Bypass vs Sleeve

[Codedsub 7]

Originally I wanted the sleeve, however, with severe acid re flux I am leaning towards bypass now. Plus the results seem to be better. (It is likely just a hiatel hernia, so sleeve is likely still an option).

I am looking for the real pros/cons between the Bypass and Sleeve. Result wise and living with it wise.

Edited October 18, 2017 by codequery

[Marblicious 130]

From what I understand with the Bypass you could be subject to Dumping syndrome. You are still limited and my surgeon said it was the preferred option for people with type 2 diabetes. I had the gastric sleeve, it reversed my insulin resistance, and I am still losing weight. The sleeve can not be reversed. There is a possiblity of the bypass being reversed I think. You should discuss all this with your surgeon. I researched it a lot on the internet and decided I preferred the slevee before I saw my surgeon. But before I told him what I wanted, I asked him for his recommendation. He stated the sleeve would be right for me. But you should really talk to the experts on this. It is different for every person.

[FluffyChix 17,409]

Honestly, I have so many metabolic issues that I feel the RNY with the "reset" it provides is the right path for me. The only thing complicating it is that I have some pre-cancerous cells in my duodenum and inflammatory cells in my stomach and pre-cancerous cells in my esophagus. They wouldn't be able to monitor them after an RNY. But these were caused by GERD, so I'm really afraid to do the VSG, cuz the last thing I want is a second surgery and for the GERD to come back (it's in remission through diet right now)...I will find out on my 3rd visit, Monday, what the verdict is--will I be having surgery or will she say I'm just not a good candidate for either. I don't exactly know what I will do if she says "no".

[Apple203 1,314]

So far I am scheduled to be a sleever. But I since learned I have a hiatal hernia, am I am not sure how that will impact things.

Fluffy, sorry to hear about the precancerous cells.

[Berry78 4,259]

Fluff...

I wonder if it would be possible to give you an xl sleeve... so you'd get disruption to your hormones, but it wouldn't be the high pressure environment.

There wouldn't be restriction, so you'd still have to control your portions yourself.

[Berry78 4,259]

As for sleeve vs bypass.. they are both good, effective procedures. With preexisting GERD, bypass may be a better idea, unless doc thinks the hiatal hernia repair will solve it.

So far I'm happy with my sleeve.

[DropWt4Life 957]

I chose sleeve, because I didn't have gerd or acid reflux issues, and didn't want to have to take a lot of Vitamins for the rest of my life.

With VSG, I have had acid reflux issues (controlled by diet and the miracle of Apple Cider Vinegar) since surgery. My weight loss is slow and steady, and I am happy with the results. I take a B12 sublingual, a d3 capsule, and 2 Multivitamins per day.

If I already had gerd, I would have had GB instead. I have seen others lose hundreds of pounds after VSG, so I am confident that I could have lost what I needed to with either surgery.

I read that GB is reversible, but the part of the intestine that they re-attach is way smaller than in the initial surgery, so there is a greater risk of complications.

My cousin had GB and still gained a big portion of her weight back. It all boils down to diet and commitment. If you commit fully to changing your lifestyle, you can have great success with either surgery. If you go back to eating junk food, fast food, and processed food, no surgery is going to help you.

[RickM 1,747]

10 hours ago, Berry78 said:

Fluff...

I wonder if it would be possible to give you an xl sleeve... so you'd get disruption to your hormones, but it wouldn't be the high pressure environment.

There wouldn't be restriction, so you'd still have to control your portions yourself.

The duodenal switch typically uses a larger sleeve - they started using the smaller sleeve when they started doing stand alone VSGs. My wife's DS sleeve stomach was roughly twice the size of mine at surgery time (4oz vs. 2.5 oz) but our nominal meal capacity now, many years out, is roughly the same. Others may find that a larger sleeve will allow for excessively large meals down the line - depends on the individual, depends on the surgeon and how they make their sleeve.

From what I have seen over the years in a DS centric practice, the DS doesn't seem to have as significant of a problem with reflux as the basic smaller sleeve does, so I think that there is some merit to the idea.