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Reflux & revision op. after gastric sleeve



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People around & what I have been reading keep suggesting that reflux and sometimes a revision op is the almost inevitable outcome of gastric sleeve ops. I am terribly anxious about this, is it really the case?

Edited by Ozzy79

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not everyone has reflux issues after the sleeve - and in fact, a majority do not. But a significant minority do. It's more likely if you already have reflux going into it. That's why most surgeons recommend you do the bypass if you have issues with reflux, because you're more at risk for having problems with it after VSG. RNY (bypass), on the other hand, often improves - if not outright cures - reflux.

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11 minutes ago, catwoman7 said:

not everyone has reflux issues after the sleeve - and in fact, a majority do not. But a significant minority do. It's more likely if you already have reflux going into it. That's why most surgeons recommend you do the bypass if you have issues with reflux, because you're more at risk for having problems with it after VSG. RNY (bypass), on the other hand, often improves - if not outright cures - reflux.

Is there anything we can do to prevent it? Thank you!

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18 minutes ago, Ozzy79 said:

People around & what I have been reading keep suggesting that reflux and sometimes a revision op is the almost inevitable outcome of gastric sleeve ops. I am terribly anxious about this, is it really the case?

I was told by my surgeon (as we discussed my conversion to RNY) that from his experience roughly 1/3 of patient develop GERD after VSG even without prior indications, 1/3 see an improvement of preexisting GERD after VSG & 1/3 remain unchanged (no development or improvement of GERD)

Ask your Surgeon his stats on the subject

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1 minute ago, GreenTealael said:

I was told by my surgeon (as we discussed my conversion to RNY) that from his experience roughly 1/3 of patient develop GERD after VSG even without prior indications, 1/3 see an improvement of preexisting GERD after VSG & 1/3 remain unchanged (no development or improvement of GERD)

Ask your Surgeon his stats on the subject

Yes, thank you I will! I am going to have the first week check next Sat.

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2 minutes ago, Ozzy79 said:

Is there anything we can do to prevent it? Thank you!

no. It has to do with the shape of the sleeve - it causes a high pressure system, or something like that. If you're one of the unfortunate ones this happens to and it's severe, prescription meds may help - or some go for a revision to RNY.

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After discussing it with Doc, I am getting the bypass surgery, no reflux issues.

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Good decision

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People around & what I have been reading keep suggesting that reflux and sometimes a revision op is the almost inevitable outcome of gastric sleeve ops. I am terribly anxious about this, is it really the case?

I'm in the same boat. Never had reflux. And now I am post OP 1 yr yesterday and the reflux is so bad. , and the nurse and doctors suggested either the strata or bypass.

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