Sleeve vs RNY

[SleeveDreamer 383]

4 hours ago, JohnnyCakes said:

always my thinking too. the sleeve is much more drastic because of the finality of it.

and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

My surgeon also said that the RNY is reversible, which he has never had a need to do. Obviously the sleeve is not reversible!

Edited July 16, 2017 by SleeveDreamer

[K_aane 356]

I am having the sleeve. I had a colostomy 6 yrs ago that was reversed 5 yrs ago. I was told by my surgeon that I could only do the sleeve because of that previous surgery. I did not want bypass so I was glad I am able to do the sleeve. Rerouted intestines, been there, done that, wasn't doing that again under no circumstances. ..
So I am very happy to do the sleeve.

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[catwoman7 10,939]

I went with the bypass because I had acid reflux. If it weren't for that, I could have gone either way.

[purplebutterflyjen 4]

I have no choice. Because of my very rural location and my inability to drive more than a few miles I have to go with the gastric sleeve which is the only procedure offered in my area. I am having surgery in about six weeks. I am so scared because I need to loose over 200 pounds. Am I going to end this journey and still weigh 300 pounds?? Has anyone ever had a 200 pound loss with the sleeve??

[Berry78 4,259]

3 hours ago, purplebutterflyjen said:

Has anyone ever had a 200 pound loss with the sleeve??

Absolutely! There are several here on the board. Ultimately, the weight you'll lose will partly be up to your personal metabolism, and partly your lifestyle choices.

[Little Green 582]

6 hours ago, purplebutterflyjen said:

I have no choice. Because of my very rural location and my inability to drive more than a few miles I have to go with the gastric sleeve which is the only procedure offered in my area. I am having surgery in about six weeks. I am so scared because I need to loose over 200 pounds. Am I going to end this journey and still weigh 300 pounds?? Has anyone ever had a 200 pound loss with the sleeve??

Don't be frightened, you definitely have every chance of making it under 200 pounds with the VSG! It's a great surgery. (Dr. Nowzaradan does the VSG on 600+ lb people!) Check out this video from Dr. Matthew Weiner about predicting weight loss after surgery. Ultimately it's all about permanent nutrition changes, eating healthy and nutritious foods because it's good for us, not just to lose weight.

"How much weight will I lose after Bariatric Surgery - The answer may surprise you" by Dr. Matthew Weiner

[WiseBeauty 18]

always my thinking too. the sleeve is much more drastic because of the finality of it.
and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

Very true. My surgeon told me that they don't like to advertise it, but they leave the original part of the stomach n duodenum inside. Idk if the same is true for sleeves, however.

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[Berry78 4,259]

2 hours ago, WiseBeauty said:

Idk if the same is true for sleeves, however.

In sleeves, they remove a large section of stomach completely from the body. It's gone, no reattachment possible. This doesn't bother me, personally.

[Carefree2003 11]

I had months to decide which one to choose and I kept going back and forward on my decision until the week of the surgery. I choose RNY because I wanted the most bang for my bucks. After a lot of research I felt this was best for me, one of the main reason was the 80% weight loss over the Sleeves 60%. Plus others have gotten the Sleeve only to end up getting the RNY later down the line for one reason or another. I didn't want that to happen to me so why not go for the gusto. Definitely didn't regret the decision.

[GrrlAnn 177]

Very true. My surgeon told me that they don't like to advertise it, but they leave the original part of the stomach n duodenum inside. Idk if the same is true for sleeves, however.

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This is not true. They remove the excess stomach and they remove the pyloric valve. It is not possible to reverse it. You can't recreate a pyloric valve...

The sleeve also does not touch your intestines which RNY does. The sleevers can also get a revision into DS if it's ever needed.

Only the band and balloon are fully reversible.

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[catwoman7 10,939]

33 minutes ago, GrrlAnn said:

This is not true. They remove the excess stomach and they remove the pyloric valve. It is not possible to reverse it. You can't recreate a pyloric valve...

The sleeve also does not touch your intestines which RNY does. The sleevers can also get a revision into DS if it's ever needed.

Only the band and balloon are fully reversible.

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RNY is reversible. They just don't do it unless you're having serious medical issues, because it's complicated. Original stomach and pyloric valve are left in the body, they are just bypassed.

[Little Green 582]

47 minutes ago, GrrlAnn said:

This is not true. They remove the excess stomach and they remove the pyloric valve. It is not possible to reverse it. You can't recreate a pyloric valve...

The sleeve also does not touch your intestines which RNY does. The sleevers can also get a revision into DS if it's ever needed.

Only the band and balloon are fully reversible.

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They definitely do not physically remove the rest of the stomach in RNY. It remains inside and is reconnected to the bypassed intestine. One of the reasons I was initially considering VSG was the possibility of reduced production of the hormone ghrelin due to the complete removal of the excess stomach where the hormone is produced - which is not one of the benefits of RNY.

Edited July 19, 2017 by Little Green

[Little Green 582]

Double post, very sorry!

Edited July 19, 2017 by Little Green

[SleeveDreamer 383]

They do not remove the rest of the stomach in RNY. It is left inside with the pyloric valve. RNY is reversible, but normally is not necessary to do a reversal.

[SleeveDreamer 383]

2 hours ago, GrrlAnn said:

This is not true. They remove the excess stomach and they remove the pyloric valve. It is not possible to reverse it. You can't recreate a pyloric valve...

The sleeve also does not touch your intestines which RNY does. The sleevers can also get a revision into DS if it's ever needed.

Only the band and balloon are fully reversible.

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This is incorrect. In RNY the exess stomach and pyoric valve are left intact. The RNY is fully reversible.