto. Now i really much rather not have to pay for sleeve operation, but all my research has been there. for some reason bypass scares me even more then a sleeve.

has anyone else gone though this? has anyone convinced them to do a sleeve anyways?

Kinda sad and confused...

[The Candidate 3,215]

It's not quite the same situation, but I had to sign a waiver before surgery saying that I understood that when they opened me up and for whatever reason determined that medically I had to have a sleeve over RNY it would be okay. I actually think this is quite common whichever procedure you choose upfront. If I had woken up and found out that I'd been given the sleeve, I would have been equally happy.

However if they won't do the sleeve in your case, and you are dead set against the RNY, than maybe self pay is an option for you. Just remember that you might have to sign the same kind of waiver I did. I actually think it's pretty common nowadays.

Good luck!

[stefanie0804 36]

It's not quite the same situation, but I had to sign a waiver before surgery saying that I understood that when they opened me up and for whatever reason determined that medically I had to have a sleeve over RNY it would be okay. I actually think this is quite common whichever procedure you choose upfront. If I had woken up and found out that I'd been given the sleeve, I would have been equally happy.

However if they won't do the sleeve in your case, and you are dead set against the RNY, than maybe self pay is an option for you. Just remember that you might have to sign the same kind of waiver I did. I actually think it's pretty common nowadays.

Good luck!

I guesss because ive done all my research on the sleeve i havent looked at RNY..... Kinda scares me.

[The Candidate 3,215]

It's not quite the same situation, but I had to sign a waiver before surgery saying that I understood that when they opened me up and for whatever reason determined that medically I had to have a sleeve over RNY it would be okay. I actually think this is quite common whichever procedure you choose upfront. If I had woken up and found out that I'd been given the sleeve, I would have been equally happy.

However if they won't do the sleeve in your case, and you are dead set against the RNY, than maybe self pay is an option for you. Just remember that you might have to sign the same kind of waiver I did. I actually think it's pretty common nowadays.

Good luck!

I guesss because ive done all my research on the sleeve i havent looked at RNY..... Kinda scares me.

Understandable. You should definitely stick to whatever you feel the most comfortable with, there's no right or wrong whichever way you go. ????

[KristenLe 5,980]

If I couldn't get sleeved I'd do bypass! There's not too many differences. Many on this site have had Bypass!

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[thisisthenewme 358]

I'm also having surgery in Toronto. OBN believes RNY is the gold standard in WLS and unless some medical reason comes up they will always do RNY over sleeve. No patient option with OHIP paying. I heard of you have Celiac they will do sleeve. Also, like the other person said. They can't know for sure before they open you up, so you could pay for sleeve and still end up with RNY. RNY really does have better data that supports long term weight lose.

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[stefanie0804 36]

I'm also having surgery in Toronto. OBN believes RNY is the gold standard in WLS and unless some medical reason comes up they will always do RNY over sleeve. No patient option with OHIP paying. I heard of you have Celiac they will do sleeve. Also, like the other person said. They can't know for sure before they open you up, so you could pay for sleeve and still end up with RNY. RNY really does have better data that supports long term weight lose.

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now im more confused then ever, some how RNY seems more invasive, with more consequences... Ill just have to start my research all over again. I feel so uncertain.

[shedo82773 1,236]

I know many people state that the RNY is to invasive for them but...even tho they reroute our pouch etc think about the Sleeve they are removing your stomach like 85 to 90%. Thar is pretty invasive if you ask me. Also if you have GERD the Sleeve tends to make it worse. I do know some have to be revised to the RNY. Also I see that your weight is 245 right, my STATS are: Highest weight 249#'s Surgery weight 232 Current weight 125#'s. I went below my goal weight because of Strictures ( kind of like scar tissue) I got down to 117#'s and both my PCP and my Suregon were worried that I was losing muscle instead of the fat. I managed to gain 8#'s and it is amazing how healthy I feel!! I did get to my goal weight in 6 months and have managed to maintain at 125#'s. Just check out your options. It also depends on your diet if you love carbs sugar etc the RNY gives you restriction and the malobsorbsion too. Which means you don't absorb as many calories. Like I said do your research because noone can decide which is best for you.

[Travelher 915]

Hi Stefanie, I'm in toronto too. I'm going to Montreal for a revision (self-pay). I looked into both. Like others have said. Bypass is the proven gold standard, so should not be something to be too concerned about. I'm the opposite of you. I've been told they may not be able to do a bypass because of scar tissue and my have to do a sleeve. I won't know until I have woken up which I got.

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[dke 26]

You should also be aware that RNY is totally reversible if it should ever be necessary. Sleeves are not. When 80% of your stomach is gone, it's gone.

[stefanie0804 36]

You should also be aware that RNY is totally reversible if it should ever be necessary. Sleeves are not. When 80% of your stomach is gone, it's gone.

very good point!

[stefanie0804 36]

I know many people state that the RNY is to invasive for them but...even tho they reroute our pouch etc think about the Sleeve they are removing your stomach like 85 to 90%. Thar is pretty invasive if you ask me. Also if you have GERD the Sleeve tends to make it worse. I do know some have to be revised to the RNY. Also I see that your weight is 245 right, my STATS are: Highest weight 249#'s Surgery weight 232 Current weight 125#'s. I went below my goal weight because of Strictures ( kind of like scar tissue) I got down to 117#'s and both my PCP and my Suregon were worried that I was losing muscle instead of the fat. I managed to gain 8#'s and it is amazing how healthy I feel!! I did get to my goal weight in 6 months and have managed to maintain at 125#'s. Just check out your options. It also depends on your diet if you love carbs sugar etc the RNY gives you restriction and the malobsorbsion too. Which means you don't absorb as many calories. Like I said do your research because noone can decide which is best for you.

I love carbs, i could just sit and eat chips or a french stick (dont even need the butter)... I do enjoy sweets too...so maybe this will be more likely to help! back to the research board i guess!

[Travelher 915]

Stefanie, where in toronto are you?

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[breuxo 78]

in all of canada no matter what city they will only cover rny unless medically needed to perform sleeve. they say it's their "gold standard" and they see to many revisions from sleeve to rny.

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i just got rny in toronto september 22nd i went to my program in windsor

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[stefanie0804 36]

Stefanie, where in toronto are you?

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Hey there im in scarb. so i was refered to toronto western doctors office is closer to down town toronto