I have my last appointment with my doctor on Friday. I'll have to make my final decision on which surgery. I've been pretty firm on wanting the sleeve (and not wanting the RNY). He said he'd be willing to do the sleeve, but that there is a chance my GERD would get worse and I'd have to have it revised into a RNY. Anyone have GERD before surgery and have a good result? Thanks!

On 09/03/2018 at 20:58, Sosewsue61 said:

You can write down how bad your GERD is now, how controllable it is now with medication, how long have you had it, you could have a hiatal hernia making it worse, you could have h. pylori bacteria in your gut, is it situational (eating late and then sleeping, only with italian sausage, only with spicy food, could it be the gall bladder?, eating until really stuffed, drinking a lot of citrus/soda pop, coffee, etc).

Your surgeon can do the EGD, and see what everything looks like and estimate the outcome to be favorable or not for the sleeve. Maybe your GERD is controllable, or maybe it isn't.

Don't let anyone badger you into the decision, make an informed decision based on what you know about your body. There are many factors dependant on your physical health now, your age, your genetics, whether you take medication, etc etc.

Asking forum members will get you 'everyone's personal opinion and personal experience', it really will not validate your decision.

To sosewsue - maybe I’m not using the forum correctly? Is this not a place to ask for other’s personal experiences? If I’ve misunderstood, I apologize.

I didn't have GERD before the sleeve, I developed it about 18 mos. after. Now I'm taking 80mg of omeprazole daily (normal dose is 20mg). I can't have a Nissan fundoplication to fix the GERD because I don't have a fundus anymore, and I don't want an RNY because my BMI is 21 and I don't want or need malabsorption. If I had had GERD before surgery I would have chosen an RNY. Also, every surgery leaves adhesions and scar tissue that make later surgeries more difficult. Just a thought...

You can write down how bad your GERD is now, how controllable it is now with medication, how long have you had it, you could have a hiatal hernia making it worse, you could have h. pylori bacteria in your gut, is it situational (eating late and then sleeping, only with italian sausage, only with spicy food, could it be the gall bladder?, eating until really stuffed, drinking a lot of citrus/soda pop, coffee, etc).

Your surgeon can do the EGD, and see what everything looks like and estimate the outcome to be favorable or not for the sleeve. Maybe your GERD is controllable, or maybe it isn't.

Don't let anyone badger you into the decision, make an informed decision based on what you know about your body. There are many factors dependant on your physical health now, your age, your genetics, whether you take medication, etc etc.

Asking forum members will get you 'everyone's personal opinion and personal experience', it really will not validate your decision.

@notmyname - no you misunderstood my meaning (don't apologize). Getting information on 'who had what happen' in the sampling of forum members, and has little bearing on what your outcome might or might not be, go for hard evidence based on what you know about yourself and how bad your GERD is, and real statistics on the two surgeries, that's all.

Edited September 4, 20187 yr by Sosewsue61

I had gerd but it was due to a hiatal hernia which got repaired along with the sleeve. I am only a week out but so far so good. I hope it remains that way. Gerd was a big factor for me and I was afraid to do the sleeve because of it. I hope it continues to go well for me.

My decision to have RNY, was in fact because I have a lot of weight to loose and because I had Gerd pretty bad. I have a friend who had the sleeve and her Gerd got so bad after surgery including multiple ER visits and lots of testing. Fast forward months later it’s no longer an issue. I’m not sure if it went away on it’s own or with the help of medicine. It scared me because i didn’t think i personally would be able to handle that. But honestly in the end, you have to make the best decision for you hun. Whichever way you decide, you will be successful and everyone here supports you. Good luck! Keep us posted on your decision!

Think about the RNY. I had very mild GERD before the surgery--just when I ate something too rich and spicy. A few tums a month, nothing major. And when they did the scope pre-op they found a hiatal hernia, so the surgeon concluded that once he fixed it, I would not have any heartburn at all. Sleeve it was.

Now I am on two nexium a day plus tums before and after I eat. I am uncomfortable all the time and if this doesn't resolve itself or lessen to a more manageable state I am looking at a revision. I didn't want a RNY, never have, didn't want to have malabsorption issues. But here I am facing another surgery, more pre-op crap, more time off from work, more disrupting my family, another cycle of hair loss.

So seriously think about the RNY. I too saw more disasters up close with RNY, but I have seen way more successes on this forum alone. Do you really want to go through this twice?