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Mini gastric bypass vs. Sleeve



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I thought I was 100 percent set on getting the gastric sleeve as it seemed to e the "least invasive." However, I have been reading up on the mini gastric bypass and I am wondering if that would be better for me. I am 5'5 a little over 300 lbs with a BMI of 51 and wonder if I will be able to get to my goal weight at that size with just the sleeve alone. I have scheduled my surgery or June 14th for the sleeve but now I am wondering if I chose the right surgery. I do not suffer from acide reflux, I don't want it and of course I want the least amount of complications possible. I also dont want to have a second surgery if one doesnt go as planned. Feedback would be appreciated. Thanks!

Edited by kinipela24

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I can't speak to specifics on the MGB, but when my wife and I first started looking seriously at WLS some fourteen years ago, it was an offbeat procedure looking to gain respect and legitmacy. Since then, both the DS and the VSG have gained general acceptance by the ASMBS, the insurance industry and Medicare as routine, mainstream bariatric procedures, while the MGB remains on the fringes. I would focus your research on understanding why this is. Usually the reason lies with some combination of effectiveness and complications.

No one goes into this planning to need a revision (excepting the few cases where two step procedures are planned from the outset,), but having a viable "plan B" isn't a bad idea, and some procedures are more flexible in this regard than others.

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@Kinipela24: What does your doctor say? My stats were similar to yours: I'm a little shorter than you (5'3") and my BMI was 49 right before I started the pre-op diet. I went with the sleeve because it seemed like the least complicated surgery, and because I did not suffer from GERD. I've lost over 30 pounds in 2 months since sleeve surgery and I'm very happy with it. I know it's easy to start second-guessing your choices, but if your doctor thinks the sleeve is best for you, then it probably is.

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Thank you both for replying. I have contacted my surgeon about it but he has not gotten back to me yet. I hope to hear from him soon. I do not suffer from GERD either. I am a second guesser in general. The rerouting the intestines thing does scare me.

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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

        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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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