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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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Less malabsorption risk with the sleeve vs RNY.

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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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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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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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@@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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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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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.

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Sorry. New here what is RNY

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Gastric bypass.

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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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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.

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