Bypass vs. sleeve

Just joined up and having a hard time making a choice. Attended a infomational seminar last night and cant decide between the bypass or the sleeve. Really leaning towards the sleeve but wanted to get some advise or opinions. Thanks for taking the time to read this :)

Take your time and do all the research you can. You want to make sure  the procedure you choose is the right one.  Read about each procedure and ask yourself, can I do this for the rest of my life?  Here are some links for some additional information on both.

• ROUX-EN-Y GASTRIC BYPASS INFORMATION
• About Roux-en-Y Gastric Bypass
• Risks and Rewards of Bariatric Surgery
• Nutritional Guideline after Gastric Bypass
• Life After Roux-en-Y Gastric Bypass
• Choosing a Bariatric Surgery Center
• FAQ
• Feature Article
• Forum Contributors

• VERTICAL SLEEVE GASTRECTOMY INFORMATION
• About Vertical Sleeve Gastrectomy
• Advantages and Disadvantages
• Frequently Asked Questions
• Forum Contributors

Be sure and post on both forums to talk to members that have had the procedures and get feedback from them.

Roux-en-Y Gastric Bypass Surgery Forum (RNY)

Vertical Sleeve Gastrectomy Forum (VSG)

As you can imagine this has been asked a lot. It might help to read other threads and posts on this subject.  Use the search icon to the left of MY OH.  Here is one we did for you:  http://www.obesityhelp.com/search/action,search_oh/?q=rny+vs+vsg&cx=000946886326336472648%3Ae-vpeg4uyxw&cof=FORID%3A9

Keep us posted on how things are going and let us know if you need any further assistance.

Regards,

Member Services

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I chose the sleeve because I didn't want my stomach re-attached lower in my intestines. I want everything to stay as is but with a smaller stomach. I just had my surgery 3 weeks ago and am feeling great so far. 

Your BMI 40? Sleeve!  Are you diabetic . . . how long?  if you are diabetic and have been for quite a number of years you may want to consider the Sleeve with Duodenal Switch.

Best,

Layla

No I'm not diabetic at all. Pre-hypertension and BP is a little high but on meds which has helped. 

Here's what I've posted to my blog about why I chose VSG.  

The four WLS are - sleeve (VSG), gastric bypass (RNY), lapband, and duodenal switch. My insurance covers the first three, but not the DS.

I ruled out the lapband immediately because the only people I know who have had it are miserable or have needed it removed. The complication rate is atrocious and it only lasts for 10 years or so. It's billed as being a "reversible" surgery, but the damage it can cause, like from erosion into your esophagus, is permanent. So no lapband for me.

The choice really boiled down to RNY or VSG and I chose the sleeve for a number of reasons. (Even if DS had been an option, I would not have chosen it.)

1. I really like the simplicity of the sleeve. All it does is remove 85% of your stomach. That's it.
2. I dislike the idea of having my intestines rerouted.
3. The "good" malabsorption that the bypass gives (of fats) is a temporary thing that only lasts for a few years whereas the "bad" malabsorption (of vitamins and minerals) lasts for forever. That's not worth it to me.
4. The sleeve is restriction only, no malabsorption. This also means that I CAN eat anything at all. Fats and sugars won't screw up my bowels the way they can for the bypass. (Of course I still need to make healthy choices, but that's a choice, not something that my surgery requires.)
5. With the bypass, you're left with a remnant stomach that can't be scoped. That scares the crap out of me. First, the idea that I have this weirdly connected non-stomach but then to not be able to get it checked out with an endoscopy if there's a problem? Eek. Do not want.
6. My understanding is that complication rates with the bypass are significantly greater, especially longterm due to malabsorption. While I will be taking vitamins for the rest of my life, chances are that I won't end up in the hospital if I stop because the sleeve has no malabsorption involved.
7. For the most part (and there are exceptions) the people I know with the sleeve look and seem healthier than the people I know with the bypass. That's nothing scientific though.. just a gut feeling.
8. The sleeve leaves you with a fully functional pyloric valve at the bottom of your stomach whereas the bypass gives you a stoma which can stretch over time.

GREAT INFO!!!! Thank you sooo much. Think this has really helped with my choice. Time to see abput getting approved through Aetna...wish me luck

Good luck with your decision and insurance!

Thanks for the info but will pass.....lol 2 funny

Maybe they have a skinny spell for you? LOL