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Bypass vs sleeve?

I'm torn between the surgeries. My surgeon said I qualify for both and it's my choice. I've seen friends have great results with both surgeries.

I'm 41, low BMI of 35 with comorbidities of very high BP, high cholesterol, pre diabetic , weight 205.

If anyone has any recommendations or insight please share. Anyone In the same situation please share your thoughts or choice of surgery and why. I originally was thinking sleeve but now wondering if long term bypass would be best....[emoji17]

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  • Wow! this is an awesome post I totally learned something.

  • No, the sleeve isn't more complicated. Either your surgeon misspoke or you misheard. There IS risk of leaks during the first 2 months postop, but bypass also has its own set of risks. The compl

  • The best I can tell you is they both come with pros and cons. With the bypass you will have some vitamin absorption issues and you can get dumping syndrome if you do not behave on your diet, but the

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No, the sleeve isn't more complicated. Either your surgeon misspoke or you misheard.

There IS risk of leaks during the first 2 months postop, but bypass also has its own set of risks. The complication rate during and right after surgery are about the same for sleeve and bypass. BUT, the further you get from surgery, the sleeve complications drop significantly lower than those of the bypass. (Pretty sure GERD is left out of this statistic).

6 hours ago, mnyap79 said:

According to my doctor, the sleeve is actually or more complicated surgery and the recovery time is longer.

The operating time for a typical gastric sleeve is less than 60 minutes, versus an average of 135 minutes for gastric bypass. The sleeve is definitely the simpler of the two procedures.

My sleeve operation was 30 minutes. In addition, my surgeon spent an extra 1 minute to repair a hiatal hernia. Due to my uncomplicated recovery, I was ready to return to work in 1 week.

  • 1 month later...
  • Author

Thank you all foe the great info. I've been researching both surgeries since my post. I chose the Sleeve for alot of the above mentioned reasons. My surgery date is Dec 19 and I'm nervous as heck. Dr requires 2 week liquid diet. What did your Drs require?

On 10/10/2017 at 7:47 AM, saltykisses said:

I'm 41, low BMI of 35 with comorbidities of very high BP, high cholesterol, pre diabetic , weight 205.

due to your extensive comorbidities, i would recommend the RNY bypass as it has more profound changes on all of those you listed, especially diabetes.

you also won't get debilitating GERD, which is a hugely significant risk with the sleeve, but not an issue with RNY. just because you haven't had GERD up until now doesn't mean it won't start after getting the sleeve surgery. happens all the time. just cruise these forums for disheartening examples/stories.

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