I'm 37", 5'5, 382.4 lbs. My BMI is 58.1. Would you recommend the sleeve or gastric bypass?

Hey! Thank you for your question

Sleeve gastrectomy surgery permanently removes 80 percent of your stomach. The surgeon then sews the rest of the stomach into a small pouch or sleeve.
Gastric bypass, on the other hand, has a small stomach pouch created through bypassing most of the stomach and the first part of the small intestine.
This small pouch is reconnected to the remaining small intestine. The area of the small intestine that is removed is the part that does most of the absorbing of some nutrients and calories, therefore making it effective in losing weight.

Both surgeries are completed laparoscopically and require plenty of rest afterward. Taking care of yourself will help your body heal quicker and help with a smoother recovery process. Gastric bypass is more complicated than gastric sleeve surgery, so sometimes that can play a factor in what your recovery is like.

Your doctor will go over the various procedures you’ll need to follow after surgery, including how you will need to restrict your activity and change your diet. Not following the surgery guidelines afterward could cause unnecessary complications like infection, pain and more.

I do recommend that you have a consultation with a professional just to see your clinical history and see of the procedure is best for your particular case.

Sleeve and gastric bypass have comparable results in the fist year after surgery, there seems to be a slightly better success rate at 5 years after surgery for the gastric bypass. Many patients still select a sleeve as their primary procedure because it of lower surgical risk and no dumping, malabsorption or internal hernia formation. Many patients also select the sleeve because of its versatility , meaning that the sleeve can be easily converted to any other bariatric procedure if needed (bypass or duodenal switch) or if there is a loss of restriction this can be easily increased wit a simple procedure.