MINI GASTRIC BYPASS AND ACID REFLUX

[Ymasita 11]

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

[MarinaGirl 608]

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 January 25, 2020 by MarinaGirl

[UnderTheCaliSun 27]

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?

[MarinaGirl 608]

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 January 27, 2020 by MarinaGirl

[chalcrow 13]

Nausea after RNY surgery

[Sabs211 51]

I had a mini bypass March 16th. No acid reflux or bile reflux.

I was prescribed 3 months of lansoprazole to protect my new stomach and reduce the risk of reflux which i was told is pretty common