Hi everyone. I started my journey to surgery 4 months ago. I am down 30 pounds since I started. I went into it knowing I wanted the RNY. My doctor tends to do a lot of sleeves. He said when you look at the weight loss in a 5 year period, they end up having very similar results. She sleeve is slower, but evens out by 5 years. His reasoning for thinking I should do the sleeve is because I currently use NSAIDS. My hope is that after weight loss, I won't need them any more. He ultimately said the decision is mine and he's ok with either one. He is going to retire before my surgery and I will see his partner on March 3 when I have to make the final decision. His partner also tends to do more sleeves than RNY. I'm looking for people who've had surgery. Which did you pick, why and are you happy with your results? Thanks in advance!

I also take prescription NSAIDS due to significant back issues, so I initially thought I could not go with bypass. However due to the risk of GERD (symptomatic and verified by endoscopy), my doctor did not recommend sleeve.

The resolution was to go ahead with the bypass. With my doctor's blessing, I have continued to take the NSAIDS and have been successful because she also prescribed a Proton Pump Inhibitor for me.

If you have any history of GERD, it would be best to at the very least have an endoscopy done to make sure you are still a good candidate for the sleeve. I don't know what the overall revision statistics are, but there sure are a lot of folks on here that initially had sleeve and had to get a revision to bypass. Some of those were due to poor results, but a lot seem to have been due to GERD.

Thank you. I forgot to mention that I just had the endoscopy done last week and Al looks good. No reason to not do the sleeve. My preference has always been the RNY because my sister, sister-in-law and niece have all done the RNY with great success and I know what to expect. Recently my gut says to do the sleeve, but also feel I’ll regret it if do.

I had to pay for all my surgery. I chose the sleeve because it cost £2000 less than RNY. I have ended up with GERD so really wish that money wasn't the issue back then. Otherwise I am overjoyed with my new skinny life.

I’m having my second RNY. My first was 16 years ago when I weighed 265 lbs. After losing 100 pounds, I gained about half of it back due to a medical issue I didn’t know about. So, the best option for me now is another RNY. My doctor mentioned that I could consider a sleeve, but he would not recommend it because of my history of gaining weight. The main reason I’m choosing an RNY this time is that I previously had a duodenal switch and do not want to go through that again. I think the choice depends on how much weight you’ve been able to lose on your own, how high your BMI is, and your medical history. For me, it’s absolutely an RNY.