Im trying to decide which procedure is best for me. Sleeve or bypass? I like sleeve for the fact it does not cause vitamin deficiency, it's a less invasive procedure and it's 10k cheaper but does it work as well as ther bypass

Hmm I had the bypass and I'm fine have lost 120 lbs. It came of in a years time

So I had the sleeve first in 2013 and it worked well for me. I lost over 100 pounds but about 4-5 years post op I gained most of my weight back and started having significant GERD which I never had before. I recently had a revision to Gastric Bypass and my reflux is gone and I am losing weight again. From personal experience if you have any issues with reflux I would go with the
By pass

if you have GERD, go with bypass. If you don't, it comes down to personal preference. Statistically people lose more weight with bypass, but it's not by a significant amount. IIRC, the average weight loss is 70% of excess weight (RNY) vs. 65% of excess weight (VSG). I don't know that cutting out 80% of your stomach and throwing it in the garbage is any less invasive than putting a staple line across your stomach and moving your small intestine up, but that's just me. They both seem pretty drastic to me...

anyway, you'll find people who are wildly successful with both surgeries - and others who have failed both surgeries - and others who are kind of in the middle. Success is really more a matter of your level of commitment rather than which surgery you go with. They're both good surgeries and if you're committed, you'll succeed with either one.

On 2/13/2021 at 5:30 PM, catwoman7 said:

I don't know that cutting out 80% of your stomach and throwing it in the garbage is any less invasive than putting a staple line across your stomach and moving your small intestine up, but that's just me. They both seem pretty drastic to me.

I used to think that VSG was less *invasive* too but I don’t anymore. I think that’s the way it was marketed by surgeons. But now I think that it’s a less *involved* procedure for the surgeons and patients alike.

I asked my surgeon if a person with a history of heart issues (a pacemaker in this case) can have bypass and I was told VSG would *probably* be offered first/cleared by cardiology easier because of less time under anesthesia since it can be done quicker.

What is VSG?

1 hour ago, HealthyLifeStyle said:

What is VSG?

vertical sleeve gastrectomy. It's the formal (medical) name for the sleeve. Like roux-en-Y (RNY) is the medical term for the bypass.

19 minutes ago, catwoman7 said:

vertical sleeve gastrectomy. It's the formal (medical) name for the sleeve. Like roux-en-Y (RNY) is the medical term for the bypass.

Oh ok, I don't know all these abbreviations just yet. I am fairly new. TY