Getting my surgery on August 2nd. Still unsure about getting a sleeve or a bypass. I’m 5’2’’ , 235 pounds (bmi of 43) with sleep apnea and acid reflux. My doctor said I could get either surgery, but the sleeve could increase the acid reflux. I’m worried about the dumping with the bypass. I’ve heard that with the sleeve, the surgeon removes the part of the stomach that sends the hungry signals. Whats your opinions?

1 hour ago, Superpharm01 said:

Getting my surgery on August 2nd. Still unsure about getting a sleeve or a bypass. I’m 5’2’’ , 235 pounds (bmi of 43) with sleep apnea and acid reflux. My doctor said I could get either surgery, but the sleeve could increase the acid reflux. I’m worried about the dumping with the bypass. I’ve heard that with the sleeve, the surgeon removes the part of the stomach that sends the hungry signals. Whats your opinions?

The choice is ultimately yours

But

IMHO

My suggestion is if you already have Reflux choose the better bet at fixing it, the Bypass. If it gets worse with VSG you will need to control it with meds indefinitely or revise.

And by no means (would i in your shoes knowing what i know) bank on the no hunger thing... You may eventually feel hunger again, some surgeons suggest its inevitable but to what extent varies.

❤ Good Luck ❤

Edited June 25, 20197 yr by GreenTealael

You can have sleeve with acid reflux, just take omeprazole -ask the doc about it.

Don't depend on just the physical restrictions or that hormone reduction. While it's true the majority of sleevers don't see appetites roar back, it will return down the road. It's still a head game all the way, but surgery makes it easier to comply and easier to keep off - IF you follow the plan. Most very successful wls patients do not go back to just eating smaller portions, many of us stick to the protein and vegetable rule predominantly, with the occasional simple carb or glass of wine. Don't be lulled in the early stage by trying to eat crap food - because you are so physically restricted you can lose weight consuming all kinds of foods that will lead to trouble down the road. Good luck.

if you have acid reflux now, I would not even consider getting the sleeve. I had reflux as well - going with the bypass was a no-brainer for me. If it weren't for the fact I had reflux pre-surgery, it would have been a toss-up.

hunger goes away for most people with both surgeries - and it also eventually comes back for most people regardless of surgery. I would not base my decision on that.

less than half of RNY'ers dump. The statistic I see thrown around a lot is that about 30% of us dump. I don't know if there is any hard core research behind that number, but suffice it to say that a lot of us have never dumped.

5 hours ago, Superpharm01 said:

Getting my surgery on August 2nd. Still unsure about getting a sleeve or a bypass. I’m 5’2’’ , 235 pounds (bmi of 43) with sleep apnea and acid reflux. My doctor said I could get either surgery, but the sleeve could increase the acid reflux. I’m worried about the dumping with the bypass. I’ve heard that with the sleeve, the surgeon removes the part of the stomach that sends the hungry signals. Whats your opinions?

Because of acid reflux, bypass was the best option for me. Reflux is now gone. The sleeve can cause increased reflux, so that might be the deciding factor for you. With bypass, the stomach is still inside, but detached from it's ability to send hunger signals. The ghrenlin hormone is inactivated, so you do not have the hunger signals - at least for the first year average, but this can vary from individual to individual. From what I understand, dumping is mostly triggered by sugar or high carb content. It made me commit to never eating sugar again - aversion therapy, I guess. This can actually be a good thing for your overall, lifetime eating pattern. Just the fear of dumping is strong motivation for me to avoid any desserts or sweetened beverages. I have never experienced dumping and hope I never do.