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GERD & esophageal cancer: not as high a risk as once thought



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Good news!

http://www.sciencedaily.com/releases/2010/12/101209121429.htm

  • Women with GERD likely have a low rate of esophageal adenocarcinoma, similar to the rate of breast cancer in men.
  • The rate of esophageal adenocarcinoma in white men who are 60 years old with weekly GERD is just one-third of their rate of colorectal cancer or 34.6 per 100,000 patients per year.
  • The rate of esophageal adenocarcinoma in younger white men with GERD is less than one-third of their incidence of colorectal cancer.

In short, while GERD (which is obviously a concern for us sleevers) does increase your risk for this uncommon cancer somewhat, it's still not a very large risk, and probably not significant enough to be super vigilant for.

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This is really great information, thanks for sharing. I must say, when I eat too much I get the regurgitation - and if anything, knowing the GERD can cause cancer, if even a slight risk, should keep me from going overboard. I'll get it someday. :)

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Even if we do have GERD after being sleeved (which i don't thank God!) I'm sure the risk of dying from obesity related diseases is much greater than actually dying from esophageal cancer, just a thought :)

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Even if we do have GERD after being sleeved (which i don't thank God!) I'm sure the risk of dying from obesity related diseases is much greater than actually dying from esophageal cancer, just a thought :)

This is absolutely correct, and a very good point. The net result of lap sleeve is, for almost all of us, a significant reduction in risk of death and illness. The few specific risk areas -- GERD, B12 deficiency, acid-blocker consequences -- are relatively small compared to the big killers like diabetes, heart disease, and cancer.

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Great, I'm paranoid about this. I don't have reflux very often, maybe a few days a month (I pop a Nexium and I'm good in half an hour), but before the surgery, I almost never had it.

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My father died at age 51 of this cancer. LIVED on rolaids... No one ever heard if this cancer. I suffered from GERD before surgery and still do. The risk of the cancer wasn't as significant as the co morbitities of not having the surgery. Nexium helps!

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I've had GERD (quite severely) for almost 10 years now, since being banded in 2003. Even with my band completely empty now, I still have symptoms that I have to control with a daily PPI. Had the band worked (well, worked without complications), it would be a fair trade. This info makes me feel better about it though! I know it's a toss up whether the sleeve will improve, aggregate or not effect my GERD at all. Hopefully it will actually help, but honestly, even if it got worse, I am in the habit of controlling it with medication and the effect my weight is having on my heart puts me at much higher risk of serious medical issues than GERD ever will.

Thanks for posting!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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    • KimBaxleyWilson

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