RNY vs VSG

I was wondering how many people have received VSG vs RNY covered under OHIP.  I know they prefer the RNY procedure but the VSG looks like it has some reduced risks and no dumping syndrome.  The results from some searching seems to be pretty close overall as well.

Just curious as I am just in the initial phases of the entire process.

Thanks.

Greg

Like you, when considering surgery, I found that OHIP 'covers' both RNY and VSG and given the details of both surgeries, I was leaning towards the VSG simply because of the fact that there is less malabsorption and a reduced risk of dumping. However, I also knew that RNY is 'the gold standard' and unlike in the USA, in many centres, you don't get a choice; you get what your surgeon will give you and what they determine is best.

I am in Ottawa, and the centre here performs predominantly RNY surgeries with VSG being an option only in cir****tances where an RNY would pose problems. Essentially, you have to have a rationale and a reason for needing VSG rather than RNY. Your medical history or requirements can dictate that VSG would be the preferred surgery, but it would be incumbent on you to find out that information, enlist the buy-in from your GP or other specialist, and then present that information, making a case to the centre when you meet with the surgeon. They will either agree or disagree with your findings and then you go from there.

In my case, I was considering VSG because I am dependent on NSAIDs for arthritis. And unfortunately my arthritis will not get better after surgery, unlike some other types. I went to my rheumatologist, explained the surgeries and details, and he agreed with me that VSG is the best option. He wrote a letter to that effect, and gave it to me, as well as recorded it in my electronically accessible file. When I met the surgeon, he essentially said, "So you want an RNY?" and I explained that yes, but no... and that VSG was best for me and why. He said, "I'll still need a letter from your doctor to that effect," and I replied, "I have that right here." He read the letter, looked at my file, and then we agreed: VSG it is. My surgery is February 3, 2014. I look forward to it.

Do your homework, be prepared, and know why you should have one surgery over the other. If you do that, you will be well on your way. Wishing you lots of luck!

I have a VSG and had it due to having crohn's disease and because of this RNY was not a option the surgeon gave me. However, there are times that I wish I had dumping syndrome because I have no food restrictions at all so I worry a lot about going back to bad habits done the road.