Hi guys

i m new to this forum and just need some help. Basically I have acid reflux the past 2-3 years when I put on 35 + kg which is around 75 pounds. Before that I never had issues. I do pop every now and then a ppi or ranitidine and then I m good. I m kind of hoping thst with wls and losing all this excess weight the reflux will stop.i m very keen on getting the sleeve but don't know how this reflux will effect it or if I should do a bypass. Anyone with similar experiences? Thanks

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What about a gastric wrap ? Or at a bmi of 42/43 it's not good ?

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after all the complications people have had with the lapband (they got it at the time it was considered the greatest thing since sliced bread), I'd be a little leery of surgeries that don't have a lot of long-term data behind them. I'd stick with the bypass or the sleeve - but in your case, probably the bypass.

GERD is manageable when you have a stomach larger than the size of a two-liter bottle of soda.

When you sleeve that stomach to smaller than a magic marker, the same acid is in a much smaller system, high pressure system and much harder to manage. The sleeve retains the pyloric valve so the acid is trapped in a very tight system.

With RNY there is a tiny stomach, but the pyloric valve is bypassed and acid can escape into the intestines.

That is why sleeve is not advised for patients with GERD and why patients who develop GERD after the sleeve are converted to RNY.

Oh no, I may need to reconsider to have Bypass...

@@morbidobesity

You have to remember that both surgeries are invasive. With RNY they reroute your intestines, with Sleeve they remove 90% of your stomach.

The important thing to realize is that you may go through it twice if you already have GERD.

I had it so severe and now nothing. I can eat those foods i never could touch before. Now when hubby gets GERD, I feel so bad for him. I just remember that burning sensation in my chest and throat and many nights walking the floor instead of sleeping.

Its just not worth the risk in my opinion to hope that it doesnt get worse with the sleeve. Many people who have never had GERD, get it following the sleeve. So.....at the end of the day you need to decide what is most important for you.

My surgeon will not perform the sleeve if you have GERD. He only does by-pass if you have a history of GERD. Evidently, having the by-pass has a high rate of controlling/eliminating GERD.

I had the sleeve and dealt with reflux for a month after my surgery. Meds helped a little but not completely. I was so glad when it ended

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I had the sleeve first, then RNY five months later. That was a long five months. I woke up four to five nights a week choking on bile. Do NOT take the chance if you have ever had Gerd before. Two surgeries in five months sucked. I am so much happier with the RNY. Good luck to you!!

I take a Protonix daily to control it and I'm fine.

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@@nique4life2002@gmail.com So glad you have been one of the lucky ones! I think it's strange how some of us just cannot get it controlled, but I imagine it depends on a lot of different factors. My sleeve was just uncooperative from the beginning. It never quite settled down for me. I'm glad I now have no reflux! (now I battle air bubbles, lol)