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Sleeve to Bypass due to GERD

I'm in the early stages of going in for a revision to a gastric bypass.... I had the sleeve in 2017, and developed acid reflux from that surgery. The acid reflux/heartburn only developed and worsened, despite being on twice daily Protonix. Eventually, this year, I got an upper GI where they found I had severe acid reflux (which I could knew. lol), then also had a EGD scope and found a hiatal hernia. I'm working with my original surgeon of the sleeve, and he is telling me there are 2 options; to insert the LINX, or convert to a bypass, since that should remove the acid in the stomach. My insurance does not cover LINX as they deem it experimental, but would cover the bypass if medically necessary. Wondering for the people that had to convert to bypass due to GERD, what, if any, were your insurance requirements? Is it similar to the first surgery; office visits, nutritionist, etc? Just curious how long of a road this might be until I can have the bypass, or what I need to prepare for. Thanks for listening. :)

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  • I'm another sleeve to bypass revision due to GERD, which I didn't have before my sleeve. I would not have LINX, too similar to LapBand for me. When will doctors figure out that foreign bodies in the G

  • New&Improved
    New&Improved

    BYPASS is best option

  • Even with the possibility of GERD if I had it to do over again I'd still get a sleeve. It worked wonderfully well for me.

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I am in the last stages of scheduling a revision from sleeve to bypass due to severe GERD. I was sleeved in August 2018, I only lost about 35 with sleeve because the reflux is worse when I have nothing in my stomach, so I pretty much have to eat something every hour. I’ve been on 40 mg pantoprazole twice a day (80mg total), famotidine twice a day, and carafate up to four times a day. It sucks. I am hoping bypass will at least let me knock off a few of the meds. I’d love to get down to two or fewer per day, preferably none.

My sleeve didn’t cause my GERD, the tearing of a new hiatal hernia did. I had one repaired when I had my sleeve done in December 2019 (264lbs) I ended up developing a new hiatal hernia mid March (232lbs).

My surgeon sent me for a barium swallow. So along with the GERD to mid esophagus and the hiatal hernia I also have esophagitis from it.

I'm just waiting on insurance approval for my revision. I honestly loved my sleeve but since the hernia happened I have only lost 10lbs in the last 4 months and am currently sitting at 222lbs.

Some days I find it hard to eat because I feel so nauseous all the time and developed intractable hiccups because of the GERD.

If I could do it again, I’d still have a sleeve.

  • 5 years later...

I am heading into sleeve revision with bypass--I am a nervous wreck. My revision is due to GERD. Have had wonderful success with the sleeve which was done in 2012--Can anyone tell me.....Hair loss?!! Super scared of this again--especially being more restricted from protein intake so early on....also---has anything actually gotten "stuck" in your new pouch? ahhhhh.....

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