I had occasional bad acid reflux and my surgeon pushed heavily for bypass vs VSG. I did my research and felt that bypass was not the choice for me with the malabsorption and others experiences I’ve read/heard about. Turns out I had a hiatal hernia that they repaired while in for my VSG and it may have been the cause. I’ve had zero acid reflux or heartburn since surgery and I’m 11weeks out. Even spicy foods don’t bother me.
They're likely concerned that since you already have issues with heartburn and thus stomach acid that the VSG would make it worse. Some 30% of people who have VSG end up having acid issue and many end up having to get revisions to a Gastric Bypass. But then the other 70% either have no difference or nothing significant changes. I have acid issues from my EoE so my gastroenterologist was pushing for the Bypass, but it was MY decision in the end and I went for the Loop Duodenal Switch which has a VSG stomach (just with the intestinal malabsorption bit added) and my acid issues hasn't got any worse. In fact, I believe it's slightly better than it was. So just weigh the pro's and con's and choose whatever makes YOU happy because it's your life and YOUR choice in the end because you are the one that will have to live with it. Not your doctor or anyone else.
