sleeve vs ryn

went to see the surgeon  for for the first time thinking rny , he does both but suggests the sleeve saying the weight loss is slower but ends up about the same amount in the end . that it is up to you to stay on the plan, I need to lose 250 lbs  and am diabetic

he says that the sleeve is much safer for high bmi people and less side effects

 the info on this site diffrers  from what he says but it might be old info on here I don't know when it was posted 

any opinions on which would be better for me and why , I have 6 months to decide

Here is what my surgeon said:

RNY any the sleeve have almost all of the same benefits. RNY has some negative aspects such as dumping syndrome, vitamin deficiency and intestinal blockages. none of those are concerns for the sleeve. the weight loss in the end is similar. the sleeve is a newer procedure, so it's hard to compare them for 10, 15, 20+ years out. My surgeon said he automatically tries to convince younger patients to do the sleeve, as they have plenty of time to lose weight. but for older patients, or someone who is a life or death case, it's always rny.

I personally decided on rny because I have GERD, which can be often completely resolved with rny, but not with the sleeve. I also feel more comfortable with rny based on how much research has been done, how long it has been done, my surgeon's specific stats and the fact I can see what it's like 20+ years post op.

to my understanding, if you have diabetes, rny would be more beneficial than the sleeve. The sleeve will still help a lot I'm sure, but at my surgeon's office, they typically always suggest rny for diabetes patients.

good luck in making your decision!

I agree with PennyMiller. I want to add that my surgeon mentioned that time wise, the sleeve is quick and easy to perform whereas the RNY is much longer, especially by robotic means. Also, his data stated that RNY surpasses sleeve with total weight loss but maybe your doctor is looking at a specific time frame. 

I went into my dr office convinced I wanted the sleeve and left having to rethink it. Higher bmi the better option is rny instead of sleeve. With the sleeve weight loss would be much less and a reversal to rny can be an option or thought later on. Rny does help cure many medical conditions. My mother had rny and within a month or so was off her high blood pressure and diabetes medication. So my choice my is rny.

I went to my surgeon thinking RNY but with an open mind. He said if the patient had diabetes and had RNY the odds were that by discharge from the hospital the patient  would be off diabetic meds. Also, I have GERD and Barrett's Esophagus which he said necessitated RNY (and my hiatal hernia would be fixed during the procedure) so for those reasons RNY is the way he said we would have to go. This is the info he gave me two weeks ago.

With 250lbs to lose, I would recommend that you research the DS - you really need a malabsorbtive procedure and the DS is much more successful at putting diabetes into long term remission. 

You should check what your insurance will cover - the sleeve is the first part of a DS, so if you don't lose all the weight you need to, it would be easier to revise to a DS, but if your insurance is a once only deal, you will likely have more success with an RNY.

Take a look at DSfacts.com

My main reason for having WLS was because I was a diabetic and it was getting out of control, I was on 3 different oral medications (7 pills daily)!  The research shows that something happens within the body after having a RNY like a turn off switch..  By the time I left the hospital (was in 4 days total) I was down to 1 pill of my medication, by the next week I was off completely on all my diabetes meds!!  It was like magic for me!!  I still can not believe it...  It has been worth every ache and pain!!!  I only wish I would of done it sooner...  Good luck on your decision, keep us posted!  My sis-inlaw had the sleeve done 2 years ago and wished she had the RNY and she is a nurse...  Feel free to message me if you have any questions!

I met with the surgeon last week and went in wanting an rny, he said because of my BMI (60.5) I may have to have the sleeve. He said it is a good choice for larger patients. He said that it preserves a lot of options because you can keep it as it is or have it revised at a later date to rny or ds. We left it that it could be either rny or sleeve depending on the situation. I was in contact with a woman who lost 182 lbs in 1 year with the sleeve, so good weight loss is still possible.