Anyone go under expecting RNY and wake with a Sleeve?

If so what were the reasons? I was told this may be the case do to a C section however I can't help but feel it might be due to my lower BMI. I want the RNY for a few reasons. I feel like C sections are so common and if it actually was a reason I would have been told or read about that elsewhere.... I mean the incision is so low down I can't see why it would be a factor?

My surgeon told me he'd only do a sleeve if while he was "in there" he decided I'd be better off with one. I originally asked for the sleeve but was told my BMI wasn't high enough, and that OHIP prefers RNY as the "gold premium". I'm 5'4" and was 304 Lbs so my BMI was plenty high. I'm sorry I don't know anything about C sections and weight loss surgery.

I had 2 c sections and had an RNY and was told nothing prior that a c section may cause issues and only give me a sleeve as the areas operated are far apart.

My surgeon said it depended on any scar tissue that may have developed. I had rny in January. I've had 2 c sections, my appendix and my gallbladder ouT. I ended up with 8 incisions from my rny but totally worth it so far.

I was wondering the same thing. My surgery date is May 15 at TWH. My surgeon told me that the size of my liver might be an issue. I'm a male, 455 lbs with non alcoholic fatty liver disease. If my liver doesn't shrink enough on 3 weeks of Optifast then RNY won't be possible. He also said that carrying a lot of weight around my midsection doesn't help either. I had this happen to a friend also a few years ago. The fatty liver was also the issue with him and he ended up with a sleeve.

My hubby was also told he had a fatty liver...the opti shrunk his liver enough and he had an RNY he also carried a lot of weight in his belly. So I hope things work out for you.

I think they just have to tell you that it is a possibility. They told me the same...I have had 3 c sections and gallbladder removed. I got the rny.

They said there are a few reasons. If they can't properly get to all the parts they need to sue to the fatty liver, or if your intestine does not reach up far enough for some reason. Or if they are in there and see a spot in your stomach that Should come out anyway. And of course if there is way too much scar tissue to get to the area and manipulate it properly.

Those are the reasons they have me but also said it is fairly rare.

Thanks everyone. It was so weird that this Dr. mentioned that. Something about the whole meeting with her just felt off. It felt like she knew I am going to get the sleeve but it will be explained to me as a last minute decision. :-(. I think it's a bit of nerves too. I am 4 weeks away and just can't help but feel like it is to good to be true. That something is going to stop this surgery from happening for me. Positive thoughts....must think positive thoughts.

Yes yes, positive thoughts!! You're almost there. Amazing!!!

I keep vacillating between thinking I want VSG and then no, RNY is better for me. I finally resolved to leave it up to the doc. Talk about all my reasons for wanting each, and fears of each, and let them decide. I never imagined waking up with a different one, but again, I'd be ok with it if it was the best one for me.

Keep us posted and good luck!!

i would frankly talk to another surgeon (switch). I'm a big believer in trusting your gut. if you feel something was off it probably was. not sure what an RNY has to do with a c section..not even remotely in the same area, surgically. At the very least talk to your doc again and find out exactly in what cir****tances you'd get a sleeve and be very clear that you don't want one. I'd worry that the doc would default to if for time constraints or other reasons if there is an easy out (sleeves take less time, so they can do more of them).

I had a revision. my doc was very clear that the only reason he would sleeve is if the band caused so many adhesions that a rny was not possible. in addition it was still my choice. He still said if I didn't want a sleeve and the adhesions were bad he could remove the band and adhesions and then sew me up and i'd come back for the second surgery for RNY a few months later. I had to decide prior to surgery which route i wanted him to take. thankfully no adhesions and i got my RNY.

PS I had a c section.