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I want to get the Sleeve but surgeon is pushing Roux En Y

hectorlopez323

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hectorlopez323    60

hectorlopez323
Posted

I wanted the roux en y and my Kaiser surgeon said no that I didn't need it ☹️ that I was fine with sleeve. And also both my mother and mother in law has sleeves and both delveloped Gerd after

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We're in a reverse roll. What state are you from? There's a lot of pros and cons to both. They can't make you do anything but like a user on here said if I can't trust my surgeons opinion how will I be trusting him to cut me and move around my organs. I'm paraphrasing she articulated it better

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sb90    20

sb90
Posted

lol I'm in so-cal going to South Bay Kaiser and yes mine did say if I have any issues with sleeve I can go back and see him and he will do the bypass (roux-en-y)

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TracyBar    132

TracyBar
Posted

I was asked if I had reflux and I said I've had a bit of it but it's not bad at all. And I believe I got only because of weight gain anyway. I'd never had it prior nor with my 3 pregnancies, apart from one 10 min. episode with my 3rd pregnancy and it was awful. I haven't experience anything like that again.

I don't want bypass for many reasons -but the main one is the bowel issues, dumping. I have bowel issues (all my life). The surgery would just make life even more miserable for me. I'll discuss this with the surgeon. But I would imagine they'll want to do the probe on me too.

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sb90    20

sb90
Posted

10/20 and you? And thank you! You too!

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sb90    20

sb90
Posted

10/20 and you? And thank you! You too!

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Just signed concent form on Thursday. Surgeon said I'll get a call at the end of this week or next week to give me the surgery date and time and pre op appt.

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I signed mine last Wednesday pre-op is this Thursday I am so nervous..lol

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mrsNilla    304

mrsNilla
Posted

I choose rny because of my reflux. My surgeon asked if I had a preferance and when I said rny, she said that was her plan also.

I don't have diabetes yet, but those meds stay at the hospital when you leave after rny, I was told. Also the recovery seems to be easier.

Did a lot of research and I don't mind the rerouting anymore. It's reversable, sleeve is not. But we all make our own desicions, good or bad, the future can't be predicted.

I'm on the table Nov 21st and can't wait! Good luck to you all!

Nilla

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shelbys mom    70

shelbys mom
Posted

I thought you wouldn't have dumping with the sleeve, but after reading the forums for the last couple of months, it seems that you can have dumping with sleeve too, it just depends. Seems ppl with the sleeve do a lot more throwing up than the other thing, and I've seen them calling the vomiting dumping. I'd rather *!*! then vomit. At first I thought it was cool that my surgeon was pushing the sleeve, but now I'm not sure. I know he only did like 3 bypasses in the past year to like 200 sleeves, so that doesn't give a vote of confidence on him doing the bypass if I chose that.

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I understand sleeves,are a easier procedure and faster for the surgeon

I was planning on the bypass also. Then when I had my EDG, he found that the part of my stomach that would end up "blind" with that surgery, was full of polyps. I also have a large hiatal hernia and have been treated for heartburn/GERD that may be caused by the hernia. He suggested I get the sleeve because of the polyps. I had never really considered the sleeve, so I started researching it and have decided that I would rather have the sleeve than the bypass. I got my approval letter on Friday afternoon (after the office closed, of course!) and found that I had been approved for the bypass. So, now they will have to resubmit me for the sleeve, I guess. Hopefully it will all work out because I was approved very quickly for the bypass. I will also have the hernia repaired with the surgery. I'm hoping the heartburn goes away with the hernia, but it's totally under control with 20mg a day of nexium. Have you read any books about the surgeries?

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kovab72    30

kovab72
Posted

I'm worried about the malobsortion of Vitamin and minerals. Also a bit concerned about it taking longer than the sleeve. I've read that if your bmi is greater than 50 sleeve is safer. I'm at 57 bmi. Surgeon reassured me but the concern lingers

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I was told just the opposite. I had the sleeve in 2013 and rny was not an option by this particular surgeon. After going through the sleeve I had gerd so bad never had it before the sleeve. My sleeve failed and I went to a new Dr, was going to have a revision done to it but once the new Dr explained that a sleeve only guarantees you to lose 60-90 pounds and rny is for 90 and over, I chose to revision to an rny. I had my rny 2 weeks ago and it's been great so far.

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fd319    86

fd319
Posted

If given the option would you have gone with the rny or would you have done it the same?

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I would still get the sleeve, I've heard some horror stories and actually witnessed one with my uncle. The sleeve just seemed overall safer. I've dropped about 36 pounds in 3 weeks. After this healing period is over I'll be fine. Just trying to get through it.

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NikkiDoc    312

NikkiDoc
Posted

I had GERD that was diagnosed via endoscopy about 8 years before my surgery. No hernia at that time. I was on Nexium for a number of years. I was able to stop the Nexium for a couple of years. I then started to have really bad problems with it about 1 year before my surgery. During the pre-op I had the endoscopy redone and now had a hernia.

I still had the sleeve. We never discussed the RNY. Surgeon fixed the hernia at the same time as the sleeve and I was on Nexium for the next 3 months. I am now 20 months out and have not been on Nexium since and have not had heartburn or GERD.

Hector if I were you I would check to see if you have a hernia. If so the surgeon should be able to fix the hernia at the same time as he does the sleeve. I would then take a PPI after the surgery. I personally think the obesity also contributes to reflux. Once you get a lot of that weight off that should help too.

I think that is why I could go a couple of years where I did not take Nexium. I had lost 40 pounds. I started having problems when I gained it back.

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sammy246    235

sammy246
Posted

For those saying that sleeve is less invasive, ask your surgeon to show you the major blood vessel structure after sleeve. You go from having 3 to having one supporting a very long staple line.

Bottom line, surgery is

Invasive no matter which you choose. This is a personal choice between you and your surgeon to suit your specific circumstances. These all seem like personal opinions on "invasive" surgery. What surgery is NOT invasive?

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Smdnght28    69

Smdnght28
Posted

I thought you wouldn't have dumping with the sleeve, but after reading the forums for the last couple of months, it seems that you can have dumping with sleeve too, it just depends. Seems ppl with the sleeve do a lot more throwing up than the other thing, and I've seen them calling the vomiting dumping. I'd rather *!*! then vomit. At first I thought it was cool that my surgeon was pushing the sleeve, but now I'm not sure. I know he only did like 3 bypasses in the past year to like 200 sleeves, so that doesn't give a vote of confidence on him doing the bypass if I chose that.

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My doctor pushes RNY. I know he's done a few sleeves but over 3000 bypass. He wants me to have the bypass.

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

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      Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
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      1. Phil Penn

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        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

    • LeighaTR

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      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!
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    • Doughgurl

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      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!
      · 2 replies
      1. Selina333

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        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

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        Doughgurl

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    • 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.

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