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I had a VSG in 2008. I’ve been on nexium for acid reflux since then. At my lowest, I’d lost 120 lbs. I’ve kept 50 of that off. In addition to weight creeping back up, I’ve continually had problems with burping, hiccups, occasional vomiting, pills getting stuck, and bile washing back up. Finally, I went back to my surgeon late last year. I wasn’t planning to do another WLS (I’m 55 and thinking this is just how I am), but did a barium swallow and endoscopy. He said I have bile reflux (in addition to acid reflux) and that puts me at risk for esophagal cancer. He wants to do a gastric bypass and I’m scheduled for that now. The whole cancer risk scare is what is driving me, but I have mixed feelings about the surgery. I’m certainly hoping that it clears up both the acid and bile reflux issues, but halfway through my pre-op, I’m feeling pretty down about the whole thing. Anyone else go through this? Thanks

I know this may be a sensitive topic but I wanted some feedback if anyone has any. Does anyone smoke weed or consume edibles after Bypass? I know that both have helped me with my anxiety, insomnia and stress especially over the past two years with the loss of my Dad. It’s not a daily habit but I wanted to know if that part of my life is now over? I stopped all that activity about 6 weeks prior to surgery to be safe. All feedback is welcome and appreciated.

I'm resurrecting an older thread as I am curious to see what current responses to this question will be as I prepare for surgery. For people who are taking multiple supplements, did you have a bypass or a sleeve? In the pre-op meeting last week, we were only advised to purchase a multivitamin. There were 6 options that they recommend for the multivitamin. Most of us selected the option that only required one pill versus a separate one for Iron and calcium. We need to take 4 of that one multivitamin a day. Two in the morning and two in the evening. I am taking a couple things now, before surgery, like BP med, hair, skin, nails pill, and a weekly Vitamin D. Will see what happens with those 2 post surgery. Reading here that some people are taking 8 - 12/14 pills a day is concerning. Maybe those are mainly for folks with a bypass. I'm getting the sleeve surgery. How many pills are folks with a sleeve taking?

Thank you for bringing attention to this issue. People who haven't lived with significant GERD often don't understand how serious it can be and how it affects quality of life. We need to find solutions to this problem. Now that so many people have gotten the sleeve, there will be an explosion of people affected by the nasty form of GERD that can happen post-sleeve, and not all of them are good candidates for the bypass. I feel like doctors push people to convert to bypass whenever there is an issue with the sleeve because that is something they are familiar with and has fairly predictable complications. However, I have seen so many stories of people who converted to bypass but then ended up with new problems or still had reflux even then. There has to be a better way to deal with this problem. Can I ask, how have you managed to cope with the awful GERD all this time? What do you do in order to get through the day? Have you developed Barrett's esophagus?

I noticed this before my weight loss surgery journey when I did a Keto diet and now post bypass. I was on the verge of getting a double hip replacement due to arthritis. Now I think I’ve got some more years in my hips.I’ve even been walking and biking like crazy because now I can. 😀

My gastric bypass surgery was on February 24th. I’ve been very sick since. Regurgitating all food I eat except liquids, within 5-10 minutes. When I try to eat, I eat one to two bites out of a kid spoon. At this point I’m starting to get malnourished. I can’t keep any food down at all, not even my protein shakes. My surgeon has suspicions that this may be a stricture. I go in on the 7th of April for an EGD to check. Has anyone else had any problems with a stricture? What was recovery like? Did it set you back at all?

Sorry this is a bit of an essay, but it's been something I've been thinking about for a few weeks! Before my wls, I'd been taking NSAIDs for some years because of bad arthritic pains. I thought I'd still need anti-inflammatory drugs after the bypass and this was the thing that worried me the most about the operation (I couldn't have the sleeve because of reflux). My thinking in deciding to go for the bypass was that once I lost the excess weight the arthritic pains would be manageable without anti-inflammatories 🤞 At my initial consultation in the August before my bypass in October, my surgeon prescribed me different anti-inflammatories that he said would not cause an ulcer and so would be ok to take after the bypass. I tried these for about 4 weeks pre-op but found that they exacerbated dry eye symptoms that I also suffer from and this was extremely painful. So I just decided I'd stop taking the anti-inflammatories completely after the bypass and put up with the arthritis pain until I'd lost enough weight for it to make a difference. I did lose about 1 stone in the pre-op fat reducing diet, but since the bypass (literally since I stopped taking them about 5 days before the op) I haven't taken any anti-inflammatories at all, and immediately noticed that I had significantly reduced arthritic pains (so before I'd lost any significant amount of weight). I found this so unexpected? My diet before wasn't particularly fatty, but I definitely ate a lot of sugar and I can only think that the sugar was causing a lot of the inflammation? Has anybody else experienced anything similar?

The first few weeks I was advised to concentrate just on getting in the protein and fluids. The suggested menu for when I started the puree stage came to about 800 calories per day. This gradually increased with the new menu plans, and at the 3 month stage post-bypass my nutritionist told me to aim for between 1000-1200 per day. I couldn't have physically taken in 1200 calories at the stage you're at. My weight loss has been steady with this plan.

My group was actually involved in a study focused on upping calories sooner. I was encouraged to reach 1200 calories per day as soon as possible, and did so around week 3 after surgery. I have not seen the study, but I was told by my doctor that people who eat more calories sooner will lose weight slower, BUT....statistically have much less regain later....the hypothosis being....this is because the metabolic set point is being re-estabilshed at a more robust livable caloric level. I cannot speak for anyone's experience but my own, and can report observations of a family member who has also had bariatric surgery. My cousin is a few years younger, also had sleeve, and was on an extended restricted calorie plan. She ate 600-800 calories for months after surgery. She lost rapidly. She was appalled by the calories I was being encouraged to eat as soon as week 3. Gave me crap constantly that I would not lose the weight she had. And at first...I was concerned she was right. She lost more weight than I did MUCH MUCH faster. Eating 1200 calories a day, I lost slowly, but consistently. But I eventually reached goal. I'm three years out, she's four years out. I've maintained everything I lost and I eat around 1600 calories a day. If I go up five pounds, I don't have any problem taking it off by dropping my calories down to 1200-1400. She's regained half of what she lost, and says she struggles to lose weight eating 1000-1200 calories a day. She blames the sleeve, and is planning to do revision surgery to RnY bypass. My personal feeling...is that there could be something to this concern about metabolic reset at too low a calorie threshold. Do I know that? Nope. People are extremely individual. This is a new science and there's a LOT we don't know, and even more that will vary by person, diet, and a dozen other variables. But I do know that attitudes among bariatric surgeons regarding diet are changing at the major research universities....to favor higher calories sooner. I'm guessing we'll know a lot more about how this all works out in the data.....in about ten years. LOL

I had Gastric Bypass on 3/25/2021. I came home yesterday evening. I was shocked at the amount of post op meds I have to take and some are for over 90 days! The most daunting med is the shot to prevent blood clots. Thank god for my loving and supportive hubby, he really came in clutch and offered to give me the shots (2x a day mind you). Anyone else blown away by having 9 post op meds added to existing meds and vitamins?

Greetings Mae7365, I certainly don’t feel like a “virgin” RYGB individual. As you said in your post, “We’ve been there, done that”. We’ve gone from our VSG into a RYGB revision to tackle difficult health issues. Ever since the RYGB and hiatal hernia surgeries, I haven’t had any amount of GERD. My lower belly abdominal pains are gone. My erosive esophagitis is now healing. This amazing RYGB surgery has done wonders for tackling any medical conditions I had going into the RYGB revision surgery. I just figured out that I will be on full liquid diet for another 10 days. I bought on Amazon a good book on getting the most from the full liquid diet BEGINNERS GUIDE TO FULL LIQUID DIET FOR WEIGHT LOSS: BEGINNERS FRIENDLY GUIDE TO FULL LIQUID DIET FOR WEIGHT LOSS & HEALTHY LIFESTYLE . It’s a very good guide.

I am so glad that you mentioned that Dr. Jossart is experienced in dealing with this issue. I will need to look into that. Did you have to make an appointment with his office staff to talk to him? I am sorry that you are suffering with these issues too, but I am also glad that you are here and talking about what you have learned. It is so nice to hear from someone else who is interested in this topic and taking action to try to figure it out. This is such a difficult problem because it seems like there aren't a ton of people who have dealt with it so you feel kind of alone struggling to find help with a complicated problem that even many doctors don't seem to understand very well. To be honest, I desperately wish that I had never had the sleeve, because I didn't understand at the time what trouble it could lead to, and I NEVER wanted a bypass under any circumstance. I wish I had made it more clear to my doctor at the time that I did not consider the bypass an option and maybe then she would not have done the sleeve. Here are a couple of other leads that I have found that you might want to check into: Dr. Kenneth J. Chang at UC Irvine is doing research into an experimental method of controlling GERD with an endoscopic procedure that can be done post-sleeve. https://www.ucihealth.org/find-a-doctor/c/kenneth-chang https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133678/ Dr. Olaya I Brewer Gutierrez at Johns Hopkins is apparently close to starting a clinical trial using a similar endoscopic procedure: https://clinicaltrials.gov/ct2/show/NCT04771247

I had my gallbladder removed today I’m in so much pain today I found out I have esophagitis and I have bail my surgeon found I have wait a year too make sure is clear if not I’m going have get revision from gastric sleeve to gastric bypass

I had my surgery (Gastric Bypass) yesterday so far recovery is ok, i have been moved up to pureed diet, still in hospital but hoping to get out this afternoon. Biggest problem has been managing pain closely. But i think we got it taken care of now. I have been walking and it is so true it does help the gas pain. Fingers crossed I get to go home tonight🤞🤞🤞

As a recent sleeve to bypass patient - specifically to resolve the terrible GERD, Gastritis and Esophagitis caused by chronic acid reflux - I can so relate to your comments. I had acid reflux disease before I even had the sleeve, and my surgeon never told me that GERD could be a complication following sleeve surgery. In all fairness, I think that this has really only come to the surface over the past 5 years. Now surgeons, and GI doctors, seem to be more versed in GERD following sleeve surgery and more prone to advise patients to choose the bypass. On a positive note, I've had ZERO acid reflux since my bypass surgery October 2020. I stopped taking any PPI, and my primary care doctor is thrilled. Long term use of PPI's can also lead to bone loss in women. Best decision I made was choosing the revision surgery.

I am a few days away from a month after my gastric bypass surgery , I have been doing everything my surgeon told me to do . I can't believe i lost 65 lbs in 27 days !!! I'm finally feeling happy , lighter, and healthier today. If you are not extremely strong, physically but mostly mentally . This journey is not for you. In my first month I overcame 2 major issues, on top of and including my surgery recovery. Alcohol free " reversing a large fatty liver" and testosterone infections free too I'm proud of myself . natural test levels are not back yet but feeling better everyday. my energy level is increasing everyday. i do 2, 20 minute walks per day. I really have no appetite, but i get my vitamins and protein shakes in everyday. and water . my next diet stage is real soft food again, but i hate the full feeling so i rather just drink fluids. thanks for all the advice on my previous posts i took them with a grain of salt. But everyone helped me find light at the end of the depression tunnel. I will not try anything without dr. approval. Anyone interested in healthy living and fatty liver issues, look up Dr. Berg on youtube and subscribe !!!! he's extremely helpful !!!

I wanted to preface this post with this optimistic fact. My husband had the surgery with amazing results and no problems whatsoever 15 years ago - it saved his life. He lost over 150 pounds and kept if off. He's gained and lost the same 25 pounds like your typical middle aged person, but it's been nothing but a blessing for him. We had different surgeons. My experience wasn't so awesome, and I feel it's so important to share a few facts so you choose the RIGHT surgeon and ask the RIGHT questions. I hope I can help people avoid the avoidable. I'm a big believer in the surgery - but I want you to not suffer. Let me help:) What's the problem? The sleeve has a common and serious side effect that I suffer with, and that many surgeons downplay. GERD. But this isn't the GERD you think you know - I'll jump into that later. GERD has up to a 30% rate of occurrence after VSG - that's a lot higher then what my doc told me. https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/nyas.14467. Not only did my doctor gloss over it, and convey that it was "really rare", but he didn't really explain what this type of GERD is. I'm going to explain what this type of GERD is, and then I'm going to arm you with the right questions and research to do before you pick a surgeon. Because once it goes bad, your surgeon will pawn you off on a GERD doctor and that's that. Let me help you get proactive and avoid a bad result! What is VSG GERD? Gastroesophageal reflux disease, or chronic acid reflux is when acid shoots into your esophagus and throat. VSG GERD is different - that's why I'm giving it its own name. I never had GERD before the surgery. Now I get VSG GERD after drinking 4 oz. of water. It's NOT triggered by food. This isn't occasional, it's constant without dangerous meds. I now weigh 115 pounds, so it's not triggered by overindulgence or weight gain brought on by binging. Now you might think you already know GERD. Who hasn't had to pop a tums here and there? Not a bad trade off for a morbid obesity cure, right? THIS IS NOT THAT!!!! VSG GERD is an unrelenting tidal wave of persistent, burning acid that causes chest pain (and emergency room visits) that can only be somewhat managed by daily, longterm use of a class of drugs called PPI's. These PPI's lead to malabsorption and a host of side effects. I sit in my local cancer center to have my bi-annual 4-hour iron infusion with chemo patients to name just one. https://journals.lww.com/ajg/Fulltext/2018/10001/Effect_of_Long_Term_Proton_Pump_Inhibitor_Use_on.1227.aspx PPI's are a class of drugs that are only intended for 2 weeks of use because of their fairly horrific side effects. PPI's are linked to depression, blindness, cancer, and early death, (and this is the short list). There are several law firms dedicated to compensation for PPI victims. PPI's makes me feel like I've just downed a bottle of Mayo. I've been nauseous for years. I alternate between taking a bottle of tums a day so that I can take breaks from the PPI - but I always revert back to them after a short break to alleviate the pain. I am seriously at risk for a ton of really serious diseases, and my liver tests are really bad. PPI's are deadly. I'm in the process of finding a surgeon who can help. https://www.nature.com/articles/s41598-019-53622-3 The amount of VSG patients converting to the bypass/Linx system/etc. to rid themself of GERD and get off PPI's is exploding. Common sense would tell you that this isn't a" tums" sort of reflux! Hope for post VSG GERD As someone with no energy, horrible anemia, and low final weight - the bypass conversion sounds like a disaster because of the increased risk of malabsorption, but one surgeon told me it might be my only option. Some surgeons are discovering that a revision surgery to treat a hiatal hernial (HH) is the key to relief. I've had several scopes over the years, and they can never find a HH, but according to my husband's VSG surgeon, that isn't uncommon. He feels there is a possibility that my past the doctors missing it. I'm waiting on my barium swallow results. This gives me hope - that's why I wanted to share it. Hope is everything. I'm also going to talk with the doctor who wrote this article. "Laparoscopic Ligamentum Teres cardiopexy to the rescue; an old procedure with a new use in managing reflux after sleeve gastrectomy". Follow me and I'll keep you updated. https://www.americanjournalofsurgery.com/article/S0002-9610(20)30814-X/fulltext#gr2 Future VSG patients - ASK QUESTIONS! A few surgeons are now doing the sleeve with hiatal hernia repair at the same time, and some understand how important it is to consider GERD while doing the surgery. Different surgeons have different techniques. Some doctors "get it", and are being proactive because they've seen the pain that GERD causes. Some downplay it. I would suggest that ALL sleeve pre op patients have this discussion with their surgeon before moving forward. If he downplays it, RUN. ASK!!!! Ask your surgeon how many patients has he had who've had GERD. How does/or will he address it if you are unlucky? Ask about his follow up - does he even know what's going on with his past patients? How does he keep track? Has he sent any patients to a GERD specialist? If he says, "oh, only a few of my patients had that" - ask him how he handled it. (My surgeon sent me to the GERD doc and then cut off ties. He was not curious about my results - he did not want to know. He probably still tells patients that it is rare. He has no idea I've been suffering for 14 years.) Bariatric surgeons who've done the surgery and are on the forefront of GERD repair are a good bet. These doctors are rare and you need to really hunt for them. If your doctor does the whole "very rare", etc. (my doctor did), he's either: not reading recent studies, not listening to his patients, not following up on them, minimizing this horrific side effect, or all of the above. Don't settle for a doctor who acts like it's "super rare" or "no big deal". THIS IS A BIG DEAL. Find one that is proactive and discusses HOW they avoid it. I'm rooting for all of you! Let's get the surgery, but let's get it from the right people. Don't pick the guy in Mexico just because he's cheap. Don't pick the guy because he takes your insurance. Spend the money for a few consults to discuss the surgery with different surgeons. Come here and reach out to people who've gone to him/her. I went with a blind recommendation and didn't ask enough questions - and the price is really expensive - I'm still paying.

Me too! I've also spoken with Dr. Jossart in California who has done many hiatal hernia (HH) repairs post sleeve for those with GERD. This sounds perfect for you. He said he's done 125+ repairs with a 90% success rate. Only 1 of these patients out of over 125 needed a conversion to bypass. As someone with no energy, horrible anemia (iron infusions) and low final weight - the bypass conversion sounds like a disaster waiting to happen, so I'm praying for a HH to show up on my latest swallow test. I've had several scopes over the years, and they can never find a HH, but according to Dr. Jossart that isn't uncommon, and he feels there is a very high likelihood that it's small and the doctor's I've seen are missing it. This gives me hope - that's why I wanted to share it. Hope is everything. I also feel I should share that new research on PPI's show that they are now linked to depression (PPI's rank #1 as OTC drug that causes depression) and eye problems (including blindness). This is new research coming out to add to the list of problems it causes. We all need to get off PPI's! Lastly, a few surgeons are now doing the sleeve with HH repair first, and with other GERD preventative measures DURING surgery. These doctors "get it", and are being proactive because they've seen the pain that GERD causes. I would suggest that ALL sleeve pre op patients have this discussion with their surgeon before moving forward, if he downplays it, RUN. If you are in the 30% that suffer, it's severely lowers your quality of life. I've been suffering for 14 years with too many dead end Dr. Appointments to count. Stanford, UofM - I've consulted with the best "experts" over the years and found found many shake their heads with a sort of "you're on your own" attitude. I truly believe that the only hope we have is with a bariatric surgeon who really understands what was done and who has done the surgery - but also does GERD repairs. These doctors are rare and you need to really hunt for them. When most hear "acid reflux" as a potential side effect, they think "so what, I'll have to take a tums once in a while". It's NOT that sort of reflux. It's debilitating. It's vomiting after half a cup of water. It's pain after every single meal. It's instant dependency of horrific drugs with a myriad of side effects - including blindness and cancer. If my doctor had told me I had a 30% chance of this version of GERD, I would have run for the hills. If your doctor does the whole "very rare", etc. (my doctor did), he's either: not reading recent studies, not listening to his patients, not following up on them (my doctor just pawned me off to a GERD doctor), minimizing this horrific side effect, or all of the above. Don't settle of a doctor who acts like it's super rare or no big deal. Find one that is proactive and discusses HOW they avoid it. Please share with me all your research. I'm rooting for you!

I had an endoscopy yesterday as part of the pre-surgery process for me. I've had GERD issues for a while, and my nurse wanted to make sure there wasn't something more there going on before getting a sleeve (which was the surgeon's recommendation based on my weight). Turns out I have a medium-sized hiatal hernia of the paraoesophageal type. Based on this we're actually going to go with bypass. According to the nurse, while it's possible the GERD would go away with the sleeve if the hernia was fixed, it's also not entirely uncommon for sleeve users to get another hernia later on due to the reduced size of the stomach, and then we'd be back to square 1 with the GERD issues (with them possibly being worse due to the new stomach). Where I am self-pay and a revision would not be covered by insurance, we have decided to go with bypass instead as I essentially have one chance to get this right. That is just for me though, and everyone is so different with multiple other factors at play that it may not be the right choice for others. Either way, I'd say an endoscopy will likely be beneficial. Doesn't hurt to have more information going into such a big decision, and the results may help you decide what type of surgery would work best for you.

So question to you all, when calculating out your excess weight, did you use the weight of when you started your journey (for some that may be their highest weight) or use the weight that you checked in for surgery? So for example, I was at 304lbs when I started my journey (lapband removed and going through all the testing to before surgery) aftet all of that plus the pre op liver shrinking diet (total of 6 months from band removal to bypass) I got down to 278 on my surgery day. So I am just trying to figure out do I used the 304lbs or 278lbs to calculate out my excess weight.

Hi! I had the lap-band 12 years ago. I lost 80 pounds, but have gained back 40. I have band issues (vomiting, liquid in my throat when I wake up, reflux, etc.). I’m meeting with Dr. Houston to consult about a revision. Any one on here use him? Any positives or negatives? I’m self-pay. Thanks!

I was just revised from the sleeve to the bypass on the 23rd and my pain is minimal. Doing my best to get fluids in. I gained 10 pounds during my hospital stay so hoping that will come off pretty fast. I haven't had any incidences of reflux so I'm super happy about that.

Greetings everyone. I have had a long journey, I've been overweight and obese most of my life. I was 6ft1 and over 300lbs in my late teens and successfully dropped down into the 190's. Eventually I got older, got married and started working night shifts...here I am again! No health issues, but I want it to stay that way, the funny thing is, I look down and move around and still feel that I'm thin, opposite of most, pictures tell another story, haha! I joined a paid, doctor lead weight loss program in 2019 that went alright, I didn't lose much though and easily gained it back. One of the recommendations coming out of that was surgery. Where I live there is a long process for that (but it is funded). Most people only are covered for bypass though, including me. Long story short I decided to go with the Sleeve out of my own pocket. I can afford it and the bypass seemed a little too extreme to me, for my personal situation. My family had been aware of my journey and supportive until my surgery was actually booked recently after doing orientation, reading (and sharing) materials, etc. Now I have literally all my immediate family telling not to do it. My wife is upset as we have two young children and I'll be out of commission for a bit and she's extremely anxious after reading something saying 80% of people end up divorced after this, she feels she doesn't know enough too and that ones understandable. One family member told me I'm being selfish, I still don't understand that one. Another said I don't understand what I'm getting and I should get more info and see a therapist. I get that therapy brings value, but I'm always legitimately happy and in both my weight loss program and the intake for surgery the doctors said I didn't need to see a therapist (and they had them on staff). It was a little disorienting as I first stated I was looking into this a year ago and decided to go ahead with it in October to universal support. I told one colleague only and they said they didn't see why I would need that. I'm really, really, really glad I'm not on the fence about this, otherwise I might be deterred, but is it common? Have others dealt with the people around them getting the cold feet? It's funny, because I'm getting surgery, but now I find myself wondering how I can support everyone else about it April 19 is my surgery day and that's not going to change unless I'm told so by the medical practice.

I was finally able to get some clarification regarding my coverage. Knowing what to expect puts me at ease. Gastric Bypass Surgery (Bariatric Surgery) is covered only if specific medical criteria are met:  Bariatric surgery may be indicated for patients 18 to 60 years of age. Requests for bariatric surgery for patients less than 18 years of age should include documentation that the primary care physician has addressed the risk of surgery on future growth, the patient's maturity level and the patient’s ability to understand the procedure and comply with postoperative instructions, as well as the adequacy of family support. Patients above 60 years of age may be considered if it is documented in the medical record that the patient’s physiologic age and co-morbid condition(s) result in a positive risk/benefit ratio. • The patient has been clinically evaluated by an MD or DO. The physician has documented failure of non-surgical management including a structured, professionally supervised (physician or non-physician) weight loss program for a minimum of six consecutive months within the last four years prior to the recommendation for bariatric surgery. The six consecutive month weight loss program listed above is waived for super morbidly obese individuals who have a BMI ≥50. Documentation should include periodic weights, dietary therapy and physical exercise, as well as behavioral therapy, counseling and pharmacotherapy, as indicated. • Documentation that the PCP and the patient have a good understanding of the risks involved and reasonable expectations that the patient will be compliant with all postsurgical requirements. • A psychological evaluation must be performed as a pre-surgical assessment by a contracted mental health professional in order to establish the patient’s emotional stability, ability to comprehend the risk of surgery and to give informed consent, and ability to cope with expected post-surgical lifestyle changes and limitations. Such psychological consultations may include one unit total of psychological testing for purposes of personality assessment (e.g., the MMPI-2 or adolescent version, the MMPI-A). • The physician needs to be aware and follow-up with individuals who have had gastric surgery for any long-term complications. • In cases where a revision of the original procedure is planned, documentation of all of the following is required: - Date and type of previous procedure - The factor(s) that precipitated failure - Any complications from the previous procedure that mandate (necessitate) the takedown - If the indication for the revision is a failure of the patient to lose a desired amount of 51 weight then the patient must meet all of the initial preoperative criteria. Note: The following surgical procedures are considered experimental/investigational because their safety and/or effectiveness have not been proven: • Loop gastric bypass gastroplasty - also known as mini-gastric bypass • Stomach stapling Endoscopic procedures to treat weight gain after bariatric surgery to remedy large gastric stoma or large gastric pouches are considered experimental/investigational.

I never knew that being nauseous in the morning before eating was due to gastritis! That's always been the case for me. I wanted gastric bypass but because I have bipolar disorder, the surgeon and my psychopharmacologist both strongly suggested the sleeve instead, because of not being able to manage the bipolar meds as easily with the bypass. The surgeon knows I have gastritis/GERD but he still feels that way. They don't do band at this location and I wouldn't consider it anyway. I'm already on omeprazole. I guess we'll see what happens...