mrs.melmcc

I think he was concerned about additional weight loss, malabsorption, etc. If this doesn’t work, he still plans on bypass as the solution. I was 45 pounds from his goal when I had my endoscopy and lost 20 since the hernia repair. I was just diagnosed with severe anemia too. I’m still not back to a regular diet yet. No reflux symptoms or meds needed so far. It took a while to get a diagnosis. I moved to another state shortly after my sleeve and couldn’t find anyone that would do my follow ups. I was on PPIs for 8 years and all my PCP offered was to try a different medication. She just was not educated enough on WLS to know something more serious was going on than just GERD.

Were you down to 160 at the time of your revision surgery? My surgeon was originally recommending conversion to bypass. He decided that bypass might have too many side effects since I have already lost a significant amount of weight. He opted to repair my hernia and place a mesh to see if that gets rid of the GERD. He said we still have bypass as a backup option. I’m almost 4 weeks post op and it’s been a tough recovery. I haven’t had any reflux or had to take meds since surgery. Hoping this works!

I am 8 years out from my sleeve and have had GERD since. It has progressively gotten worse. They found a fairly large hiatal hernia. Initially my doc was recommending the bypass conversion but he was concerned it would cause more problems for me since I really don’t have that much more to lose. I had a hernia repair surgery on 7/26 and was told I actually had two! They fixed the hernias, stitched the diaphragm where the esophagus passes, and placed a dissolvable mesh wrap. I am on full liquids until my follow up on 8/10. Overall, I think I did better post op with the sleeve as physically it’s been pretty rough. I was told to quit taking my PPIs and haven’t needed them so I’m hopeful that this will work. He said we can keep the bypass as a last resort but my BMI is down to 26.3 so I don’t think it’s truly an option. I also think if I had known what the past 8 years would be like I may have just opted for bypass from the beginning.

I don't know where you are in Arizona, but I recommend Banner Estrella Weight Loss Center in Phoenix (101 and Thomas so West Valley but he also sees patients at Banner Gateway in Gilbert). I am 8 years post op sleeve from a surgeon in another state. Dr. David Podkameni is who is treating me. He is doing a hiatal hernia repair for me tomorrow. He is very knowledgeable.

Thank you for the responses. Came here because I am experiencing the same. Eight years out from the sleeve and have had GERD ever since. I had an Upper Gi this morning and hernia was confirmed. Endoscopy this Thursday but prior to today doc had already discussed converting to bypass. This is not the quality of life I want for the rest of my life so I plan to do the bypass if my doc feels it is the best course of action.

I am speaking from my personal experience and would recommend the bypass. I got my sleeve 8 years ago and have had GERD since (was not an issue prior). It has progressively gotten worse and I now have a hiatal hernia as well. My doctor is considering a revision to bypass to address the issue. I also have issues with vitamin and protein deficiencies. I have been on Prevacid for the entire 8 years since my surgery. I realize everyone is different but research some of the risks of GERD after sleeve. It is not fun.