Have a question. I had a severe stomach virus with lots of vomiting. Was admitted to hospital for dehydration, pain in my stomach and unable to keep anything down. Had a CT scan that showed colitis and my Bariatric surgeon said that from the severe vomiting for so long my sleeve has slipped above my diaphragm into my hiatal hernia. I am scheduled for a swallow series this morning to make sure fluids can still pass through my sleeve. Fingers crossed. Was wondering if anyone else had their sleeve "slip" and what approach did you and your surgeon take to correct it?? I am a few weeks shy of three years post op. Have never had any complications up to now. Thanks everyone!!!

@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.

@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.

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.

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'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!

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

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.

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.