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

Recommended Posts

Hi! I am just beginning my weight loss journey, but have been doing research and have decided that I would like to do the gastric sleeve surgery. However, I have a friend who told me I may not be a candidate for it because I have GERD and severe esophagitis. I believe my GERD is caused by the medium sized hiatal hernia I have and was hoping the surgeon may fix that during my WLS procedure. Is that something the surgeon may do? Anyone have a surgeon approve the gastric sleeve surgery, even though you have GERD? I am hoping to avoid gastric by-pass because of the absorption issues that can occur. Thanks!

Share this post


Link to post
Share on other sites

I had GERD and a large hiatal hernia. I had the sleeve and hernia repair at the same time. My doctor was not concerned about the GERD as it was due to the hernia. I've had no problems since, but I am only 3 months out.

Sent from my SM-G975U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

48 minutes ago, Zoomzoom said:

I had GERD and a large hiatal hernia. I had the sleeve and hernia repair at the same time. My doctor was not concerned about the GERD as it was due to the hernia. I've had no problems since, but I am only 3 months out.

Sent from my SM-G975U using BariatricPal mobile app

Thank you! I am hoping my doctor will not be too concerned with it either.

Share this post


Link to post
Share on other sites

From my experience, it's a little hit or miss. I think it also has a lot to do with your surgeon and his/her approach

I had a friend who was really encouraging me to get the sleeve. She had a lap band and developed Barrett's esophagus. She got the sleeve and has had no GERD. Her esophageal issues resolved.

I had a history of GERD, also had been banded. Doctors warned me that I may develop GERD after the sleeve. However, we discussed it because like you, I did not want the malabsorptive aspects of RNY. After some testing, we came to the conclusion that my GERD was "situational" meaning that a combination of things were contributing to it: my weight, a small hiatal hernia, overall dietary choices, etc. I went through with the sleeve. About 6 weeks in, I started getting heartburn that eventually advanced to nighttime reflux. It's been easily controlled with Nexium and some minor lifestyle changes like not eating 3 hours before bedtime and sleeping on a wedge. HOWEVER, I do get "flare-ups" of esophagitis and have to take Carafate when it happens.

Other than the occasional esophagitis, I have no long term or lasting consequences of GERD. My GI doctor and I are currently looking into a stretta procedure to thicken the lower esophageal sphincter.

Share this post


Link to post
Share on other sites

most surgeons will recommend bypass if you've had issues with GERD. It will get worse with the sleeve about 30% of the time - so whether or not it will for you is kind of a crap shoot. I had GERD and was warned - so I went with bypass. I did not want to risk it getting any worse.

your surgeon will advise you on which way he/she thinks you should go based on your specific health conditions, but I don't think most would refuse to do surgery A or surgery B if you were insisting on it. But I would be careful with the GERD factor. I've been on this and other bariatric forums for several years and have seen a lot of people have to revise due to GERD. It may not happen to you - but there's no way to know that ahead of time.

also, malabsorption typically isn't a problem if you stay on top of your supplements. You'll have to take supplements with the sleeve as well.

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

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • zombierayvinn

      I am almost 8 weeks post op and I am down to 157 from 202. I have been struggling with nausea but not vomiting. Anyone else having this happen?
      · 0 replies
      1. This update has no replies.
    • WInston223322

      Been a hell of a good Journey and thanx to all 
      · 0 replies
      1. This update has no replies.
    • Steph1999x

      Post op day 2...so far so good!
      · 1 reply
      1. LisaDee1

        What state are you in????

    • Krestel

      Officially no longer over weight! Goal #1 reached! I'm now under 80kgs (176 lbs) at 179cm (5'10") and 10 months post-op and am over the moon. My weight at 79.9 kgs (176 lbs) gives me a BMI of 24.9 which means that I have a normal weight! OMG.
      I still want to lose about 16 lbs more though in order to get safely into the middle range to insure against that little regain that happens. The I have maintenence in front of me as well.
      BUT I have hit my first goal. Yeah me!!!
      · 1 reply
      1. biginjapan

        Fantastic! That's such a great goal to reach and one I hope to get to this year as well.

    • TWCook

      I had my gastric sleeve done September 10, 2020... I started out 330# before surgery.... I'm down to 260# now... I've been stalled out for over two months now.... I exercise when I can (Bad back/knees)... I follow my diet , get my protein and drink my water... But still not losing any weight... I've done everything I can think of to break the stall.... Even went back to liquid diet....  Sometimes I think this was a mistake having the surgery...
      · 1 reply
      1. Boss lady84

        sorry to hear that don't feel down. Maybe a reset meaning something new. I am in the process of having the surgery a second time. I had Lapland in 2012 removed in 2018 and I have gained everything back and some. When I stalled on lapband I had to do something new for me I joined a free boot camp and Zumba and then boom dropped 38 pounds in 2 months. I know you said bad back and knees so find something with your limits. But I think try something new I stalled for 8 months

  • Trending Topics

  • Together, we have lost...
      lbs
    ×