Bypass or Sleeve

[EsojLabina 68]

Want to read what has been the experience of people who had either sleeve or bypass with All the comorbities (HBP, daíbetes, sleep apnea, heart disease, acid reflux and asthma)

1. what surgery did you do and why?

2. Has the surgery resolved all or some of your comorbities?

I am a candidate myself but unsure 😐 of what surgery to choose. Looking for some feedback thank you all

Edited August 21, 2021 by EsojLabina

[Wahinebythesea 49]

I had roux en y gastric bypass because 1) I already had GERD and couldn't bear it getting worse and 2) RnY GB has been around longer than sleeve, and in my mind the long term complications are better understood.

My major co-morbidities were hypertension, impaired glucose tolerance (pre-diabetic) and a fatty liver on imaging. The hypertension resolved in the post-op phase. Last pill I took was the day before surgery. Zero GERD since surgery. Haven't had a repeat fasting glucose or ultrasound, but I expect those (and my lipid profile!) to be improved as well. Incidentally, I used to get Migraines (with aura) pretty frequently, and those have gotten a LOT better, too.

One other factor is that I was self-pay in Canada, and RnY is more expensive than sleeve.

Edited August 21, 2021 by Wahinebythesea

[Lynnlovesthebeach 627]

I had HBP and was on 2 medications. I was pre-diabetic with a hA1C 0f 6.3, unmedicated because I refused it, severe GERD-took meds but nothing really helped, GI doc said only thing that was going to help was weight loss and he was right. I think I probably had undiagnosed sleep apnea but refused to get tested. I had other issues too but they aren't on your list. I had "exercise induced asthma." Good reason not to exercise, right? I made the decision to have RNY gastric bypass for these reasons-I knew 4-5 people that had the sleeve and were not successful maintaining their weight loss, my insurance only pays for one surgery and I wanted to make sure I gave myself the best chance I could to be successful, my reflux was so bad the sleeve was ruled out. My doctor recommended the DS but I decided on the RNY GB. I left the hospital on a 1/2 dose of one of my BP meds and it was discontinued at my first post-op visit. My only meds now are my Vitamins and Calcium. I have lost 114% of my excess weight and will be 3 yrs post surgery in October. I follow the rules I was given and track my food still, mostly to make sure I'm getting my Protein. I made a decision to change my lifestyle and my relationship with food and it has become my new normal now. I don't miss sugar or carbonated drinks and those were my main "food groups" before. I eat healthy foods but not to the point of addiction! I feel like a new person! Good luck with your choices!

Edited August 21, 2021 by Lynnlovesthebeach

[EsojLabina 68]

@Wahinebythesea thank you so much for taking out of your time and sharing your experience and results with me.

[EsojLabina 68]

@Lynnlovesthebeach Thank you for giving a great feedback. Understanding that bypass is a tool and that I need to be really mindful. I am so happy to read this reply it gives reassurance.

[Lynnlovesthebeach 627]

22 minutes ago, EsojLabina said:

@Lynnlovesthebeach Thank you for giving a great feedback. Understanding that bypass is a tool and that I need to be really mindful. I am so happy to read this reply it gives reassurance.

It is a life changing decision and so worth it! Good luck with your journey!

[EsojLabina 68]

22 minutes ago, Lynnlovesthebeach said:

It is a life changing decision and so worth it! Good luck with your journey!

I really appreciate the positive vibes

[catwoman7 11,235]

there are some medical conditions that would make one surgery more appropriate for you than the other, the most common one being GERD. Most GERD sufferers are advised to go with the bypass, since that often improves it (if not cures it), whereas there's about a 30% chance that sleeve can make that worse. Since you have GERD, your surgeon will probably recommend that you go with that. Aside from certain medical conditions, it really comes down to personal preference. Both are good surgeries and you'll find plenty of people who've been successful with both.

I had GERD, so I went with bypass on my surgeon's recommendation. I've been really happy with it.

[EsojLabina 68]

4 hours ago, catwoman7 said:

there are some medical conditions that would make one surgery more appropriate for you than the other, the most common one being GERD. Most GERD sufferers are advised to go with the bypass, since that often improves it (if not cures it), whereas there's about a 30% chance that sleeve can make that worse. Since you have GERD, your surgeon will probably recommend that you go with that. Aside from certain medical conditions, it really comes down to personal preference. Both are good surgeries and you'll find plenty of people who've been successful with both.

I had GERD, so I went with bypass on my surgeon's recommendation. I've been really happy with it.

Thanks for the feedback. Indeed I’ve read many have success with both. I am glad everything went smoothly with yours. I will see my Dr on Sept 23 for the last pre-op and see what is his recommendation.

[Dave In Houston 199]

I had been taking proton pump meds for 20 years due to reflux, so my surgeon strongly recommended the gastric bypass.

[EsojLabina 68]

9 minutes ago, Dave In Houston said:

I had been taking proton pump meds for 20 years due to reflux, so my surgeon strongly recommended the gastric bypass.

Same here Dave I’ve been taking nexium for quite sometime. Keyword strongly - Thank you for taking out of your time and sharing. This forum really makes a difference.