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  1. #1
    Gastric Sleeve Member
    Surgery date
    11/09/2017
    Surgeon
    Dr Almanza
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    Oct 2017
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    12-20-2017 12:53 PM
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    Default Why sleeve and not bypass?

    I've decided to get the sleeve (11/9/17)! Since then, I've noticed a couple of fb friends that were getting or had gotten the gastric bypass instead. What made you guys go with the sleeve instead of bypass?


  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
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    Default Re: Why sleeve and not bypass?

    1. I wanted my pyloric valve to remain intact. Without a pyloric valve, anything you drink will prematurely flush food out of your stomach and you'll become hungry again sooner rather than later.

    2. Gastric bypass folks suffer from a phenomenon called intestinal adaptation several years after their surgeries. The intestines adapt by increasing their villus surface area to absorb more calories, making weight regain more likely. To keep from regaining, they must cut their calorie intake to less than 1200 kcals/daily.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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  5. #3
    Gastric Sleeve Member Tamera2's Avatar
    I have had a gastric sleeve.
    Name
    Tamera Anderson
    Surgery date
    01/24/2017
    Surgeon
    Dr Mario Almanza
    Join Date
    Jan 2017
    Last Activity
    02-04-2024 03:59 PM
    Location
    Vancouver Wa
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    914
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    Said "Welcome to Gastric Sleeve" 1,539 Times

    Default Re: Why sleeve and not bypass?

    I went with the Sleeve because it has way less side effects and the Sleeve is very effective if you eat right. I would never have the bypass due to all the potential side effects.2B473C6E-F39C-4B80-B9F2-AF2BFD3AFF37.jpeg Good luck with your journey. Happy to answer any questions.
    Highest weight- 288 / Wt at Surgery 268
    1 month 236 -29lbs 2 month 214 -22lbs 3 month 206 -08lbs 4 month 196 -10lbs 5 month 185 -11lbs 6 month 178 -7lbs 7 month 172 -6lbs 9mos -12lbs 156 13mos later wt.144lbs, Wt.138 -150lbs in 15mos

  6. #4
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Name
    Christie
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    09-12-2019 04:13 PM
    Posts
    5,169
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    Blog Entries
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    Default Re: Why sleeve and not bypass?

    I had experience watching people who have had both. My dad had the bypass back in 89 and my sister had the sleeve back in 11. My sister's recovery and post op experience was much better. I also watched my dad deal with dumping syndrome. Not pleasant. He would also vomit often when something did not agree with him. My sister did not deal with all of that. Both lost all their excess weight. My dad had to stop eating meat because it made him sick every time he ate it and had a lot of issues with vitamin and nutritional deficiencies. My sister was only low on iron and vitamin D. So I went by their experiences. You can check the link below that gives you a comparison. I love my sleeve.
    https://www.obesitycoverage.com/gast...leeve-surgery/



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  8. #5
    Gastric Sleeve Member
    Surgery date
    11/09/2017
    Surgeon
    Dr Almanza
    Join Date
    Oct 2017
    Last Activity
    12-20-2017 12:53 PM
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    Default Re: Why sleeve and not bypass?

    Wow thank you for the information! Makes me feel a lot better about the sleeve! Congrats on your progress so far, btw!


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  10. Gastric Sleeve Surgery With Weight Loss Agents
  11. #6
    Gastric Sleeve Member ghost_ryder's Avatar
    I have had a gastric sleeve.
    Name
    Greg
    Surgery date
    08/23/2016
    Surgeon
    Dr Doyle
    Join Date
    Jun 2016
    Last Activity
    11-26-2018 07:18 AM
    Location
    Maryland
    Posts
    1,008
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    Was Thanked 855 Times in 568 Posts
    Said "Welcome to Gastric Sleeve" 677 Times

    Default Re: Why sleeve and not bypass?

    More natural compared to bypass. Less side effects like chronic vitamin deficiency worries.

    Some people cannot get the sleeve due to extreme acid reflux pre-op.



    HW - 341 - June 1
    SW - 319 - 8/23 (-22)
    1mn - 286 - Sept 23 (-33) -total 55
    2mn - 274 - Oct 23 (-12) -total 67
    3mn - 263 - Nov 23 (-11) -total 78
    6mn - 238 - Feb 23(-25) - total 103
    9mn - 230 - May 23 (-8) - Total 111
    10mn - 226 - June 23 (-4) Total 115
    11mn - 226 - July 23 (0) Total 115

  12. #7
    Gastric Sleeve Member Dutchie's Avatar
    Name
    Simonne
    Surgery date
    01/03/2017
    Surgeon
    Dr. Pablo Enriquez Valens
    Join Date
    Dec 2016
    Last Activity
    07-05-2020 12:35 AM
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    Default Re: Why sleeve and not bypass?

    Quote Originally Posted by RehabNurse View Post
    2. Gastric bypass folks suffer from a phenomenon called intestinal adaptation several years after their surgeries. The intestines adapt by increasing their villus surface area to absorb more calories, making weight regain more likely. To keep from regaining, they must cut their calorie intake to less than 1200 kcals/daily.
    Do you have a good url for me on that?
    I have never heard of it.
    English is not my first language anymore, so I may and do make mistakes in my spelling, or say things oddly. Please ask me, if you want any clarifications.



  13. #8
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    02-08-2020 09:38 PM
    Location
    Texas
    Posts
    1,147
    Said "Thanks" 695 Times
    Was Thanked 1,491 Times in 728 Posts
    Said "Welcome to Gastric Sleeve" 905 Times
    Blog Entries
    4

    Default Re: Why sleeve and not bypass?

    Quote Originally Posted by DutchSleeve View Post
    Do you have a good url for me on that?
    I have never heard of it.
    https://gupea.ub.gu.se/bitstream/207...77_39567_1.pdf

    http://www.sciencedirect.com/science...71489217300875

    Screenshot 2017-10-18 at 10.55.43 AM.png

    NOTE: You may need to click on the image to enlarge it. It discusses intestinal adaptation in detail.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

  14. #9
    Gastric Sleeve Member Dutchie's Avatar
    Name
    Simonne
    Surgery date
    01/03/2017
    Surgeon
    Dr. Pablo Enriquez Valens
    Join Date
    Dec 2016
    Last Activity
    07-05-2020 12:35 AM
    Posts
    1,494
    Said "Thanks" 1,206 Times
    Was Thanked 1,222 Times in 797 Posts
    Said "Welcome to Gastric Sleeve" 365 Times
    Blog Entries
    8

    Default Re: Why sleeve and not bypass?

    Thank you!
    I can read English and I do understand physiology, I worked in a hospital many years.
    But reading the combination is not easy, when English is not your first language.
    English is not my first language anymore, so I may and do make mistakes in my spelling, or say things oddly. Please ask me, if you want any clarifications.



  15. #10
    sraebaer
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    Default Re: Why sleeve and not bypass?

    To me the sleeve was much less invasive, they just take out part of your stomach. The bypass basically re-routes your insides and sounds like a lot more complications. But I'm not a doctor, so just my perspective.

  16. #11
    Gastric Sleeve Member
    Surgery date
    11/09/2017
    Surgeon
    Dr Almanza
    Join Date
    Oct 2017
    Last Activity
    12-20-2017 12:53 PM
    Posts
    4
    Said "Thanks" 0 Times
    Was Thanked 1 Time in 1 Post
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: Why sleeve and not bypass?

    I pretty much thought the same. Just got confused when so many people I know were going the other route. I'm great with permanent just not as invasive I guess. Thanks everyone for the comments!!


  17. #12
    sraebaer
    Guest   Change Avatar!

    Default Re: Why sleeve and not bypass?

    Often I think the bypass is recommended for people with a very large amount of weight to lose, like the 200 pound range. But I could be totally wrong!

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