Hi sleeved 2/3/14, dealing with reflux and regain of 20lbs (never got under 200 lbs with the sleeve) Surgeon predicted my goal weight as 222 SW: 297. I've never felt my sleeve was done correctly. Looking to revise due to reflux and regain. Being directed toward roux en y, but I do not have a gallbladder, so wouldn't it make more sense (since I'm already sleeved) to go with the DS? HELP, I need some input.

Clearly this is something to discuss with your surgeon and get a second opinion, if needed, from another surgeon/medical professional. However, it is my understanding that the DS will not help with reflux (you keep your sleeved stomach and the sleeved stomach is what causes some people to experience reflux). However, bypass is 95% effective in curing reflux.

As far as weight loss goes, both are great surgeries but DS does, according to statistics, result in more weight loss and less likelihood of regain than bypass -- but you would want to look at actual statistics and contemplate whether the difference in stats is worth it in terms of reflux.

And of course you know this but you would also want to address why you regained -- there is no surgery in the world that will prevent regain (or weight loss failure) if you are not 100% committed to healthy eating habits for life. Good luck!

I would think if it were an option to fix the reflux, more people would be getting DS. There are a lot of people revising to RNY (Gastric Bypass) because it does cure the reflux.

The only person who can answer that question for you is a surgeon.

I've posted my story several times in other threads which you can find by clicking my name. To make the long story short(er), I had my sleeve 8/22/2013 & then on 12/29/2015 a revision of the (dilated) sleeve & the single-anastomosis duodenal switch. I also had my hiatal hernia repaired at the second surgery. A hiatal hernia can certainly be a cause of reflux symptoms.

Personally, I would not have a gastric bypass. I don't like the artificial opening from the stomach pouch to the intestine. The duodenal switch (classic or SA-DS) has the sleeve gastrectomy that leaves you with a fully-functional stomach, just much smaller.

I chose not to have a DS at the time of my original sleeve because the amount of malabsorption scared me. But 2 years later I was still at a BMI of just over 35, on 4 insulin injections a day, Metformin, atorvastatin (Lipitor) & 3 blood pressure meds so I decided something more had to be done. I am now 2½ months post-op & am off all insulin & the atorvastatin. One blood pressure med is discontinued & the other (a combo) is half what it was & I will probably be off of it by the end of the month. We did try decreasing the Metformin, but that didn't work - yet.

And - drum roll - as of today, my BMI is below 30! I am no longer obese.

I had the mini gastric bypass due to severe reflux. Check into it. I'm three months out, down 55 lbs (SW 265), and 100% reflux free.

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As others have all said if you have reflux DS will not cure it. Your stomach stays the same the only thing that changes is the re-routing of your intestines. Personally I went from VSG to GB in September 2015 and haven't looked back. I had also considered DS but am so glad I revised to the GB. I have had no issues with dumping at all. I beleive I needed the smaller stomach created with the GB and the malabsorptive part in the bypass. As said definitely ask your surgeon what he suggests but if you have reflux only answer is GB.

I'm confused, I had the sleeve in 2012 and have bad reflux, I'm having DS in Mexico on the 5th, why wouldn't they do the bypass instead? My reason for the surgery is for reflux, not weight loss. I made it clear to my coordinator, but she said the Dr knows what he's talking about.