which surgery?

Bam84
on 10/1/17 11:45 am

hello,i am really confused on which surgery to get.i wanted the sleeve but i was told that usually after a year you have a lot of regain but the bypass has a lot more risks so im really confused.could you guys give me your opinions and help me out please?

peachpie
on 10/1/17 12:26 pm - Philadelphia, PA
RNY on 04/28/15

There is an article on This very topic on the Homepage of the website

5'6.5" High weight:337 Lowest weight:193/31 BMI: Goal: 195-205/31-32 BMI

catwoman7
on 10/1/17 12:40 pm
RNY on 06/03/15

neither surgery has very many risks, so I wouldn't worry about that at all. Yes - the bypass does have slightly more risks, but risks on both are really low. And yes - read the article that Peach mentioned - it's very good.

RNY 06/03/15 by Michael Garren (Madison, WI)

HW: 373 SW: 316 GW: 150 LW: 138 CW: 163

Gwen M.
on 10/1/17 12:50 pm
VSG on 03/13/14

They're both very safe and have similar results over time. Factors to consider mainly involve your health history - do you have a history of reflux or GERD? What other health concerns do you have? These are things to discuss with your current medical team.

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Knitter215
on 10/1/17 3:02 pm
VSG on 08/23/16

It depends on many things. I was open to either but preferred the thought of the sleeve going into it but discussed both at length with my surgeon.

We decided for me that the sleeve was the best choice. When I first saw my surgeon on May 11, 2016, I was 5'3" and 271.5 pounds. I have asthma, reflux (which I didn't know at the time) and severe osteoarthritis in my knees (as in used to take narcotics for pain - almost daily). I was 55.

I just had my 1 year anniversary visit - I have been asked to speak to the support groups for new folks because I've done so well. I'm down 102 pounds from a size 24 (barely) to a size 8 pants. I fence (en garde!) 4-5 hours a week and competed in my first tournament today. I think I will be able to put off having my knees replaced.

One of the factors for me was that I need to take something daily to help with the knee pain. While neither surgery allows for long-term use of NSAIDs, we decided on a Cox-II inhibitor (same class of drug as Celebrex) that both my ortho and my gastirc surgeon could agree on.

So, talk with your doc - s/he may have specific reasons for one versus the other.

Oh - and by the way - I'm still losing. I want to drop another 20 before I declare myself at goal! I'm 13 months out.

Keep on losing!

Diana

HW 271.5 (April 2016) SW 246.9 (8/23/16) CW 158 (5/2/18)

Sparklekitty, Science-Loving Derby Hag
on 10/2/17 9:24 am
RNY on 08/05/19

Wow, congrats on participating in your first tournament! That sounds like a blast!

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

Shannon S.
on 10/1/17 4:07 pm
VSG on 11/07/17

I have a higher BMI than some and chose the VSG due to fewer long-term complications i.e. vitamin deficiencies/malabsorption. Seems to be a slightly safer surgery with very good results. I can't go in this thinking surgery is going to do everything, and eventually we will be able to tolerate food better and will gain on both if not careful. My Mom is team RNY and has done awesome with no major complications. Article on the homepage was very helpful.

Lina_Ann
on 10/1/17 4:19 pm

My doctor told me you lose about 10% less with the sleeve. These are the statistics from his clinic, though. If you are on medication, I suggest the sleeve. From what I know, absorption is a little eaiser with it.

Referral: June 2017
RNY with Dr. Neville in Ottawa: January 8th, 2018

Sparklekitty, Science-Loving Derby Hag
on 10/2/17 7:45 am
RNY on 08/05/19

My doctor said the same thing. I take medication for bipolar disorder, and chose the VSG (with surgeon's suggestion) because I didn't want to risk any malabsorption of my psych meds.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

NYMom222
on 10/1/17 9:54 pm
RNY on 07/23/14

I had gotten to a point in my life where no matter if I was perfect on my restriction i.e. Diet I still didn't lose significant weight. So I wasn't confident a restriction only procedure would be enough,

Cynthia 5'11" RNY 7/23/2014

Goal reached 17 months. 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

#lifeisanadventure #fightthegoodfight #noregrets

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