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VSG or RNY

Smdnght28

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Smdnght28    69

Smdnght28
Posted

So at my first consult the surgeon really didn't ask me which surgery I preferred. Personally I want the sleeve, but he stated how he rarely does them. What solidified your decision to get the sleeve vs RNY?

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nakole73    34

nakole73
Posted

Less malabsorption risk with the sleeve vs RNY.

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Bufflehead    6,358

Bufflehead
Posted

Mostly due to family and personal history of immune-related diseases -- sleeve leaves you with more potential options for meds you might need in the future.

My surgeon was comfortable with either one for me.

I tried to look at medical/scientific criteria rather than "it makes me feel ooky to have my intestines re-routed" or "I just don't like the idea of cutting out part of a perfectly good organ and burning it up as medical waste" -- things you will hear from people who chose the sleeve or the RNY respectively. Don't get me wrong, I understand feeling both of those ways, but when it comes to making a medical decision, I think it's best to try to put feelings aside and just look at facts as best you can.

One fact that would give me cause to re-consider based on your surgeon's statement is that he rarely does sleeves. I want someone who is comfortable doing my particular surgery and does a lot of them. If I really wanted the sleeve and I were in your position, I'd consider finding another surgeon.

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Inner Surfer Girl    12,015

Inner Surfer Girl
Posted

I was really only interested in the sleeve after learning about both. My surgeon does a lot of sleeves, and it is currently the most frequently performed WLS procedure as far a I can tell. I wonder why he performs so few. I would be curious to know more about his experience. How many surgeries he performs, etc.

Does he not do many because of bias or because of lack of skill in that area?

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Pescador    1,374

Pescador
Posted

Fifteen years of WL Seminars, and thank God we discovered the Sleeve. Never felt like I had surgery. Never been sick. I Gree that you need a competent surgeon who does different surgeries, who can advise you what to expect with each surgery.

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Smdnght28    69

Smdnght28
Posted

@@Inner Surfer Girl I think it's more of a bias he said there not a lot of research done to support the success of a sleeve after 10 years where there is plenty for the RNY. I'm currently doing my own research now.

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Christinamo7    4,042

Christinamo7
Posted

I chose the sleeve surgery due to supplements that I take for ADD and healthy aging, and wanting to continue this regimen. I did not have reflux or any other issues that would have made the RNY a better option.

no longer on diabetes medication, no longer considered diabetic, and off BP meds, down about 50 pounds since surgery - I am thrilled with the results so far. a small portion of food satisfies me so I am no longer having to fight my will power to eat an appropriate amount of food.

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SassyNanny    311

SassyNanny
Posted

The sleeve was originally developed to be step one of a two phase surgery for extreme obesity cases. It was found that the sleeve alone was successful without having to have the second surgery to reroute the intestines. I would never have gotten the by pass surgeries, too invasive.

Your Doctor sounds like he isn't current on this subject. I would keep looking personally.

I'm 65, 11 months out and 110 pounds down with 54 more to go. I have been totally issue free and love it.

Sent from my iPhone using Tapatalk

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laceemouse    631

laceemouse
Posted

Sorry. New here what is RNY

Sent from my iPhone using the BariatricPal App

Gastric bypass.

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Smdnght28    69

Smdnght28
Posted

Thanks, I am currently looking for more surgeon's in my area. I really want and am only comfortable with having the sleeve done.

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shelbys mom    70

shelbys mom
Posted

So at my first consult the surgeon really didn't ask me which surgery I preferred. Personally I want the sleeve, but he stated how he rarely does them. What solidified your decision to get the sleeve vs RNY?

I was gonna have the sleeve. I dont have too much weight to lose, about 70lbs. I have had gerd for years and the surgeon said its very common to have it after the sleeve surgery and many people get revisions to the RNY. im not will to do that so RNY will be the,way I go.

Sent from my SM-N920P using the BariatricPal App

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

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    • 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!
      · 0 replies
      1. This update has no replies.
    • 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.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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