Sleeve vs. Roux En Y?
What are the deciding factors in whether you get a sleeve or the bypass? I was told we did not have a choice but rather the surgeon decided.
If anyone has some input into this I would really like to hear how this works.
TIA
Referral - May 31/17; Orientation - June 15/17; First Appt Nurse - June 26/17; Bloodwork and ECG - June 27/17; Sleep Study - July 5/17; Dietician Appt - July 10/17; Counsellor Appt - July 10/17; Abdominal Ultrasound - July 10/17: Endoscopy/Colonoscopy - July 25/17; Second Dietician Appt - September 14/17; Internist Appt - October 2/17; Meet the Surgeon - November 21/17; Pre Surgery Nutrition Class - January 12/18; Surgery - January 16/18
My understanding with my centre (TWH) was that they do the RNY unless they can't due to medical issues. Statistically it leads to a higher % of excess weight being lost and is considered the 'gold standard'. There also seems to be a large number of people who get the sleeve and later have it revised to the RNY.
After my research, I felt strongly that that was the best bet for me (i know everyone is different, so please know that I am not poo-pooing the sleeve) and I made sure my surgeon knew that RNY was what I really wanted. I know that once they open you up there are some cases where they have to sleeve, and I agreed to that if necessary but when I woke I was happy to know it was the RNY that I got.
Surgery Jun.2/17 at TWH ----- HW 215 - SW 197.2 - GW 125 CW 124.6
Pre-Op=8.8lbs --- Optifast= 8.4 (was on it for 9 days due to cancellation)
M1 - 20.6... M2 -10.2... M3 -8.0... M4 -5.8... M5 -9.0... M6 -5.2... M7 -7.0... M8 -2.2... M9 -0.9... M10 -2.6... M11-0.6... M12-2.0
The sleeve was never an option for me due to my acid reflux, the sleeve can exacerbate reflux.
Referred:Oct 2016 Orientation: Jan 9th/17 Nurse: Apr 4th/17 PreOp Class 1: Apr 2017 Nut/SW:Jun 13th/17 Psych:Jun 29th/17 PreOp Class 2: July 11th/17 Meet the Surgeon:July 12th/17 Endoscopy: July 21st/17 RNY Surgery: August 25th/17
Opti-15lbs M1-18.5lbs M2-12.5lbs M3-10lbs M4-10lbs M5-4lbs M6-15lbs, M7-5lbs M8-
Same here. My esophagitis which was discovered during my scope ruled out sleeve for me which was my preference but RNY it is!
Feb 17/16 - orientation TWH | March 3/16 - nurse | Nov 22/16 - Phone call f/u re-entry | Oct 18/16 - nurse | Nov 29/16 - nut class | Feb 16/17 - social worker | March 7/17 - nut apt | March 22/17 - psych apt | March 30/17 - team approved | May 5/17 - surgeon apt | June 8/17 - endoscopy | Sept 22/17 SURGERY RNY @TWH
I have a small hiatus hernia and GERD. I wondered if that would mean that I would not be eligible for the sleeve. My guess is that it will be the bypass.
Thanks.
Referral - May 31/17; Orientation - June 15/17; First Appt Nurse - June 26/17; Bloodwork and ECG - June 27/17; Sleep Study - July 5/17; Dietician Appt - July 10/17; Counsellor Appt - July 10/17; Abdominal Ultrasound - July 10/17: Endoscopy/Colonoscopy - July 25/17; Second Dietician Appt - September 14/17; Internist Appt - October 2/17; Meet the Surgeon - November 21/17; Pre Surgery Nutrition Class - January 12/18; Surgery - January 16/18
on 8/31/17 7:21 am
I had the sleeve done last week. I choose the sleeve and paid for it myself as I did not want to go through the whole bariatric process and be denied the sleeve. I just don't want my intestines rearranged. Lower risk of malabsorption issues. Research shows in 5 yr post op both surgeries have the same weight loss results. I also believe they are both tools. How much weight you loose is up to you.
I also had a hernia, that was fixed at the same time. I had mild GERD before surgery but no symptoms. I guess it was noted by my night time cough and scope.
2 week liquid pre op I lost 20.4lbs.
1 week post op Ive lost 14lbs.
I'm very pleased and well on my way. All the best!!
Freewheeler · 0 replies · 298 views
