would like input on bothe types of wls, trying to decide which is better for me.

Hello everyone!!

I am new to all of this, currently I am doing all of the pre work for approval by my insurance company.

I have been doing a lot of reading on the subject, and still trying to decide which WLS is best for me. I would like some input from people who have and the sleeve and people who have had the bypass.

Any help would be greatly appreciated.

I am sure you will get replies. In the meantime, you will find many threads answering this if you click on the search icon (magnifying glass in blue bar) and put in things like bypass versus sleeve, RNY or VSG.

We have forums here for all of the WLS.  Here is the one for the RnY:  RnY Forum.  Here is the one for the VSG:  VSG Forum

And don't forget the Duodenal Switch:  DS Forum

Since you haven't decided, it might be worth your while to go to each forum and ask what folks like/dislike about their surgeries.

Best of luck to you in your journey.

THANK YOU

If you have no medical issues that would make one surgery more appropriate than the other, it basically boils down to whether you are willing to trade taking vitamins 4-5 times a day because of lack of vitamin absorption with the RNY in order to get about 18 months of temporary caloric malabsorption (and slightly faster weight loss than with the sleeve).  

What you end up with after about 2 years is basically the same surgery which is restrictive only.  It is just that with one you have a pouch and an artificial stoma and with the other one you have a sleeve shaped stomach and your original pyloric valve.(RNY does have a small amount of permanent fat and caloric malabsorption, but it is usually pretty insignificant.)

Since only 30% of RNYers dump, statistically you probably won't so that isn't really a big consideration. Studies show that RNYers lose weight a but more quickly, but that it pretty much evens out by 24 months and that continuing to follow a healthy diet is a FAR greater indicator of success at 5 years out (and beyond) than which surgery you had (between RNY and VSG).

I had RNY, and I am glad that I had WLS and lost the weight, but if I were making the choice now (VSG wasn't an option 7 years ago), I would opt for sleeve and keep my body absorbing all of the nutrients as it was intended to do.  

Lora

THANK YOU FOR YOUR IN PUT.. I AM JUST RYING TO EDUCATE MYSELF TO MAKE A WELL INFORMED DECISION.

I THINK THAT THE SLEEVE MAYBE THE BETTER CHOICE......

Are you pre-diabetic? Or diabetic? This might encourage you to look into Gastric Bypass instead of the sleeve.. Good luck with whatever WLS you choose.. 

I had the RNY just a few months ago and am happy with it. I guess I chose it because I knew my niece had been successful for 10 years with it, and my doctor recommended it. I think many doctors recommend it for patients with a BMI over 50. That being said I didn't find these forums until after I made my decision. Not that I hadn't researched, but seeing what real people are saying and not just information is different. When I see some of the post from the VSG forums, they seem to be losing weight just as fast. I don't know the statistics on everything, but I might have considered the VSG because of the Nsaids issue, I have arthritis and it is harder than I thought. Good Luck!

I would have looked more into the VSG but my insurance only covers RNY, so that is what I had.  I am 3 weeks out and so far so good.