JRL1989

I had an esophageal manometry test (which I don't know the results for, will get next week when I see WLS surgeon), but regardless - I am in Canada. LINX is not approved for use here in Canada. I asked him at 3 months post-op where he told me LINX isn't approved, and that he thinks in 15 years - LINX will be the new gastric band story - lots of erosion etc. So, LINX isn't an option for me, really.
I'm going to explore alternative options with him to see what he thinks. I'll be bringing the Ligamentum Teres paper, and also the BARF paper showing hiatal hernia repair works for these symptoms too. It's not that I absolutely won't agree to getting RNY, but I really truly feel like RNY should be a last resort. Not the first-line response to non-PPI responsive GERD after sleeve.

How did your appointments go?

I had a scope, showed HH (recurrent, as it was apparently fixed during my sleeve) and a "patulous LES" (wide open lower esophageal sphincter), so I guess that explains my regurgitation.
I see my WLS surgeon again for follow-up next Thursday. I am pretty sure he's going to try to strong-arm me into converting to RNY.

There's a really interesting paper published on this topic, it is currently in press. I can send you the full paper PDF if you'd like. You can see abstract etc here: https://pubmed.ncbi.nlm.nih.gov/33483233/
I have been having "BARF Syndrome" as they describe in the paper, and my 1-month post-sleeve barium swallow showed a recurrence of my hiatal hernia (it was repaired during sleeve). My surgeon also wants to convert to bypass.

This paper shows improvement of symptoms with even just HH repair.