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

LINX Surgery after Sleeve



Recommended Posts

Has anybody had the LINX surgery after sleeve? I am 6 yrs post op sleeve. The last 2 months I have had GERD and PH of esophagus is too high. I also have a vital hernia. My Options is Repair Hernia, then LINX placement or Gastric Bypass. I need some help to decide.

Share this post


Link to post
Share on other sites

If you haven't run into this in your research, I found this to be an interesting point/counterpoint discussion of the LINX (the "Yes" vote is linked at the bottom).

http://agaperspectives.gastro.org/is-linx-the-way-to-go-for-gerd-surgery-no/#.X7K6SWhKiUk

I also found another source that indicated that LINX was not appropriate for bariatric patients, but didn't explain why (possibly simply because that group didn't have much experience with bariatric patients?) The "No" vote above did lift out the prospect of erosion from the foreign body, and given the history of the lapband, that is probably a good point of caution.

I would suggest getting a second (and possibly third) opinion on this. I am a fan of second opinions, particularly when it comes to revisions and complications, as both the causes and solutions are often more varied than the original surgery, and hence the opinions as to the best way to go often vary more widely - what one doc is comfortable doing to solve the problem may not be the ideal for you, while another doc may have different experiences that allows him to offer something better for your need. Or maybe not - but as patients it is hard for us to evaluate, but one solution may make more sense to us than another.

I have found that with the sleeve, being a relatively new procedure to most of the bariatric world, the solutions to problems that may crop up are often limited - some docs are limited to simply revising to a bypass as they don't have much experience with anything else. Most bariatric surgeons here in the States are fairly well experienced with the sleeve by now (as opposed to 6-10 years ago) but may not yet have that much experience in correcting problems with them, which is why it can pay to seek out alternate opinions. Sometimes there are shape issues with the sleeve, stemming from either the original surgery or from subsequent evolutions, and surgeons can vary widely on their ability to address these. Some can do fundoplications to address the hiatal hernia, while others can't (there isn't that much fundus to plicate after our VSG.)

I would suggest a second opinion from Dr. Ara Keshishian, who does a lot of complex revisions (people come from across the country to see him, particularly as he is one of the few who can do the RNY/DS revision) and if anyone can get things working better without a major revision or devices, it is him. If one can avoid an RNY or an implanted device, that would be ideal. Conveniently, he is right around the corner from you in the Glendale/Pasadena area.

I do have a hiatal hernia, though a fundoplication is inappropriate for my case, and as GERD is mild and well controlled with moderate OTC meds, and EGD shows nothing exciting happening, it is a wait and see thing for me at this point.

Hope yours comes out well, whatever path you take,

Share this post


Link to post
Share on other sites

Thanks for your input. I've decided on Dec 8, to just repair my hiatal hernia and not the LINX placement. I do not want a RNY at this time. Hoping by putting my sleeve back where it should be will fix reflux. It has only been in the last 2 mos that reflux has bothered me. Some days feeling real nauseous or just burping a lot. I do not have any burning. I'm 6 yrs post op and I now do think I've had some reflux over the last few years. Hasn't been bad and just took OTC antacids. I've just had a Upper Endoscopy with a BRAVO placement to check on reflux. Numbers were high. Have Esophagitis. GI doctor gave me a med called DEXILANT. It is working very well. I for sure will keep Dr. Keshishian for future reference. Thanks again.

Share this post


Link to post
Share on other sites

I’m in the same boat. I have LPR (silent refiux). I’ve have acid come out my nose, vomit and have aspirated it into bronchial tube. It’s everyday. One surgeon says hiatal hernia fix and another says hernia fix and Linx. I’m leaning toward just fixing hernia. Did it work from you?

Share this post


Link to post
Share on other sites

I had my hiatal hernia repair on DEC 8. It worked out so well, no more reflux. Feeling great. I'm so glad I decided against the LINX. Even my doctor said I made the right choice. Do the repair first. If it works, great. If not, then you can go to another plan. Even if it clears up some, you'll feel better. Good Luck.

Share this post


Link to post
Share on other sites

On 1/20/2021 at 12:55 AM, jenp7 said:

I had my hiatal hernia repair on DEC 8. It worked out so well, no more reflux. Feeling great. I'm so glad I decided against the LINX. Even my doctor said I made the right choice. Do the repair first. If it works, great. If not, then you can go to another plan. Even if it clears up some, you'll feel better. Good Luck.

Yes!!! Congratulations! Could you share your HH surgeon?

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

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 3 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×