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Gastric Sleeve vs Roux-en-y



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Im schedule for surgery oct 14 but I am torn between having my sleeve as schedule or talking to my surgeon about switching to bypass... I have been researching and their is a chance that after 2 years with the sleeve I can gain some weight back and since im going thru this process and have been working so hard I might as well go all in (thats my train of though) I would love to hear what are your thoughts maybe you got one and now looking back you would have gotten the other one. Thank you in advance

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I would think that people can gain weight back with either procedure but possibly less so with the bypass due to the malabsorption. One thing to consider if you already suffer acid reflux/GERD the sleeve may make it worse.

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I had the same thoughts when considering which surgery I wanted....i considered the sleeve for several reasons...a few being that the actual surgical procedure was less than half the time it would take to do the bypass and I heard recovery wasn’t as bad. I also have a few close friends who had the sleeve and are more than happy with their results.
I ended up deciding on RNY due to my occasional acid reflux and I was nervous about regaining my weight and falling back into the old habits that got my in the situation I was in before surgery. I didn’t want to have to deal with the possibility of needing revision surgery and having to go through everything twice. I figured I was already going to be under anesthesia so I just thought “I’m not going to know how long I’m asleep” lol
But I know several people that had the sleeve and it was a perfect fit for them with long term success to back it up! It’s really just up to you!

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I had the same thoughts when considering which surgery I wanted....i considered the sleeve for several reasons...a few being that the actual surgical procedure was less than half the time it would take to do the bypass and I heard recovery wasn’t as bad. I also have a few close friends who had the sleeve and are more than happy with their results.
I ended up deciding on RNY due to my occasional acid reflux and I was nervous about regaining my weight and falling back into the old habits that got my in the situation I was in before surgery. I didn’t want to have to deal with the possibility of needing revision surgery and having to go through everything twice. I figured I was already going to be under anesthesia so I just thought “I’m not going to know how long I’m asleep” lol
But I know several people that had the sleeve and it was a perfect fit for them with long term success to back it up! It’s really just up to you!
Thank you for sharing ur journey with me... i feel the same way if im going to be under i might as well just go all in and keep myself on a straight line... how long ago did you have ur rny and have you had any problems... sorry for all the questions im just full of them lately♡♡♡♡

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I had my surgery 5/14/20....there was more pain and discomfort than what I originally expected for the first week but by the beginning of week 3 I had no pain and minimal discomfort and went back to work. I haven’t really had any issues other than having trouble figuring out what my body can and cannot tolerate....for example I can’t eat tuna bc it feels like I swallowed a bag of rocks every time I eat it...but so far that’s the only thing I’ve had issues with. I’m just over 3 months post-op and I’m down 63 pounds as of this morning!
Ask all the questions you have!! I’ll answer them to the best of my ability! ☺️

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you can gain weight with either procedure if you don't consistently follow the "rules".

the biggest thing to consider is whether or not you have acid reflux/GERD. If so, most surgeons will recommend the bypass since it often improves if not outright cures it. Not everyone who gets the sleeve develops GERD (or worsening GERD), but there's a significant enough minority who do that they'll usually steer you toward the bypass.

if you don't have issues with that, then it comes down to personal preference. There are plenty of examples of people on here who have had great success with both surgeries.

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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!
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    • Doughgurl

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    • 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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