Is it me or does there seem to be more sleeves on this forum than pouches?

I believe so. At least there are about twice as many sleeves as bypasses performed in the US nowadays.

Is a pouch bypass? I choose a sleeve due to the maintenance involved with bypass, plus I felt it was to drastic.

Sleeves the new lap band fad

RNY is just kind of outdated. It is like how they used to wire jaws shut. They have been doing more sleeves in Europe and the rest if the world for years, The US is way behind.

The majority of Drs pushing them still are doing it because it is the surgery they have the most experience with or for the money.

That isn't to say that some people don't medically need RNY over sleeves because there are certainly people that can benefit from RNY over the sleeve, like GERD patients.

Eventually there will be another development and the sleeve will be outdated.

27 minutes ago, klingie84 said:

Sleeves the new lap band fad

Sleeves aren't a fad, they're a clinically proven option for weight loss surgery.

I'm having RNY. I have severe GERD, that causes me to sleep on my couch in an upright position. I actually chose the RNY even before knowing about the sleeve. I have noticed that the sleeve is more commonly done now, but I was told that if I did a sleeve, I would most likely have to have a revision to the RNY. So, I decided to just do RNY and skip having more surgery.

Sleeves aren't a fad, they're a clinically proven option for weight loss surgery.

Yes ik they are a proven weight loss, I'm an RN on a surgical floor and I care for these ppl everyday...I meant fad as they are the "new" weight loss option being pushed by surgeons like the Lapband was years ago but it has faded out in my area (which is a large hospital in PA.) many surgeons refuse to do Lapbands and GERD pts will hardly ever get a recommendation for a sleeve here.

One of the major reasons I will do nothing but RNY is due to the revision rate. Both band AND sleeve are both revised to bypass. It is still the gold standard Bariatric surgery and comes with the most research. They have also greatly improved their methods to help with the severe malabsorption that used to happen even a decade ago. I only want one surgery and this is the one that seems so tried and true.

15 hours ago, Brian B said:

Is a pouch bypass? I choose a sleeve due to the maintenance involved with bypass, plus I felt it was to drastic.

Yes, the pouch is the gastric bypass.