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Previous Hiatal Hernia Surgery Changing Everything



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My surgeon told me that I could not have a sleeve due to having hiatal hernia surgery a few years ago. I need to have the bypass. Along with the bypass, he must revise the previous HH surgery.

Has anyone had this done? Was it considered more risky? Were there more complications?

I'm more anxious than I already was just having the sleeve.

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I just had a sleeve revision to RNY in June. I had a sleeve in 2011 due to a repair I had to have because 2/3 of my stomach was up through y diaphragm between my lungs, headed for my heart! Definitly a hiatial hernia! However, it did not cure my acid which got completely out of control and the only way I could get rid of it was to have the RNY. I didn't have either surgery for weight loss. When he went in to do the bypass, he discovered an area on my esophagus that was so thin due to acid damage it was about to rupture, so he fixed that before he did the bypass part. I have never heard that you could not have a sleeve when you have a hiatial hernia. In fact that happens a lot, so I don't understand why he told you that. They fix the hiatial hernia first then do the sleeve. However, I have not had any regrets from the RNY. Never had any pain or nausea and now I am on all foods and everything is going great. The restriction on the RNY is greater than the sleeve, obviously, since the pouch is so much smaller than you leftover stomach with the sleeve. If you have severe acid, not sure cuz you didn't say, the RNY is the best choice. Don't be scared of the RNY. IMO the recovery is not any different than the sleeve. Too many people are scared of the bypass for some reason.

Edited by SleeveDreamer

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33 minutes ago, SleeveDreamer said:

I just had a sleeve revision to RNY in June. I had a sleeve in 2011 due to a repair I had to have because 2/3 of my stomach was up through y diaphragm between my lungs, headed for my heart! Definitly a hiatial hernia! However, it did not cure my acid which got completely out of control and the only way I could get rid of it was to have the RNY. I didn't have either surgery for weight loss. When he went in to do the bypass, he discovered an area on my esophagus that was so thin due to acid damage it was about to rupture, so he fixed that before he did the bypass part. I have never heard that you could not have a sleeve when you have a hiatial hernia. In fact that happens a lot, so I don't understand why he told you that. They fix the hiatial hernia first then do the sleeve. However, I have not had any regrets from the RNY. Never had any pain or nausea and now I am on all foods and everything is going great. The restriction on the RNY is greater than the sleeve, obviously, since the pouch is so much smaller than you leftover stomach with the sleeve. If you have severe acid, not sure cuz you didn't say, the RNY is the best choice. Don't be scared of the RNY. IMO the recovery is not any different than the sleeve. Too many people are scared of the bypass for some reason.

The problem was not having a hiatal hernia, but having a previous hiatal hernia surgery a few years ago. I'm sort of glad that I will have the bypass because it's supposed to be better in the long run. 😀

Edited by Elise24

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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.
      · 0 replies
      1. This update has no replies.
    • 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.

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