Post Date: 2/10/12 7:08 pm I flat out refused RNY when I had to revise from the band. I specifically told my surgeon "if you can not give me a sleeve, take out my band and I'll stay FAT". That's how serious I was about NOT getting RNY. I couldn't be more ecstatic with VSG. I'm over 2.5 years out, lost all of my excess weight plus an additional 20-25lbs in 10.5 months. I maintained my weight of 125-130lbs for a year before pregnancy weight creeped in. It was a very planned pregnancy, and I gained a whopping 35lbs in the pregnancy which is completely normal, expected and that is the exact amount of weight my doctors projected I would gain. At 3.5 months post Tatum's arrival, I've got 11-12lbs of lingering baby weight, and to be honest, I"m NOT doing a damn thing about it. Technically, I'm still 9lbs below goal weight, I'm a solid size 8. At 35 years of age with a 13 yr old son and a 3.5 month old daughter, a husband, 2 dogs, a packed volunteer and social calendar, I have other things going on in my little world. I will lose the baby weight.
One of my biggest reasons for NOT getting bypass was the medication restrictions. Every day I am beyond grateful that I was able to revise to VSG. During the pregnancy, I was diagnosed with a genetic clotting disorder, and the only treatment is an 81mg aspirin (an NSAID) every day for the rest of my life. Due to my platelets being effected, I was also prescribed 60mg of prednisone for over 30 days for the last part of the pregnancy to get my platelet count up so I could have a spinal block for a repeat csection. If I would have chosen, or allowed the surgeon to do RNY, this would not have been possible, and I would have had to deliver my daughter under general anesthesia. I also had to have large doses of iv steroids the 3 days following the csection and then home with a tapering dose to wean off the steroids. It worked wonderfully for my platelet counts, and I had an uneventful, csection delivery. I really, really love that I will be able to take all medications in the future without the concerns or restrictions that come with a RNY pouch.
No one could pay me to have RNY. If I would have had to have a malabsorptive procedure, DS would be the only surgery I'd remotely consider. The stats show that RNY and VSG patient lose and maintain their weight loss at about the same rate. I think it's only about a 3-5% difference if memory serves me correctly. I honestly do not see one "pro" to RNY over VSG at least not for my lifestyle and my long term wants/needs from a weight loss surgery.