VSG OR RNY?????????????

 Here:  www.obesityhelp.com/forums/amos/4425427/Pyloric-Valve-Info-Lots-of-it-FOR-NEWBIES-amp-LURKERS/

 Thank you everyone for your responses. I have compared the different surgeries and had considered DS years ago but the only surgeon near me was pretty far away so I didn't want to have a doc that is not close incase issues came up. That being said I have decided to go with the sleeve.  I am happy my doc has started performing this surgery and I am very optimistic that the sleeve will work for me.  Like with all WLS surgeries it's a tool and if used right will give me the healthier and more productive life I am looking forward to. Thanks alot everyone :) Take care, Kerry 

If your BMI is > 45 or 46, I believe even the strongest proponent of the VSG (Cirangle) is saying it is not likely to give you long-lasting adequate results.

That being said, you also need to consider the following:

1) The DS does not generally provide as good results when done in two parts - there is a synergism between the two parts when they are done at the same time.  No, I don't have any studies to prove this - it is what surgeons have noted in conversations with us DSers, and what two-part DSers have reported anecdotally.  Believe it or don't.

2) If the VSG fails you, and you decide to revise to the DS, you will have put yourself through the risks, costs, missed work and pain and suffering of two surgeries, as well as more time being MO or severely obese, and (if you have, e.g., diabetes) more irreparable damage from your obesity.

3) If you get down to a BMI of 39, you are no longer going to qualify for bariatric surgery.  Is that good enough for you?

4) More and more insurance companies are putting in limitations to one bariatric surgery per lifetime, regardless of who paid for the first one.  Are you going to even be able to obtain a revision if you need one later?

THINK TWICE, CUT ONCE.