Lap-Band or RNY?
I know that it is a personal choice, but I would love to hear from you: Which WLS you did and why you choose this surgery type. I am a newbie and have my first appointment on 09/22, sometime I want to do the RNY and other time I want to do the Lapband. I am sooooo confused! I research day and night ! but I am also exicited. Please help!!!!!!!! Thank you
There are two other choices you should research as well---the Sleeve/VSG, and the Duodenal Switch/DS. Both leave you with a much smaller yet still fully-functional stomach, not a pouch with a stoma. The Sleeve is a restriction-only surgery like the Band, while the DS also has malabsorption, like the RNY (only permanent.)
Depending on how much weight you have to lose, either of these should be an excellent choice. The DS has the very BEST long-term, maintained weight loss AND resolution or prevention of co-morbs like diabetes and high cholesterol. The DS also has the very most liberal post-op eating plan.
I chose the DS because it offered me the very best hope of losing and keeping off enough weight to be healthy and happy. I knew I'd always need to take NSAIDs (no-nos after either the RNY or the Band), and I didn't want dumping syndrome or any of the other problems associated with having a stoma.
At nearly seven years post-op, I'm effortlessly maintaining my lowest adult weight ever, and eating 2500-3000 tasty calories every day!
Between the two I would say RNY hands down. I have seen TOO many people get the lapband and have serious issues and never really lose any weight. RNY def has some drawbacks but not as severe as the lapband and the success rate is much higher. however if you are willing to step out of the box and think about other options I would highly recomend the DS. The DS has the highest success rate, and has the highest rate of loss over 10 years by a big percentage. with it you can eat normal, albeit small, meals. You can can eat sweets without problems, and if they are high in fat you don't even have to feel guilty for it. The drawbacks are it's a lesser performed procedure so a lot of times it's not written in under the insurance policy so it can be harder to get covered. Another drawback is it's a longer more complicated surgery and there a lot less quality expereinced surgeons so most people have to travel for surgery. That being said I am SOOOo happy that I was directed the way of the DS. Even if you aren't sure you might want to just peep in over at www.dsfacts.com It lists all DS surgeons and it will give you a lot of information on the surgery itself. or feel free to pop on over to the DS boards and we'll be happy to answer any questions you may have. http://www.obesityhelp.com/forums/ds/a,messageboard/board_id ,5357/
Good luck to you whatever surgery you choose, I wish you all the best!!