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09-14-2011, 12:00 AM
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#1 (permalink)
| | Whipper Snapper
Join Date: Sep 2011 Location: Boise, ID
Posts: 20
Weight Statistics 12/21/11 Surgery Date:
5' 7"
Height:
278 lb Start Weight:
188 lb Current Weight:
159 lb Goal Weight:
90 lb Weight Loss:
29 lb Lb Left to Lose:
32.3741007194 % % Lost:
Body Mass Index43.536199599 BMI Start:
29.4417464914 BMI Current:
24.9002004901 BMI Goal:
Weight Loss MethodSleeve Gastrectomy
|  Latest thinking about VSG vs. RNY?
Hi, I've been poring over the net, trying help me decide between VSG (sleeve) and RNY (gastric bypass). I've seen some of the other threads: http://www.renewedreflections.com/fo...ctomy-vsg.html http://www.renewedreflections.com/fo...troplasty.html
but I noticed most of the meat of those were from 2007-2009. I was curious what current experience is showing us.
I had my consult on Monday, and the doc was leaning slightly toward sleeve for me, though he essentially said either operation could be quite viable. He talked about many of the benefits in the thread above. he did say that RNY woudl have an advantage of giving me the negative feedback about carb/fat eating which sleeve can't do, and that RNY seemed to be showing slightly better outcomes for diabetics, because there seems to be something with diabetes that the bypass of some of the intestines seems to help, some action of the intestines with diabetes (I have forgotten his description) however he said that with my diabetes (oral meds only with a typical a1c of 5.0-6.0, that either would be likely quite successful.
he did mention that removal of a large part of the stomach seemed to impact decrease in appetite longer term, as the stomach's ability to produce grehlin is just...gone. he said with bypass patients he was seeing a more marked decrease in appetite immediately, but then over time it woudl creep back up, as if the stomach starts to figure out how to get around this issue. Whereas with sleeve, the stomach is mostly gone, so ability to produce grehlin is mostly gone, forever.
Finally, he indicated that the sleeve could be converted to a gastric bypass later, when I've seen most of Doc's references here refer to later switch to DS.
I'm really having a tough time with this decision, and I suppose the psych eval will give the doc some more ammunition as to what to recommend.
I am attracted to the sleeve for simplicity (with 4 kids, a hubby and a full time job, it seems more practical) but I feel the negative consequences of RNY might provide me more incentive to do the right thing. My biggest issue is binge eating on carbs/fats, so that would be impossible post RNY, but slightly possible to still have a "small" binge with sleeve right?
__________________
Julie
Boise, ID
VSG scheduled for 12/21/11
Highest weight (non pregnant): 278
Height: 5'7"
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09-14-2011, 12:22 AM
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#2 (permalink)
| | Seasoned Veteran
Join Date: May 2008 Location: Just north of Iowa, not far from I-35. 2nd star on the right and straight on 'til morning!
Posts: 9,851
Weight Statistics December 13, 2007 (pre-op liquid diet started) Start Date:
December 27, 2007 Surgery Date:
5' 9"
Height:
290 lb Start Weight:
182 lb Current Weight:
184 lb Goal Weight:
108 lb Weight Loss:
-2 lb Lb Left to Lose:
37.2413793103 % % Lost:
Originally - 12/08. Actually - 8/08. Goal Date:
Body Mass Index42.8208359588 BMI Start:
26.8737660155 BMI Current:
27.1690821256 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I have no input on the sleeve, but I chose RNY in large part because of the restrictions it would impose on me to keep me straight. Even though I have never dumped, the reduced pouch capacity has been a marvelous help in staying on the strait and narrow.
My wife chose RNY for the same reasons, and she has the added "blessing" of dumping to help her do what's right.
Either one can work. One may give more advantages than the other for your particular needs.
One size does not fit all.
Your mileage may vary.
Good luck - you only get to choose one!
CT
__________________ da perfesser
*******************
Dare to live your dream!!
If you want to be healthy for life, do for life the things that get you healthy!! Living healthy takes work. Dying fat is easy!! "That which we persist in doing becomes easier, not that the nature of the task has changed, but that our capacity to do has increased." - HJ Grant
"Do, or do not. There is no try!" - Yoda
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09-14-2011, 03:59 AM
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#3 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 28,796
5' 5"
Height:
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Sleeve sometimes is used as the first step for DS. However, as your surgeon says, it can be converted to plain ol' RNY, too. Also, if you're worried about the hunger returning due to the remaining stomach, some surgeons take out the remaning stomach, rather than laying it aside, with RNY, so that's an option, too, if your surgeon is game with that idea.
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09-14-2011, 05:59 AM
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#4 (permalink)
| | WLS Master Guru
Join Date: Jan 2011 Location: South Chesterfield, VA
Posts: 531
Weight Statistics 1/21/11 Start Date:
8/30/11 Surgery Date:
5' 4"
Height:
302 lb Start Weight:
202 lb Current Weight:
145 lb Goal Weight:
100 lb Weight Loss:
57 lb Lb Left to Lose:
33.1125827815 % % Lost:
When it happens! Goal Date:
Body Mass Index51.8325195312 BMI Start:
34.6694335938 BMI Current:
24.8864746094 BMI Goal:
Weight Loss MethodSleeve Gastrectomy
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I had the sleeve...but I'm only 2 weeks out so I can't really share a lot about my experience. I can say that I am never hungry. I can feel my stomach is empty but I don't have the urge to eat. I have times of the day that I eat instead of eating when I get the urge. My biggest reason for choosing the sleeve is the malabsorption part of the RNY. I have huge problems with iron and my doc said the RNY would make those problems worse. From what I've read, dumping aside, in the beginning RNY and Sleeve are similar. You can't eat or drink too fast and you have to eat tiny bits. The first week I was literally licking the broth off the back of the spoon because to slurp or gulp would be painful. I still have to take in tiny amounts or I get air and belch...and that hurts too.
But here is another chat board that I used to get a lot of Sleeve info from people that already had it before I got mine. VerticalSleeveTalk - the #1 Vertical Sleeve Gastrectomy Surgery forums!
__________________  Loretta Pully
Start Weight: 302  Pre-Op Diet: 275 Surgery Weight: 268
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09-14-2011, 06:19 AM
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#5 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: Central Virginia
Posts: 3,180
Weight Statistics 4/30/2007 Start Date:
9/5/07 Surgery Date:
5' 4"
Height:
233 lb Start Weight:
127 lb Current Weight:
125 lb Goal Weight:
106 lb Weight Loss:
2 lb Lb Left to Lose:
45.4935622318 % % Lost:
Body Mass Index39.9899902344 BMI Start:
21.7971191406 BMI Current:
21.4538574219 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I've had the RNY and my husband is getting ready to have the sleeve. The sleeve wasn't an option when I had the RNY, but I personally would have chosen the RNY for me anyway. I'm a binge eater - fats and carbs, mostly in the evenings when I'm bored. The dumping syndrome definately keeps me from bingeing. I don't know if I would have been able to keep my weight down without it.
My husband was very against having the RNY, I think mostly because of the possibility of dumping. He likes his fried foods and I think he still wants to eat that way, only in smaller quantities. (yea, yea I know, but HE has to be the one to realize that he can't keep eating that way - I'm working on him, *sigh*).
I want to address your last statement "My biggest issue is binge eating on carbs/fats, so that would be impossible post RNY, but slightly possible to still have a "small" binge with sleeve right?"
Not everyone gets the dumping syndrome and those that do may find it greatly reduced the farther out they get - so there's no guarantee that the RNY will keep you from binge eating. At first you can have a small "binge" with the sleeve, but farther out you can have larger binges with the sleeve. And then there's grazing - eating small amounts of food constantly. So in theory, you go go on a day long binge, just eating the wrongs foods in small amounts all day long.
If you get the RNY, and you get the dumping syndrome with it (I believe it's 60% dump - could be wrong) you most likely won't be tempted to graze all day on binge foods. So that's my advice to you, but it's your body and it's a tough choice. Good luck with your journey.
__________________
Highest 233, Lowest 122, Current 127
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09-14-2011, 09:33 PM
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#6 (permalink)
| | WLS Mentor
Join Date: Sep 2011 Location: Colorado
Posts: 1,231
Weight Statistics August 15th, 2011 Surgery Date:
5' 10"
Height:
278 lb Start Weight:
171 lb Current Weight:
165 lb Goal Weight:
107 lb Weight Loss:
6 lb Lb Left to Lose:
38.4892086331 % % Lost:
August 2012 Goal Date:
Body Mass Index39.8844897959 BMI Start:
24.5332653061 BMI Current:
23.6724489796 BMI Goal:
Weight Loss MethodSleeve Gastrectomy
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I had the sleeve done 4 weeks ago for the same reasons listed above: I wanted a serious restriction to the quantity I could eat without some of the other side effects like dumping. I don't have any intention to revise this to RNY for any reason...to me, do it and be done with it. I have nutrition class with several RNY'ers who complain a lot about hunger, which I don't necessarily have. I can tell that I need to eat....but if I eat too quickly I suffer the consequence of the gas issues mentioned above. So I suppose so far so good. The only option I didn't consider was the lapband, because at some point that system must be revised, replaced or removed. I hope this helps.
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09-14-2011, 11:40 PM
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#7 (permalink)
| | WLS Mentor
Join Date: Jan 2011 Location: Jackson, Mississippi
Posts: 1,150
Weight Statistics dec. 2010 nutrisystem , surgery process august 2010 Start Date:
April 4, 2011 Surgery Date:
5' 6"
Height:
310 lb Start Weight:
215 lb Current Weight:
180 lb Goal Weight:
95 lb Weight Loss:
35 lb Lb Left to Lose:
30.6451612903 % % Lost:
APRIL 2012 Goal Date:
Body Mass Index50.0298438935 BMI Start:
34.698117539 BMI Current:
29.0495867769 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Seems you have done rearch so good luck on your decision. HUGS.
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12-02-2011, 05:15 AM
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#8 (permalink)
| | Whipper Snapper
Join Date: Nov 2011 Location: Essex UK
Posts: 11
Weight Statistics 11/30/2011 Start Date:
5' 5"
Height:
225 lb Start Weight:
225 lb Current Weight:
140 lb Goal Weight:
85 lb Lb Left to Lose:
12/31/2011 Goal Date:
Body Mass Index37.4378698225 BMI Start:
37.4378698225 BMI Current:
23.2946745562 BMI Goal:
Weight Loss MethodOther
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I must admit to ruling out te RNY because of the smell associated with malabsorption. The charcoal underwear was a step too far for Hubble to handle - I wouldn't have been happy wearing them either !
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12-02-2011, 09:12 AM
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#9 (permalink)
| | Seasoned Veteran
Join Date: May 2008 Location: Just north of Iowa, not far from I-35. 2nd star on the right and straight on 'til morning!
Posts: 9,851
Weight Statistics December 13, 2007 (pre-op liquid diet started) Start Date:
December 27, 2007 Surgery Date:
5' 9"
Height:
290 lb Start Weight:
182 lb Current Weight:
184 lb Goal Weight:
108 lb Weight Loss:
-2 lb Lb Left to Lose:
37.2413793103 % % Lost:
Originally - 12/08. Actually - 8/08. Goal Date:
Body Mass Index42.8208359588 BMI Start:
26.8737660155 BMI Current:
27.1690821256 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Smell? Charcoal underwear?? Did I miss an important part of the journey somewhere?? 
CT
__________________ da perfesser
*******************
Dare to live your dream!!
If you want to be healthy for life, do for life the things that get you healthy!! Living healthy takes work. Dying fat is easy!! "That which we persist in doing becomes easier, not that the nature of the task has changed, but that our capacity to do has increased." - HJ Grant
"Do, or do not. There is no try!" - Yoda
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12-02-2011, 11:37 AM
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#10 (permalink)
| | Whipper Snapper
Join Date: Nov 2011 Location: Essex UK
Posts: 11
Weight Statistics 11/30/2011 Start Date:
5' 5"
Height:
225 lb Start Weight:
225 lb Current Weight:
140 lb Goal Weight:
85 lb Lb Left to Lose:
12/31/2011 Goal Date:
Body Mass Index37.4378698225 BMI Start:
37.4378698225 BMI Current:
23.2946745562 BMI Goal:
Weight Loss MethodOther
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Sounds like its not the norm ten
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