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MINI GASTRIC BYPASS AND ACID REFLUX



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I'm scheduled on the 28th! I hope your surgery goes well. I'm super excited about mine.

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I had MGB in TJ in April 2017 and it resolved my acid reflux, which was very severe pre-op. Life was great, lost a lot of weight, but 10 months post-bypass I developed bile reflux. I knew it was this because I would throw up greenish-yellow liquid, and then it was confirmed via EGD, along with Barrett’s Esophagus. My gastroenterologist and PCP were unfamiliar with bile reflux and did not know how to treat it, no medicines they recommended helped, but I found a great out-of-state bariatric surgeon (who also specializes in complex revisions) who was able to treat me. In July 2018, he repaired a hiatal hernia and performed a Nissen Fundoplication on me and since then I’ve had zero acid or bile reflux issues, which have been confirmed via EGD (2 of them post-op). He considered revising me to RNY but during surgery he was able to do some magic so that I didn’t need that extra procedure.

And as the final step in my weight loss journey, I’m scheduled for plastic surgery in mid-Feb 2020.

Edited by MarinaGirl

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On 1/25/2020 at 3:02 PM, MarinaGirl said:

I had MGB in TJ in April 2017 and it resolved my acid reflux, which was very severe pre-op. Life was great, lost a lot of weight, but 10 months post-bypass I developed bile reflux. I knew it was this because I would throw up greenish-yellow liquid, and then it was confirmed via EGD, along with Barrett’s Esophagus. My gastroenterologist and PCP were unfamiliar with bile reflux and did not know how to treat it, no medicines they recommended helped, but I found a great out-of-state bariatric surgeon (who also specializes in complex revisions) who was able to treat me. In July 2018, he repaired a hiatal hernia and performed a Nissen Fundoplication on me and since then I’ve had zero acid or bile reflux issues, which have been confirmed via EGD (2 of them post-op). He considered revising me to RNY but during surgery he was able to do some magic so that I didn’t need that extra procedure.

And as the final step in my weight loss journey, I’m scheduled for plastic surgery in mid-Feb 2020.

Wow! I had no idea one could have a Nissen after an MGB. I had a Nissen and they took it down to do my MGB. I haven't really had any issues since but I've prepared myself for the potential of bile reflux. I thought a revision to full gastric bypass was the only option. I'm glad to hear this. I didn't know a Nissen would be effective for bile reflux since it creates tension at the esophagus and bile needs to be stopped before it enters the stomach.

Thank you for the info. Can you share which doctor did it?

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16 minutes ago, UnderTheCaliSun said:

Wow! I had no idea one could have a Nissen after an MGB. I had a Nissen and they took it down to do my MGB. I haven't really had any issues since but I've prepared myself for the potential of bile reflux. I thought a revision to full gastric bypass was the only option. I'm glad to hear this. I didn't know a Nissen would be effective for bile reflux since it creates tension at the esophagus and bile needs to be stopped before it enters the stomach.

Thank you for the info. Can you share which doctor did it?

Dr Ara Keshishian in Pasadena, CA.

He also removed a defective (recalled by the FDA) LINX Reflux Management System device that was implanted around my esophagus in March 2015, 2 years before my MGB. The LINX device only helped with acid reflux for the first year I had it. So I had MGB surgery in 2017 in the hope that it would resolve reflux long term, along with losing weight.

Edited by MarinaGirl

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OK! I didn't want to start another new tread, so just gonna ask here;

How do you guys experience ulcer, heartburn and acid reflux? What is the difference for you?

I am asking, because last night, I got a terrible burning in my throat and it felt like I wanted to throw up. It prolonged for a few hours beeing really bad to the point I pundered calling an ambulance.

It also felt like something was stuck in my throat and/or that someone tried to strangle me. It got a little better by drinking or eating, so I had some sort of binge to try to get this to go away or have the huge intake of food provoce vomiting. I ate an entire days worth of calories in a short while (Yes, I needed them anyway). I also took several esomeprazol. The sensation was only in the throath, not anything in my stomach.

I finally wnet to sleep and when I woke up, it was still there, but not to the point that I can't live it like last night. Now it feels like I have a huge bite of food stuck.

I think the cause of this was me taking two pills last night without anything to drink.

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Nausea after RNY surgery

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