Hi,

I'm considering both Gastric Bypass and Gastric Sleeve and trying to unspderstand why folks have chosen one over the other. I had thought for sure I wanted the sleeve to avoid the possible nutritional deficiencies and it just seemed like bypass had a lot of other issues like dumping, etc. the only reason I'm doubting my original plan is that I have acid reflux and have been on what's considered a low dose of omeprazole (20 mg daily) for about 7 years. I've read that for some people reflux can get really really bad after the sleeve. But there also seems to be stomach ulceration as a long term risk of bypass. Help! I feel paralyzed trying to make the right choice and afraid of the possible bad outcomes. I'd love to know why you all chose bypass over sleeve. Thanks!

Hi, I had the bypass. I was insulin resistant and took 100units of insulin 2 times a day plus 500mg of Metformin 2 times a day. I lost 132#'s in 6 months, some In contribute to having strictures (like scar tissue in the opening of my pouch) I got down to 117#'s which was way to low I looked horrible. I did gain 8#'s back but I have maintained my 125#'s for 3 years. I used to take 12 different medications, now I take 4 most for my blood pressure, I just don't know how to let the stress go. LOL I stress over everything. Any how when I was making my decision I'm 57 years old and this will be my only chance to at last lose the weight, which I have lost plenty of times but always gained it back plus more. I had great results BTW I am off all Diabetes meds and have been within my first month after surgery. I think this was a great decision on my part. Now you did say you have Reflux I have heard that it does make it worse with the Sleeve. And many need to have a revision to the Bypass. For myself it was "GO BIG OR GO HOME" one of the very best things I have ever done for myself. It rates up there with me getting married and giving birth to 2 children which are grown and has given me 8 beautiful grandkids. Good luck in your choice of surgeries.

I had bypass. I chose it because it has the best rate of success, it helps some of my other existing med problems, and it has the fastest rate of weight loss. I just follow what the docs tell me not to take and not to do and roll with it. No carbs. No NSAIDS. Omeprazole. Vitamins. Done. I am very happy in my choice. My only regret is not having done it sooner.

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I had acid reflux and I didn't want to risk it getting worse with the sleeve.

Acid reflux is very common with the sleeve. It's uncommon with the bypass. Ulceration is also not common with the bypass.

Bypass. Most people struggle more long term with sleeve. Its too easy to gain back the weight.

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I had serious reflux issues prior to RNY. My surgeon told me the bypass would eliminate my reflux. I'm 3 years out and have no issues with reflux. Dumping is not really an issue either for me but I know my limits when eating things that aren't Bariatric friendly.

I would go over your medical history with your doctor and determine which surgery will give you the best outcome.

Good luck on your journey!

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I wanted the Sleeve for the same reason. My surgeon wouldn't do the sleeve because I had Gird and Barrett's Esophagus. Since my Bypass, I haven't had one ounce of acid reflux! GONE! That's worth it in itself! I haven't had any Vitamin deficiencies, but I did lose a lot of my hair. It's growing back now though. That is common when losing rapidly. I take a high dose of Biotin daily and that's helping I think! Either surgery is great but, the sleeve will make Gerd worse. Good Luck to ya!

I chose Bypass because I was a diabetic and had pretty bad acid reflux. I'm only 6 days post op and my sugar levels are totally normal.

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I chose bypass because it is the gold standard of weight loss surgeries and has the highest long-term success rates.

I went with bypass due to Type 2 diabetes.

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Surgeons have preformed Bypass's for over 30 years. Its has the most research and is the gold standard as someone else mentioned. Plus it helps u eat right or u get dumping. So it almost forces u to choose better food.

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Also bypass for all of the reasons above. Mine was a revision from a lap band.

(Still Pre op)

I'm an emotional eater, and the psychologist agreed that dumping from bypass would help me curb that. (Be careful, though- I'm told you can overeat through dumping to where it doesn't happen anymore)

My mom died of gastro-esophagael cancer last fall; her only symptom before stage 4 diagnosis was bad reflux. Knowing that's in my family, I wanted to avoid reflux from the sleeve.

I also have PCOS, and the "clock is ticking."

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Also bypass for all of the reasons above. Mine was a revision from a lap band.

I'm considering a revision from a lapband/plication to a bypass. Did your surgeon do the revision at the same time he removed the band? Are you happy so far?

I revised from lapband to bypass because 1) I had reflux and sometimes sleeve patients have to revise to bypass due to reflux. I didn't want to have another surgery down the road. 2) bypass is the gold standard with the best success statistics and longest history 3) I have a lot of weight to lose and needed the biggest bang for my buck.

I've lost 109 lbs since my revision surgery day six months ago. I am happy with my decision.

I'm only 2.5 weeks post-op. I chose bypass for a lot of reasons mentioned above. It has so much solid, long term data studies backing it up whereas the sleeve is more recent, and I only wanted to undergo surgery once (hopefully!), not get the sleeve and risk it not going well and wanting a revision. I was borderline diabetic as well. My sugars were normal and they took me off Metformin before I left the hospital, and my blood pressure is now super low even though I am taking 1/4 the dose of inderal I was before surgery. This still kind of blows my mind. It's early and I have a long way to go and I'm still scared, but I wanted to go with the procedure most likely to prevent me from ending up diabetic ( it's in my family)

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