Don't be surprised if you still have the hunger after RNY revision. I didn't at first but after the first 4-5 months it just came back. I was really bummed. Some people never get hungry with the RNY but I just wanted you to be aware in case they sold you on that with the surgery. 

The biggest problem with the RNY is a lot of people are getting reactive hypoglycemia a few years out and that really messes them up. No matter which surgery you have you will need to follow a low carb/hi protein diet and that alone will help your metabolic syndrome. My brother is diabetic and I finally got him to try eat hi protein/ low carb and he was amazed. His sugars had been up in the 300 range several times but just never steady numbers he bounced around all the time. He went low carb (under 100) and his numbers have been nice and low and steady ever since.

For a true low carb diet you should stay under 50, so I bet once you eat that way you will lose just fine and your sugars will even out. The sleeve plus low carb should work great for you, in fact you can go ahead an try it before the surgery. Ir is a bit rough the first few days and for a week or so but once you get those carbs out then it gets so much easier. If you go on line you can find all kinds of plans. Atkins is good but you need to count total carbs not net carbs like they say. They have changed the plan from the original one by Dr. Atkins. But do the low carb for 2 weeks (under 20 carbs a day) and anytime you are hungry eat all the meat, eggs, and cheese you want until you get thru the heebie jeebies. Then start adding in non starchy veggies and full fat like mayo, butter and other healthy oils. If you stick to this type of eating you will lose. Be sure to stay away from fruit because that is pure sugar!

I would very much advise against the mini gastric bypass it is not a very effective surgery and doesn't last very long as far as losing weight. The sleeve surgery has been around since the 1940's at least/ In the past it was used for ulcer and cancer of the stomach and they noticed many patients lost weight with it. It was also used as the first part of the DS (duodenal switch) weight loss surgery. So the actual surgical technique has been used for a very long time.

You need to look at how you eat and if you will be compliant with any vitamins you will have to take. How much weight do you need to lose if it is 100 or less restriction like the sleeve may work for you. If it is more than 100 lbs you should probably look at malabsorbtive surgeries like the RNY or gastric bypass (but not the mini bypass!) or the DS which has a sleeved stomach and a by pass. With the DS you will malabsorb calories and vitamins for life but with the RNY you will malabsorb calories for only 18-24 months then you will start absorbing calories again but not vitamins. You will continue to malabsorb vitamins for life. So if you have either of these RNY or DS you will have to take lots of extra vitamins and keep track of your levels for life.

The sleeve has been not just popular but also effective for weight loss. With any surgery tho you will have to eat mainly meat and veggies so you will basically be eating low carb style. Staying away from pasta, rice, bread, fruit and anything doughy. There are some who have lost over 100 lbs with the sleeve but it is mainly being able to stick with the low carb lifestyle.

You really need to get that band out before it does anymore damage, the longer it is in the more damage is being done. Don't let fear or indecision ruin the rest of your life you have to get that thing out of there. Best of luck to you and if I can answer any questions for you feel free to PM me.

Thanks for your post.

I had my band removed three years ago.  I wasn't mentally ready to have them done at the same time.  As far as recovery, the band was much easier on me.  I had my surgery at 8 am and was at my son's baseball game at 6pm the same day.  I think the sleeve recovery has been harder because of the damage of the band coupled with the fact that it is a more intense surgery.  I took 6 weeks off, but I work in patient care.  Even at that, I could have probably gone back at 4.  If you have a desk job, I would plan on taking at least 2 weeks off.  I love my sleeve.  I am so glad I made the decision to have it done. Good luck with your decision.