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chrissyrode

anyone gone from sleeve to RNY?

12 posts in this topic

Just wondered if anyone out there has went from sleeve to RNY? What's been your experience?  Thanks!

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Guess I'd be curious as well and ....asking in a completely non judgemental way....   why one feels the need to?

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I would say because RNY is more restrictive things you can get away with having a sleeve done might not work with RNY. Another reason could be is your surgeon is doing the RNY in 2 parts if your BMI is to high this is the safest way. Sleeve lose some weight then RNY.

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The sleeve used to be part of bypass.

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Originally, the VSG was performed as the first step in WLS for heavier patients.  They then went on to convert to a DS (duodenal switch) if the patient hadn't lost enough weight with the VSG.

 

For someone who's already had a VSG, it makes sense to go for a DS because you've already got the first part of the DS anyway - the sleeve.

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I'm just curious because I've lost 150 with sleeve and still could go as high as loosing 80 +\- more. My loss has slowed from 15 a month to 8 to now, about 4-6..... And I am working my butt off to keep it going. I know that with hard work that I will get there - but just wondered if other people had lost a bunch and then got a revision to get the rest of the way.

Pre-surgery I was worried about the side effects of malabsorption and dumping with the RNY - which I why I personally chose to have the sleeve, rather than the RNY.

Edited by chrissyrode

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You are over the honeymoon period now being a year out, each surgery has that quick loss period and then it is maintanence there out.  Thats how they all work.  Only being a year out of a very successful sleeve surgery seems a little rash to be considering bypass already, but that is just my opinion. 

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Chrissy,

 

The lower you go, babe, the harder it's going to get.  I know that it has slowed for me now.  When I'm under 200, it will be slower yet, unless I turn to unhealthy eating practices. 

 

It might take the sleeve a little longer, but I think it will get you to the same place as RNY, as long as you keep working at it.  I think the quality of life at the end of the journey is going to be a little less hectic than with bypass... not so many problems with malabsorption and vitamin intake.  Not that anyone with bypass made a bad decision - I just think the sleeve was the right one for me, personally.

 

I expect it to be another year before I'm at or under 170.  And I've only 60 lbs to go.  It just isn't going to melt off for me.

 

I have days where I think about it too.  I think everyone probably questioned if they made the right surgery decision at some point (not the WLS decision as a whole, but the choice of RNY vs the sleeve). 

 

You have done so well.   You've lost well over 150 lbs in a single year.  That's fantastic!  And those numbers are comparable to bypass numbers, dear. 

 

Don't short change yourself.  :)

LuxyBlue and chrissyrode like this

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Thanks Dees,

 

I think you're right - it does slow down to the point where we question if we picked the right type of surgery. You hit the nail on the head - I totally feel that way some days. Just have to 'keep workin it'.  Thanks!!!

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One of the many reasons that factored into my sleeve was that I did start at such a heavy weight that the surgeon and PA felt it would be safer for me to start with the sleeve, then go to the revision to RNY or DS.  However, I have been losing weight pretty quickly and they said at my appointment last week that if I keep this up and even when I slow down, the sleeve may be all I need.  I know it will get harder, and it already has...I just had to up my game in the exercise department in the past couple of weeks to keep it coming off.

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Hey all... 

I had a gastric sleeve done in 2009. lost about 60 lbs, then started to gain again. 
I ended up weighing more than when I got the sleeve~

I had a gastric bypass on 8/5/13 and was much relieved to learn that my sleeve had been done way too large.
The surgeon I used is well known for this apparently.

I understand there's contributing factors of my own, of course, but it sure helps ease a bit of the shame that comes with a failed weight loss.

Edited by TheCloudPainter
Dees and snowinok like this

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I am a soon-to-be revision from the sleeve to the rny. My reason is to get rid of severe acid reflux that is destroying the lining of my esophagus and making my life miserable.

 

I too chose the sleeve because my main goal was to be healthy - regardless of my size - and to not have to worry about undernourishment. I have no regrets as I was told that since I have GERD, it could be exacerbated by the sleeve. I lost 70 lbs and then started creeping back up because my diet is mainly stomach coating starches just to have momentary relief from the burning.

 

I'm not a candidate for the DS because of this and IBD. My gastroenterologist also said that the "reflux surgery" would not work since my case is so severe. 

 

I am weary of the rny but relief from the reflux will be worth it. 

snowinok likes this

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