Sleeve. Success?

on 5/23/13 6:58 am - MS

Hi all,

I posted a while back about wanting to get started in this life-changing, LONG, process of WLS. Ha. Well, I went for my first appointment yesterday, also had my psych eval. I'm pretty much on my way now to receiving a date and I couldn't be more nervous or EXCITED.

After going to the first seminar I was set on doing gastric bypass. I thought, "if I'm going to do it, I might as well go all out." I felt this would be best and have the best results, fastest results, and keep me from cheating.

I don't snack and I'm not a sweets eater. But, I am from the South and I love me some comfort food. Like, fried chicken and potatoes, and Japanese food like fried rice and chicken. Yum.

Anyway, yesterday, after talking to the doctor he thinks the sleeve is the best option for me. First, because of my age (25) and my BMI (around 47). I was a little discouraged but of course I trust the doctor and his opinion very much.

So, I was wondering: could some of you who have had the sleeve give me a little insight? I need some success stories! How long did it take you loose weight? I know on the gastric bypass you come out on the average weighting 20-40 pounds less. This does not happen with the sleeve, right? Has anyone who got the sleeve regretted it and wished the would have gotten the full bypass?


on 5/23/13 7:08 am - PA

Hi Hannahp,

I'm pre-op too and am seriously considering the sleeve. Did your surgeon mention why your age and BMI would be best suited by a sleeve? I'm a little older than you, 31 and a little heavier with a BMI of 48 but really curious about all this. Congrats on getting started and best wishes!

on 5/23/13 7:17 am - MS

My age mostly because I do not have many health problems YET. I am def on the road to being diabetic if something does not change but for the most part (besides feeling GROSS) I am pretty healthy. That is one of the reasons he suggested the sleeve. He said because this is more of a preventative thing that is what he is really hoping I will go with. I also think the meant with mentioning my BMI is because I don't have as much as say someone with a 60 BMI does. I have to go to yet ANOTHER class next week and meet with a dietician and nurse practitioner and I'm sure a lot of more my questions will be answered then.

on 5/23/13 7:32 am - PA

That's great! Glad you're healthy and working toward keeping it that way. That's pretty much where I am as well. I'm thinking that the restriction alone should be enough to help you reach your goals. Add in some physical activity and you'll be there in no time. I can't wait to start my classes. It would be a good idea to write down your questions as they arise to make sure you get all the answers you need.

on 5/23/13 8:31 am - Raleigh, NC

I think the younger patients get the sleeve recommended because of the longterm vitamin deficiencies that could happen with the RNY. This is not a risk with the lseeve as vitamins are mainly absorbed in the small intestines bypassed with the RNY




on 5/23/13 9:31 am
VSG on 04/10/13

I had surgery on April 10 and I'm down 30 pounds.  Others who had the surgery have lost more in the same amount of time, but I'm happy with the results.  I didn't have any problems after surgery except for an incision that was slow healing.  I felt very tired the first four weeks but doing much better now.

The sleeve helps to manage "quantity" vs. "quality."  You can still gain weight or fail to lose weight if you eat "slider" foods (i.e., foods that slide right through the sleeve with very little nutritional value....chips, crackers, french fries, candy, etc.).  Eating healthy makes the sleeve work. 

on 5/23/13 10:15 am - Indian River, MI
VSG on 03/04/13 with

I was sleeved on March 4th  and as of today i have lost 57 pounds.  I thought the same as you and i was worried that i wouldn't get the results like i thought i would with a RNY or DS..  But i follow what my doctor says is right for me, and i am happy with my decision to go with the sleeve.  Do your research and keep asking questions.  



on 5/23/13 10:45 am - NY

I had the sleeve on April 17th and during my first post op appointment which was May 6th I had lost 34lbs.  I know I've lost more since then because my clothes are very big on me and I notice the changes to my face, etc.  I'm sure you will be successful with the sleeve.  My surgeon used to only perform gastric bypass until about 7 years ago when he changed to the sleeve and has a vast amount of patients who have been just as successful.  

on 5/23/13 12:33 pm

You should also research the Duodenal Switch. The DS has the same stomach as the Sleeve, plus an intestinal bypass similar to, but more effective than, that of the RNY/gastric bypass. It causes permanent malabsorption of a significant per centage of the calories you at, especially the calories from FAT. (I'm a Southern girl too, and I fry everything in bacon grease. *grin*)

Here's the thing. Most people can lose a significant amount of weight with any form of WLS. The trick isn't losing the weight, it's keeping it off, and that's where that permanent malabsorption comes into play. I'm 9.5 years post-op, and I can eat a LOT. Thanks to my DS, that food isn't sticking around on my hips. I'm pretty effortlessly maintaining a loss of 170 pounds, and eating pretty good, too---things like bacon and fried chicken and 'taters.

on 5/23/13 12:35 pm

I know on the gastric bypass you come out on the average weighting 20-40 pounds less.

Do you mean come out of the HOSPITAL? Oh, no no no---most people come home weighing MORE than when they went in, due to all the fluids they pump into you.

on 5/23/13 1:18 pm
RNY on 06/11/13

I actually had the opposite!  I went in thinking that I wanted sleeve, but my surgeon encouraged me to do RNY because of my GERD.  The three major reasons I've seen to do RNY over sleeve are: (1) you don't think you'll be able to give up sweets and so you need the extra incentive of not tolerating them; (2) you're diabetic; or (3) you have bad reflux. 

"The first thing I've got to do," said Alice to herself, as she wandered about in the wood, "is to grow to my right size again..." -- Lewis Carroll, Alice in Wonderland

Blog:   Twitter: @therightsize  HW: 365  SW: 346 CW: 254


on 5/23/13 2:32 pm - Calhan, CO

I had my surgery Sept 13 2011 and by my one year anniversary I was down 126 lbs.  for me the sleeve has been like a reset on how I eat and how I deal with food.  My doc referred me suggesting the RNY but my surgeon told me about sleeve which I had never heard of before. I knew before I left his office it was right for me and its been the best tool to help me along this journey.  I hope you  choose the one that you feel is right for you because you are the only one who can know what is best for yourself. Best wishes!

My heaviest was 450 lbs which a truck scale told me so in 2007 I decided I had to change. I lost about 125 lbs over the next year but in 2009 I got pregnant with my first child and took the best care of myself I knew how which lead to me losing weight and getting down to 280.  But that was short lived and with in about 4 months I was back to 325 and pregnant again. I lost again but again was quickly gaining when I asked for help from my doctor.  I met my bariatric surgeon for a consult on June 26 2011 and on September 13 2011 I had gastric sleeve.  Since then I have lost 134 lbs and had another child.  Currently I eat "Clean" and do not take any type of medication or vitamin.  My body is healthy and strong, I get all the vitamins and calcium I need from my diet and my doctors are happy with my success and lifestyle changes and so am I.  My goal was always to be healthy so I wanted a healthy weight based on BMI.  My goal weight was 164lbs.  I surpassed that and got to 150lbs but was too skinny and now am comfortable around 160.

on 5/23/13 5:15 pm - Silver Spring, MD
You will get more responses on the VSG board.

I had VSG 6/10/2011 My BMI at approval was 40 . I got to my goal in 8 months and have been maintaining since February of 2012.

For me, the sleeve was the best option. I did not want to be committed to taking 15-30 vitamins a day (honestly can't afford that), I did not want to be 10-20 years out from RNY and having issues with bowel obstructions, hernias, hypoglycemia or anemia. For me, the possibility of dumping was not appealing. I wanted to eat smaller portions and keep my pyloric valve.

If I ever need the DS I am open to that option, but for now, I am very pleased with my sleeve.
VSG 6/10/2011  Dr. Ann Lidor BMore MD 5'5 HW-247 SW-233 GW-145 CW-120   Me rambling about my journey : )

on 5/23/13 11:59 pm - Austin, TX

I had the sleeve 23 months ago.. I've lost over 220 pounds. Love love love my sleeve. Feel free to troll my profile/blog here on OH. Best decision. Ever.

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost

on 5/24/13 10:30 am - MS

Thanks for all the encouraging responses!!

I may post again on the sleeve board but I feel a lot better now. 

Love this board so far! enlightened

Still Fawn
on 5/24/13 10:31 am - SIERRA MADRE, CA
Haven't answered a question like this one in a long time! For *me* there are only two types of surgery I believe are worth having. The DS and the sleeve. As mentioned, a DS is a sleeve with an extra malabsorbtion kick from the intestinal rerouting. When it comes between the two I would say that if you have a LOT of weight to lose and you WILL 100% be compliant with your vitamins then the DS is the way to go. It is hands down the surgery that will help you keep lots of weight off long term. If you are a bit of a lightweight and don't want to mess with malabsorbtion, or are not the type to remember to take all your vites than the sleeve is the way to go. I was young, like you, and was a lightweight so I had the sleeve. I lost to my goal weight in about 5 months and have gone under but never over since. I am 4.75 years out now. I still have restriction and still maintain easily.

 I am still loving life with my sleeve! Been maintaining at or below goal for over 4 years!
"People spend a lifetime searching for happiness; looking for peace. They chase idle dreams, addictions, religions, even other people, hoping to fill the emptiness that plagues them. The irony is the only place they ever needed to search was within."   - Ramona L. Anderson