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More sleeves than pouches?



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

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

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

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RNY is just kind of outdated.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Eventually there will be another development and the sleeve will be outdated.

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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.

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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.


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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.


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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.


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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.

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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.

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      Officially here for a long time, not just a good time💪
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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!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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