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

    • 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!!!
      · 0 replies
      1. This update has no replies.
    • 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...
      · 0 replies
      1. This update has no replies.
    • Arabesque

      Happy anniversary to me - well almost. Friday marks the one yr anniversary of asking my GP if she thought I’d be a candidate for WLS.  
      What an exciting, sometimes frustrating but ultimately rewarding journey. I’ve lost 40kg or about 40% of my body weight & am below my goal weight. Some days I  just can’t believe where I am now from where I was 12 months ago. I never imagined this reality. 
      I am grateful for the encouragement I received from family & friends. I am grateful I have a supportive GP. They helped smooth the rough patches & kept me on track. I’m also grateful for this site. The information & support has been so helpful & eased many worries. 
      I’m still sorting out maintenance (what works one week doesn’t the next) but I’m up for the challenge. 
      · 0 replies
      1. This update has no replies.
    • Tierra T Tij

      Too much anxiety and stress:
      So lately thanks to COVID 19 (I don't have it though been trying to stay safe and healthy) I've been having severe anxiety and panic attacks lately. I've always had this problem but it's getting worse so as a result I've been having bad insomnia and getting sleep is hard for me right now. I wish it were easier but it's a work in progress AGAIN. I thought I got over this hump a while ago and was getting sleep but now my insomnia is back in full spring and I hate it! My grandmother is also moving on Tuesday and that is also stressing me out because I'll have no family nearby since everybody is in other states now thanks to California being too high. It makes me so sad man! But I am seeing her today on Monday for the last time before she leaves on Tuesday this week.
      · 0 replies
      1. This update has no replies.
    • Sabs211

      Gastric bypass 16/03/2020
      HW 400
      Weight before surgery 291
      CW 280
      GW 150
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Together, we have lost...
      lbs
    ×