Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Sleeve or Bypass... help!



Recommended Posts

Hi, I have a VSG scheduled for December but I'm still in doubt if I should go for a bypass!

I'm 297lb -and 6.0 tall - BMI 39

I was sure about getting a VSG but my endoscopy exam has the following: light esophagitis / Barrett's Esophagus - GERD . To be honest I don't feel anything related to it but I read a lot of articles and comments that VSG is not good for who has reflux.

My doctor checked the exam and said would be ok proceed with VSG. I went to another doctor to get a second opinion, he saw my exame and right away said better get a bypass! Next week I will return to my doctor and talk again and might change to bypass.

What you guys think? Anyone had a similar experience?

Share this post


Link to post
Share on other sites

Some sleevers manage to not worsen their Gerd, many do not. I had gastritis, Gerdn for those and other reasons I went with RNY. N9w I am one of the few who stenosis/strictured, despite what you see on here it is still rare, fixable, and giving 75% of my stomach away to the medical trash would have not been of benefit to me. Join me in Club Bypass, I had a 1st cousin die of esophageal cancer, it is a painful, not pretty way to go! 2 and half years and I still miss her so much!

Share this post


Link to post
Share on other sites

Bypass definitely if you have GERD!

My surgery was completely uneventful and maximized weight loss with bypass. Other than gas pain it was well worth it!

Best of luck

Share this post


Link to post
Share on other sites

1 hour ago, Frustr8 said:

Some sleevers manage to not worsen their Gerd, many do not. I had gastritis, Gerdn for those and other reasons I went with RNY. N9w I am one of the few who stenosis/strictured, despite what you see on here it is still rare, fixable, and giving 75% of my stomach away to the medical trash would have not been of benefit to me. Join me in Club Bypass, I had a 1st cousin die of esophageal cancer, it is a painful, not pretty way to go! 2 and half years and I still miss her so much!

Thanks for your feedback and I will do consider what you said in my decision, glad you shared it.

Share this post


Link to post
Share on other sites

1 hour ago, BostonWLKC said:

Bypass definitely if you have GERD!

My surgery was completely uneventful and maximized weight loss with bypass. Other than gas pain it was well worth it!

Best of luck

Thanks for your feedback!

Share this post


Link to post
Share on other sites

Thank you all, tomorrow I have scheduled a Esophageal motility study and Esophageal pH monitoring and according with the results my doctor and I will decide if sleeve or bypass, surgery scheduled for December 12th.

Share this post


Link to post
Share on other sites

I have Barretts too. BMI 39 I went through extensive testing with gastroenterologist before being approved for WLS. My recommendation based on multiple physicians and medical universities, Gastric Bypass is the only way to go. Even with sleeve you run risk of continued or exacerbated GERD. With Bypass, my GERD is 100% cured. I used to take 4 nexium everyday. Now, zero. I also read a peer review paper on how with GBP there is a 33% chance of Barrets reversal. One other item to consider. If you ever have Barretts progress or issues, they cannot undo any WLS except Bypass. That was a key component to the choice too.

Sent from my SM-G920V using BariatricPal mobile app

Share this post


Link to post
Share on other sites

With GERD the sleeve is still an option although it's a it depends kind of situation.

With Barrets I have no idea why your physician wouldn't be basically forcing you to do the bypass. Barretts is no joke and I know the surgeons I work with wouldn't even consider a sleeve on somebody with it

Share this post


Link to post
Share on other sites

I had occasional acid reflux/heartburn (no formal GERD diagnosis or anything) and bypass was the only viable option I was given (which was fine because that's what I wanted anyways). I personally would not risk making something like that worse after you go through all the trouble of having major surgery. Since the bypass 5 weeks ago, I haven't had an instance of reflux or heartburn once. It's amazing. Would never have considered sleeve and the surgeon was pretty adamant that sleeve is not a real option for anyone with reflux.

Share this post


Link to post
Share on other sites

Hey
I did a Esophageal motility study and results are:
Esophageal pH monitoring: normal, just had 8 refluxes in total, normal is less than 50.
esophageal manometry: hypotonic lower esophageal sphincter

I will get back and talk with surgeon on Monday to decide sleeve or bypass, by the exam looks like would be ok sleeve as pH monitoring is more important than manometry but not sure yet...

Anyone had a similar result? If so what you did sleeve or bypass?

Thanks

Edited by Alexandro

Share this post


Link to post
Share on other sites

If there is any doubt why risk it. I would go with the procedure that has the lowest risk of reflux i.e RNY. Otherwise you are likely to be looking at having 2 surgeries not 1

Share this post


Link to post
Share on other sites

I just got back from the surgeon appt, he reviewed the ph monitoring(which showed 5 refluxes till almost my vocal cords) and manometry and we decided for bypass!!! Scared now! Surgery on Wed.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×