Why did you pick sleeve over RNY

I've just been approved for RNY but I'm wondering why you chose the sleeve.  I had originally wanted the sleeve because of the no rerouting, but I took what I considered the less invasive route before with the band and it was HELL.  I know it's not comparing apples to apples, but I just don't want to go through the pain of another surgery (I've had 4 in my lifetime) and not lose all the weight.  I'm 5'2 and weigh 233lbs.  Some say I'm a lightweight....ha, I've never been called that before in my life lol.  Any replies will be greatly appreciated!!

Shannon

I chose VSG because I have Bipolar Disorder and did not want to risk my meds not being absored correctly.

I chose the sleeve (getting it on 9/4) over the RNY not just because of the rerouting, but also because of the malabsorption. Plus there is only one incission with the sleeve and if I can remember like 4 with the RNY. Ea*****ission is a worry of leaking.

Because of my GERD the RNY was a way to go, but I felt more comfortable with the sleeve and the positive outcomes I see with the sleeve.

Good Luck.

 Who told you there is only 1 incision with the sleeve?? There is 5 to 6 incisions if having it done lapriscopicly. I just had the sleeve done on the 14th and I have 6 small incisions.

There are surgeons now doing it with one incision. Not many, though.

 Oh wow!! Thats great! I had no idea...

I think she means one INTERNAL staple/suture line(the one staple line on the stomach to make it a sleeve) because she mentioned leaks-not the external lap sites.

Most surgeons are doing it with 5 incisions, some are doing it with one.. there is some talk of not being totally able to fully and properly dissect the stomach with the one incision route- less space/retraction to work with- but.. that's where the surgeon's skill set comes in.. the risk of leaks?? Ea*****ision is a potential infection site- but the leak issue you sometimes hear- that's along the staple line of the stomach, not the incisions on the abdomen, so single hole or many, your leak risk is still there, and may be a touch higher with single incision operations due to lack of mobility/visualizing.

I was worried about malabsorbtion as well. Plus some of my family members have digestive issues, did not want to mess with my intestines.

fay

 I chose VSG because I have a condition called viceral situs inversus, which means my insides are backwards. This is the safest route for my condition. Also, the chances of my intestines twisitng on themselves are much higher with RNY. THATS SCARY! Good luck with your decisions.

~Cheers