Need your opinion

Hi,

I would like to know opinions about my situation:

I had the band and only lost 20 pounds, it gave me reflux. After the band was removed 4 years ago the reflux desappeared. Someone told me that my body may need the malabsorptive component that the RNY and DS benefit from. I was thinking of the sleeve, my BMI is 39. My first consultuation with my surgeon  is on the 5th of Feb. Im anxious to meet with my surgeon and make my decision....I need surgury due to an increase in comorbidities.  But thanks God i have managed to keep the same weight for 4 years......But impossible to lose the weight with diets....my arthritis is very bad, i had meniscus surgery and I cant breath when I walk or exercise. My health is not good I have high blood preassure, diabetis, sleep apnea and NAFL. I feel a bit embarrased because many people have the tendancy to think that if the band didnt work for me, the sleeve wont either.  But I need honest opinions. Thank you so much.

See what your surgeon says. Sometimes the band can cause damage or scar tissue, and one surgery would be more appropriate than the other for that particular situation.

Thanks so much.

I think your Dr will have some good advice for you...I'm 2 weeks out of RNY...no side effects as of yet  total WL is 18 pounds...

my opinion between RNY & DS is of course RNY...but look at every option your Dr has for you   Good luck  :)

thank you

One thing to consider is that acid reflux can be aggravated by the sleeve. You retain the main acid producing part of your stomach and with the reduced stomach volume, the acid doesnt have anywhere to go. A lot of VSG folks get by just fine with a PPI, but if you've had acid problems in the past, you will want to discuss it with your doc. 

With the RNY, your pouch is created out of the top portion of the stomach and the acid producing bottom part is closed off, resulting in greatly reduced reflux issues. Keep in mind that with the RNY the malabsorption of calories is only about 12-18 months before your body compensates. It'll definitely give you a leg up on your weight loss!

I understand with the DS the calorie malabsorption is permanent. Make sure you talk over all of your options with your doc. Take the time before your appointment to do your research and write down questions as you think of them. 

Good luck and let us know how it goes!

Jen

Thanks alot, your help was greatly appreciated

One thing to keep in mind is that with the RNY you MUST NOT take NSAIDS (Aleve, etc) again because it can cause ulcers at the surgical stoma site.  since you've already had knee surgery, you can probably count on more in your future.

I have heard lots of good things about the DS, mostly because it doesn't remove NSAIDS from your future.

Thank you for your advice. I really appreciate it.