Why did the "sleevers" choose the sleeve over the bypass? Also, is there a malabsorption risk with the sleeve just like with the bypass?

I chose the sleeve because I wanted my pyloric valve to remain intact...

Also, I didn't want to end up metabolically challenged several years from now. In gastric bypass patients, a phenomenon occurs that is called intestinal adaptation.

Essentially, the gastric bypass patient's small intestine adapts to being bypassed by increasing the size and surface area of the villi to efficiently absorb more calories. Several years after the surgery, they start regaining on a very small intake of food and wonder why it's happening.

When a sleeve patient regains, it's due to overeating junk food. When a bypass patient regains, it's often due to their bodies absorbing more calories due to intestinal adaptation.

I like the fact that I can maintain a body weight of 120 pounds on 2000 to 2300 calories a day. Many bypass patients who are several years out must keep their intake below 1400 calories daily or they'll start to regain their weight.

I am choosing the sleeve because I wanted restriction without malabsorbtion. The sleeve cannot be 'stretched' because that part of the stomach that expands is removed. It can relax after healing but not stretch.

Same here-wanted to avoid malabsorption. Also, sleeve has less potential complications and less chance of dumping syndrome. My surgeon made a good point- statistically, RNY patients tend to lose a little more than sleeve patients . However, he explained that the majority of the health benefits come from losing the first 50-60#s, not the last 5-10. In his opinion, all things equal, the sleeve is usually the wiser, less risky route. Of course if you have some other health issues, that might change which course is better.

When I first wanted surgery about two years ago or more - I really wanted to go the RNY route to reverse my type 2 diabetes but then after thinking about it for so long I decided to go with the sleeve because I dont want to loose to much weight (but my doctor assured me that most people end up gaining weight some weight anyway) but he also felt like there was less risk involved. I had to really weigh (no pun intended) it out in my mind and really the malabsorption was another factor that pulled me to the sleeve side. I know that my type 2 diabetes will lessen with losing weight even with the sleeve.

At the moment, it seems surgeons like the sleeve as the default surgery, and only look at bypass and DS if sleeve isn't the best fit.

For me it seemed more natural. Yes I realize that having 80% of your stomach cut out isn't exactly natural, but I chose the sleeve over GB because I didn't want to basically have my insides replumbed.... the flow of your digestion is the same with just a smaller stomach pouch. I know that the weight loss is slightly slower with VSG than GB but I prefer it that way (most days). I was always afraid of having GB losing to quickly and looking like one of those melting people.