Slippage of sleeve

[OutsideMatchInside 10,166]

I knew the risks. It was worth rolling the dice on GERD not to have my intestines touched.

If RNY was my only option I would have never had surgery. I wanted to do something serious and long term for a long time and neither the lap and or bypass appealed to me.

It sounds like OP has a good doctor and a good course of treatment.

This just reminds me not to take my good health for granted and to stay diligent on my follow ups.

My friend has a hiatal hernia and GERD and a stomach full of ulcers, never had any kind of surgery let alone WLS surgery. While having surgery increaes your risks, normal people have these issues.

I feel really bad for band revision people. They seem to have more complications than anyone else no matter what surgery they pick, sleeve or bypass. The band really messed a lot of people up, I don't understand how it is still on the market and how there has not been a class action lawsuit.

Edited May 19, 2017 by OutsideMatchInside

[Dashofpixiedust8 1,469]

@OutsideMatchInside I definitely had a lot of complications after surgery even though my band was removed 4 years before my sleeve surgery. I don't know how the lapband is still an offered surgery either. They really need to take it off the market.

[Sosewsue61 3,185]

@MarinaGirl VSG lowers LES pressure and shortens abdominal length of esophagus. - where did you read this? Because the surgery in itself does not cause this but anyone with severe GERD can have that happen without having wls.

[MarinaGirl 608]

1 hour ago, Sosewsue61 said:

@MarinaGirl VSG lowers LES pressure and shortens abdominal length of esophagus. - where did you read this? Because the surgery in itself does not cause this but anyone with severe GERD can have that happen without having wls.

Duke University's research paper on treatment for severe GERD after Sleeve Gastrectomy.

[OutsideMatchInside 10,166]

The Duke study also states that the majority of people with GERD after SG, had it before. They also treated bypass people with GERD.

This is why people with pre-existing GERD should not have the sleeve. And people prone to hiatal hernias. They list hiatal hernias has an often missed cause of GERD in sleeve patients.

Still even in their study where they are purposely looking for patients with GERD for their clinical trial the percentage of patients with GERD is around 10%. The normal general population has 20% GERD.

Duke study

https://www.google.com/url?sa=t&source=web&rct=j&url=https://web.duke.edu/surgery/2015BariatricMasters/session6_gerd_after_sleeve_torquati.pdf&ved=0ahUKEwim1d-5y_3TAhVF22MKHbytDg4QFghLMAU&usg=AFQjCNES3qOax4_1R4VNXW-1Ps14pvmYbg&sig2=9PCWYL8slSYotO2tMexN9w

Gen pop GERD stats

http://www.healthline.com/health/gerd/facts-statistics-infographic

It is still a rare complication with a lesson common occurrence than people who have never had a sleeve.

[Vivian Krueget 10]

I'm having VSG soon and I already have GERD. What does this Duke University Study mean? I take omeprazole daily and have no issues, but now it concerns me that it may get worse post surgery, RNY does not appeal to me so what do I do to avoid getting GERD that's worse after the sleeve? Thanks for any help!

[lindabalseca 373]

The Duke study also states that the majority of people with GERD after SG, had it before. They also treated bypass people with GERD.
This is why people with pre-existing GERD should not have the sleeve. And people prone to hiatal hernias. They list hiatal hernias has an often missed cause of GERD in sleeve patients.
Still even in their study where they are purposely looking for patients with GERD for their clinical trial the percentage of patients with GERD is around 10%. The normal general population has 20% GERD.
Duke study
https://www.google.com/url?sa=t&source=web&rct=j&url=https://web.duke.edu/surgery/2015BariatricMasters/session6_gerd_after_sleeve_torquati.pdf&ved=0ahUKEwim1d-5y_3TAhVF22MKHbytDg4QFghLMAU&usg=AFQjCNES3qOax4_1R4VNXW-1Ps14pvmYbg&sig2=9PCWYL8slSYotO2tMexN9w

Gen pop GERD stats
http://www.healthline.com/health/gerd/facts-statistics-infographic

It is still a rare complication with a lesson common occurrence than people who have never had a sleeve.

I've had herd/reflux for about 20yrs. Had the lapband (awful)removed (better) now I'm pre op for vsg. My surgeon doesn't see a problem with doing the sleeve with my reflux. Just my 2 cents

[MarinaGirl 608]

Reputable bariatric surgeons will not do VSG on patients with pre-existing GERD/acid reflux as it often makes it worse.

WLS that often resolve GERD are RNY, MGB and DS.

Taking PPIs continually for the rest of your life is not recommended as that's not the dosage the drug was defined for. There are also risks of osteoporosis and dementia with long-term use of PPIs.

[OutsideMatchInside 10,166]

On 5/19/2017 at 11:29 PM, Vivian Krueget said:

I'm having VSG soon and I already have GERD. What does this Duke University Study mean? I take omeprazole daily and have no issues, but now it concerns me that it may get worse post surgery, RNY does not appeal to me so what do I do to avoid getting GERD that's worse after the sleeve? Thanks for any help!

It is kind of hard to say because a lot of people have GERD resolved by just losing weight.

The only thing you can do is keep an eye on it.