I would like to clear my doubts by hearing real-life experiences.
My husband and I have both had surgeries as well as a very close friend of mine, and we each picked something very different.
My friend picked the sleeve, she went first. I picked the DS, and went second. My husband picked RNY, and went last.
My friend had her sleeve about 6 months before me and lost approximately 80lbs in the last year. She is still about 50 away from goal, and even though she exercises a lot, she doesn't track what she eats and has stayed the same for about the last 5 months. I am not sure what her starting BMI was but it was over 38, I believe it was about 41.
I decided on the DS for several reasons. Biggest reason is from everything I read, it is by far the best in the long run as far as keeping the weight off. But, this great loss comes with some things I really really had to put a lot of thought into before surgery. I knew with every surgery I was basically going to be on a ketogenic (low carb) diet for most of my life, and I have a very big sweet tooth, but I also love meat. I decided that since I love to bake I would deal with making my treats low carb. RNY was out because even though dumping occurs only about 30% of the time, there was no way I was going to risk this. Next thing, which ruled my husband out, was that I would have to be diligent on my vitamins. Now this hasn't been a big deal for me because I have always taken some sort of pill several times a day - but for people like my husband who can't even remember to brush his teeth daily, this wasn't an option. I started with a BMI of 42, which my surgeon was on the fence about since it is relatively low for DS. My co-morbidities were basically sore joints and GERD (but we didn't need to consider those for insurance due to my BMI). However, we talked, we decided to keep my common channel at 150 and go for it, and I had to promise to be diligent with my follow up care to ensure I wasn't loosing too much (i'm still struggling with this, but until i'm at goal i'm not freaking out). I had my surgery on 07/08/14 and have lost about 115lbs since then. I am still about 30-40lbs away from goal. Oh, and I went into this surgery knowing that while my surgeon doesn't do this procedure often, he does have experience with it and performs several a year, and my nutritionist would likely not give 100% spot on advice since she doesn't see it often. Intro to this website and all the great info!
Now, for my husband and his RNY. He started with a BMI of about 59. He opted for the RNY over other surgeries because of the restriction he would fill. He doesn't have a sweet tooth so if dumping happened it wouldn't be the end of the world for him (and it didn't happen btw). His biggest problem (like many of us) is that he would eat and eat and eat and never feel full or slow down. For this reason he didn't want to be able to eat more than a few ounces at a time. He also couldn't handle the DS because of the meds - he cant remember and he can't swallow pills. With his RNY he is able to take chewable vitamins. He had his surgery on 12/10/14 and has lost about 70lbs and his BMI has dropped about 10-11 points. He's currently in a stall. He also went into his surgery with high blood pressure, high cholesterol and sleep apnea. He doesn't have any of those anymore.
Anyway, from my research and personal experiences, each surgery has its drawbacks and high points. And each one is better than nothing! Each provides a long term tool - you just have to know how to use it for you and be willing to commit to doing so. Keep doing research. Know what you are getting into. Know the drawbacks of your surgery. Know what it will take to stay at goal. Talk to your surgeon and find out what they recommend for you.
Best of luck and let us know what you decide!
HW 284; SW 270; CW 152; Revised GW 140-160
In my mind I was set to have the VSG then, I saw the surgeon who said that would GERD that VSG would make it worse and she would not do that. She also wouldn't do the Lap Band as she said that she had seen issues long term (10+ years out) so that left me with RNY with her. It took me awhile to get my mind around that as I didn't like the idea of so much reworking of my "insides" however, I am very glad that I still proceeded with the surgery. The first month post op I was sure I had made the biggest mistake of my life but now, six months post op, I am tolerating a lot more food and feeling so much better. I was considering morbidly obese and had high BP and knee issues. I would pick a surgeon you really trust (a friend had used the person I chose) and go in with an open mind to what their recommendations are. I didn't want to trade one set of issues for others. I am sure you don't either. I am the type of person who like things "settled" and to know what is going to happen before hand so I thought I had it all worked out but she presented valid reasons for the RNY over the VSG. She was the surgeon with tons of experience so I opted to listen to her - it made sense - and I am glad I did. It is a hard decision and I wish you luck in making the right choice for you!
I had RNY 11 years ago. I have kept off 115 #s within 10 lbs the whole time. It feels miraculous to me. I have discovered hiking. I get tears in my eyes at the top of a mountain when my body couldn't even walk the mall before. My daughter is 23 and chose the sleeve. She has lost 131 #s in 6 months. I supported her decision because she hasn't had kids yet and she won't have Mal absorption issues I hsd. My only regret is that I didn't have surgery 10 years earlier. Ps. She had post op dehydration issues and was hospitalized. I had post op anemia issues. Good luck
I have lost 115#'s. I had my surgery on January 20, 2004.