Choosing between Sleeve and Bypass help!

[Barbara1972 13]

Hi all

My life has been a whirlwind lately. First I was thinking about the sleeve, then my doc told me because I was previously diagnosed with Barrett's, he would not do the Sleeve. I have very bad GERD. So then I started really thinking about the bypass which sounded ok but the complications and being self-pay terrified the heck out of me. I am terrified of the getting major complications and having to pay for those out of pocket too.

Anyway, I just got done with my endoscopy/colonoscopy and it turns out that I don't have Barrett's and he said that I can now consider the sleeve and hernia repair. My head is spinning and I need to make a decision this weekend since I'm supposed to have me pre-op tests for the sleeve surgery on Monday.

So here is wheee I am stuck....

1. I've been on a 1200 calorie diet for the past 3 months and have not lost anything. What's the difference between 1200 calories with a normal stomach and 1200 calories in a sleeved stomach? Will it really make a difference and help me lose ? I understand with the bypass, I can eat 1200 but absorb 800 or so as that helps.

2. Has anyone had hernia repair and still experienced acid reflux?

[OutsideMatchInside 10,166]

I would go RNY if I were you. And also get a 2nd opinion on the Barrett's and GERD.

[Barbara1972 13]

Thanks. He seems to think that the hernia repair will help the GERD. A second opinion would probably require another endoscopy so that's hard to get but I'll see what I can do.

[hmills653 365]

it'll probably be awhile before you will be taking in 1200 calories. I'm 6 weeks post sleeve and average about 500 calories a day. My doctor said as I start getting more hungry be sure I don't go over 1000 calories at this point. In case this helps any.

[jess9395 5,450]

Yeah my sleeve kept me WAY under 1200 calories for the better part of a year, I didn't eat that many calories till close to goal.

The removal of the fundus which produces most of the hunger hormone ghrelin was the difference for me. No struggle no difficulty.

[Barbara1972 13]

Thank you all. That makes a lot of sense and helps a lot. That is one worry crossed out. :-) . I guess the big one is number 2. My doc seems to think that fixing my hernia will help my acid reflux so the sleeve is an ok option still but everything I read everywhere says to get the RNY and not the sleeve if you have reflux. The RNY scares me still but it may be the best choice.

[stacyrg2 350]

I don't really post here anymore but saw your post and felt compelled to respond. I had NO reflux prior to my sleeve. At the time of my surgery I also had a hiatal hernia repair. 8 mos post sleeve I developed horrific reflux. So bad that the only option was to revise to RNY. Don't be afraid of RNY. I would never, ever, never have a sleeve if I was previously diagnosed with GERD