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Is the sleeve really "just as good"

I went to my surgeon fully prepared to choose bypass surgery and he told me that his sleeve patients are losing the same amount of weight as his bypass patients. And also that he had only preformed one bypass in recent months because everyone was choosing the sleeve.

The sleeve makes me nervous because I am a band failure. I'm not sure I want to do a surgery that is not the "gold standard" bc I'm afraid I will fail at losing weight.

I've met with 3 women that have had weight loss surgery in recent months one that did bypass and is very thin. One a sleeve that is at a healthy weight might need to lose another 15 or so and one that did a sleeve and regained 40lbs recently. THATS what I'm afraid of. After going through so much with the band I want to get this one right!

The sleeve is of course more appealing. I'm hoping you band to sleevers can tell me your thoughts on why you chose the sleeve and if you are happy you did and didn't go to bypass. Also if you believe there's a motive for my surgeon to encourage the sleeve over bypass (easier surgery i.e. Better for him) I'm not a conspiracy person just wondering why and that's in the back of my head.

Thank you so much for your advise!

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Fair enough, However, the lap band has been horrible for me I have had it 4 years and have had nothing but complications which has hindered my results. I would never have another surgery if it was anything like the band and I'm sure other Banders with complications would agree on that. That's why It's Important to me to research and become educated on the surgery I choose to have because the band was a tool and it failed I have never been able to eat chicken or turkey veges and have them stay down or even Protein shakes after several adjustment and $$$$ i never had a sweet spot due to continously throwing up my band had slipped defeating the purpose of having it and I again have a hernia, Thats why the tool matters to me. I understand for some they have had great results and no problems with the band that's wonderful ;)

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i have the same fear. i am 95% sure I want a sleeve and then I start thinking what if this doesnt work and I dont lose..I cant do another surgery after this one.. ugh!!!! i am going to do a support group this time and pray that is the key that will help me stay on track..

Same Boat! I've had my band for 4 years and am getting the sleeve in 1.5 weeks. So afraid of failing, but excited to use my new tool and make better decisions. I agree that a support group is what I need this time around!

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Edited by smellslikecoffee

I'm interested to follow this. I'm beginning the process to revise from my band. My surgeon said I could do either, but in his experience RNY was safer post band. He explained on a model of a stomach where the band sits and how the staple line for the sleeve goes directly through where the band was and said that makes it more likely to leak. He showed where the cuts are made for the RNY and how they are below the part affected by the band.

Also, I didn't know this until my support group meeting just this week, but the hunger part that is cut away with the sleeve does grow back eventually. Crazy, huh?

I was hoping for the sleeve because it seemed less involved, but I trust my surgeon completely so if he recommends RNY, RNY it is for me.

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That's, why I weighing out the options I have read many people that have the revision from band to sleeve have had mostly complications due leaks so they end up having the bypass to correct it. So I was thinking maybe the bypass would be best...

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I had the band. Hated it! Vomiting all the time. Had it removed a year ago and just got the sleeve. I love it! It feels so much better. No sickness at all no vomiting. I can tell when to stop eating. With the band my first bite always made me vomit. I'm 2 weeks post op and down a total of 24 lbs. I'm feeling great and very optimistic. I wish you great success which ever choice you make. ????

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I had the band in 2011 hated it so many slips constantly vomiting. Had sleeve and band removed on 9/27. Down 21 lbs since surgery. Very happy no vomiting and know when to stop eating. Feel best decision I could have made

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Same Boat! I've had my band for 4 years and am getting the sleeve in 1.5 weeks. So afraid of failing, but excited to use my new tool and make better decisions. I agree that a support group is what I need this time around!

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it's so reassuring to hear that other band-to-sleevers have the same fears i do.

  • 1 month later...

Hi all! I had rny because I had an existing issue with GERD. I could burp and acid would come out of my nose. Not pleasant. Sleeve can make GERD worse, or create it in people who never had the issue, so my surgeon advised rny. I walked in wanting the less invasive sleeve. It seems like a less permanent alteration since your intestines aren't re-routed. People seem to not have as many food in tolerances and they don't dump typically. However I will say this...Everyone is different. I have been blessed with no complications so far. I have a sleeved family member who recently had an issue, and a sleeved co-worker who has been in and out of hospital because she can't keep any food down. Some of this may be bad choices. Because they don't dump they could be maybe less cautious with their choices? Only they know for sure. I'm happy with my pouch, but many sleeves are thrilled and extremely successful. Let your situation make the decision. If your surgeon is trying to talk you out of rny, find out his real reason. It'd not about what everyone else is choosing, it's about what will be the best choice for you.

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Just my experience.. I had the band with its ups and downs for 9 years. I lost little, gained it all back. Had constant issues with denser foods so I always turned to sliders. Bad choices and poor nutrition became the norm because of a very stressful job and long hours. I was sleeved in November and so far my biggest regret is that I chose the band over the sleeve the first time. I'm 5 weeks post op, down 35 pounds and able to eat denser Proteins in small portions with no issue at all. I believe this was the right choice for me and I will be successful this time.

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