I have not dabbled on the post surgery side of this forum too much. I am still pre surgical and still trying to decide between the sleeve and by pass though i may be over thinking it too much. I dont have reflux or GERD, i do have type 2 diabetes but it is fairly well controlled and for me at least very much weight related so either procedure should help in that department (also read an interesting study on which procedure is better for diabetes yesterday and long term they are showing it is actually pretty even). I have Hypertension and cholesterol issues but either procedure should help with both of those. So for me so far it seems pretty even, until i read that the removal of the stomach section not included in the sleeve helps alleviate the sensation of hunger, which is a HUGE problem for me. I am constantly feeling hungry, I can easily sit down to a 1 pound steak with veggies, some shrimp and a large potato and then throw back a dessert and not long after still feel peckish.

So my question for you that have had the by pass, even though you still maintain the stomach do you still have that sensation of feeling hungry, or because the stomach in large part is not being used to process food does the sensation stop because of the small pouch?

I worry about having a small pouch if i still have the sensation of wanting to eat and feeling hungry down the road. im also a little concerned about being stuck to my source of hydration if i only have a 30 to 50 cc stomach pouch, where as the sleeve at least gives 50 - 90 cc. I understand sipping sipping sipping, but im thinking long term, months or even years after surgery. I have no trouble with hydration right now, on a low day im still hitting 64oz and if im active i may go closed to 128oz in a day of just water, but it certainly isnt sipping that much i may currently drink 8oz at a time

Thanks for the help, i figure best to ask those that know and have actually had the surgery, and yes i will also be discussing it with my surgeon when the time comes.

1 hour ago, Down South Aussie said:

That is part of my concern with the RNY, i want to get back into more exercise and i cant get through my mind having a teeny tiny pouch and making that happen.

I wouldn't be worried about this specifically at all. I workout very frequently and don't have issues. Right at first (like 2-3 months out) I had to work at getting the right combination of type of food, portion and timing to fuel my workouts but now it's no big deal. I was so worried about hydration at first too with the tiny stomach but that has never been a problem for me personally. I drink throughout my workout though instead of drinking the whole bottle after my workout. But, I also have no issues when I take a good solid gulp or two of water in the middle of spin class

I had RNY 7/11/17, I have had zero dumping, and can tolerate almost any food, but only in small portions. I aim for tiny portions of healthy food but have allowed myself 1 or 2 bites here or there of a treat. Normally can't eat more than a bite anyway. I have not missed the quantity of food at all, but do miss diet pepsi's considerably. By about the 3 month mark i was able to take in as much fluid as i would like, i can now easily drink a 20 oz water bottle in 10-15 minutes. I have lost close to 80 pounds in 6 months. I take my vitamins religiously, drink 80-100oz water per day, shoot for 80-100 grams of protein per day, and generally land somewhere around 1000 calories per day (although I do not count calories). Sugar and Carbs do not make me dump, but I generally don't feel very good after eating them so only indulge on occasion. I could have had sleeve or bypass, and honestly chose bypass due to it having long term documented success. I have seen people be very successful with both the RNY or the sleeve, just keep in mind neither is a magic cure, both will require long term behavioral changes on your part to keep the weight off...RNY has made those changes much easier to maintain...as always this is strictly my experience, others will vary

25 minutes ago, Tarver11 said:

just keep in mind neither is a magic cure, both will require long term behavioral changes on your part to keep the weight off...RNY has made those changes much easier to maintain...as always this is strictly my experience, others will vary

Thanks Tarver11, appreciate the reply. I know this isn't the magic bullet but as you say it is going to be the behavioral changes that will make the difference.

32 minutes ago, Sadiebug said:

I was so worried about hydration at first too with the tiny stomach but that has never been a problem for me personally. I drink throughout my workout though instead of drinking the whole bottle after my workout. But, I also have no issues when I take a good solid gulp or two of Water in the middle of spin class

Thanks Sadiebug, nice to know it can be done with RNY

7 hours ago, Down South Aussie said:

just the idea that 6 months after surgery i wont be able to take a good deep refreshing drink kind of messes with my mind

This is false though. I’m drinking just fine less than two months out. Maybe not as much as before surgery but that has more to do with the fact that you cannot drink with meals. You also cannot drink before or after meals...my surgeon says 30 minutes before and one hour after. There will be those times you cannot drink before and after a meal regardless of whether you have a sleeve or bypass.

This is more what restricts my intake than my pouch regarding fluids. That’s at least four hours a day I’m not drinking.