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Can folks tell me more about what they considered when deciding between a sleeve to mini-bypass versus sleeve to bypass?

Why did you choose the mini?

Thanks!

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I don't claim to be an expert here, but a few thoughts come to mind for you to consider:

  • MGB is extremely rare in the US. (It's much more common on other parts of the world, especially Asia.) Part of the reason it's so rare here may be due to the fact that it's not an endorsed procedure by the American Society for Metabolic and Bariatric Surgery. I would suspect revisions are even less common, so there's probably not a lot a data on success rates?
  • Because there's not a lot of data, it's a bit unclear if MGB will even address your GERD issue? I'm seeing a few studies out there, but results are unclear. Roux-en-Y GB is actually sometimes performed specifically to treat GERD due to its effectiveness in alleviating those symptoms. I would think if GERD is the main reason for the revision, this may be an important consideration?

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I am revising to MGB tomorrow due primarily to weight loss. I never had issues with GERD or heartburn. I didn't take care of my sleeve and when I tried getting back to basics 5 years out it just didn't quite work, I just couldn't lose more than a couple pounds. I went to my surgeon in Mexico to see if a resleeve were the way to go but he advised against it for me. He said MGB is way less invasive and will really help me with the weight loss I'm hoping for. I am self pay so after a lot of research I am doing what seems best for me.

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Less invasive and long term results are just as good .

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I answered you on another thread but just a quick recap here. I had such a horrible time with acid reflux that when my surgeon said that if I have the MGB I may be risking bile reflux which is linked in a recent study. So I went RNY as per my surgeon.

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