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Gastritis and RNY



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I got my EGD done on Friday. She wrote on the report that no findings to prevent bariatric surgery.

However, I have antrum gastritis and she said it looks quite red and sore (no ulcers). I have been taking omeprazole for months but my stomach does burn when I wake up prior to taking that pill.

I’m wondering what will happen when the antrum becomes part of the remnant stomach. Will the omeprazole work? Will that part no longer be irritated since it will no longer be digesting food? 

I plan on asking these questions of the doctor in a few weeks but wondering if anyone has a clue about this.

Thanks

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The omeprozole should continue to work, as it is controlling the acid release, which will be concentrated in that remnant stomach, but that also means (AFAIK - not an MD here) that it will still be subject to irritation from it. This is something that I would talk seriously about with the surgeon, as once the RNY is done, you can no longer just pop in there with an endoscope to look around to see how things are doing (that blind stomach is one of the drawbacks to the RNY, and something to consider when weighing the plusses and minuses of the different procedures.)

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I wonder why they don’t just get rid of that remnant. They throw away the rest of the stomach with vsg. Lol. Sounds funny throwing away stomachs.

I’m hoping that the diet change and hopefully reduction in meds will rid me of gastritis for good!

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Not leaving the remnant stomach is an option (that is what is done when the surgery is for something like gastric cancer - you don't want it lying around in there, lol) but there are trade offs as usual. The main one that I can think of is that the stomach is no longer there producing acid to neutralize the bile being secreted just downstream of it, so there may be greater chances of bile reflux. AFAIK, there are ways to minimize that when the surgery is done, but these are things to discuss with the surgeon as to how best handle your individual problems. If I had revised my VSG ro an RNY a few years ago, that is how it would have been done - no remnant stomach.

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Also, just FYI, the gastritis is a very very common finding in EGDs on bariatric pre-op patients. I'd maybe put that at around 80% or so? Maybe higher...but it's scary to read it. Right?

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