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

Having 2 Drs with totally different opinions would be a concern. I would be asking both of them lots of questions to find out why they are recommending the 1 surgery over the other.

Personally I would avoid the VSG if you have any signs of reflux, whilst you may not feel the symptoms now the surgery is likely to exacerbate them. Do a search, there are plenty of stories here of people that have had to revise from VSG due to reflux. Do you really want to take the risk and possibly require a revision to RNY at a later date?

Share this post


Link to post
Share on other sites

My surgeon won't do a sleeve on me because my barium swallow showed reflux and moderate dismobility. He said it was likely the reflux would get worse. I am on strong meds for GERD and still have reflux. So it is bypass for me. Good luck with whatever you choose.

Sent from my SM-N960U using BariatricPal mobile app

Share this post


Link to post
Share on other sites
2 hours ago, elcee said:

Having 2 Drs with totally different opinions would be a concern. I would be asking both of them lots of questions to find out why they are recommending the 1 surgery over the other.

Personally I would avoid the VSG if you have any signs of reflux, whilst you may not feel the symptoms now the surgery is likely to exacerbate them. Do a search, there are plenty of stories here of people that have had to revise from VSG due to reflux. Do you really want to take the risk and possibly require a revision to RNY at a later date?

I did, it's a controversal subject..

I agree, I'm just a bit "scared" of rearrange intestine with bypass

Edited by Alexandro

Share this post


Link to post
Share on other sites
I did, it's a controversal subject..
I agree, I'm just a bit "scared" of rearrange intestine with bypass
Honestly, I do wonder if I've actually had a bypass coz life has got back to normal really quickly for me. I'm eating smaller portions but other than that the surgeon could have taken all my insides out and replaced them with straw stuffing and I wouldn't know!

Sent from my SM-G930F using BariatricPal mobile app

Share this post


Link to post
Share on other sites
45 minutes ago, Alexandro said:

I did, it's a controversal subject..

I agree, I'm just a bit "scared" of rearrange intestine with bypass

All surgery is scary and there is a different way you could look at it. Yes they are rearranging your intestine but on the plus side everything is still there, they aren't chopping something off and throwing it away. It is even technically reversible ( although that would only be done under extreme circumstances)

Share this post


Link to post
Share on other sites
My surgeon won't do a sleeve on me because my barium swallow showed reflux and moderate dismobility. He said it was likely the reflux would get worse. I am on strong meds for GERD and still have reflux. So it is bypass for me. Good luck with whatever you choose.

Sent from my SM-N960U using BariatricPal mobile app


I guess surgeons are just different. My swallow study also showed reflux. But I didn't even know...I never felt it. Once in a while, sure...but not more than a couple times per year. I opted for the sleeve because the intestinal re-routing also scared me. The doctor thought the sleeve would be fine. I took Prilosec after surgery for the first three weeks, then stopped and have not had any issues in the couple of weeks since. I guess I'm lucky. Some people have a terrible time with reflux and VSG.

Sent from my Pixel 3 using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Greetings,

If you have true, biopsy proven Barrett's esophagus I would be VERY concerned about having VSG. The risks of RNY with a good surgeon are similar to have your gallbladder removed.

Best of luck.

Share this post


Link to post
Share on other sites
I had a bypass and I don’t regret a thing. The sleeve is too new for me, enough long term research.

Share this post


Link to post
Share on other sites

I never had reflux until I had the sleeve. I never ate a lot at one time prior to the sleeve. Didnt eat a lot after. Lost weight, gained it back. Had the RNY. Things are so different this time around.

Share this post


Link to post
Share on other sites

I had a bandin 2006, removed in 2015 due to slippage and getting things stuck over and over and over and over again. Then kept developing gastritis and pancreatitis, now with reflux and GERD, nausea almost all the time. Had a CT scan a few weeks ago, showed umbilical, hiatal hernias and reflux, GERD damage. Waiting for endoscopy PH and Mobility tests results. Eating TUMS and pepto like they are going out of style, also taking omeperazole 40mg twice a day. Also took carafate which didn't help. Doc suggested if things don't get better to change over to a bypass.

From what I've researched, the bypass is the best way to get rid of the reflux/GERD, but I'm hearing about a lot of folks not being able to get their fluids in and problems eating.

Do your research, and good luck!!

Best,

Crash!

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
10 hours ago, Crash2015 said:

I had a bandin 2006, removed in 2015 due to slippage and getting things stuck over and over and over and over again. Then kept developing gastritis and pancreatitis, now with reflux and GERD, nausea almost all the time. Had a CT scan a few weeks ago, showed umbilical, hiatal hernias and reflux, GERD damage. Waiting for endoscopy PH and Mobility tests results. Eating TUMS and pepto like they are going out of style, also taking omeperazole 40mg twice a day. Also took carafate which didn't help. Doc suggested if things don't get better to change over to a bypass.

From what I've researched, the bypass is the best way to get rid of the reflux/GERD, but I'm hearing about a lot of folks not being able to get their fluids in and problems eating.

Do your research, and good luck!!

Best,

Crash!

Thanks, and how's your weight now? with sleeve you lost 20lb total?

Share this post


Link to post
Share on other sites

I also never had reflux until i got the sleeve. Since then it's been terrible, in fact i have developed Barrett's. RNY surgery is tomorrow at 10.

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

  • Featured Surgeons

    1. Masoud Rezvani

      Woodbridge, Virginia 22191

    2. Lisa Medvetz

      Downingtown, Pennsylvania 19335
      800-282-0066

  • Recent Topics

  • Recent Status Updates

    • jrmolina2006

      4lbs down.... lets get it!!
      · 1 reply
      1. GreenTealael

        👏👏 OK 👏👏

    • allwet

      Ok , you can all have a laugh at my expense today.
      As a kid i never cared for PB&J i would eat one if it was all that was available but i always preferred a tuna sandwich.
      The other day my daughter comes over with an All Natural Peanut Butter and as we are talking in the kitchen she opens this jar up and the smell just about knocked me over. It was amazing. So i got a spoon and tried it straight, no jellies for me anymore, I was blown away with the amazing taste. Now i don't know if this a case of taste buds changing or just good Peanut Butter but that was a great treat. So i now have a jar in my kitchen and while i only eat a spoonful of it on any given day i am still amazed at how great it tastes.
      Happy Holidays, I hope you are all doing great over this holiday period.
      · 2 replies
      1. Orchids&Dragons

        OK, I've got to know? What brand or is it local?

    • GreenTealael

      Come throughhhhhhh Lenny and Larry's Protein cookies! Now they come in crunchy and single serving size! Finally.
      · 4 replies
      1. Orchids&Dragons

        Haven't tried these. Sound good! Thanks

      2. shedo82773

        They are good but...1/2 the cookie is a serving. They are BIG but I found that I wanted it ALL!! When we went to Juarez Mexico for hubbys WLS they saved him. At least that is what he thought. LOL

      3. GreenTealael

        Trader Joe's have the single serving size!!!

      4. GreenTealael

        1545092688677-886762124.jpg

        15450927123211805058886.jpg

    • GreenTealael  »  redhead_che

      Happy Belated Surgiversary!!!
      🎉🔥🎈💚🌈💜🎉🔥🎈💚💜🌈
      · 1 reply
      1. FluffyChix

        Wooohoooo!!! Happy surgiversary chica!!! Where you been? We miss you!!!

    • Puppycat

      12/12I went against my weekly weigh in and cheated today the scale says I'm 248 😂How? Maybe it's wrong lol I just purchased the scale and it's my first time using it. I'll weigh my daughter to see if it's accurate. I was 255 this time last week well five days ago so I guess it's a real possibility. I'll let you know , I have been very picky about sugars and carbs even though I don't have a huge variety of foods to choose from. I'm super excited and hope everyone is doing great! Got to charge my iPad but I just had to share my happiness 12/15 hmmm I guess this didn't post lol. Well I have more to update when I went to do my weekly weigh in with a scale I know is accurate this Friday I was 244 so even less then my new home scale (which still says 248😹) I am super stoked that all my good choices are paying off. I haven't eaten any bad junk food or high sugar drinks or excess carbs, It's nice to actually see results from a diet huh guys. Unfortunately I put too much mayo in my eggsalad purée and I'm nauseous 🤢But to happy to let it bring me down. Hope everyone is doing good and happy
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Magazine Articles

    1. Go With Your Gut!

      Posted in: Mental Health
      Louisa Latela, LCSW, LCADC
    2. The Most Wonderful Time of the Year – Really!

      Posted in: Post-Op Support
      Alex Brecher
    3. Dealing with Family during the Holidays

      Posted in: Mental Health
      Ash Krupnik
    4. You Are NOT What You Eat

      Posted in: Mental Health
      Warren L. Huberman, PhD.
    5. Surviving the Thanksgiving Table: A Few Hacks

      Posted in: Food & Nutrition
      Alex Brecher
  • Together, we have lost...
      lbs
    ×