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

There are different elements that are taking in to account to choose a procedure:- Weight and height (BMI)- Body composition ( body fat percentage)- Medical conditions associated ( Diabetes, high blood pressure, obstructive sleep apnea, etc.)- Patient lifestyleIf you are interested in this possibility, you need to arrange a consultation with a certified bariatric surgeon. He will be able to advise you which could be the right treatment option for your specific situation.

With a BMI of 58.1, gastric bypass (Roux-en-Y) is generally recommended over the sleeve because it tends to lead to greater overall weight loss and has better long-term success for individuals with a higher BMI. Additionally, bypass can help more with issues like severe acid reflux and metabolic conditions like type 2 diabetes.
That said, the choice depends on your personal health conditions, goals, and lifestyle preferences. The sleeve is less invasive and maintains a more natural digestive process but may not provide as much weight loss as bypass for someone with a BMI over 50. If you have concerns about long-term nutritional deficiencies, the sleeve might be preferable, but if you want maximum weight loss and don't mind stricter vitamin requirements, bypass could be the better option.

Hello, with a BMI of 58 we always recommend to loose at least 35 to 45 pounds before a procedure. If you don’t have diabetes we recommend a Sleeve Gastrectomy, if , you are diabetic maybe a bypass is for you

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.

For the most part most patients are better served with a sleeve gastrectomy vs. a bypass but there are numerous other things to consider than solely the BMI. if the consideration is just based off of your BMI the laparoscopic sleeve is usually a better option. You need to discuss your other medical conditions and go through all the pros and cons of each surgery relative to your medical history to determine which is the best option for you.

Hello,Your BMI is 63.6 so you are highly recommended to have a weight loss surgery if you cannot lose weight with diet. However, as Gastric Bypass is also related to intestine, I suggest you to have Gastric Sleeve as it is one of the most natural weight loss surgeries (only handling with stomach size).