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I want to get the Sleeve but surgeon is pushing Roux En Y

hectorlopez323

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shelbys mom    70

shelbys mom
Posted

I finished my Kaiser Permanente options classes, did all the lab and x-rays. I went to meet my surgeon on Thursday and he is pushing for roux en y because I have GERD. Anyone else have this happen to them? I didn't realize acid reflex was a big issue for getting the sleeve. any input would be greatly appreciated.

I was told by my surgeon that you are more likely to have issues with gerd,after the sleeve. He said," 1/3 of sleeve patients will experience gerd after the sleeve, but what he is seeing now, 3 to 4 years after a sleeve surgery, many people experience horrendous gerd and are getting revision to Rny. Hope that sheds some light on the subject for you.

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shelbys mom    70

shelbys mom
Posted

The very same thing happened to me. I went to meet with my surgeon for a consultation last month to talk about the sleeve . He asked me a lot of questions and one of the questions he asked me if I am having any acid reflux or heartburn ? I said yes once or twice a week . He said if I'm having Gerd I shouldn't have the sleeve because one of the side effects after having the sleeve is Gerd. The bypass is a better choice for people who have Gerd . So he said before we decided on what surgery is best for me , he wants me to have a 24hr PH test . I am scheduled to be tested in a couple of weeks. I don't want the gastric bypass surgery. So I decided to get a second opinion.

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My surgeon said the same thing. Keep in mind that many sleeve patients end up having a revision to Rny some years out because of the gerd. Im not willing to take that chance. Rny for me. Good luck

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fd319    86

fd319
Posted

My acid reflux was super mild before surgery, maybe once or twice a month. Let me tell you it's been an every day occurrence now. I didn't even know it would be an issue until now. My doctor never recommended the bypass instead. I don't regret my decision at all, but it is super annoying to feel crappy right now.

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RonnieRab    31

RonnieRab
Posted

I was planning on the bypass also. Then when I had my EDG, he found that the part of my stomach that would end up "blind" with that surgery, was full of polyps. I also have a large hiatal hernia and have been treated for heartburn/GERD that may be caused by the hernia. He suggested I get the sleeve because of the polyps. I had never really considered the sleeve, so I started researching it and have decided that I would rather have the sleeve than the bypass. I got my approval letter on Friday afternoon (after the office closed, of course!) and found that I had been approved for the bypass. So, now they will have to resubmit me for the sleeve, I guess. Hopefully it will all work out because I was approved very quickly for the bypass. I will also have the hernia repaired with the surgery. I'm hoping the heartburn goes away with the hernia, but it's totally under control with 20mg a day of nexium. Have you read any books about the surgeries?

No actual books. Countless articles and took a 12 week course, every Friday for an hour and a half. I was pretty set on sleeve but this surgeon, as he was examining my meeical record he looks at me and says "oh yeah, we're doing the roux en y".. "we'll go over it in a bit". He seems to insist the rny will cure my GERD and the sleeve will make it worse. I ended up reluctantly agreeing to the rny so he put "roux en y possible sleeve gastrectomy" on the concent form we submitted. He did say that if I insist on sleeve that he will order a GI x-ray to look for a hernia. Said he didn't want to do the sleeve cause he'll just have to go back in and do the rny when the acid gets worse.

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I think you should insist on the test before going into surgery.

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sb90    20

sb90
Posted

I wanted the roux en y and my Kaiser surgeon said no that I didn't need it ☹️ that I was fine with sleeve. And also both my mother and mother in law has sleeves and both delveloped Gerd after

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nikko9599    28

nikko9599
Posted

I finished my Kaiser Permanente options classes, did all the lab and x-rays. I went to meet my surgeon on Thursday and he is pushing for roux en y because I have GERD. Anyone else have this happen to them? I didn't realize acid reflex was a big issue for getting the sleeve. any input would be greatly appreciated.

I wanted the sleeve but because of my acid reflux I can't. My Dr told me about 90% of people lose their acid reflux after bypass. I've been seeing people on the sleeve still have to take anti acid meds.

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breuxo    78

breuxo
Posted

i didn't read it all but wanted to say i don't get how you think RNY is more invasive then sleeve, sleeve they remove your stomach never get it back. RNY nothing is removed if they had to. RNY can be undone.

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nikko9599    28

nikko9599
Posted

i didn't read it all but wanted to say i don't get how you think RNY is more invasive then sleeve, sleeve they remove your stomach never get it back. RNY nothing is removed if they had to. RNY can be undone.

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I think the same thing. I think it's moving the intestine that bothers me.

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i didn't read it all but wanted to say i don't get how you think RNY is more invasive then sleeve, sleeve they remove your stomach never get it back. RNY nothing is removed if they had to. RNY can be undone.

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I think the same thing. I think it's moving the intestine that bothers me.

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fliss78    16

fliss78
Posted

If you have Gerd in any capacity Roux En Y is the way to go. VSG is proven to worsen GERD!

Also I noted that you have diabetes in your discussion. Roux En Y would almost eliminate it. Due to the re-route of the intestines.

Trust your surgeon -

You would hate to get VSG only for your GERD to be exacerbated and have to revise to Roux En Y-

Hence increasing your risk for PE.

Good luck!

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hectorlopez323    60

hectorlopez323
Posted

I sympathize with your concerns Hector. I will struggle if RNY is recommended. Did you have a endoscopy?

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Nope, he said if I insist on the not recommended procedure the sleeve, I will have to get a GI xray and he'll probably have to operate a hernia. It was a lot of information but that's what I understood. I can't risk having the acid get worse I'm accepting the rny option. Just sucks cause I was pumped about the sleeve since 2014. I gotta do what's in my best interest

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Havasumoma    250

Havasumoma
Posted

I sympathize with your concerns Hector. I will struggle if RNY is recommended. Did you have a endoscopy?

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Nope, he said if I insist on the not recommended procedure the sleeve, I will have to get a GI xray and he'll probably have to operate a hernia. It was a lot of information but that's what I understood. I can't risk having the acid get worse I'm accepting the rny option. Just sucks cause I was pumped about the sleeve since 2014. I gotta do what's in my best interest

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I'm having the test next week.

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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      1. Phil Penn

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        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

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    • Doughgurl

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      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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      1. Selina333

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    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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.

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        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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