Torn - Which one Gastric bypass or Sleeve?
Doctor Answers 2
Bypass vs. sleeve
Hello,I am a board-certified, fellowship-trained bariatric surgeon.Usually with a BMI of 46.3, diabetes, and sleep apnea, the gastric bypass is best because it would cause the greatest weight loss and the best chance of resolving the diabetes, compared to the sleeve gastrectomy and gastric band. If you have the gastric bypass, you have to be able to switch pain medications for your hip. After the bypass, you can't take aspirin, Motrin, ibuprofen, Advil, Naproxen, Aleve, or Excedrin, since these can cause ulcers after a gastric bypass.One option to discuss with your doctors - change to a different pain medication for your hip. If the pain is controlled without ibuprofen or the other medications listed above, then you could have the gastric bypass. If you definitely need the ibuprofen, then you could consider a sleeve gastrectomy. You could discuss these things with your surgeon.
David Henry, M.D.