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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    4,041

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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    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
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      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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