Duodenal switch or gastric sleeve surgery, which procedure is best for me?

Question

Female 225 lbs 5'7 BMI 35 Slight sleep apnea and taking prescription medication for acid reflux. Dr. Recommended DS instead of Sleeve due to the Sleeve not always alleviating acid reflux. Told me that I probably won't need to diet before surgery due to chance of BMI going under 35 I would like to know if a DS is too severe or drastic due to my BMI not being very high? I read you loose 1 lb a day with the DS? I have to choose between the two &, need some guidance to do so. Thank yo

Walfre Edwin Guerrero Burgueno, MD · Answer

Hello Cheylando79! How are you?Each bariatric surgery has its own indications. Just as you say, the gastric sleeve may not improve acid reflux or even worsen it, in fact having severe esophagitis is a "contraindication to performing a gastric sleeve." This can be known by performing an endoscopy prior to the procedure.On the other hand, in effect, DS is a very invasive surgery, preferably to be performed especially in patients who have morbid obesity or very high BMI (more than 40), which is not your case, but with good supplementation and follow-up by your bariatric surgery team, you can have a very good state of health after surgery.There are other bariatric surgery options that you can consider, especially according to your medical history of acid reflux and your BMI. Gastric Bypass is the treatment of choice for patients who have obesity + gastroesophageal reflux.

Duodenal switch or gastric sleeve surgery, which procedure is best for me?

Answers (1)

Recommended reading

Everything you need to know about Duodenal Switch

Our mission is to create a world where every investment in modern beauty is Worth It.

Duodenal switch or gastric sleeve surgery, which procedure is best for me?

Answers (1)

Browse related questions

Recommended reading

Everything you need to know about Duodenal Switch

Our mission is to create a world where every investment in modern beauty is Worth It.