I posted about this on the sleeve forum before. I developed GERD after my sleeve and was able to control it with one PPI a day until the end of 2020 where it's increased to two PPIs, 1 H2 and tums all day. Had issues with vomiting, nausea, stomach and chest pain. Difficulty swallowing. Sore throat since December.

Had an endoscopy 3/3. Lax LES causing GERD, gastritis and a nodule in the antrum of the stomach that appears to be benign but will be removed in an endoscopic ultrasound in June as a precaution as it has a small risk of turning cancerous later on. Gastroenterologist referred me to my bariatric surgeon believing revision is needed.

My surgeon wasn't sure on revision because I have lost all my excess weight with no regain. I have only been in maintenance for 4 months though. He sent me for a barium swallow.

Had the barium swallow and the radiologist found esophogeal dysmotility and a hernia that the endoscopy had missed. Radiologist said I will either need a nissen fundoplication or revision to bypass along with hernia repair

When I called my surgeon's office to schedule a follow up the nurse said something about maybe a hernia repair would be enough which left me feeling confused. I told her I want do whatever has the best chance of not having more complications or needing more surgery in the future. I had my galbladder out June 2020 after sleeve June 2019 and really just want to be healthy with no more surgery.

My follow up is on Tuesday. I am not sure what my surgeon is going to recommend. From posts here it seems nissen isn't the best option for sleeve patients. Would hernia repair be enough or is revision to bypass the best option? I just don't want to be getting hernia repair and then still have reflux be a problem due to my esophagus and end up needing a revision later on.

On 7/20/2021 at 6:44 PM, starladustangel said:

My surgeon suggested magnesium citrate and drinking coffee today when I called. Trying both currently. Mixed a Protein Shake with black iced coffee and had my husband pick me up some magnesium citrate at Walgreens. Maybe the caffeine will perk me up a bit too.

The pink capped stuff worked wonders for me and I am still using it and have no more issues. I went through hell for 3 years before I started using it daily in my morning coffee !!

On 5/29/2021 at 10:06 AM, starladustangel said:

My insurance finally approved my revision on Thursday. No issue getting approved. Insurance was just behind and super slow right now. Hopefully it gets to my surgeon's office quickly and I get a date soon.

Just out of curiosity, does your insurance cover weight loss surgery? Ours doesn't, but since this is medically needed for GERD I'm hoping it will be looked at differently. Would love to hear from someone who is in the same boat.

On 7/26/2021 at 1:52 PM, StratusPhr said:

Just out of curiosity, does your insurance cover weight loss surgery? Ours doesn't, but since this is medically needed for GERD I'm hoping it will be looked at differently. Would love to hear from someone who is in the same boat.

Yes. My insurance covered both my original surgery as well as my revision.