Sleeve vs RNY?

What are all of your opinions on having the Sleeve done vs RNY? I am 46, 5'6" and weight 265 lbs (bmi 42.2). I carry most of my weight higher on my abdomen with a smaller chest. I want to get down to about 135 lbs with as little of a chance of regain/ stretching as possible. I have the informational session scheduled for April 7th but can't wait that long to figure this out.  TIA

im in the same boat... not sure what to do.

5'10", 300#, 43 bmi. 31 year old male

Sleeve vs. RNY

Thanks emelar for posting the search results   Here are some links that will give you an over view on both and links to the surgery type sites also.  Post your question there as well.

• 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

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

Vertical Sleeve Gastrectomy Forum (VSG)

Thank you for all the links. Looks like I have a lot of research to do. sigh I wish this would be an easier decision.

The in a nutshell answer is RNY gives restriction and malabsorption.  Sleeve gives restriction. 

With RNY you can only eat a small amount and not all the calories are absorbed.

With Sleeve you only eat a small amount and all of the calories are absorbed.

Both restriction and malabsorption decrease with time.  After a few years you will be able to eat more and your body will absorb more.

Surgery gives you a honeymoon where you lose weight and learn the eating habits needed to keep the weight off for life.

Yes. I'm currently leaning more to the RNY way. I like the thought of the malabsorption.

Keep in mind that there are two kinds of malabsorption. There's malabsorption of MICROnutrients---vitamins and minerals. This kind of malabsorption is permanent with both the RNY and the DS. The second kind of malabsorption is of MACROnutrients, also known as calories. This kind of malabsorption is temporary in the RNY---most peoples' bodies manage to overcome it in18-24 months, and you've back to absorbing pretty much every calorie you take in. With the DS, malabsorption of calories is pretty much permanent.

Also, RNY had been proven to "cure" type 2 diabetes.  I havery a normal A1C at 6 months post surgery.  Make sure you take into account any comorbidities that you may have and how they are affected by each surgery.  

I don't have diabetes but I was told at one point that I was pre. I have to be careful.