It's very individual, but first off, know that the long term weight loss is about the same for both.

Questions you need to ask yourself - do you have severe GERD? (Reflux) If so, RNY is pretty much the cure. Type 2 diabetes goes into remission about the same with both - slight edge to RNY. Do you take/need NSAIDS for arthritis or other issue - sleeve is your better bet, since someone who has an RNY should never touch them again - including NSAID creams. (Deal maker/breaker for me)

How are you about taking vitamins and blood work? RNY needs more supplements and needs slightly closer monitoring for deficiencies. Only you know if that's a problem for you.

Are you a volume eater? Slight edge to the sleeve, since the RNY pouch is easier to stretch than the sleeve.

Do you have a family history of stomach cancer/ulcers? Personally I'd give an edge to the sleeve, because although you can totally live without any stomach at all if you have to, the remnant stomach of RNY can't be scoped to check for problems, so there's a potential for issues to develop down the road, "hidden" until they become serious.

Do you have Crohns? Don't even ask about RNY - sleeve is the only option you'll be offered.

How much do you need to lose? Although the 2 have about the same long term success, a sleeve can be revised to an RNY or DS for further loss. An RNY can only be revised to a tighter RNY or Band over RNY as far as I know.

Do know that there are many people who have lost a great deal with either surgery. As my surgeon told us,"I will do surgery on your stomach, and I'll do a good job, but I don't do surgery on your brain. If you don't do your share - change what and how you eat - you will not have the results you want."

Every WLS can be "eaten around." This is not the surgery failing, it's the person failing to be compliant. If you aren't prepared to make significant changes in what and how you eat you need to get yourself to the point of BEING prepared before you have any WLS.

I don't mean to sound harsh - just realistic. WLS is a BIG deal, even though the incisions are small. Make sure you're ready for the challenges - and the rewards.

Kelly-Anne

Thanks for all the good wishes.  I am continuing to heal though I think I may have a bit of an infection of my incision over my left hipbone.  I have been wearing my binder all the time but I find when I sit it tends to roll up then when I stand I pull it down and so on.  So the binder may be irritating the incision.  My energy level is not doing too badly.  Yesterday I ventured out twice.  Once to my kids school to watch their year end school celebration and then again later out for supper.  So its been not too bad.  I finally did have a bowel movement on day 6 later on in the day.  Whew!  It went well and I didn't have to exert at all.  I had half a sneeze the other day and it just about killed me.  I'd advice refraining from any coughing, sneezing or pushing as much as possible.  It feels like severe burning all over the abdomen.  It hurts!  I have an appointment with my family doctor this afternoon.  I am hoping to be put on an oral antibiotic.  Some of my staples may be ready to come out so I'll make sure to tae some T3's before I go, just in case.  I am a little worried about what's involved to get the staples out.  All in all every day it gets better.  Have a great long weekend everyone!      Giselle

MissCalla:

I would be very interested in knowing how you got the fleur de lis covered by Dr. Nohr because it's not covered by Alberta Health.  Everyone else who I have known who needed a tummy tuck needed to pay for it, including myself.

Cheers!

- Xcalibur

So glad to hear that things are going well. I had been thinking of you. You have been very blessed to be able to go through this experience and have this new out come on life.

You deserve it.

All the best.

Kee.

Hi there!!  Glad to hear surgery went good and your recovering well.  It took me 3 days to pee too and they had to do it by catheter...ugh,  They were in checking my bladder every 30 min by ultrasound and determined i needed to be "emptied" even tho i didn't feel like i had to go.  Go figure 

I'm almost 6 weeks out from my Panni with Dr. Nohr too and he is an amazing Dr... he has changed my life tremendously. I wish i had kept my binder... i didn't know i would need it and the nurses never told me i could buy it, they just said to remove it before i left. :(   

Congrats again on the "new" you and all the best for a speedy recovery :)

Lana