Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hey everyone! This is my first post. I am in the early stages of going through a 6 month program for bariatric surgery.I am currently leaning towards having the vertical sleeve gatrectomy but my nutritionist says that I should consider having the bypass because I already have reflux. Has anyone had this same issue? what was your deciding factor in deciding which procedure to have?

Share this post


Link to post
Share on other sites

Hi, Chelsea I wish my nutritionist had told me that I have the sleeve and my reflux is extremely bad since I've been sleeved. So make sure you ponder on which procedure you want because now I'm in the process of trying to have a revision done from the sleeve to the bypass. I wish I had been informed...

Hi, Chelsea I wish my nutritionist had told me that I have the sleeve and my reflux is extremely bad since I've been sleeved. So make sure you ponder on which procedure you want because now I'm in the process of trying to have a revision done from the sleeve to the bypass. I wish I had been informed...

Share this post


Link to post
Share on other sites

I had reflux for years, and the NP tried to talk me into the bypass, but I wanted the sleeve. I discussed it with both the surgeon and the GI doc and both said it does not necessarily make or cause the reflux, and my surgeon was on board for the sleeve, so that's what i went for. Listen to the docs not the NUT, that's my opinion. I am 19 days post up and take 1 pepcid at bedtime, but we'll see. Good luck

Share this post


Link to post
Share on other sites

I had bad reflux and esophagitis and got sleeved 12/23/2013. I have had no problem with relux since my surgey.

Share this post


Link to post
Share on other sites

@@Chelsea Marshall

I was in the same boat. Had planned to have sleeve but had reflux. After doing a lot of research it was very clear to me that I wanted to go through 1 surgery 1 time. I went with the bypass and never regretted it.

If I were you I would start looking at the revision statistics before ultimately deciding. If you already have reflux, there is a very good chance it will get worse with the sleeve.

With bypass, your chances of reflux completely going a way is very very good.

I had it bad prior to surgery, since surgery I have not had reflux at all. They took me off reflux mess 30 days post surgery and I no longer have that expense.

Share this post


Link to post
Share on other sites

I had reflux and still went with the sleeve. I take Dexilant for the reflux and it controls it. I now take less than I did before surgery.

Biggest factors in my decision was that the sleeve has less ability to stretch, it's less invasive, and if ever needed it can be converted into a bypass at a later date. (I don't see the need though as weight loss and maintenance is pretty easy with the sleeve.)

Share this post


Link to post
Share on other sites

I have been reseaching for 5 years and I can tell you (as my MD office will too) that the sleeve can stretch just as far, if not further, than the RNY and is no longer considered less ivasive. The surgery actually takes longer than the RNY and there is a higher risk of complication vs RNY. But, in regards to GERD or reflux, it goes both ways. It can make it worse if you already have it. It's unlikely you will come off meds for that reason w/ the sleeve although it does happen. I too, have bad GERD and an eroded esphogus and wanted the sleeve. After more reseach and such I have decided on the RNY. The sleeve can put more pressure on your esophugus because the sleeve sits up higher in your abdomen.

Share this post


Link to post
Share on other sites

I find it so interesting that so many people say sleeve is less invasive. It's what I thought too and ended up doing RNY because of acid reflux and because I never wanted to have to go through a 2nd surgery converting to bypass like some have to do. With the sleeve, they remove 85% of your stomach from your body. They can't put that back! I'm not sure how that is less invasive. Don't get me wrong, there are a lot of people who have great success with the sleeve, but please don't just do that because you consider it less invasive. It took me time to come around to agreeing to RNY but I sure am glad I did in the end. RNY is the gold standard with many many years of results and reseach. There are a lot of threads on here about the exact same topic. You will see lots of differing opinions. In the end it is a decision only you and your surgeon can make but don't be afraid of RNY. Once you research it more, you will see it is nothing to be feared.

Share this post


Link to post
Share on other sites

I had several episodes of bad acid reflux and my surgeon recommended RNY. I concurred and went ahead with RNY. I am 27 months post-op. After surgery there was no episodes of GERD. So it was a good decision for me.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×