Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Barrett's Esophagus and Gastric Bypass



Recommended Posts

Hello,

I was preparing for the gastric sleeve when my pre-op EGD scope showed I have Barrett's esophagus, with dysplasia (pre-cancerous). My WLS surgeon said I need to treat the Barrett's first and then strongly suggested I have the Gastric Bypass instead of the sleeve because of several reasons -- GERD is usually eliminated with bypass and worse with sleeve (acid is the cause of the Barrett's), and the stomach is left if needed for esophageal cancer surgery (worst case scenario, obviously).

My first priority is getting the Barrett's treated. Then, in four to six weeks, having the WLS surgery, which is recommended to also treat Barrett's (from an obesity perspective).

So, I'd like to hear if there are other WLS patients like me with Barrett's and what happened. I'm anxious for info!

I'm a bit in shock since I got the news today. But I consider it a blessing because if I hadn't gotten the scope, I could have had a much worse diagnosis later.

My May 30 surgery is now postponed, obviously. :(

Share this post


Link to post
Share on other sites

I know you posted this a while ago, but I was just browsing the lists and came across it, so I thought it's probably not too late to reply.

I was diagnosed with Barrett's in 2016, and at that time I was also told I had a large hiatal hernia. I was recovering from having my gallbladder removed and I felt like the warranty had just expired on my body. The surgeon said nothing was going to get better unless I had WLS--he was recommending sleeve.

Insurance company sent me to a different hospital in a different city, and that surgeon recommended RNY for all the reasons your surgeon said. I had the surgery in September of 2017, and I feel much, much better. After 2 months, I was able to stop taking the Prilosec and my high blood pressure meds. I haven't had a day of heartburn since. I still have to have a endoscopy done every 3 years, but that's minor compared to what the repercussions would be if I hadn't had the surgery. And I've lost 105 lbs!!

But a lot of people in my support group who had the sleeve done have just not had as good of results. So in the end, even though recovery and life after RNY is a little bit harder some days, I'm glad I had it done. I hope you've had your surgery by now and you're feeling better.

Share this post


Link to post
Share on other sites
3 minutes ago, jrmoseley said:

I know you posted this a while ago, but I was just browsing the lists and came across it, so I thought it's probably not too late to reply.

I was diagnosed with Barrett's in 2016, and at that time I was also told I had a large hiatal hernia. I was recovering from having my gallbladder removed and I felt like the warranty had just expired on my body. The surgeon said nothing was going to get better unless I had WLS--he was recommending sleeve.

Insurance company sent me to a different hospital in a different city, and that surgeon recommended RNY for all the reasons your surgeon said. I had the surgery in September of 2017, and I feel much, much better. After 2 months, I was able to stop taking the Prilosec and my high blood pressure meds. I haven't had a day of heartburn since. I still have to have a endoscopy done every 3 years, but that's minor compared to what the repercussions would be if I hadn't had the surgery. And I've lost 105 lbs!!

But a lot of people in my support group who had the sleeve done have just not had as good of results. So in the end, even though recovery and life after RNY is a little bit harder some days, I'm glad I had it done. I hope you've had your surgery by now and you're feeling better.

Thank you so much for your post! I loved reading about your experience. I had the ablation of my pre-cancer cells two weeks ago and my pre-op with my WLS surgeon on Friday. Now I’m just waiting for bypass to be scheduled. So I’ll be getting the RNY gastric bypass in a few weeks, fingers crossed! I’ve done a lot of research and spoken to several doctors, including my PCP and Gastroenterologost, and they all said the bypass was the best bet to cure GERD. And insurance approved it, even though I’m at 34 BMI. That alone says a lot, since they denied me for the sleeve even with comorbidities because I was too low a BMI.

Share this post


Link to post
Share on other sites

Background: I’ve had GERD for many many years, long time Prilosec user, and a family history of esophageal cancer.

I had MGB surgery in April 2017 and it resolved my acid reflux, but in Dec 2017 an EGD showed bile reflux, and then in April 2018 an EGD showed Barrett’s Esophagus and a hiatal hernia, which I never had before. Two different surgeons have recommended conversion to RNY to correct the reflux and to repair the hernia, so I will be having both of these procedures at the end of the month. I am also low normal BMI right now so I hope I don’t lose too much weight after surgery.

I’m looking forward to being free of all symptoms and resolution of pre-cancerous cells!

Share this post


Link to post
Share on other sites
5 hours ago, MarinaGirl said:

Background: I’ve had GERD for many many years, long time Prilosec user, and a family history of esophageal cancer.

I had MGB surgery in April 2017 and it resolved my acid reflux, but in Dec 2017 an EGD showed bile reflux, and then in April 2018 an EGD showed Barrett’s Esophagus and a hiatal hernia, which I never had before. Two different surgeons have recommended conversion to RNY to correct the reflux and to repair the hernia, so I will be having both of these procedures at the end of the month. I am also low normal BMI right now so I hope I don’t lose too much weight after surgery.

I’m looking forward to being free of all symptoms and resolution of pre-cancerous cells!

Good luck to you! But know that you are taking charge of your health to get rid of acid reflux!!!

Share this post


Link to post
Share on other sites
On 5/25/2018 at 3:37 PM, TexanGal said:

I was preparing for the gastric sleeve when my pre-op EGD scope showed I have Barrett's esophagus.

they all said the bypass was the best bet to cure GERD. And insurance approved it, even though I’m at 34 BMI. That alone says a lot, since they denied me for the sleeve even with comorbidities because I was too low a BMI.

The exact same thing happened to me and my surgeon and the insurance company made the decision for me. Well not exactly, my surgeon strongly recommended bypass and not sleeve, and my insurance refused to pay for anything but bypass surgery. Very glad it actually went that way as I think I will not have GERD to deal with again and my other health issues have resolved.

The 2nd quote was also the same for me and I was insurance approved for Gastric Bypass only even though my BMI was 34 at time of final approval. Good Luck! It is not always easy, but very much worth all the work.

Share this post


Link to post
Share on other sites

I am glad conversion has worked for so many people and I thought it would for me as well. However I am in complete and utter dispair because it has not helped my reflux at all. I am in constant pain 24/7. I don't smoke, drink, consume any caffeine whatssoever, etc. I'm pretty sure if I ate something spicy or greasy I would literally and instantaneously die of the pain. I understand I'm in the minority and would beg anyone who has reflux to choose bypass over sleeve because at this point death seems like a better option.

Share this post


Link to post
Share on other sites
1 hour ago, animallover1247 said:

I am glad conversion has worked for so many people and I thought it would for me as well. However I am in complete and utter dispair because it has not helped my reflux at all. I am in constant pain 24/7. I don't smoke, drink, consume any caffeine whatssoever, etc. I'm pretty sure if I ate something spicy or greasy I would literally and instantaneously die of the pain. I understand I'm in the minority and would beg anyone who has reflux to choose bypass over sleeve because at this point death seems like a better option.

I’m confused, did you have a revision from VSG to RNY and still have reflux or did you just have a VSG? I’m so sorry you’re still struggling with GERD. Are you working with a top notch Gastroenterologist to figure it out, have you had a recent EGD to see what may be the root cause, and are you taking any PPIs?

Share this post


Link to post
Share on other sites
2 hours ago, MarinaGirl said:

I’m confused, did you have a revision from VSG to RNY and still have reflux or did you just have a VSG? I’m so sorry you’re still struggling with GERD. Are you working with a top notch Gastroenterologist to figure it out, have you had a recent EGD to see what may be the root cause, and are you taking any PPIs?

Yes I had a sleeve Feb 2016 and revised to bypass. And yes, I'm still having reflux 24/7. One may ask how that's possible but I assure them it is. It actually feels like I didn't even have bypass at all. In fact I complained about reflux before I even left the hospital!!!! When I had nothing to eat!! I am currently waiting on my bravo testing and manometry testing. I am on dexilant 60mg, carafate, and zantac. I just don't understand! 😥 It can't be my diet because I'm not eating anything. Still on stage 2

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Featured Surgeons

    1. Masoud Rezvani

      Woodbridge, Virginia 22191

    2. Lisa Medvetz

      Downingtown, Pennsylvania 19335
      800-282-0066

  • Most popular:

  • Recent Topics

  • Recent Status Updates

    • christa_reid

      Hi I  am new here and I am going to have the gastric sleeve next month. I have to pay out of pocket so it is going quite quickly. The longer I wait the more bad stories I hear. I weigh 315 and 61 years old so I have a lot to lose. Any advice is welcome
      · 0 replies
      1. This update has no replies.
    • ProudGrammy

      Georgia on my mind - off to grand-daughters high school graduation - she's smart and cute as a button, just like her grammy,☺️
      kathy
      · 2 replies
      1. SusieQ2019

        Congratulations to her Proud Granny, and wishing her a bright and successful future.

      2. Orchids&Dragons

        Congrats to your granddaughter! Have a wonderful trip!

    • *Meaghan*

      Went to my initial consult with the Bariatric surgeon/ program I chose. Came home with a folder full of information & helpful organization of all the testing that needs to be completed while I complete the required nutritional counseling. She also let me know my insurance typically takes 6 weeks to reply with authorization when submitted, so that puts my potential surgery date near the new year if all stays on track  I felt comfortable with her, in our discussions she agrees that I am a good candidate for the Gastric Bypass. I appreciated the 'introduction' class that was given after the consult with the surgeon where I was given this binder of every referral (from her, not my pcp referrals), & contact information for all the testing needed to make my contacts/calls tomorrow morning even easier I start my nutrition classes on June 5th, so that's when the clock will start toward insurance approval & getting the tool to help me reach my goals
      · 0 replies
      1. This update has no replies.
    • Torie Faye

      I had my Bypass Surgery on 04/25/2019 I'd weighted before surgery 308 and now 285. I get depressed because I thought it would be more. I follow all instructions from Dr.. Green walk every day work out and eating solid foods 
      · 1 reply
      1. ProudGrammy

        welcome welcome - 23 lbs pre/post op is great. you are doing fine. keep up the good work. kathy

    • MrsGamgee

      Day 5 post-op... didn't sleep great last night, lots of gas pain and it was my first night without using the rx pain meds. I'm tired and feeling rather stupid. My nurse is supposed to call today for a check in, so I'm debating taking a nap now and risk missing her call, or forcing myself to stay awake and pray she calls soon. Also, showering should be considered a workout... just doing the basics used up all my energy. Weight is slowly working its way down. I know that I shouldn't be on the scale yet, but I couldn't resist. I'm down almost 9lb down since surgery. Yay!
      · 1 reply
      1. Emilia Danciu

        You are allowed to feel tired, take naps and only do the minimum this soon after the surgery. Listen to your body and be good to yourself at this time. Most important things to care about at this time is hydration and protein. It is a full-time job to stay on top of that and prioritize your energy there for now. Just give your body the time to heal and adjust, don’t rush the recovery.

  • Trending Topics

  • Magazine Articles

    1. Keto and Bariatric Surgery

      Posted in: Food & Nutrition
      Lisa Kaouk, RD & Monica Bashaw, RD
    2. Little known facts about losing weight after bariatric surgery

      Posted in: Post-Op Support
      Lisa Kaouk, RD & Monica Bashaw, RD
    3. Carbs After Bariatric Surgery?

      Posted in: Food & Nutrition
      Lisa Kaouk, RD & Monica Bashaw, RD
  • Together, we have lost...
      lbs
    ×