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I was on the fence,but my surgeon was helpful in making the decision. Medically he said I was a good candidate for either. He estimated the bypass would result in losing 30 pounds more than vsg. When I expressed concerns about the malabsorption of bypass - he quickly said that that the right procedure is the one I'm most comfortable with. He had a very practical response and said a 30lb difference (lose 120 vs 150) isn't worth my hesitation. Was sleeved 5 days ago.

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I'm going band to DS in august. My surgeon and I chose the DS because revisions tend to lose slower and the DS has a better track record when it comes to regain in the future. I'm an under 40 BMI patient with no comorbidities that count (I do have back issues and asthma).


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For the past six months I was setting myself up for the Sleeve, but then I had my endoscopy (performed by my bariatric surgeon). He found polyps at the bottom of my stomach and I described reflux, although he did not see a hiatal hernia or esophagitis. I've been taking prilosec (ppi) every day for well over 10 years. It covers my reflux 97% of the time. Occasionally, I get breakthrough reflux and antacids generally help. Now, I do hate reflux, but there are many reasons why I prefer the Sleeve. The biggest reason why I prefer the sleeve is that the idea of dumping syndrome is Freaking me out!! Is there anyone out there that has "managed" gerd with a ppi, that has chosen the sleeve? Am I making a big mistake by holding onto the idea of the sleeve?

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19 minutes ago, PoohBelly said:

For the past six months I was setting myself up for the Sleeve, but then I had my endoscopy (performed by my bariatric surgeon). He found polyps at the bottom of my stomach and I described reflux, although he did not see a hiatal hernia or esophagitis. I've been taking prilosec (ppi) every day for well over 10 years. It covers my reflux 97% of the time. Occasionally, I get breakthrough reflux and antacids generally help. Now, I do hate reflux, but there are many reasons why I prefer the Sleeve. The biggest reason why I prefer the sleeve is that the idea of dumping syndrome is Freaking me out!! Is there anyone out there that has "managed" gerd with a ppi, that has chosen the sleeve? Am I making a big mistake by holding onto the idea of the sleeve?

I wouldn't do the sleeve if I had those issues, but then, I am not you. Also, most RNYers don't dump, and for those who do, you can prevent it by eating correctly (i.e., limited fats and sugars).

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