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Hi everyone! I'm new to the forums and so excited to be starting on this journey. I have my consultation scheduled for May 5. I was leaning toward the sleeve for several reasons - less complicated, less expensive (I'm doing self-pay) - but as I've been learning more about different procedures it looks like gastric bypass is the surgery of choice if you have reflux. I experience reflux infrequently, maybe once a week. It's usually pretty mild but occasionally it can be pretty bad and I experience food regurgitation. Just wondering if anyone here had reflux prior to surgery but went ahead with the sleeve and what your post-op experience has been. Thanks so much!

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I did bypass because I had reflux prior to surgery, and I wasn't willing to risk it getting worse with the sleeve.

it gets worse for about 30% of sleeve patients, so that means it DOESN'T get worse for the other 70%. It's kind of a crap shoot as to whose reflux gets worse and whose doesn't, so it really depends on how willing you are to take that risk. I wasn't willing to take it - but some people are, and some of them have lucked out and it didn't get worse..

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Thanks for your response, Catwoman7. I'm leaning towards bypass now just because I'm not sure I'm willing to risk it. I don't experience reflux too often but when I do it's pretty unpleasant and I don't think I want to risk experiencing it more, or worse, than it is now. I'm sure when I have my consultation next week the surgeon will provide more information, but I was just curious about other people's experiences. Thanks so much!

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I was in the same boat and chose bypass. I thought that since it was the original and that other things like the band came and went that maybe the bypass was a better option vs the "newer" sleeve. I have read somewhere that the surgeon can do a reflux test and see how bad it is to help decide. I never researched it so I don't know how accurate that is. However, I wish I would have looked into that and possible had the sleeve instead. Of course had I done the sleeve and ended up with reflux and another surgery I am sure I would be regretting not getting the bypass initially so it's a risk either way.

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I would not get sleeve if you already have reflux. I had no reflux before my sleeve at all but now have such severe GERD I have to revise to bypass. Sleeve was great for me weight loss wise as I lost all my excess weight but the GERD has been awful.

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3 hours ago, 2Bsmaller18 said:

I was in the same boat and chose bypass. I thought that since it was the original and that other things like the band came and went that maybe the bypass was a better option vs the "newer" sleeve. I have read somewhere that the surgeon can do a reflux test and see how bad it is to help decide. I never researched it so I don't know how accurate that is. However, I wish I would have looked into that and possible had the sleeve instead. Of course had I done the sleeve and ended up with reflux and another surgery I am sure I would be regretting not getting the bypass initially so it's a risk either way.

I was worried about that too - what if I have the sleeve but have reflux and have to do another surgery. It looks like the bypass has worked well for you though. Congrats on your success!

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50 minutes ago, crystaldawn81 said:

I had reflux terrible before the sleeve and when he was doing my surgery he seen I had a hiatal hernia so he repaired it and I've not had reflux since. That's been 10 months.

Sent from my SM-G970U using BariatricPal mobile app

That's great crystaldawn81! I’m glad to hear you’re no longer having reflux - it’s definitely no fun!

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1 hour ago, starladustangel said:

I would not get sleeve if you already have reflux. I had no reflux before my sleeve at all but now have such severe GERD I have to revise to bypass. Sleeve was great for me weight loss wise as I lost all my excess weight but the GERD has been awful.

I’m sorry to hear you’re having such bad reflux now. I hope all goes well with your revision. Of course I still have to talk to my surgeon but I’m definitely leaning towards bypass. The thought of my reflux getting worse really worries me. And congratulations on your weight loss - it looks like you’re doing great with that part of it. It’s so encouraging to see people’s post-surgery stats.

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I had the sleeve even though I was on omeprazole for my acid reflux pre-wls. Im only roughly 3 months out and have been OK for the most part. However, I'm not currently drinking or eating the things that gave me reflux before and I'm still taking omeprazole. I forgot to take my pills on a weekend trip and did feel slight reflux after having ricotta bake with extra marinara. I have a feeling my reflux will be back once I'm in eating "normally."

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My surgeon wanted to do the sleeve because of where I was (BMI around 40) but she told me up front that an endoscopy was required first to check for reflux and if it showed scarring then I’d have to do a bypass. I did have reflux some before but no scarring. Got the sleeve and I haven’t had reflux at all since.

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I wanted bypass because I have GERD, but the surgeon is worried I won't be able to absorb meds I have to take after surgery for other conditions I have that surgery won't solve, so he and my doctor both recommend sleeve. The surgeon is also not convinced I have GERD, but I'm not sure why. I'm just hoping the GERD is no worse after surgery. (I'm on omeprazole now since having gastritis last year and I don't have any symptoms. I don't care if I have to stay on it).

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