I had the sleeve june 2014 lost 120
Went to a pre op class and learned about the different types of surgery. My surgeon suggested the sleeve because I'm a type one diabetic. There are times I need to ingest sugar to bring up my blood sugar. With the sleeve you don't get dumping syndrome when you eat sugar. I also liked that it didn't require the intestines to be altered.

I've actually heard that gastric bypass has a high chance of allowing your stomach to stretch back. With sleeve surgery, most of the stretchy part of your stomach is removed. I am almost 4 years out from sleeve surgery and I still have a lot of restriction, I think my stomach stretched very little if at all.

garber6th wrote: »

sam_c_93 wrote: »

Thanks.

I like the idea of the sleeve but I have a huge sweet tooth switch makes me thing a bypass could work better:/

If you are leaning towards bypass surgery because you feel that dumping syndrome might help you control your intake of sweets, you might want to reconsider. You never know after surgery what kinds of foods you can tolerate. I had the sleeve and too many sweets can make me literally sugar sick one day, and another day I can be fine. I have friends who had bypass who eat sweets on a regular basis without problems (and gained most of their weight back). The best option for you is going to be what the best option overall is, determined by you and your surgeon.

What ever procedure you choose, You can find ways to "eat around your surgery".

Example:
Eating small meals all day. You will be able to consume more food and calories.
Eating off your plan (carbs & sugar)

Reality with any bariatric procedure is if you don't change your behaviors. If you don't work your program. You will gain weight or not get to your goal. Surgery is only a tool to help you lose weight. The majority is the work you put into this.

7 months post VSG. I chose the sleeve because it modified the current setup and the bypass scared me with the rearrangement of the design. A bit less loss with the sleeve, fewer complications, an easier surgery and recovery. You can fail with either. Whichever tool you choose you still have to work on the mental part. They can't cut that part out. BTW 50 lost before VSG 75 since about 30 from goal. Few complications easiest surgery and recovery. I would do it again tomorrow. I am beyond thrilled with my results.

Paul

I've heard that a lot of NHS regions here in the U.K. have stopped offering the lapband as a WLS option due to complications & poor results.
Personally I'm just about to start the tier system, hopefully, I see my GP tomorrow to ask to be considered. So fingers crossed.
And I'm leaning towards the sleeve, I don't much fancy having my plumbing re/routed. But I'll be guided by my surgeon.

sam_c_93 wrote: »

I've read a lot of about this and it slightly worries me that they are so widely available in the UK if that's the case. They are only in the running because of price and the fact I personally know people who have had good experiences.

(This was about lap bands)

If you're in the UK why are you worried about price? Surely, if you really need the surgery you will qualify under the NHS and they will give information and advice.

I went with the gastric bypass, the main reason, was because I had terrible GERD and a hiatal hernia. I know that the sleeve can cause GERD to get worse, not with everyone, but I was sure I'd be one of them, and I knew that insurance wouldnt pay for the revision from the sleeve to RNY bypass. Then there is the fact that I was around 160 pounds OVERweight. and I knew that i'd lose more with the RNY. After talking intensively with my surgeon, I went with the bypass on 5/16/2017 this year, I've lost 113 since my first visit with the surgeon last October (2016). I am happy to say, I have NO issues with reflux/GERD anymore. I would get the bypass again in a heart beat. I feel so much better.
There are so many issues with the lap band, erosion, slippage, that i'd stay away from that one.

I had to have a lapband removed due to erosion, and opted to have RNY, in December 2012. The greatest positive for me with RNY was that all my diabetic symptoms disappears the day after my RNY surgery. There is something about removing that six feet of small intestine that takes some chemical reactions out of the body, and causes all diabetic symptoms to disappear for 85% of the surgical patients. I don't know if it will prevent diabetic symptoms from appearing later in people who didn't have it originally (and don't use the tool, and gain a lot of weight).

That said, a tool is only as successful as you choose to use it. I didn't work at it, and lost 100+ pounds in the Golden Year, then stopped losing (but fortunately didn't gain.) A year ago I started working at it again, and have lost another 45+. I still have a ways to go, but I know I will make it, and I now have the years I didn't have previously to work at it, due to my surgery. I'm grateful every day that I had the bypass; I wish I'd chosen it originally in 2008, when I had a lapband installed. However, that's in the past, and I live in today and the future now!

sam_c_93 wrote: »

garber6th wrote: »

I've actually heard that gastric bypass has a high chance of allowing your stomach to stretch back. With sleeve surgery, most of the stretchy part of your stomach is removed. I am almost 4 years out from sleeve surgery and I still have a lot of restriction, I think my stomach stretched very little if at all.

That's really good to know, thank you.

clcmfp wrote: »

Many surgeons have stopped doing lap bands. There have been a lot of people who have had to have them revised to a sleeve or RnY due to erosion of the stomach wall, ulcers, etc.

I've read a lot of about this and it slightly worries me that they are so widely available in the UK if that's the case. They are only in the running because of price and the fact I personally know people who have had good experiences.

Uk here, 3 and a half years out from surgery........ my hospital who operate on those in the whole yorkshire area do not offer the band due to complications, low sucess of patiemts in losing weight and the cost of having yo do corrections and revisions

I chose bypass as i had over 200lb to lose

Down with lap band! In my support group there were soooo many people there who had to have theirs taken out and were now in the process of doing either the sleeve or the RNY. I had RNY because it's the most drastic and I felt like it was only one that would work long term for me. I don't get dumping syndrome, I had it once or twice when I was figuring out what I could eat and couldn't but I haven't had it in several years. 145lbs lost, I'd do it all over again.