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The Sleeve vs Bypass?

I’ve been second guessing getting the bypass vs the sleeve .I originally wanted to get the sleeve procedure since it seems less complicated. I have about 70 lbs to lose to reach my goal weight. On my preop appt they noticed I had some gerd. I was unaware of this. The surgeon advised I have a bypass vs a sleeve since gerd is a common issue that develops with sleeve patients and assured me that the bypass will resolve these symptoms. I’m noticing a lot of people in these message boards who have gerd and still opted for the Sleeve. It was such a long process to get approved for the WLS I never thought abut getting a second opinion as I’d probably be waiting another 6 months! I’d love to hear others experiences when making this decision!
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  • I initially thought I wanted the sleeve. I had a history of occasional GERD symptoms controlled by OTC medication. The surgeon advised bypass for that reason and others. He said if I wanted the sle

  • catwoman7
    catwoman7

    if you already have GERD, think long and hard about getting the sleeve. GERD gets worse in about 30% of sleeve patients - so it depends on what your risk level is. I had GERD before surgery, and I d

  • I went to my consult asking for the sleeve, but after my doctor recommended the bypass and with more research, I chose the bypass. I had occasional GERD before, and I didn't want to take the chance o

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Reading this just 25 minutes after your update! I just submitted everything to my insurance today, and I’m going with bypass. This forum actually what was convinced me, last year, to do bypass.


1. too many stories of revision surgeries after sleeve since your body still absorbs the same amounts of food, unlike bypass. I know it’s not everyone, but I saw too many to make me feel confident in my ability to comply long term without a second layer of help (malabsorption.)


2. Diabetes runs rampant in my family. I’m not there yet but it’s an eventuality I wanted to do away with.


3. Someone above mentioned that bypass is so drastic... and sure, it is, but it doesn’t make sleeve less drastic in comparison. With sleeve, your stomach is essentially amputated, and with bypass your intestines are rearranged. They’re both hard, I just had to pick the “hard” I felt was worth all the trouble. Bypass was it for me.


I spoke with my nutritionist today about duodenal switch, and though you lose more weight, you have more vitamin deficiencies and it’s harder to carry a pregnancy, which I eventually want to do. I’m glad you made the right choice for you!

Edited by LizzLosingIt

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