Gastric Bypass vs Sleeve, update for 2021
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- เผยแพร่เมื่อ 20 ก.ค. 2024
- Both the Gastric Bypass and the Sleeve are very good, well-established operations. Which one is the best fit for you?
Dr. Pilcher discusses how the two operations are done, talks about how they work, and talks about the differences so you can have a well-informed discussion with your surgeon.
I had my gastric bypass 22 years ago. I had one of the first lapriscop surgeries in my area. San Francisco CA. I went from 238 to 135. My PCOS went dormant and i was able to bring 2 pregnancys to full turm.
You have so much to be proud of!
Did you keep the weight off after pregnancies??
@j2i8h Hi, yes, the pregnancy weight gain was not an issue. I had my daughter 2 years after gastric bypass. I gained 23 pounds with her pregnancy, and 2 days after delivering her, i had lost 20 pounds from the delivery. I only had 3 pounds remaining. With my son, he was born 6 years after my bypass, and i gained 25 pounds with his pregnancy and also dropped 20 a couple of days after birth. I regained 43 pounds of the 104 that I had lost 40%...13 years after gastric bypass when I turned 40 and had a car accident that left me with a brain injury. I was not able to exercise for 3 years. It affected my pituitary, and I also entered primerose, which makes it harder to take weight off.
i had gastric bypass surgery 4 years ago started at 402 lbs currently at 156 lbs and keeping the weight off. best decision i have ever made!
Great work! Congratulations on your success!
Awesome!
Great . How much was it?
I’m getting gastric sleeve. Because of conditions with my body
Congratulations
I had gastric bypass surgery on August 21st and I'm currently 190 lbs. Starting weight was 400 lbs. Best decision of my life.
Great work, and best of luck on your journey!
You large😊
@@dannygarcia666 yes I was large but now I'm currently weighing 162 lbs.
I’m at 370 and I think I’m going to do it thank you for your feedback
My sister did the same surgery she also lost the wt she was 98 now she is 60 kg but her protien is very low nd blood level is very less i worried about her.what is ur experience kindly tell me
I Had Vsg aka Sleeve Surgery May 21,,2015 i lost a 166 pounds..Kept it all Off. I was in my 50'S Today i am age 64. post Op 7 Years!! Best Thing I ever did for me and my Health!!
Thank you for sharing your experience.
That's encouraging
Did tou experience any reflux?
Awesome. Did you have any loose skin?
@@clucas5563You will always have loose skin with significant weight loss.
I had the gastric bypass surgery 5/20/2021. I was dx with uncontrolled diabetes type 2, HTN, sleep apnea, neuropathy, asthma-my highest A1C was 16. My highest weight gain 302. I was sent home with no medication post-op. I am now 195lbs my A1C is 4.8. This was the best decision ever ❤️
Congratulations!
@@DoctorJP Thanks so much
Congratulations to you! Did the neuropathy go away or gotten better since weight loss?
Congratulations! How has your asthma and breathing improved? I'm suffering from severe asthma and low oxygen levels, shortness of breath considering bypass surgery.
Hello I now have everything that you had. Diagnosis.. And I'm scheduled to have my gastric bypass surgery next month. I am soo scared. I wow weigh about the same amount that you had. 😮 but I want to thank you soo much for all of your encouragement.. thank you.. ❤🎉😂😊
What I love about this is that you explain everything clearly. Pros and cons of both. Also I love that you actually take the time to respond to people's comments. You posted this video last year but you're still responding to people now. If I lived in the same area as you, I would have my surgery with you. If you care this much about strangers, I can only imagine how much you care about your patients. I am impressed. Keep doing what you do and shedding light on weight loss surgery. Your videos are invaluable. THANK YOU!
Thanks so much for your positive comments!
Agreed! I am 43 and type 2 diabetic. I weigh around 213 and am 5’3”. I was diagnosed last year but it’s possible since my diagnosis of being gestation while pregnant in 2016 that I could have been pre diabetic. Be that as it may, my doctor who is helping manage with metformin never brought this procedure up and I have been mentally and emotionally drained. I have two kids and want to be around for them. For whatever reason, I had a tremendous amount of fluid on me while pregnant because I don’t over eat but I have slowly gained so much weight around my stomach and waste-line. I found out today that Kaiser insurance doesn’t pay for this surgery and I need to get this done because I most definitely want to reverse my diabetes. I have even looked into going out of the country to get it because I’m able to pay out of pocket and cost is more feasible. That’s a last resort though. Thank you again, I think the bypass is a better option. I just don’t want to look sick with my weight loss.
@@traven281 Are you my twin? Lol. I could literally mirror your comment. I had to scroll back up..... I was like I don't remember posting this. Anyhow, my situation s exactly the same. 43, 2 kids, 5'1, gestational diabetes/pre diabetic, hypertension and pretty much everything you said.
I go see my doctor on the 6th. I prayed about and had a long conversation with God and my family. I want live my life and not be affected by my weight and the other issues that come along with it.
This has been the most comprehensive review I’ve ever seen. You addressed my fears between the two surgeries. Thank you
Glad it was helpful!
@@DoctorJPcan one be pregnant after surgery
@@DoctorJPpls reply
I had bypass 2 months ago because history of acid reflux and I have Barrett esophagus. I’m losing weight, sleep apnea is gone, no more high blood pressure, cholesterol is normal and I have not had any migraines in almost 2 months. Feeling great
Outstanding! So glad things are going well, and best of luck on the rest of your journey!
Before watching this video, I was convinced that I was going to have the sleeve, but after getting all this information, I will be having the bypass. Thank you do much!
I'm very glad this was helpful, and I wish you the best of luck on your journey!
I had the gastric sleeve done in November 2020 and lost 195 pounds in a year and a half and have stayed consistent since then. I went from 370 to 175 pounds and as a 6’ tall guy my weight is right where it should be for my height. I was 28 years old when I had it done so that might have helped some too. I chose the sleeve because it was less invasive compare to completely rerouting everything but I also didn’t want to deal with the dumping syndrome and other stuff that can come from the bypass. I’m happy with the outcome and would recommend bariatric surgery to people who are serious about following through with what comes after. If you’re not going to be serious about it because you think all your weight is going to magically disappear without doing anything then you won’t be successful with it and be part of the statistics of people who didn’t lose much weight. Good luck to everyone who’s thinking of or has had it done. The transformation can be amazing if you have the mindset to it.
Thanks for sharing your experience, and best of luck on your journey!
That makes me nervous because I’m worried about discipline and maintenance but I’m going for it. I’m a fighter and I really want this. I’m getting the sleeve this month. Still contemplating bypass…
That’s the one I want to have in singing the consent tomorrow but I hear some people saying they threw up a lot or reflux and I’m wondering if is the surgery itself or just bc they probably eat wrong stuff than fell sick ? What do you think ?
@@eliziadossantos69012 of my sisters had it done and one has the reflux issue and one didn’t so it’s just going to depend on you
I am 3 weeks post op and my husband has a lot of questions. I discovered your videos today and have watched two so far together. My husband now understands and you cleared some things for me in your post op video. Thank you for taking the time to explain to us.
Thank you SO MUCH for posting this. I'm a 24 year old woman who's 5'1 and 225lbs. I have binge eating disorder. The surgery is currently in the works for me. I'm hoping to get it completed in September 2023, so I'm mentally, emotionally, and physically getting myself ready from now!
Thanks for watching, and best of luck on your journey!
Heyyy how did the surgery go for you, how’s your journey going?
How did it go
@@Iamnatalierose I ended up getting a laparoscopic gastric sleeve completed in late November (3 weeks ago exactly). The surgery took less than an hour. I was in moderate pain unpon waking up soon after but was given pain killers and IV during my 24 hour hospital stay. I had zero pain after 24 hours, but I did feel weird in the stomach. For the first 2 and a half weeks, my abdomen was "bubbly" (for a lack of a better word) which I assume was just the healing process. Diet wise, I will transition into soft foods tomorrow, but I literally eat 1/8 of a teaspoon before feeling satiated.
I've grown extremely sensitive to smells. I smell things others don't, and I'm a bit grossed out by food sometimes, though the grossness has faded lol.
What surprised me is how difficult it is to drink water; even taking small sips has been difficult for me. Water feels VERY heavy from the moment I swallow it. For this reason, I was dehydrated a few days ago and thus needed IV 3 times in a span of a week-nothing serious tbh-just lots of fatigue because of the dehydration. Drinking as I walked helps tremendously. It is very important to follow the post-OP diet strictly to the T and that you walk a minimum of 30 minutes/day to ensure proper healing. I also strongly suggest learning how to eat intuitively and learn the "healthy" way of eating (i.e. nickel sized bites, putting your spoon down between bites, learning your bodily cues, etc.).
I started taking a multivitamin, iron, and vitamin D immediately following the surgery to prevent any deficiencies. Finally, before the surgery, I was 227lbs. 20 days later, I weigh 198lbs. My family says they see the difference in my body already.
@@meanahbrown3333 I ended up getting a laparoscopic gastric sleeve completed in late November (3 weeks ago exactly). The surgery took less than an hour. I was in moderate pain unpon waking up soon after but was given pain killers and IV during my 24 hour hospital stay. I had zero pain after 24 hours, but I did feel weird in the stomach. For the first 2 and a half weeks, my abdomen was "bubbly" (for a lack of a better word) which I assume was just the healing process. Diet wise, I will transition into soft foods tomorrow, but I literally eat 1/8 of a teaspoon before feeling satiated.
I've grown extremely sensitive to smells. I smell things others don't, and I'm a bit grossed out by food sometimes, though the grossness has faded lol.
What surprised me is how difficult it is to drink water; even taking small sips has been difficult for me. Water feels VERY heavy from the moment I swallow it. For this reason, I was dehydrated a few days ago and thus needed IV 3 times in a span of a week-nothing serious tbh-just lots of fatigue because of the dehydration. Drinking as I walked helps tremendously. It is very important to follow the post-OP diet strictly to the T and that you walk a minimum of 30 minutes/day to ensure proper healing. I also strongly suggest learning how to eat intuitively and learn the "healthy" way of eating (i.e. nickel sized bites, putting your spoon down between bites, learning your bodily cues, etc.).
I started taking a multivitamin, iron, and vitamin D immediately following the surgery to prevent any deficiencies. Finally, before the surgery, I was 227lbs. 20 days later, I weigh 198lbs. My family says they see the difference in my body already.
Apart from accessible delivery of the medical knowledge, which is invaluable to patients, Dr. Pilcher explains the commercially- rooted stigma surrounding the bypass surgery. All together a magnificent lecture. I've just concluded my decision to switch from sleeve to bypass. Thank you for being such a great doctor and a wonderful human.
You are so kind! Best of luck on your journey!
Best decision I ever made! I was obese but had the surgery to fix a big problem with my esophagus. The problem was fixed and I lost over 100lbs, which was fantastic. You were my life-saver…thank you Dr. Pilcher!
Thanks for watching, and so glad you are doing well!
Have been considering surgery for some time now. This is one of the best videos I've watched. The history and explanations really help with the decision making process.
Thanks for watching, glad this was helpful!
Love my surgeon Dr. Pitcher,
I am a current patient. I had the gastric bypass surgery on 06/14 & just about 3 mos post op. to date & I've lost about 65lbs! His wonderful & his reassuring support before & after surgery is amazing. He takes his time & answers any questions or concerns you may have and his team is just as encouraging & supportive. It's not an easy surgery & I am still adjusting to my new life style & I have had to make a new relationship w/food but I have no regrets. This is by far the BEST decision I've ever made for myself. Thank you & God Bless you Dr. Pitcher for your passion & talents you share 😊w/ all of us!
Thanks so much, and thanks for watching!!
Hi, how it was for you dealing with odors and smelly feces that bypass tends to bring?
@@DoctorJPplease doctor where are you located (which country?)
@@DoctorJPI appreciate the way you took your time to educate us on the surgery
I enjoy your videos because you explain things so well. I watched your first comparison video when I was deciding between these 2 surgeries. I chose bypass, and am 12 weeks post op. I’ve lost 44 pounds and feel amazing!
Fantastic work, and congratulations!
Congratulations!!! Can't wait for mine still doing research.
Omg I’m so scared my surgery is on the 27th can you tell me your worse side affects
@@Thebeastdoppleganger I’ve had no major complications. Thrown up a few times but always my own fault when I eat too fast. Constipation and now I’m losing some hair but fortunately I had thick hair to start with. 5.5 months and down 75 lb.
My goal is 40-50lbs max. You Iost it in 12 weeks. I'm wondering if I'm a good candidate for wls with only a 40-50 lb weight loss goal.
Very informative! I’m currently at 365lbs and will be having the Gastric Sleeve done in 3 weeks. Super nervous and can’t even imagine the liquid diet process but I’m ready to take on the journey to save my life. This video couldn’t have came at a better time. Thx for sharing this video and it really put me at ease and to know that I’m not in this alone makes it all the better! 3 weeks to go and can’t wait to embark on this new lifestyle change!
Why would you do a sleeve?? I am 325 lbs and am going for the bypass on Monday.. My doctor told me if you need to lose more than 100 lbs it's pointless to do the sleeve. The sleeve is for patients needing to lose up to 80 lbs 🤔
Glad it was helpful! Best of luck on your journey!
@@yaaasqueen1043 not necessarily my mom and dad have lost over 120 lbs !
Update ?
How is it going post surgery? I have two weeks until my day
I had mine in 2016 ( by pass ) my weight was 290 now it is 180 , muscular 14% of body fat , the secret is diet, exercising and keep vitamins on level . ❤
Great work!
I just signed my consent for surgery last week and now just wait for an surgery date. My surgeon did a great job of talking me though the 2 options, BUT WOW, I am so glad I found your video, this was SO informative, so well put together. I even got my Husband and Son to watch so they felt clear and comfortable on what I am embarking on. Well done!!
So glad this was helpful! Best of luck on your journey!
May i ask which option you chose, and why?
I am 325 lbs and am going for the bypass on Monday.. My doctor told me if you need to lose more than 100 lbs it's pointless to do the sleeve. The sleeve is for patients needing to lose up to 80 lbs 🤔 Anything over that, bypass is the way to go!
@Yaaas Queen how did your surgery go? How do feel now
My sister in law literally almost passed on after having her bypass 7 years ago in a great hospital in Boston! Out of my 5 family members and 2 friends and myself who've had the sleeve, none of us had complications. So, I'm sorry but I do believe that bypass is more risky from life experiences!! My sister in law was given her last rights and everything. Her surgery itself went well but her body was rejecting the surgery. She couldn't hold down not even water. It was a miracle and amazing Dr's that saved her life. I'd never suggest bypass to anyone, especially when they can simply get the sleeve if w.l.s. is what they want and need!! Much like how back in the day doctors Swore by the lapband...now look! That'll be the way we look at bypasses one day, I just know it. It'll be gone with the wind just like the days where doctors told pregnant women that smoking during pregnancy was a great way to keep her figure.
Glad your sister-in-law made it through, and glad that you and your family are doing well with your sleeves. In spite of your personal experience, the numbers tell a surprisingly different story as outlined in this video.
All depends on your sister in laws body at the end of the day. All surgeries are risk.
You’ve given us a true master class! Thank you so much for this video. Really amazing how well you’ve explained these procedures.
Thanks much for all your knowledge. Also, thanks for all the positive comments.
Very glad this was useful!
Seeing Dr. Sosa for my surgery in Miami. He is very knowledgeable and confident, he doesn't sugar coat anything. Really happy I choose him. I will update this after 2 months post-op! Wish me luck 🍀
Best of luck on your journey!
It's been 9 weeks and I'm 60 lbs down 👏🏼 best decision I ever made with the bypass. Got another 90 lbs to go 💪🏼
Wow, this was a great video. Thank you for actually explaining these different mechanisms without an assumption that people wouldn’t understand these concepts.
Glad it was helpful!
I just want to thank you so much for putting this information out here in such a clear, concise, non-biased information. I have seen doctors push one over the other without giving nearly as much detail as you have here. I appreciate that you performed both surgeries based on the needs of your patient not based on your preferences as a surgeon so thank you
So glad this was helpful. Best of luck on your journey!
Happy my mother sent me this so eye can better overstand this process she has to go through...well done Doc 👏🏿👏🏿
Had my RNY done 8 days ago, and already down 28lbs! This video helped me make my decision! I am prediabetic with GERD and I'm in my 30s!
Congratulations! Do you mind if I ask what your starting weight was? I'm due to get my surgery soon as well. So excited!
@scha897 I started at 245. Good luck with your upcoming surgery! You'll lose in the pre surgery diet, too!
@@jdavis7110 thx hope so.
Congrats on your success so far, and best of luck on the rest of your journey!
Thank you for this video. You explain in such a nice and factual way. Researching the different surgeries on my own was stressful too bc of all the conflicting info out there. both operations seem less scary to me now and I'm def considering it.
Thanks for watching, and best of luck on your journey!
You were incredibly thorough. Anytime a question popped up you covered it almost as soon as I thought of it. Great delivery of information, thank you.
Glad it was helpful!
This video was the most comprehensive and helpful of several I have watched. Thank you, Dr. !
Thanks for watching!
Very informative! Thank you for explaining in detail. This helps me feel more comfortable with my decision to opt for the gastric bypass surgery.
Thanks for watching, and best of luck on your journey!
Thank you so much for this video! I have my RNY scheduled for a month from now and am so happy to have found this video. It was so informative, I learned more in this video than any of my doctor's appointments lol
Glad it was helpful!
I love how clear your presentation is between these two operations. Can you please do an updated video to include the modified duodenal switch? There's just not enough information out there on it, but I'm being told it's the procedure that's best for me. Thank you!
Thanks for your question. I would love to help with some duodenal switch information, but I don't plan a video until I have added that to my own toolbox. Still watching to see what medium-term results are going to be like with regards to nutrition and vitamin levels.
I am so grateful for this in depth description of both as I'm researching which is my best option. Many thanks
Glad it was helpful! Best of luck on your journey!
I love the way you explained this, it was very informative. Thank you 😊 I’m getting the sleeve march 25 2022.
I'm so glad it was helpful - best of luck on your journey!
How did it go ? 4 months results so far?
I think this is an excellent and simplified explanation for a layperson. Thank you!
Thanks for watching!
Most informative comparison video I’ve found thus far. Appreciate the explanation on the impact that marketing had on the perceptions of gastric bypass. Your gentle spirit towards obesity patients comes through the video.
Very glad this was helpful. Best of luck with your journey!
He just answered all my questions. Thank you doctor!
Thanks for watching Ruth!
Thank you for taking the time to explain things very well to a nurse interested in making healthier choices. I sincerely appreciate all your insight and feel comfortable with my decision for bypass vs. a sleeve now (before I was more in favor of the sleeve). Your video answered all the questions I had and more. Thanks, Dr. Pitcher!
Thanks for the feedback, and best of luck on your journey!
I must say even with my surgeons suggestion coming from a lap band that id be happier and more successful with the bypass I was still too scared of the Bypass. As soon as he said its the same to the body on a physilogical way- I said why take the chance of this reflux with the sleeve, when that is the precise reason why im removing the band!! Thank you DR for this video!
Thank you so much for putting these two options side-by-side and explaining the key differences in plain English. This is perhaps the best discussion about bariatric surgery that I've seen on the internet.
You are super kind. Thanks for watching, and best of luck on your journey!
I love how you explain everything between both surgeries and I’m looking forward to to mine thank you very much Doctor John
Best of luck!
That really sums up hundreds of hours of confusing contradictory information online! Very informative and helpful .. I have GERD yet I was adamant I wanted the " easier going " sleeve but now, I am going to give it more thought and possibly reconsider. Thank you!
Glad it was helpful! Best of luck on your journey!
Thank you for explaining these procedures so well. You are clear and concise and very informative. What a great service you are doing for the public.
Very glad this was useful. Best of luck on your journey!
wow, thank you for your video. It answered a lot of the questions I had with clarity and good humor. You explained everything without being patronizing, conceited, or assuming. I was leaning towards the sleeve, but I fall into the older female with health issues category. I didn't know that the sleeve showed better results in males. Curse my luck lol.
Thank you again for the effort you put into creating this video.
Thanks for the positive feedback Gina, and best of luck on your journey!
best and most comprehensive comparison of the two procedures I've seen yet. I'm considering the sleeve and your presentation really helped me better understand the pros and cons of each procedure and more importantly, the risks and rewards
Glad it was helpful! Best of luck on your journey!
I just had my gastric bypass surgery last week and seeing my weight come down a little everyday..start at 323 day of surgery and dwn to 309.6..continuing my full liquid diet until I can advance. My surgeon Dr Carlin is amazing.
Great job, and best of luck on your journey!
OH MY GOD! I'm so happy I watched this in its entirety, it has EVERYTHING I wanted to know answered. Initially I was looking into lap band, then wanted vsg (it's trendy now), now I'm leaving leaning towards byspass. I am 31, and importantly it's reversible if needed. I wanted lap band because I can lose it when I want but it doesn't work apparently and is high maintenance.
Thanks for watching, and best of luck on your journey!
My PCP just made the referral today to have the surgery done with you Dr. Pilcher. This video was amazing and has reassured me that I am making the right decision to get my health back on track. Hope to be seeing you soon!
Outstanding-I look forward to meeting you!
I can watch all day just to educate myself. Best and most honest content on TH-cam
You are super kind. Very glad this was helful.
Thank you doc for the clear and concise explanation…I’ve watched endless videos on this subject and by far you explain it perfectly, I must say thank you again🙏🏼
Very glad this was helpful, and best of luck on your journey!
Brilliant. I’m am having a bypass done here in the uk next month and this has confirmed my decision is correct for me. Thank you 🙏
Good luck!! Also from the UK :) Hope it goes well 🍀💗🇬🇧
How did it go in the UK.was considering turkey.
After going through so many videos I have to say this one has all the information I was looking for,very informative.thank you so much for taking the time,now the difficult part is to find a surgeon that’s qualified.
Glad it was helpful! Best of luck on your journey!
Dr. Pilcher, I came across your videos recently after considering GB and after talking to a friend who had the surgery as well as her Mother who have no regrets having it done. I really appreciate the information on this video to give me some idea of what it is about and things to consider. Today I am going to my primary doctor to see if they would give me a referral to see a surgeon in order to know if I am a good candidate for the surgery. I have many medical issues that the surgery maybe beneficial for me besides just want to be smaller and able to move better. Thank you for making it not seem as scary as people or the internet make it out be but certainly life changing if commited to the process. Your calm demeanor and kind spirit is very reassuring if I decide this is the right path for me. The liquid diet at first seems overwhelming but to know many people have been sucessful with the help of a GB seems worth it. I wish I lived in San Antonio so I could work with you put I am in Los Angeles. Thanks again
Best of luck on your journey!
I learned a lot. I appreciate your non-biased explanations. Thank you.
Glad it was helpful!
I’m 55 and I was shocked when my Bariatric surgeon said bypass. He said Since I’m a type 2 diabetic it would be better for me I have a host of other comorbidities I’m medium obese and I thought the bypass was for ppl that was severely obese but science is learning more and more with the studies of these surgeries new info is learned I think this is the best video comparison on the surgeries. I’ve subscribed to your page and I look forward to your videos when released. Thank you doctor!!
Who is your doctor and what hospital?
Hi Lana Palmetto General is my hospital. I took out a medical loan for the surgery and DR. JL SOSA is the Bariatric surgeon who’ll performing the bypass. I’m scheduled for Monday October 10th 2022@6am doing my clear liquids now preparing my stomach for the surgery I have some anxiety but I am ready!! 💪🏾
Hi Lana Palmetto General in Miami Fl is my hospital. I took out a medical loan for the surgery and DR. JL SOSA is the Bariatric surgeon who’ll perform the bypass. I’m scheduled for Monday October 10th 2022@6am doing my clear liquids now preparing my stomach for the surgery I have some anxiety but I am ready!! 💪🏾
Hope surgery went well today!!
Thank you for the informative video. My son (46) is scheduled for bypass surgery in November and you have allayed my fears of complications.
Thanks for watching - best of luck for your son!
Wow, this was the very BEST breakdown I have ever heard! What an amazing doctor!
Thanks for watching; so glad this was helpful!
I had the sleeve 9 years out and I developed a substantial hiatal hernia. I am now scheduled to have RNY surgery in 12 days. I did have a 40 pound regain on my sleeve. I am hoping this surgery results in substantial weight loss and feeling much better with no more reflux or nausea. Your video helped put my fears to rest. Thank you.
Best of luck on your journey!
This is the best information I have ever been given for any op I have had. I'm leaving to have my sleeve 22.12.23 tomorrow and OP monday. I'm having the sleeve and I'm happy to go ahead with it. Now I just need to loose the weight that's better for pre diabetes and I'm always Hungry and this op is my future heath and am looking so forward to it. Thankyou. X
Thanks for watching, and best of luck!
Thanks for your information.
Considering getting one of these surgeries.
A little nervous but realizing I am at a point that I need more help.
Thank you! I’m in Florida and having a bypass 3/9/22 . You’ve explained much more in a manner that is conversational and real .
So glad this was useful. Best of luck on your journey!
How did the surgery go
thank you for this unbiased educational video. I just went in for my consult today and found everything you shared very reassuring after having met with my future surgeon. Thank you for the thoughtful, well explained educational process of both procedures.
Glad it was helpful!
Lucky to have had Dr. Pilcher perform my surgery and after care. He is definitely well trained, informed, and highly skilled. Do your research -- not all surgeons in this space are reputable. I don't think you can find anyone better than John Pilcher to do your surgery. After that -- it's on you. Respect the gift, maintain the weight loss and improved health!
I'm blushing! Thanks so much!
Thank you for the great explanation. I’m scheduled for revision surgery with the bypass and feel much better
Thanks so much for watching, and best of luck on your journey!
Dr I want to thank you for all you do for people. When I think of a Dr I think of human beings such as yourself. This video is way up past master class. Thank you for being so helpful and precise.
Thanks for watching, and I'm so glad this was helpful!
Well...that July 2020 study explains what happened to me (I am the 8 to 10% affected)! It has been 9 years since my sleeve procedure; and I will celebrate my Bypass 6th Anniversary on Tuesday 08 Sep. I am a little over my goal weight but hasn't EVERYONE gain the COVID ten after being quarantined and trying out all those TH-cam recipes! Brainstorm...film Heidi or Linda preparing a protein enriched meal! But even with the COVID quarantine weight gain, I am still mission ready to do my job for my country. (OBTW - Nice American Flag pin on your coat sir!). It was for that reason (and diabetes in family) that I mainly sought surgery. I recommended my colleague to Dr. Pilcher and Sage Bariatric for the same reason - too big for our job! Three years later, we are now going to be working together. Luckily we are both healthy and ready to serve. Thank you LTC!
Great job Lisa, and thanks for your service!
Brilliant video I'm nearly 5 months posy RNY 4st 13 lbs off. Half the size I was delighted with life 1st to target best decision I ever made for my health. You explain things so well thanks doc
Glad this was helpful, and best of luck on your journey!
Thank you so much for your detailed explanation of both of these procedures. I've had a lapband but I'm going for a revision next month. My surgeon did advise bypass but he was going to do an endoscopy first before deciding on the final surgery (sleeve vs bypass). Your video has helped tremendously in helping me make an informed decision. God bless you for all the work that you do.
Hi I’m glad I came across your comment. I’m having a revision next month from a sleeve to a gastric bypass this time around. Best of luck on your journey & yes this info. From the Dr. is helpful & appreciated. I haven’t found many people with gastric bypass Videos on here !
Thanks for watching, and best of luck on your Journey!
I am too having revision from the lap and and preparing for the sleeve or bypass. I had a discussion with my surgeon and I don’t have to decide yet, but doing my research to decide which one is right for me.
@@mdmitchell5825 Best of luck!
This video was so helpful and also calming. I was leaning towards the sleeve because I'd heard horror stories about the bypass and heard that a sleeve is "less invasive". After watching this, I'm definitely going to get the bypass as I already get acid reflux. Although it is minor, I don't want to make it worse and like the fact that a bypass will actually help with it. Although I won't be able to use NAIDs, I don't see this as being a huge issue for me as I only use them during my period and I have other ways I could manage that pain instead. Thank you so much for this video!
So glad this was useful, and best of luck on your journey!
I really enjoy your attention to detail and clarity of explanation. Thank you.
Glad it was helpful!
Beautiful, thorough explanation . Well done, answered so many questions I had...I'm going to do the GB ...THANKS SO MUCH
So glad this was helpful! Best of luck on your journey!
I thoroughly enjoyed watching this video. I learned so much from it. I am hoping to have gastric bypass surgery in March of 2023. I weigh 365 pounds and I am striving for 200 pounds. I sure am glad there are doctors like this that are willing to discuss in detail how things are done.
Thanks for watching!
Good luck!! Let's us know how you are doing
Any updates?
I’m so happy I did this surgery & would do it again if I need to, thank you for explaining the difference between both surgery…. I had the gastric bypass done 3 yrs ago went from 224lbs to 135lbs but now I’m at 179lbs. A little worried about that but will see my surgeon & Dietitian soon…
Very glad you are staying connected with your bariatric team. Best of luck on your journey!
Thank you Doctor for taking the time explaining regarding this procedures. God bless!
Thanks for watching, and best of luck on your journey!
I love how you put out information without fear of criticism,if you ever travel to Kenya and wish to present someone with gastric bypass surgery as a present, kindly pick me, it's just to expensive for me yet I need so much,thank you and God bless you.
lol you are on my list! next time I'm in Kenya!
Dr. Pilcher. I had my Gastric Bypass 3 months ago and I have had a number of problems. Your video was very helpful to me in understanding some of them. Thank you for explaining everything in such detail. Excellent video!
Glad it was helpful! and best of luck on your journey!
What issue pls share
@@estheradaaja2023 Hi. After 4 months I am getting used to the new pouch so I am feeling better. Unfortunately my surgeon and his staff were not very thorough in explaining the food limitations and I was overeating and making bad food choices like fried foods. My surgeon also failed to tell me about post bariatric surgery Telogen Effluvium (hair loss). In a period of a month I have lost an enormous amount of hair. I believe everyone goes through that. Regrettably not all surgeons are as thorough as Dr. Pilcher, so be careful of your surgeon choice and ask many questions. The nature of my problems were excruciating pain after eating, dehydration (never thirsty) and severe constipation. I have learned a lot from Dr. Pilcher's videos and thanks to his explanations I am now aware of many things that I should have been told from the start.
@@DoctorJP Good Afternoon😊 I have a large hiatal hernia and it's 8cm{I'm miserable} What would be the right surgery safely done ✔️I don't have sleep apnea only Gerd, anemia and constipation..I don't smoke or drink alcohol,I don't eat beef or pork. I just want the hernia repaired.
I have a friend in Ministry who lost over 100 pounds with the sleeve. Is all about food maintenance and simple exercise such as walking. People are responding excellently with the sleeve.
Glad things are going well!
I saved this video, it is very interesting and educational as well, truly awesome. And this doctor explained everything clearly and right to the point, the pros and cons. A superb job this great gentleman and physician did. Hats off to YOU! Dr. Pilche 🙌👍👍🙏🙏♥️♥️♥️♥️♥️
Glad it was helpful, than thanks for for the feedback!
Very informative video that has answered several questions I had rolling around in my head.
Glad it was helpful!
I wish I had seen this before my surgery! I got gastric bypass in Mexico in April 2021 and I have lost 115lbs, hitting my weight loss goal already, But the doctor said that bypass had malabsorption for the rest of my life. He recommended it due to my thyroid being completely destroyed in malpractice. I'm glad I did it but this information would have made it so much easier for my anxiety!
Thanks for watching Sylvya. Just a cautionary note - in much of Latin America, a different version of the gastric bypass is done that DOES create some reduced absorption of nutrients and vitamins.
Best of luck on your journey!
Who did you go for your surgery ?
@@DoctorJP can you please explain how the Latin
American version differs from the USA version?
Please which hospital and doctor in Mexico did you have yours done?
What most people don’t tell you is that the sleeve cures a lot of things or has a high chance of curing things like diabetes, sleep apnea and other things related to obesity. My doctor took me off of insulin that day if the surgery. Of course you have to do the work though too. Meaning no more dumb snacks and sweets like junk food. My sugar levels have been great since surgery and I haven’t even went back to eating junk and I’m 3 years post op and haven’t messed up either
For sure. The sleeve does a lot of good!
How much weight did you loose initially? Has your weight loss been consistent and ongoing or stagnant?.
Thank you so much for this. I was going to have a sleeve but I have bad heartburn and indigestion already. I think I will go for a mini gastric bypass now.
Best of luck!
I have similar issues and also considered the sleeve and mimi gastric bypass. However my surgeon
advised me to go for the full bypass since with a mini there’s only one connection and something about the bile juices collection with a mini wouldn’t work with my hyperacidity issues.
This video was so very helpful. Best comparison details that I have found yet. Thank you so much
Glad it was helpful!
Thank you for such a comprehensive and easy to understand presentation. I've been researching for months, and you've helped me make up my mind.
So glad this was helpful, and best of luck on your journey!
Gastric bypass is for me far superior. I had sleeve ten years ago and got the revision to RNY November 2021 . Never been happier , losing more and feel so much better. I had wanted the DS for revision, the surgeon did not recommend it for me , I believe due to my age, and I didn’t have a huge amount to lose , I suggest people listen to their surgeons advice, they do know what is best ! RNY rocks !
Thanks for your videos educating people.
So glad you are doing well, and best of luck with the rest of your journey!
Gastric Bypass is what I am leaning to as well, but I read you can't eat red meet afterwards, what, never ever? Is it no longer digestible? I don't eat it a lot now, but occasionally I really crave a steak, & I couldn't give that up for ever.
@@user-vu7rv1xf1l Thats totally false about red meat. At the beginning its hard to digest, and not recommended as time goes on you can have a little, meaning all dense meats will fill you up. Chichen being very dry.. will be the hardest one in its plain form to swallow.. go for it and you can eat almost anything down the road. Just account for it in your plan
@@zenmaiden1 thank you thats good to know. I know I will have to cut down on portion sizes & have to be on a special diet during the healing stages, but ultimately I want to just be able to live a normal life long term, without too many restrictions, just small sizes.
I am almost 2wks post op from sleeve surgery. I only want to lose 100pds max. No pre-existing conditions/meds. After surgery, I haven't had any cravings for sweets or soda which were both my biggest vices. I have already slowly started back to regular foods bcuz I despise shakes. So far no issues other than nasausea (which im ok with as long as I can enjoy a little food sometimes). I'm hoping that I do well long term with this procedure and see results.
I'm also addicted to sugar. I'm confused as to which one I should get. Has your sugar cravings been under control since the surgery??
Thank you you explained everything so clearly. I live in the UK. I had gastric bypass 2/dec/22 and I'm happy with that decision now.
Hi…I am in UK as well. Can I ask how much you have lost and roughly what the cost was?
@Conny Hirne I've lost 23kg since I started the pre-diet, due to other health conditions that needed me to lose weight it was under the NHS.
So glad this was helpful. Best of luck on your journey!
Thank you SO much for this video. Your explanations are easy to understand. I meet with my doctor on Monday so this was a nice pre-appointment presentation.
Thank you, and best of luck on your journey!
This has been the best video I’ve seen from a medical professional on the differences between the two surgeries. I see now that I’ve had misconceptions about gastric bypass. Do you have recommendations on how to select a surgeon? Thank you for sharing your knowledge with us. ♥️
Thanks for checking in! I agree that picking the right surgeon is one of the keys to success. I suggest you look for a few things:
-already in practice for a few years
-emphasizes long term care, long term follow up
-has a team that includes a dietician on staff
Best of luck on your journey!
Thank you for the info. I'm 68 years old and 6+ years out from Gastric Bypass due to acid reflux. No problems , yes some dumping usually due to what I did and still have my restriction,, 108 pounds lost and through the years 20 weight gain, but about 90 pounds seems to be my set point.
Congratulations!!
This was the best intro to Gastric Bypass and Sleeve surgery I've seen.
Thanks for watching, and best of luck on your journey!
Wow, I'm SO grateful for the education you are providing through this channel; even though I know this video is two years old as the of the date I make this comment. I'm having gastric bypass in March or April (2024) and I'm learning ALLLLL that I can. GREAT information Dr. Pilcher!
So glad this is useful, and thanks for watching!
i had the gastric sleeve and whilst i lost 80lbs and have maintained for now 2 years, i think for someone for my original size (320) a bypass would of been a better idea. However, if i eat proteins mostly i still have very good restriction so i know if i get my head right i can get there :D but very good explanation
Sounds like you have an excellent attitude, and I wish you the best of luck on your journey!
For someone with PCOS , anemia and reflux is gastric bypass a better option. My weight is 120 kg and 165 cm height. Thank you for explaining everything so clear. I've been struggling with the decision of having the surgery for a while and I think I'm convinced now.
My healthcare team made me go to 10 weeks of orientation for my desicion, you should ask your healthcare if they offer that, it doenst comit you to the surgery, it makes it so you can make an informed choice.
Pcos having 35 year old mom of 2 here to say that I'd go with the sleeve. My sister in law almost passed after her bypass surgery, it's more risky. 4 family members, 2 friends and now myself have had the sleeve and after 8 years of the person with the longest surgery I know the sleeve people have been amazing. From weight in the 400s to the 200s.
You have explained this very well I'm about to have the gastric bypass and I'm so happy about this surgery I'm ready for a new me thanks
Best of luck on your Journey!
Thank you for making this. You’re a very great person and Dr. ☺️
Thanks for watching, and best of luck on your journey!
Loved the explanation. Sadly, insurance does not cover either of the surgeries. My hubby did have the sleeve because of some extreme hernias that had to be taken care of and it was self pay. He’s lost 140 in 8 months, so tremendous results. Hard to do self pay for a second surgery.
How much did it cost if you don't mind me asking
What state are you in? My surgery is 100% covered by my insurance. I’m in Texas. I wonder if you could travel out of state and get it covered or maybe consider changing your insurance because it’s definitely covered by insurance most places.
Most insurance covers it. Sounds like you need to maybe look into it and if yours won’t pay, then make changes at open enrollment time. Call the other insurances available to you and find out if they cover it.
Please share which insurance you have that covers the surgery. Thanks
I like this video very informative. I was in that 2 to 3 percent, I only lost 35lbs. The amount of food I eat is still smaller than the amounts I was able to eat before the gastric sleeve surgery. But the weight just did not come off. I felt like I went through this surgery for nothing. I had this surgery 2 years ago. My starting weight was 335 the lowest was 296 give or take a few pounds. I lost the first 18lbs before surgery so I only lost between 17 to 20lbs after surgery. I am now at 312.
Sorry to hear about your experience. I agree that can be frustrating. As a bariatric community, we are still working to understand such cases better.
I'm so sorry to hear this. I fear this for myself (limited weightloss) because my hormones were artificially altered due to severe endometriosis at 35 years of age and being treated with Lupron to induce menopause in an effort to ward off the regrowth of endometriosis (apparently estrogen feeds endometriosis) then ultimately opted for a full hysterectomy at 45 years of age. Long story longer, I was never overweight prior to Lupron. All my physicians suspect that the Lupron likely wreaked havoc on ALL my hormones (sex, metabolic, adrenal, etc.). Just curious if you have had some underlying condition(s) that have contributed to your inability to lose weight? I know it gets exhausting and I've lost count at how many times I have wanted to "throw in the towel" but don't give up, keep sleuthing, medicine is always evolving.
Wow I though it was just me I started off 2 years ago from sleeve 342 and now I’m 292 I feel like I had it for nothing to I be watching what I eat like I use to I most definitely feel bad till I don’t even want to talk about the sleeve surgery so here a
I am like before still struggling to loose weight . But never will I go under the knife again
This is the most articulate explanation of both surgeries I’ve ever watched simple to understand with a great information to bring to my surgeon. I’m currently at 311 pounds hoping to get down to 220.
Thanks very much! Best of luck on your journey!
Clear and accurate explanation Surgeon it takes too many time and research to make a difference or order… God Bless Americans and the whole world
I'm glad this was useful, and I wish you the best of luck on your journey!