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Sleeve vs RNY



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I am pre op meeting surgeon in next month or so. I seem to only get acid reflux when i eat pizza, Tomato sauce, chili, maybe spicy. Must be acidic foods? Or lay down to soon after meal. Do you think this means i shouldn't have sleeve? Or do i need to have RNY. I imagine it might be okay if avoid those foods and or medicine for acid. Any thoughts?

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I had reflux before visa and did the sleeve with no problems at all. My hubby had rny 11 years ago he had reflux before and after. His recovery was awful with lots of complications. I am biased. Vsg wins hands down for me. So many fewer complications and long term consequences seem better- i.e., Vitamin absorption and medication restrictions aren't a problem. That's my 2 cents.


Mich W
Hw 223, SW 217 CW 188 GW 135

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If you have a pre-existing condition of GERD (aka acid reflux) than you should seriously consider Gastric Bypass over VSG. Please discuss this fully with your surgeon next month as it is crucial for determining the right surgery for you.

I also disagree with the previous poster's statement of "so many fewer complications and long term complications seem better." Not an accurate assessment of RNY versus VSG. Again, work with your surgeon on getting the facts for your situation.

Good luck!

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2 hours ago, MarinaGirl said:

If you have a pre-existing condition of GERD (aka acid reflux) than you should seriously consider Gastric Bypass over VSG. Please discuss this fully with your surgeon next month as it is crucial for determining the right surgery for you.

I also disagree with the previous poster's statement of "so many fewer complications and long term complications seem better." Not an accurate assessment of RNY versus VSG. Again, work with your surgeon on getting the facts for your situation.

Good luck!

I hope I did not offend you. Not my intention at all. In all of my research I read that complications with VSG are rare. My experience with RNY and my husband was just awful. We went to a center of excellence and he still had multiple complications. We did have different surgeons as well.

My surgeon said that with VSG there are not prescription restrictions as with RNY (no nsaids), though my surgeon says nsaids are fine I read here that some with VSG are not allowed to take them. Also, Vitamin malabsorbtion after RNY is a known issue, not so with VSG. I know that weight loss is usually higher with RNY so there are definitely benefits to both. Good advice to talk with your surgeon.

I KNOW I am BIASED, due to experience. I know that some have a great experience with RNY - just not my husband. He did lose the weight, but it has been a long haul.

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No Problem MarinaGirl. I appreciate any responses I can get, any info is better than none, and hearing opposing opinions is also good. Will help me, ultimately it is the surgeon who will decide for sure whether or not I can have Sleeve, so I will study up more on RNY to be prepared in case that is the outcome. Thank you again

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My surgeon does an upper endoscopy to determine if you have GERD prior to surgery. If you have any signs of it on the endoscopy, even if you are a-symptomatic, they will not do a VSG on you.

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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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