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Pre Op help

Hi everyone. I've been contemplating WLS for the past 14months and just completed the last of my 6month insurance weigh ins. I've had my heart set on the sleeve but after my pre-op scope my surgeon has diagnosed me with Barrett's Syndrome and recommends RnY instead. I'm trying to wrap my brain around the change and would love to hear more of the pros on my you all chose RnY over the sleeve. I worry about malabsorption and dumping.

Thanks for sharing!

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Hello neighbor!(I'm south sound) I will be having rny in April. I personally chose rny because my family is plagued with diabetes. But also im comfortable that my surgeon is very experienced. He said the decision was mine,but he recommended rny for my personal health conditions.



I also went in thinking that I was definitely going to have the sleeve but right away the doc said he suggested bypass. I was surprised but then realized that he had way more experience in this than I did and I had to give up control and trust him. Turns out I have a giant hiatal hernia which will make it definitely be a bypass so I'm glad that I was open to it. Good luck!

  • Author

Thanks! I went to a WLS support group over the weekend and talked to a few folks about this as well. I'm feeling more comfortable with the change. Just a last min curve ball that threw me for a loop :) Hoping to meet with my surgeon again this week and submit for insurance approval.

Hi!! I had my heart set on the sleeve. I had an upper GI done & was diagnosed with pretty bad acid reflux. When the nurse told me I couldn't get the sleeve, I told her I didn't want the surgery but I'd speak with the surgeon either way. The following day I went into a supper group where I voiced my concerns & many in the group actually had the RNY vs the sleeve. I was initially worried about malabsorption and future pregnancies. After that group and speaking with my surgeon, who everyone has high praises for. I feel more comfortable with getting the RNY than the sleeve.


Hi everyone. I've been contemplating WLS for the past 14months and just completed the last of my 6month insurance weigh ins. I've had my heart set on the sleeve but after my pre-op scope my surgeon has diagnosed me with Barrett's Syndrome and recommends RnY instead. I'm trying to wrap my brain around the change and would love to hear more of the pros on my you all chose RnY over the sleeve. I worry about malabsorption and dumping.
Thanks for sharing!


Hi, I am having gastric bypass because I knew that I had Barrett's. I must go for another scope before surgery to check on it's progression over the past few years. A sleeve is not a good choice for anyone
with Barrett's or anyone who suffers from GERD.

Hi everyone. I've been contemplating WLS for the past 14months and just completed the last of my 6month insurance weigh ins. I've had my heart set on the sleeve but after my pre-op scope my surgeon has diagnosed me with Barrett's Syndrome and recommends RnY instead. I'm trying to wrap my brain around the change and would love to hear more of the pros on my you all chose RnY over the sleeve. I worry about malabsorption and dumping.
Thanks for sharing!


Like several others have mentioned, my first choice was the sleeve. But during my gallbladder surgery a couple of years ago, my surgeon discovered I have a moderate hiatal hernia. (He's the same surgeon doing this surgery.) He strongly advised against the sleeve due to me having mild GERD and the hernia. The way he explained it is the small intestines will "anchor" the new pouch, preventing it from slipping back up through the diaphragm. The sleeve lacks that support and stands a greater risk of slipping back through it, and it usually happens within five years. Any GERD issues are often worse, and hiatal repair is a much more major surgery than WLS.

I'm not gonna lie: I still wanted the sleeve after he initially explained all of this. I changed my mind to bypass the same day insurance notified me of the approval. I don't want my mild GERD to (possibly) get worse, nor risk a recurring hiatal hernia. You'll hear others who have had the sleeve who either claim they haven't had any issues (which is quite possible) or have had revision to bypass later because of those issues.

For me, I want this to be one and done. Ultimately, though, you have to do what's best for you, but I hope our experiences have helped! [emoji4]



Hello neighbor!(I'm south sound) I will be having rny in April. I personally chose rny because my family is plagued with diabetes. But also im comfortable that my surgeon is very experienced. He said the decision was mine,but he recommended rny for my personal health conditions.





The same with me


  • Author

Thanks again everyone for sharing! I just submitted for insurance review today and am now waiting for approval. Crossing my fingers the process is smooth [emoji4]


  • 2 weeks later...
On 3/11/2017 at 3:30 PM, heatherable said:

Hello neighbor!(I'm south sound) I will be having rny in April. I personally chose rny because my family is plagued with diabetes. But also im comfortable that my surgeon is very experienced. He said the decision was mine,but he recommended rny for my personal health conditions.


I was told because of my gerd to do rny and I am happy with my choice had it done march 29th 2017

Finally got insurance approval!!!!! Officially have my surgery date set for 4/18. Things are starting to seem real now [emoji4]

Congratulations! It's surreal when you finally get the approval. I'm sure you'll do well if you've decided to go with RNY. I'm five days post-op myself. So far I have no regrets. I think this is the best decision we can make to take control of our health. Please keep us updated! [emoji4]

Sent from my SM-G920T using BariatricPal mobile app

  • 2 weeks later...

I'm 2 weeks post-op I feel great I lost 14lbs so far and finally weigh 158.6 I feel so blessed it's worth it no matter if you have regrets I'm just happy.

I don't understand, why a bypass if you had a hyatal? My surgeon did a sleeve and while in there saw I has a hyatal and fixed while he was in there. Is this not normal? Should I have had something different? I have no reflux after surgery and just never heard this

Sent from my SM-G900T3 using BariatricPal mobile app

  • 2 weeks later...
I don't understand, why a bypass if you had a hyatal? My surgeon did a sleeve and while in there saw I has a hyatal and fixed while he was in there. Is this not normal? Should I have had something different? I have no reflux after surgery and just never heard this

Sent from my SM-G900T3 using BariatricPal mobile app



Not sure if this was meant for me or someone else but the way my surgeon explained it is that yes, he could fix my hiatal hernia with the sleeve but most sleeve patients experience a recurring hernia within a few years. The way RNY anchors your pouch apparently prevents it from slipping back through your diaphragm. Plus, often times GERD issues come back too. There are many people on here who are getting revised from sleeve to RNY, mostly because their GERD wasn't resolved or it came back.

Sent from my SM-G920T using BariatricPal mobile app

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