Sleeve or Bypass... help!

[Alexandro 6]

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?

[allwet 868]

you can go from sleeve to bypass but not the other way.

the sleeve used to be the first part of the bypass surgery.

take GERD meds starting a month before surgery and for at least 2 months after maybe forever. even if you don't feel the Gerd.

This is standard for my Surgeon.

just my 2 cents. you have to go with what you are comfortable doing

[elcee 3,342]

1 minute ago, allwet said:

you can go from sleeve to bypass but not the other way.

the sleeve used to be the first part of the bypass surgery.

take GERD meds starting a month before surgery and for at least 2 months after maybe forever. even if you don't feel the Gerd.

This is standard for my Surgeon.

just my 2 cents. you have to go with what you are comfortable doing

The sleeve is the first part of a duodenal switch not an RNY

[Alexandro 6]

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.

[Alexandro 6]

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 December 7, 2018 by Alexandro

[Alexandro 6]

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.