Bypass versus sleeve if you had the choice what would you choose and why?

Initially I was 100% for RNY. But after talking to my surgeon, and two second opinions, I fully understood the reasoning why VSG was better for me. Bearing in mind many factors should be in play for you individually as to why you might need one over another. Each person's body is different. In my case, if I don't like the way the VSG went after a year I can talk to surgeon and revise to RNY.

Edited March 16, 20179 yr by PatientEleventyBillion

I choose the sleeve because I felt like it was the better option for me. Both are great and with the Bypass, you will lose way more weight on average.

Due to my surgeon saying that I would not be good candidate for Bypass, we went with the sleeve. I

Well my doctor decide a gastric sleeve is best for me I have it April 13th and I'm very nervous

What were the reasoning behind the sleeve?

I had my mind made up to have the sleeve. I had a low bmi and I am pretty active and love healthy eating. I just ate too darn much. My doctor agreed and the sleeve it is.

I loved the idea of the sleeve for these reasons:

1. It did not biologically change how I process food. It is merely a restriction to eating too much.
2. I gets rid of the hunger hormone grelin. This hormone remains with the bypass as the part that produces grelin is just "bypassed" so grelin continues to be produced.
3. Malabsorption - bypass not only restricts but also diminishes the nutrients absorbed into the body. A lifetime of vitamins are critical. I was a vitamin taker prior to surgery so this is no big for me but many people have trouble remembering to take vitamins all the time. This does not mean sleeve patients should not take vitamins. B12, D, and multi is still recommended.
4. Although the sleeve is fairly new (2011) it is proving to be the procedure with fewer complications.
5. It is less common to experience dumping syndrome which I understand can be pretty miserable.
6. Cost - I was self pay. Bypass was about $6,000 more expensive. This was merely a bonus. I would have paid for bypass if my doctor recommended it.