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I was a lightweight with co morbidities ( adult onset diabetes and hypertension ) and I also had very severe GERD due to a huge hiatal hernia .
I was given two choices - A proximal RNY or a sleeve .... with the RNY ( with Hiatal Hernia Repair ) being strongly recommended due to the hiatal hernia and GERD.
I also asked for a larger pouch because I love to eat salads and vegetables and beans .. so basically bulky high fiber foods low in fat .
This choice has not affected my end weight at all - and I find I can eat small portions of just about everything. ( but I choose to eat lowfat and low sugar )
My choice ( and complying with my Docs instructions long term by getting therapy for emotional and bored overeating , meeting with the nutritionist about proper post op portions and NEVER stretching my pouch or my hiatal hernia repair ( God Forbid 
) means I still have malabsorption of fats ten years post op, good pouch size and very little bounceback from my lowest post op weight.
I chose VSG based on my age and doctor's recommendation. My doctor felt it was safest for me. I had many serious complications and stayed almost 4 months in the hospital.
RNY due to acid reflux, diabetic, sleep apnea.
SW 327
GW 150
CW 126
I had RnY. I had a lot of weight to lose and had reflux, so it made the most sense for me.
I had the RNY. At first I wanted the sleeve because I had a co-worker that had it who did really well and it seemed like it had less malabsorption issues. However, I suffer from acid reflux and have taken a PPI for years (even now post RNY). My insurance has that comorbidity as an absolute contraindication for sleeve so I went with the RNY. So far I have been very happy with the decision.
HW 296 SW 267.8 GW 130 LW 128.2 CW 131.6
Age 55 5 ft 4 inches
Roux-en-Y 3/24/21
Internal Hernia 1/14/22
Gallbladder 3/22
Volvulus 10/7/23-Reversal of RNY 11/19/23
The last of the human freedoms, to choose one's attitude in any given set of circumstances. (Frankl, 1946)
I had VSG because the doctor I selected is an expert on performing that procedure and he was recommended to me by a family member. And he had great reviews which was very important to me.
RNY because it's still the gold standard and everyone i knew who had a sleeve either didn't lose all their weight or gained it back
I decided on having the RNY gastric bypass because my research showed longterm success with the surgery and so far so good!
on 12/20/21 6:57 am - Amarillo, TX
I went with the VSG due to the doctors advice and with research. I ended up having to have a revision to RNY due to severe GERD.
Hi Katie! Welcome to ObesityHelp. We also have a DS forum that you might want to post in, I believe some of those people have revised from RNY to DS. Here is the link DS Forum.
Batwingsman · 0 replies · 1151 views