I'm on the bubble trying to decide which to choose........i would appreciate your thoughts

You don't indicate your age. I'm 55 and had the sleeve done 8 months ago. I discussed both with my doc - he recommended the sleeve. I had concerns with RNY about malabsorption and bone loss - particularly since I am going through menopause and already at risk for osteoporosis due to that. I also knew I needed to have bilateral knee replacement down the line and was concerned with calcium absorption/bone healing in the future.

I was 271.5 at first visit, 246.9 day of surgery and am 185 now. I hope to get to about 150 by my surgiversary. Best of luck.

Sleeve ALL.DAY.LONG!!

The idea of purposely handicapping my body's ability to absorb what I put into it is just not appealing. I'd much rather alter my body's capacity to accept such quantities. I also didn't want to have to pop gobs of vitamins to make up for the deficits.

3/30/2017 446/413/384

Edited April 24, 20179 yr by Paul Bahr

I had the sleeve in 2011...lost 50 pounds and was stuck no matter what I did. Dietitian was stumped. Serious case of things getting stuck, regurgitation and inflammation of my stomach. Developed a hiatal hernia also. After dealing with it for years finally talked to dr about next steps or treatments. She recommended rny and I did my homework plus I'm a RN on the surgical floor so got to see first hand. It's a very personal choice and you have to do what's best for you and do your homework on both. It took me 6 years for heaven sake to decide lol. Pray and pray about it and your answer will come to you sweetheart!

I'll be doing the RNY. My doc is very strict on his rule of it being the patients choice for which surgery. After all the workup, he said he would only do RNY for me. After a lot of research, I'm at ☮️ with the decision & I'm set for 7/10 surgery. Reasons? Biggest one was acid reflux My upper GI led to a referral to a gastro for an endoscopy. That showed something called Barrett's Esophagus due to severity of the acid reflux. Second - he was my surgeon in 2010 when I chose the lapband & he was there for me through the successful weight loss but eventual failure of my little band (which caused the severe acid reflux). After the endoscopy, the gastro doctor also advised she recommended against the sleeve.

Sleeve is a great surgery. They both are! I have friends who've had success with both. A few friends who had acid reflux before the sleeve said they weren't real honest with themselves before hand and I it is more difficult to manage. They still love their sleeve. Have had the upper GI yet? Do you have frequent heartburn/acid reflux? If so, discuss with your surgeon for their recommendations. If not, keep doing your research until you feel the same peace. No matter what, you'll be nervous about the surgery, but when the excitement for your new healthy life outweighs the nerves? You'll be golden.

With my surgeon's guidance, I chose the sleeve. Less invasive, no concerns with malabsorption of vitamins and nutrients, and less downtime with practically the same results (or possibly even the same results in many cases). It just made sense for me, personally.

I choose sleeve. Main reason was to keep same digestive process in place and also avoid need for continuous supplements and/or not have to avoid NSAIDs I may need later in life for other reasons

I didn't want malabsorption, didn't want to alter my anatomy as much as the RNY does, and didn't want to deal with too many food restrictions. Everything I read said the weight loss is comparable and it all comes down to compliance, so I feel good about my choice. Losing slow but steady!

I've had acid reflux so bad that now i take a 40mg capsule every day, don't know if my VSG will stop it or not. I was not given the choice of surgery I could have. My surgeon said I should get the sleeve and he's the top surgeon and Director of the Metabolic department at Loyola Hospital in Maywood so I trust his decision, also I take meds for bipolar which is why he said the sleeve would be best.