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Why did you choose the surgery you had/will have?



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I did not suffer from GERD pre-op so my Doc left the decision up to me. He told me he does do more RNY's and that it is the "Gold Standard", but that is because its just been around longer. He has seen successes (and failures) among both. He told me he feels that that success lays more with the patient than the type of surgery. He wanted me to choose whichever one I felt most comfortable with to my body.

Ultimately, I chose Sleeve because:

  • I didn't like the idea of re-routing my intestines
  • I wanted to have my pyloric valve intact
  • I wanted to be able to take NSAIDS (or time-realase meds) if I ever needed to
  • I didn't want to increase my chances of dumping (Boo on me: I dump anyways :( )
  • I didn't want the malabsorption effect and have to take more Vitamins (Boo on me again: I was prescribed the same Vitamin regimen 🙄 )

I stuck to my plan pretty strictly during weight loss phase and got to goal in 7 months with a 110 lbs loss & a BMI of 23 at the time (I am 14 months post op now with a total loss of 120 lbs & a BMI of 21)

Honestly though, I'm pretty sure I would have got to the same place with either surgery.

Do your research, take in the advice/recommendations of your doc/team, and go with your gut ❤️

Good Luck!

P.S. the one thing though that I thought was a "pro" for me to go bypass was that theoretically it was reverseable (I was totally scared at the time) 😂

Edited by ms.sss

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I chose gastric bypass for a couple reasons.

I know everyone doesn't get it, but I feel like the dumping syndrome Would be a help to me long term to stay on track just in case I considered straying a little.

And second, I know this isn't everyone but I've seen alot of stories of people needing to get the revision from sleeve to bypass and I don't want to have to go through this again.

Like everyone else said, talk it over with your doc. He/she will be able to help you come to a decision.

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7 hours ago, nenes78 said:

My surgeon had suggested bypass. I wanted sleeve. He had recommend it as it is malabsorption for life and that would achieve the greatest results he felt. I figured why change the plumbing and was willing to make the changes I needed. He said sleeve was fine as long as i remember that it was not malabosrption for life. After the one year checkup he said I was good and surpassed their expectation of my weight loss, I lost more than was expected from either surgery.

I remember you stated you had your surgery at West LA Kaiser, were you kept overnight? I'm only asking because I saw someone post that they were released the same day as surgery from this location. This concerns me.

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I had a slipped lap band that needed to come out. My surgeon said he'd do either procedure, but it was preferred to revise a lap band to an RNY in one procedure than the sleeve, and I wanted it all done in one surgery since I live 4 hours away from my surgeon. Also, I had terrible GERD before my lap band so the surgeon suggested the RNY to help keep the GERD from coming back. So far, so good!

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Thank you everyone for your stories. I'm still waiting on a call from my doctor for my first appointment, but I'm doing a ton of research beforehand (thus my reason for joining the forums!). My surgeon offers three surgeries: lap band, gastric sleeve, and gastric bypass. I'm torn between the sleeve and bypass. Some of my symptoms (besides being overweight, obviously):

  • pre-diabetic
  • PCOS
  • fatty liver
  • infertility
  • acid reflux (mild to moderate - no GERD)

Those that had some (or all) of these symptoms, how soon did your symptoms get better or be resolved completely? I'm not looking for a quick fix, and I'm aware that this will entail a MAJOR lifestyle change, but I'm curious as to how soon some of the negative symptoms I currently have can start working themselves out.

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Hi @KlaPV:

See below...

  • pre-diabetic: tested and resolved by my 1 week post op appointment
  • PCOS : n/a
  • fatty liver: tested and resolved by my 3 month post op appointment
  • infertility: I never checked if I was infertile (I'm 47 and we are done with kids!!), but my period was very sporadic pre-op for years, sometimes going months & months without it, and it was very, very light if/when I did get it. I thought perhaps I was transitioning to menopause. My first post-op period was within a month of surgery and it was HEAVY (so heavy I thought something was wrong, lol). Then I've been clockwork every since, every 4 weeks, with medium flow (just like when I was skinnier years ago).
  • acid reflux (mild to moderate - no GERD): n/a**

** BTW, with your mild to moderate acid reflux you may want to lean bypass...??

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12 hours ago, Flo-grown said:

I too wanted the bypass to lose the maximum amount of weight and my doctor felt I could achieve the same results with the sleeve even though I suffered from GERD. I trust my doctor and I'm very happy with my surgery. I have not had any issues with GERD since my surgery.

5'4"
Starting weight 297
VSG on 7/31/19
Surgery wt: 266
CW 206
GW 135

Sent from my [samsung Galaxy] using BariatricPal mobile app

Me either, no more GERD. Hooray!

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since you have acid reflux, you should seriously consider bypass. Sleeve doesn't make all reflux worse, but it happens to enough people that I'm not sure I'd want to risk it.

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15 hours ago, KlaPV said:

Mini bypass? I'm not familiar.

It's a combination of the sleeve and the bypass.

https://www.bariatricservices.eu/bariatric-surgery/mini-gastric-bypass/

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I never really liked the label "diabetic" that the doctor stuck on me since I only had a slightly elevated A1C, but I did take the metformin that he gave me. That label DID help me get approved for my surgery since it gave me a comorbidity so I guess he did me a favor. They had me stop the metformin two days before my surgery, and the last A1C I did was completely normal! Gastric bypass, and to some extent the sleeve, has worked wonders for many diabetics.

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Bypass because I felt there was more long. Term research available

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@ms.sss

Thank you for your insight. It's definite things that I need to bring up with my bariatric surgeon.

@catwoman7

I will bring this up with my bariatric surgeon and let it weigh in on my research.

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3 hours ago, NYJenn said:

Bypass because I felt there was more long. Term research available

I agree. I just shudder when I hear about new meds or new procedures getting pulled because real life experience proves they were ineffective or dangerous. Gastric Bypass has been around for a long time and there is so much information now from decades of post op patients. The band was a disaster and most surgeons don't do it anymore. The sleeve seems great, but I just need to see more years of data before I am comfortable with the long term effectiveness. So for me, bypass was the best option, especially with my history of GERD.

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On 1/15/2020 at 7:36 PM, Krimsonbutterflies said:

I remember you stated you had your surgery at West LA Kaiser, were you kept overnight? I'm only asking because I saw someone post that they were released the same day as surgery from this location. This concerns me.

Sorry I just noticed this. I was kept overnight. Surgery Wednesday, released Thursday.

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