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VSG Surgery in scheduled for Sept 1, 2022. 4 years ago I started having a lot of gastric problems. Random and often vomiting, severe diarrhea, heartburn, indigestion, etc. I had 2 colonoscopies and 2 endoscopes. Finally, diagnosed with gastritis and microscopic colitis but no reasons why those happened. I took lots of different meds, changed when and what I ate, etc. Nothing worked. It was so bad I was afraid to even leave my house at times. I went to a bariatric/general surgeon about a VSG. He ended up being just who I needed to help solve my huge gastric problem. At first, he said I would probably need to get a bypass instead of the VSG because he thought I may have had GERD/reflux. He sent me for another endoscope and discovered from the last endoscope (a year before) I had newly developed a hiatal hernia, stomach ulcers, and deformed pyloric. Did some more tests and found my stomach acid was about 5 times too much. My pancreas was not able to produce enough of the necessary stuff to neutralize the stomach acid traveling through the intestines, which in turned cause the gastritis and severe diarrhea. The bypass leaves a still somewhat function stomach so I will get VSG instead since it removes a large portion of the acid producing fundus. I will also get a repair for the hiatal hernia and pyloric. I am so thankful to my doctor for finding my gastric problems and explaining to me in a way I could understand. AND lose the weight, too! I ended up not having GERD/reflux at all, even I develop due to the VSG, I think I can handle it! Thanks for listening to my story!
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Help! VSG or Bypass
LookingForward22 replied to RaisnHL's topic in PRE-Operation Weight Loss Surgery Q&A
I asked my surgeon what they recommended based on my medical history - and why. I really thought she was going to say bypass because of my high BMI and reflux, but she suggested sleeve. I mentioned I was taking Pepcid for reflux - but she pointed out that was only since January and mostly from my hiatal hernia… so fixing that should resolve my reflux. (Only a week out too soon to tell). When I asked about my high BMI she told me that she had some high BMI patients do very well with sleeve - but that she normally recommends a duodenal switch for high bmi and being a 10 hour surgery (with my hernia repair) she likes to do those in two stages… which this allows us that option. Honestly I’m hoping to loose enough that I don’t need to convert. I’m not working towards a specific number - I wanted my liver to improve (it already is showing improvement) and to get healthier. When I hit the number / goal where I feel good then I’ll settle in there. Hopefully I can do that with just the sleeve. -
I had severe GERD and because of that my surgeon recommended the bypass for me. Since then the only time I've had issues with GERD is when I've had episodes of vomiting.
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New Here, Think I was Born Obese (my poor mom!)
SymphonyOfDreams posted a topic in General Weight Loss Surgery Discussions
I recently discovered these forums and I am super excited to explore and learn and hopefully help others, too. I have been overweight my entire life. Even when I was in elementary school. My dad gave me nicknames to try to get me to stop wanting to eat. Fat in the can, the Crisco Kid. He was funny and I love him dearly, but he had no idea of the forces behind my eating problems. And an old-school way of tough-love (never physical, but jokes, which can be bad too). Anyway, In '92 I enlisted in the Army Infantry. Yes, I lost enough weight to get in, and Boot Camp took care of the rest. Then slowly gained weight back while I was in, despite all of the running and pushups and "pleasant nature hikes." Weight became a problem and I was called out all the time. But I always passed my physical fitness tests, and always did my job and stayed out of trouble, so I was mostly left alone. Fast forward to today. Heaviest weight after the Army was 315 pounds (I am 6'2"), and now I am 275 pounds. Constantly up and down up and down. Discovered Engine 2 and stayed on it for 6 months, was down to my 250s, then simply could not stay on that diet, and pushed back up to my current 275. Finally went to Ohio State University's (OSU's) Bariatric program and in-processed trying to use BCBS. BCBS requires the last 5 years of weight history. I am apparently supposed to be under a medically supervised diet for 6 months. See a Dietician (end of this month) and a Psychiatrist (end of this month), and find my own Therapist and start having sessions. So no surgery until next year some time. HOWEVER, I changing jobs in a few weeks, and will now have Cigna Health Insurance. My OSU coordinator looked up Cigna and said they did *not* have a 6 month supervised diet, so if things go well I should be able to have surgery before the end of the year. SUPER excited! Going with bypass, not sleeve, because I became diabetic this past year (only taking Metformin to control), and have routine bad heartburn. It is a better fit. Anyway, that is me, and hopefully a new me is around the corner. I cannot wait for a fresh start in life, albeit a difficult start. Thanks for listening -
I agree with you that it is a personal decision between the patient and physician. That said, I was 226 pounds at my highest and had gastric bypass (covered by insurance). It reduced my Gerd and has been fabulous for me. Duodenal switch I’ve seen recommended for morbidly obese. Sleeve or bypass can be for either. I’ve heard of cases of larger individuals getting the sleeve because they were high risk and it was less time on the operating table. Also, I had no complications after bypass. One night in the hospital, and then at the playground with my son the following day. I’m 1.5 years out, lost all my excess weight and have been maintaining my goal weight .I couldn’t be happier with my choice for bypass or my results.
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Help! VSG or Bypass
Muffinman1119 replied to RaisnHL's topic in PRE-Operation Weight Loss Surgery Q&A
Just about a month post-op sleeve here. I went with the sleeve because of lack of complications/intensiveness of the surgery compared to the bypass. My own opinion is that the bypass is for those who are incredibly morbidly obese, such as 400, 500, 600+ lbs. I think the sleeve is better geared towards those who are overweight and obese, but not to the extent of the bypass. Ultimately, it's between you and your surgeon/doctor. I wish you the best of luck! -
Anyone with RNY who has had cancer treatment, especially cervical or gastric cancer?
RNY_Cancerwarrior replied to Jacks133's topic in Gastric Bypass Surgery Forums
I know this post is pretty old but I was diagnosed with abdominal lymphoma about 3.5 years after I had my gastric bypass surgery. I had to go through 6 months of chemotherapy -
Help! VSG or Bypass
BlessedMomma91 replied to RaisnHL's topic in PRE-Operation Weight Loss Surgery Q&A
I'm on the fence too. Back in February/March I was sure I wanted the sleeve. My main reason is it won't mess with my mental health meds. Now I'm hearing horror stories of sleeve patients getting GERD and being forced to get the bypass for relief. I don't currently take any meds for acid reflux except an occasional Tums/Rolaids. So do I get the sleeve and risk getting GERD and hoping I have the funds later to get a revision or do I just get the bypass now and risk my my mental health meds not working? It took me years to finally find a medicine that helped my anxiety/OCD and I don't want to risk going down that terrible road again. However long lasting severe physical pain from the GERD is not good either. I may not have the finances later to get the bypass for relief. Decisions... decisions... Sent from my SM-S115DL using BariatricPal mobile app -
Although it’s more expensive, I would go with bypass. Mine was covered by insurance, but I was originally thinking sleeve, but ended up choosing bypass. Bypass is the gold standard, The only reason I’d recommend sleeve over bypass is if you’re not willing to commit to daily vitamins for the rest of your life. Bypass causes malabsorption and vitamins are a must. I’m fine with taking a daily vitamin and a calcium chew each day. For me, it’s worth it.
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I did really well after my VSG except for some difficulty drinking water. That hurt! But I didn’t have nausea or much pain either. I was up and walking the halls pretty quickly, too. I’m getting ready to have a revision to my sleeve (VSG to RNY due to hiatal hernia and GERD) and I hope this surgery goes as well as my last! Sounds like you’re doing great! Be thankful and roll with it! 💕
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Easily Able to drink Shakes, Jello, and pudding With No Restriction???
Starwarsandcupcakes replied to Jen-ny's topic in POST-Operation Weight Loss Surgery Q&A
When I had my sleeve I was struggling with fluids but when it was revised to RNY because of gerd I was able to drink shakes and broth and water and pretty much any fluid pretty easily. I remember being in the hospital the day after surgery and being able to drink 8oz of crystal light no problem while having a conversation with my surgeon at the same time. He wasn’t worried so neither was I. Fast forward to purées and soft foods and I felt full much sooner. Depending on your surgery, how much swelling and inflammation you have, things may be easier or harder at each stage. If you’re still concerned, talk with your surgeon and they’ll be able to reassure you. -
Easily Able to drink Shakes, Jello, and pudding With No Restriction???
SpartanMaker replied to Jen-ny's topic in POST-Operation Weight Loss Surgery Q&A
Everyone reacts differently, so I don't think I'd be too concerned at this point. For bypass patients, liquids tend to flow right through your new pouch (there's nothing to stop them any more). I suspect when you hit solids, you'll realise just how quickly you get full. If you're really concerned, it's best to talk to your surgeon. -
63% EWL after vsg. 122% EWL after revision to RNY.
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VBG to Gastric Bypass
Charlie’s Momma replied to Charlie’s Momma's topic in Revision Weight Loss Surgery Forums (NEW!)
Thank you ladies for your comments, I totally appreciate your advice! 🤗. I would like to hear from someone in Alberta, Canada, who has had the revision if possible? And what kind of results did you get from it? -
ISO Appeal letter example
kcuster83 replied to lolarose13's topic in Revision Weight Loss Surgery Forums (NEW!)
Insurance companies are a joke. It is so irritating! I hope you get is resolved without having to stop meds just to prove it. I had severe GERD before my bypass (virgin bypass, not a revision) and I couldn't imagine stopping meds for even a day! Flip side: Bypass has completely cured my GERD! -
Hi guys, So Aetna denied surgery conversion to bypass because they need "extra" proof of my GERD. They recently changed their rules and are asking for a PH Probe 24hr monitoring with abnormal results. I talked to my GI, and he told me that in order to do this test, I need to temporarily stop using medications that suppress stomach acid for about a week before the test; WHAT!? I can barely leave without them (I take a double dose, morning and night, and I am still waking up choaking most of the time, I have horrible reflux, etc.) and they will make me go through this just to prove that I have horrible GERD? I talked to my doctor's team, and they believe I should file an appeal just to explain this unnecessary burden and suffering, as this is the first time an insurance company required this test. Does anyone have an appeal letter as an example that I can use to start this process? I'm just so upset about this is ridiculous. Thanks!
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Gastric Sleeve to Mini Bypass
bpathrose replied to MJP820's topic in Mini Gastric Bypass Surgery Forum
Hello.. Revision to mini gastric bypass will work when you are committed to not repeating what went wrong in the past. Everyone makes mistakes and that is what makes us human. Be smarter next time for not everyone gets a second chance at life. Don't confuse yourself with data from the internet which is never specific to your body or case. The doctor would do a endoscopy or gastric swallow test to know the current position / status of your abdomen before deciding the revisional surgery method. I went through the same set of surgeries and did not bother to read what was published on the internet and listened to only the doctor and went in to the whole experience blindly. Knowing too much can be intimidating at times and when in doubt, your surgeon or team of doctors are the best place to ask your doubts. Cheers.. -
Congratulations! I get my bypass day after tomorrow. So excited
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WHAT is this???
Starwarsandcupcakes replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I’m gonna say this was probably a hiatal hernia based on my own personal experience. I had an intense sharp pain by my sternum that hurt so bad I called my cardiologist! He sent me to the ER. They told me it was palpitations and to see my cardiologist in the morning. I KNEW it wasn’t palpitations because those were completely different from what I was feeling. I brought it up at my next surgeon visit and he sent me for a barium swallow… and then another when I told him the first radiologist didn’t do enough imaging. The below image was the result- a hiatal hernia of almost my entire sleeve. The result from delayed care was esophagitis, constant heartburn(gerd), and hiccups from waking to sleeping. I ended up getting a revision to RNY and a second (had one with sleeve) hiatal hernia repair along with it. Hopefully yours isn’t as bad and they’ve caught it in time to make repair easier. -
Looking to see if my Dr. Will do the revision because of my Gerd
lolarose13 replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
Can you tell me more about the PH monitoring? I don’t know what to expect if we go ahead with this. I thought finding a hernia would be enough, but my doctor submitted me a GERD revision. -
Looking to see if my Dr. Will do the revision because of my Gerd
lolarose13 replied to lavette43's topic in Revision Weight Loss Surgery Forums (NEW!)
I will have to talk to my surgeon about this. My insurance just denied my revision because they wanted to prove my GERD with a 24hr PH monitoring test! I already had an endoscopy and the doctor found a large hernia, but now they want me to prove my GERD with a super expensive/extensive test? I’m upset that my doctor wants to go ahead with this. -
September surgery buddies!!
Dogmom68 replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
I’m on a two week liquid diet and it’s been a killer (again! This is my second bariatric surgery.) I can have protein shakes or greek yogurt for my ‘meals’ every three hours. I would be lying if I said I had been perfect throughout this process. I’ve slipped up a few times by stealing a fry off my husbands plate or eating a couple of olives when I was simply sooo hungry. I’m going to have the hiatal hernia repair during my surgery on the 29th and the revision to RNY, as well. The GERD burns me up a lot of the time so I take esomeprazole in the morning and Pepcid in the evening. And thank goodness for Tums during the day! -
100%. But I've gained 15-20 lbs in the last three years or so - but I think it's still much higher than the average (average for bypass being 70%)
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Is GERD worse in the beginning months after surgery?
fed-up replied to lindseylovesdogs's topic in POST-Operation Weight Loss Surgery Q&A
Hi , I am 4 days out from a sleeve .I had GERD before the op but was told when they fixed my hernia it would improve .At the moment it is twice as bad as before the op .I am hoping this goes in time .I also heard bypass was better for this but I wasn't suitable for that . Good luck x -
Is this GERD???
St77 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Even though you've had you're gallbladder out, you can actually still have pain similar to when you had you're gallbladder in. No one told me that for years. After years of GERD, I also found out that I had esophagitis and gastritis, which went unidentified until I had an endoscopy. After taking 2 PPIs for a while I eventually healed. That was before having my bypass though. Hopefully your surgeon figures out what's going on and a solution fast. Hope you feel better soon.
