Trying to Decide - Sleeve or RNY?

[lillian.b.white 32]

Hi all!

I've decided to definitely have my band removed. I had it placed in 2009 (self pay. Stupid bigoted "obesity clause" with my insurance at the time). I've been vomiting on a pretty regular basis for the past 8 years and have port pain if I move/bend the wrong way. I did lose 100 pounds, gained 45 back due to a couple of injuries, but I'm almost back down to my lowest again (5 pounds away! I can taste it!!).

Anyway, I met with a doctor at a weight loss clinic for my first consultation last Wednesday. The meeting went really well, she agreed that I should probably have it removed and she had someone remove half of my fill (I haven't thrown up since!! But I DO feel hungrier and can eat more now, which is a little scary for me...). I asked her which surgery she thought I should get and she didn't really have an answer for me. She gave me the pros and cons of each and said it's really up to me.

Can anyone make any recommendations to me? If you had the sleeve, are you happy with it? Do you wish you had the bypass? If you're reading this and had the bypass, same questions to you. Any input is appreciated! Thank you!!

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[Introversion 1,876]

More information is needed. How much do you weigh and how much would you like to lose? Do you have any metabolic diseases such as diabetes or PCOS? Do you have GERD?

Although I am pleased with my sleeve, lost 100+ pounds and have been maintaining my goal weight, the gastric bypass is the gold standard for those with metabolic issues that hinder weight loss such as PCOS and diabetes.

Also, if you are a female with more than 250+ pounds to lose, the odds of reaching your goal weight with a sleeve are stacked against you, but some women have defied the odds.

People with severe acid reflux (a.k.a. gastro-esophageal reflux disease or GERD) are advised by most bariatric surgeons to opt for the bypass because a sleeve can worsen it.

[lillian.b.white 32]

More information is needed. How much do you weigh and how much would you like to lose? Do you have any metabolic diseases such as diabetes or PCOS? Do you have GERD?
Although I am pleased with my sleeve, lost 100+ pounds and have been maintaining my goal weight, the gastric bypass is the gold standard for those with metabolic issues that hinder weight loss such as PCOS and diabetes.
Also, if you are a female with more than 250+ pounds to lose, the odds of reaching your goal weight with a sleeve are stacked against you, but some women have defied the odds.
People with severe acid reflux (a.k.a. gastro-esophageal reflux disease or GERD) are advised by most bariatric surgeons to opt for the bypass because a sleeve can worsen it.

Hi! I'm 5'7" and currently 240 pounds. I'm not sure what my goal weight is because I've never been under 200 pounds since around the age of 10. I'm thinking 160-170ish? I'd honestly be thrilled if I can get to onederland! I have PCOS. I had diabetes before my lap band, but that's resolved from weight loss. I was told recently that I also have hashimotos, but it must be incredibly minor because I'm not on any medication for it. I have occasional acid reflux, but not as bad as GERD. So... I'm kind of torn. I honestly should have had the RNY back in 2009 when I was 335 pounds, but I couldn't afford it. It was all I could do to pay for lap band (I didn't know much about Medical Tourism and it kinda scared me if I had any complications). Anyway, what do y'all think?


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[Introversion 1,876]

4 hours ago, lillian.b.white said:

I have PCOS.

You can succeed with either a bypass or sleeve with PCOS...

The weight loss will likely be speedier with a bypass. Sleeved women with PCOS tend to lose at a painfully slow rate, especially if revising from some other procedure to a sleeve.

You can reach your goal weight with a sleeve. Other sleeved women with PCOS have gotten to goal. Just be warned that the rate of weight loss may be slower than average.

Also, revision patients tend to lose more slowly than first-time bariatric surgery patients overall. This is because a revision patient's body has already dealt with the metabolic shock of a previous bariatric surgical procedure.