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Sleeve and hiatal hernia



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I had sleeve with a hiatal hernia. I had to take PPI meds for two months but have been fine since. I am three years out.

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I had both done at the same time and my acid reflux has improved and I am a month post op.

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Hernia found, and repaired, during my sleeve surgery. I haven't experienced any side effects.

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My surgeon and actually every surgeon in our hospital does routinely does hernia repair when they do a sleev. However there is an exception with some locations and size. If you trust your on do advised if you're not sure get a second opinion.

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I had a Very Large hernia (about the size of a plum), and was 200 pounds overweight. As a result, the decision was to wait until I got to my 2nd Milestone (250 lbs.) and then make the hernia surgery a 1-time fix. The surgery team, and a lot of , stated that hernias often recur when there is too much pressure on the mesh insert (a REAL risk for a large hernia, like mine).

After 100 pounds gone, however, I developed an intestinal block, and the hernia was removed as emergency surgery. The only downside has been that even though I feel fine, I can't return to training or bike riding until January. I was advised to give the scar tissue about 6 months to fully seal in the mesh patch.

Remember that my experience is based on a LARGE hernia. If yours is small, the wait may not be necessary.

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GERD is pretty much universal for sleeve patients, but it's tolerable for those who didn't have it before.

Hiatal hernia is more or less synonymous with GERD. If you already have bad GERD, I'd think carefully about a sleeve. Could make it much worse.

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I had a hernia repair as well as a banded sleeve at the the same time.

I didn't even know I had a hiatus hernia until 2 days after the op lol..

Now I have reflux as before the op I never ever did!!... bugger me lol

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GERD is pretty much universal for sleeve patients, but it's tolerable for those who didn't have it before.

Hiatal hernia is more or less synonymous with GERD. If you already have bad GERD, I'd think carefully about a sleeve. Could make it much worse.

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I had heard that too but here's the funny thing for me. I have had acid reflux for at least a decade. When prepping for my sleeve surgery, it was discovered that I had a hiatal hernia. My surgeon and I talked about how a sleeve can often increase acid reflux. But I wasn't comfortable with any other option so we decided to go forward with the sleeve. And my acid reflux is gone! It's been 3 months and anything can happen, but for now it's gone. Surgeon thinks my reflux might have been due to the hernia. I'm keeping my fingers crossed.

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My surgeon did my sleeve and (small) hernia repair at the same time. Tomorrow is my 6 month surgiversary and reflux is way better than it was.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

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    • 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

        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

      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

        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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        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.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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