Hi! While googling my issue I came across this site and love it!! I am hoping one of you can help me figure something out. I am 3 years out from my VSG and have been having terrible reflux, which leads me to eat a higher carb intake. Even water makes me burn. So, I have regained weight and at my follow up appointment I mentioned to my surgeon about the reflux and maybe resleeving. I had my upper GI today and in all my pictures my stomach looked like an hour glass. Very big on top and then also on the bottom. Is this normal? I can see why I am hungry all the time and do not get that full feeling anymore. The top portion was big! I'm not sure what to think. Does this happen or did my surgeon not do something right? I have a follow appointment with him, but would love some feed back on what to ask when I go. Thanks!

Just curious, do you think your carb content in foods has increased because you are eating more "slider foods"? Meaning foods that don't hurt or get stuck going down? I ask because I had that happen with my first surgery (VBG- vertical banded gastroplasty) 13 yrs ago and I also regained weight- but I didn't realize the 2 issues were related until it was too late. I have since revised to the sleeve and know to watch for this. I take a daily PPI.

Do you know what size bougie your surgeon used?

Hi! While googling my issue I came across this site and love it!! I am hoping one of you can help me figure something out. I am 3 years out from my VSG and have been having terrible reflux, which leads me to eat a higher carb intake. Even Water makes me burn. So, I have regained weight and at my follow up appointment I mentioned to my surgeon about the reflux and maybe resleeving. I had my upper GI today and in all my pictures my stomach looked like an hour glass. Very big on top and then also on the bottom. Is this normal? I can see why I am hungry all the time and do not get that full feeling anymore. The top portion was big! I'm not sure what to think. Does this happen or did my surgeon not do something right? I have a follow appointment with him, but would love some feed back on what to ask when I go. Thanks!

This is not normal; it's called, appropriately enough, an hourglass stomach. I cannot say whether or not it is due to surgical error. It does mean that you have lost the restriction you once had. You might want to look into the possibility of being resleeved or another procedure. It's not related to bougie size. For the reflux, try a PPI.

I asked about the bougie size because it does impact how the Dr. sews the new stomach.

This is not normal; it's called, appropriately enough, an hourglass stomach. I cannot say whether or not it is due to surgical error. It does mean that you have lost the restriction you once had. You might want to look into the possibility of being resleeved or another procedure. It's not related to bougie size. For the reflux, try a PPI.

It's definitely not normal when the sleeve is performed properly, and the fundus is fully dissected with the proper measurements from the pylorus and esophagus.

I've read about it a couple of times on obesityhelp.com and both cases were done by the same surgeon. These particular patients went to a different surgeon to look into options, and both ended up having to revise to RNY to get rid of the reflux, and because re-sleeving is heavily discouraged due to the existing staples and scar tissue.