Here's why I'm leaning toward VSG. What do you think?
Is there a chance you might have a hernia causing the reflux?
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
Aw, bummer. :( That would have been a nice solution!
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
Those are all reasons that factored into my choice. Why is your surgeon pushing RNY? Does he have VSG experience?
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
I think all of the reasons you listed were why I chose the sleeve over the RNY. Mainly because I didn't like the idea of rerouting intestines.
I would ask your surgeon how many VSGs he's performed. It may be a case that he's more comfortable with the RNY and trying to push you in that direction. My surgeon left the decision up to me, and I have a lot more weight to lose than you do.
"Oderint Dum Metuant" Discover the joys of the Five Day Meat Test!
Height: 5'-7" HW: 449 SW: 392 GW: 179 CW: 220
I chose the sleeve for pretty much the same reasons you listed, so I think your logic is sound! :-) My surgeon also recommends avoiding NSAIDS even with the sleeve, but if you have to take them the sleeve is definitely the better choice. I'm still early but I love my sleeve!
Thanks for the replies everyone! I think that saying my surgeon was "pushing" RNY was overstating. When I went for my consultation, he indicated that he felt it was the best choice for me and was not overly concerned about my needing to take exedrine a couple of times a week. I know he has extensive surgery with both ( hundreds if Vsg's and thousands of RNY s so I don't think it's a question of experience. It was this lines about "gold standard"' "long term data" etc. in my subsequent research, I'm not sure it sits right. I am open to have him convince me otherwise, but wanted to see if my reasoning made any sense first, so thanks for that, I have worked in the hospital where my surgeon is for years and taken care of many of his patients, so I do trust him and respect his opinions. And given that, I believe he has enough respect for me not to push me end way or another for financial reasons ( though I don't doubt that happens frequently.) I really appreciate all of the words of wisdom here and am sure I'll be asking a few more question over the next couple of months. Still in shock! They told me on Friday it would be a couple of weeks before my insurance approval and then I got the call today! S**t just got real!