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Sleeve or Bypass... help!



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The control reflux wasnt for you i just haven’t quite got this app controlled.

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I had the same dilemma as well. I felt like my surgeon was trying to steer me toward the sleeve, but I ultimately decided to do bypass. It seems to have a better record of long-term weight loss, and I was worried about GERD with the sleeve. When I made the decision, my surgeon wanted me to explain why so she could see that I had done my homework and had understood the pros and cons--and she was satisfied with my answer! 🙂

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So Alexandro, what surgery did you choose? Just Wondering!

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So glad I found this thread -- I am currently knee deep in testing for my hernia. I was noted to have a "large" hiatal hernia after massive heartburn. I was sleeved in 2016 and have lost 145lbs and weigh about 140-145 lbs now. I am a healthy eater, and follow my surgeons guidelines to a T .

I moved to a new state, and haven't had follow up for a bit but when all this heartburn started I had to seek someone. Ive had the barium swallow, abd ct scan, and ph probe with esophageal testing.

My Dr is trying to determine if a repair for my hernia is an okay idea, or do I need to be reverted to bypass? I am so torn. I have been so successful with the sleeve and I feel like being revised would be a big difference for me, however there is a possibility my esophagus would not withstand the heania repair as there isn't much stomach they can use to aide in the repair and he talked of using mesh to help with that...which makes me so nervous..

Has anyone been through a situation like this and how did you determine which was best for you? I am scared and sick and tired of being put through all this testing...

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On 1/13/2019 at 12:43 PM, Frustr8 said:

So Alexandro, what surgery did you choose? Just Wondering!

Hi.. I chose bypass! So far no issues at all! Sometimes I feel I hadn't had a surgery!

Eliminated 37.4 pounds in 1 month and a half!

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Well Good for You! I hope things continue going well and your Barrett s receads, I had a first cousin die of esophageal cancer , not a kind way to die, she was 3 years younger than me and I will always miss her in my life!

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Im glad I found this thread. Had the sleeve 3+ years ago. Initially lost 80 lbs. Then the pain started. Multiple ER visits before I had my gallbladder removed. Not much help. Constant nausea, pain and heartburn. Ended up back in the hospital from what they called "liver stones". Liver panels back to normal, but still constant pain, nausea, and heartburn. Rx meds prescribed, doubled, and still not much help despite adding Tums and an over the counter antacid to my max dose Protonix. I finally got to the point of wishing I had never had the Sleeve done. I've gained back everything lost. Eat mostly simple carbs and small meals throughout the day. No salad or veggie's for me as they cause pain and vomiting. I think I gave up and some of my old eating habits (sugar) are as bad as before. Just had the pH and motility studies two weeks ago. Gastro called to tell me he is referring me to surgeon. I'm apprehensive about a sleeve to bypass revision. The thought of rearranging things bothers me...quite a bit. Hoping for some wise words, encouragement, or advice. Now I'm anxious and that just makes everything worse.

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Barb. So sorry to hear all the pain you have been through! I had a sleeve in April 2015 and while not as severe as yours, I had a lot of problems with reflux and pain and gain afterwards. I had a revision to RNY 13 days ago....and I feel AMAZING. Pain is gone. Reflux gone. It’s truly remarkable how well I feel!! I was apprehensive as well but I am so glad I did it. I feel like I got myself and my life back. :)

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Barb. So sorry to hear all the pain you have been through! I had a sleeve in April 2015 and while not as severe as yours, I had a lot of problems with reflux and pain and gain afterwards. I had a revision to RNY 13 days ago....and I feel AMAZING. Pain is gone. Reflux gone. It’s truly remarkable how well I feel!! I was apprehensive as well but I am so glad I did it. I feel like I got myself and my life back. [emoji4]
Trasib, thanks so much. It's great to hear a positive story. I appreciate it very much.

Sent from my SM-G950U using BariatricPal mobile app

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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