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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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