VSG or RNY??? My daughter is TERRIBLY undecided....

Oh, you didn't offent me---I just wasn't sure what you meant. And I sgree, it's a wonderful thing to get ahead of potential health issues---prevent 'em whenever possible. Diabetes runs strongly in BOTH sides of my family, and I felt like I was really dodging a bullet when I had my DS---I did NOT want to wind up diabetic.

And good on her for doing something NOW. I so wish I'd had that option---I might still have working knees now, LOL! Joint pain sucks, and while losing weight has helped tremendously. I WILL need my NSAIDs for life, because the damage is done and will not heal itself.

when i first looked into weight loss surgery i was going with the gastric bypass, then my surgen told me to think about it, i did some research and decided to go with the sleeve. it's been 6 months since surgery i haven't weighed yet, i go in next fri. for my six month post op visit. i know its over 100lbs. i asked my surgen at 2 months post op (i lost 48lbs then), if i had the gastric bypass would i of lost more weight and he told me no. i'm happy i went with the sleeve. i didn't want my intestines touched and all the vitamines you have to take after. now i just take a multi. vit. i would advise the sleeve but thats her call. (oh yes i weighed 401 pre op)

Here’s my story...

My wife had Lap band Surgery about 5 years ago. She didn’t do too well with it. Food constantly gets stuck. On top of that her weight loss has been dismal. I knew that I didn’t want the band. Still trying to convince her to revise to the Sleeve. But that’s another story.

So…on 12/7/2009, I had my first consult with Dr. Nish. Going Into the consult I had my mind set on RNY as I definitely didn’t want the Lap Band. During the consult Dr. Nish told me about all the procedures that they perform the Lap band, RNY and Sleeve. He explained the pro and cons of all the operations. I was intrigued about the Sleeve and I was on the fence for about a month between Sleeve and RNY while I did the research and completed all of my testing.

After doing the research and talking to people at the surgeons support group and OH, I decided the Sleeve was what I wanted. Yet I was ok with the RNY as it was considered the Gold Standard. But the Sleeve was my preference as it was to me the lease invasive of the two. Also I didn’t want to have my day ruined by some jerk at Starbucks who put sugar in my coffee by accident and I experience Dumping Syndrome. Also didn’t want to have the meds (NSAIDS) that I may need to take in the future limited. Dr. Nish told me that the Sleeve’s estimated weigh loss was comparable but slightly less than RNY in addition the sleeve is less prone to stretching as the pouch of a RNY. I was more interested in getting to a healthy weight rather than a normal BMI. Dr. Nish agreed that the Sleeve would be a good option for me.

Then I ran into the insurance hurdles. Cigna at the time approved the Lap Band, RNY and the DS. Yet they considered the Sleeve experimental and wouldn’t approve it. I fought hard. I brought the VP of HR (from my company) into the loop. He was fighting on my behalf with the insurance company via his inside contacts. I was denied. I appealed; My Surgeon did a peer review with Cigna’s medical director and provided all the facts and case studies. I thought I was going to get approved when Cigna asked me for a letter from my primary doctor recommending why he believed the sleeve would be better for me than the RNY. My Primary is a gastroenterologist and wrote a very detailed through argument. Even after that letter Cigna still denied me.

I thought it was Gods will that I not have the Sleeve. Thought maybe he’s trying to tell me to go with the RNY. So I gave up and submitted to divine intervention.

I was at the point in my life where I knew I had to do something. I was basically a walking stroke. And it was only a matter of time before something happened. I went into this with the RNY in mind. Therefore I decided to go through with it.

I was so prepared for the RNY. I was on the RNY board religiously for two weeks. I bought all the supplements including things like Papaya enzymes to help with food that got stuck.

When I woke up from my surgery, I remember “Dr. Nish said everything went well…You have your sleeveÂ" I immediately fell back asleep. When I woke up again I said I thought you said that I had a sleeve. He said that’s correct. I found it too difficult to perform the RNY as you had too much belly fat. When you lose enough weight you can revise to a RNY at that point if you want.

He did explain to me when I signed the release form in his office that sometimes especially with Men, if there’s too much belly fat it makes it difficult to perform the RNY they may have to perform a sleeve or cancel the surgery. But since I did so well on my pre-op diet. He didn’t see that would happen in my case. But on my consent form I agreed to a RNY or a Sleeve either Laparoscopic or open depending on what was the safest thing to do.

I couldn’t tell you how happy I was. Again…I thought this was divine intervention.

Revising to the RNY isn’t a thought in my mind at this point. I reached goal in seven months with the Sleeve. I wear a 15 ½Â" Dress shirt down from a 22Â" neck. I’m also wearing 34Â" to 36Â" down from a 56Â" waist depending on the cut of the pants. I can eat anything I want just in small portion sizes. The Sleeve has been good to me and I love my Sleeve.

Too my surprise Cigna paid for everything. Two months after my surgery Cigna updated their policy and no longer considers the sleeve experimental and officially approves the procedure. I would have been so bummed if I had the RNY.

Feel fre to send me a PM if you have any questions

We have the EXACT same story and insurance.  Except I went with the RNY.  Cigna updates in May of each year so they NOW cover the sleeve.  

Wow Mike, that was some story!  Divine Intervention?  Absolutely!    Good for you!

OMGoodness MikeyMike! I literally have tears in my eyes reading about your story! You fought for your sleeve and when that didn't work--God fought for you!! Absolutely incredible!! The Lord does provide!

Pam :)

God bless you, Sir! Am virtually in the same 'boat'...but am leaving it up to HIM how/what/which it ultimately works out to...

What everyone else wrote. ;o)

Aside from the issues regarding malabsorption, regain of weight, etc., the single most important reason for me to choose the VSG over the bypass is that with the sleeve, there are no restrictions on medications you can take (once you are healed).

I have to take 800mg of Motrin, 3 times every day, just to function like a normal person.  I could not do that with the RnY, and believe me, i was NOT looking forward to a life with extensive arthritis and no medication.