RNY vs Sleeve

Does anyone know what the highest BMI cut off is to have RNY. I really prefer the RNY over sleeve.

The decision on what surgery you have is based on many factors. Liver size, scar tissue, GERD, and probably other factors I don't know about.

Typically the surgery of preference is RNY. Sleeves are done if there are factors that prevent an RNY from being performed.

I may be wrong, but I don't believe that BMI is a deciding factor in which surgery is done.

I have heard that for people with really high bmi's they like to do the sleeve and then rny for maximum weight loss. But a lot goes into the decision and you can voice your opinion or preference to the surgeon and team.

I was scheduled to have RNY but because i had a kidney stone (and a couple about 18 years ago) my surgeon decided a sleeve was a better choice for me. My BMI wasn't a consideration in the decision. I would have been fine with either and am feeling pretty good now. My surgery was on May 14.

I had the Sleeve instead of the RNY - reason is that two years ago my heart attacked me, and i am on a whole bunch of meds.. including daily aspirin.

The meds will not absorb 100% with RNY but have more time be be absorbed in the sleeve. would i have preferred RNY ? Sure! but am doing great with the sleeve.

incidentally, most of my meds have been halved already due to the heath improvements since the WLS. so its a winner either way.

BMI was not a factor in my case.

Hope this answers a few of your questions as to why..