how does one decide most appropriate procedure?  Just beginning to research for 19 yo who has 130 lbs to lose to get out of obese range.  We will continue research of course, but just thought vsg seemed least invasive and risky.  Any opinions on negatives to this procedure?

I would suggest using the search function (small magnifying glass at the top of the page) and search on "RNY or VSG" or "bypass vs sleeve".  

This question comes up at least once a week (usually more often) so there is a huge history of responses answering your question.  Many times when people write out a very detailed reponse to something -- as I have done a number of times about why I had RNY (VSG not available in 2007) but would choose VSG if I were doing it today -- they don't have the time/inclination to repeat those lengthy (but useful) replies.

Also, I would encourage you to pay attention to how far out from surgery the respondents are.  People who are only a few weeks or months post-op and are actively losing (or are having temporary problems adjusting) will generally not give as balanced and objective reply as those who are many years out.  It is easy to be thrilled with surgery when you are dropping weight like crazy; it is quite another to live with that chocie of surgery for 5 to 10 years or more.

Lora

Haha

 I'm still researching and still looking for the small magnifying glass to find specific info.  It doesn't show up on my home page...😁

Surgery in it & of itself is inherently invasive & risky which is why it's so important to choose the right one for you. Do your research & find the pros & cons of each procedure to decide what's best for you cuz in the end you'll have to live with your decision for the rest of your life.

For me I chose the vsg & am very happy with my choice. Mind you I'm only a little more than a year out from surgery & am still actively losing. I'm a newbie.

I chose the vsg a restrictive procedure versus the rny/ds which are restrictive & malabsorptive procedures based on my past diet history & current  (at the time) medical condition, among other things. I felt that I didn't need the malabsorption to get to goal or to lose the bulk of my weight. So far, so good, still have a ways to go. I wasn't crazy about having my intestines rerouted, having a remnant stomach that couldn't be scoped, & I definitely didn't like depending on vitamins for life since the malabsorption of nutrients is for life. 

Many people do really well with the rny, it's still considered the "gold standard" of bariatric surgery. The DS which is a bit more complicated surgery does even better. If however you have Gerd, the vsg can make it worse. I had gerd but it was very mild & likely caused by the hiatial hernia that was repaired at surgery.

Well good luck in whichever procedure you choose.

Wow!  Thank you so much.  Never been to such a helpful chat site.  This support is going to be invaluable!

when you do the search, keep in mind that the RNY excludes using NSAIDs (Aleve, Motrin, Aspirin, etc.) for the rest of your life due to the lack of a pyloric valve.  At your daughter's age, she may need the option for pain meds that restrict her access to pain relief.

If your daughter needs WLS why isn't she researching it?  If she's old enough to make the decision to have surgery, she should be the one making the decision.  You should be the cheerleader, not the driver of the team. (sorry for the mixed metaphor)

What Mickey said is right. Aside from a messed up back which I had surgery for and is now relatively pain free 98% of the time, I am 38 years young and generally feel good.  However, I took a bad tumble skating, whacked my knee and hip. Both were/are inflammed and bruised. The first week was miserable and I desperately missed NOT having NSAIDs available for pain and inflammation.

All I had was hot and cold compresses and meditation (yep deep breathing). That and a glass of wine everynight (I didnt feel the pain and got to sleep). Notably, too much alcohol is bad for us RNY'ers, makes one fat and WILL not get one  to goal. SO I had a really bad trend last week.

And it got me thinking...what is old age going to be like!?!!!

Allegedly, if one believes all the patent applications otu there, NSAIDS and other drugs can be delivered by patch. But with the RNY population the size that it is (I.e. really big..I doubt we are an ORPHAN population by FDA standards), one has to ask "Where the hell are the NSAID patches!?!?!?"

So, while I LOVE MY RNY, and it has taken me from an XXL-XXXL (at Lane Bryant) to a size Small (at Forever 21)....perhaps VSG would have been a better long term strategy for me. 

But, "Coulda Woulda Shoulda".  The key is to gather enough information, make the best decision you at the time wiht the info you got, make a decision, move forward, and dont spend too much time staring in the rearview mirror.  Also, dont get caught up in "analysis paralysis".  At my job, some people do that and NEVER make a decision..then they get fired.

PS. I agree with Mickey about your daughters role too. It is great that YOU are motivated but it is her body, her decision, HER LIFE-LONG WALK. Is she ready to commit to taking handfuls of vitamins SEVERAL TIMES A DAY for the REST of her life? Is she ready to commit to make the proper food choices and limiting improper snacks EVERY SECOND OF HER LIFE (seriously..some of us were steady grazers before WLS). Is she ready to commit to EXPENSIVE LABS (we are talking 700 bucks a quarter~3K a year if your insurance does not cover them) for the first two years post op and YEARLY thereafter?

Is she ready to NOT DRINK BEVERAGES and eat food at the same time for the rest of her life?

Seems to me by your researching this and asking the questions (versus her), that you are more motivated than she is.

The stimulus is going to have to be HER because for the rest of her life it is going to be NO ONE BUT HER making the correct decisions and maintaining her health/weightloss.

Thank you!  Very helpful!

My surgeon tells both his RNY and VSG patients no more NSAIDs for life. An ulcer isn't good in either case.