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July 22 surgery date - Revision from VSG to RNY

It has been a long time since I posted on this forum. I was sleeved in October 2018 and immediately began suffering from reflux/GERD (which I did not have prior to sleeve). Fast-forward 2 1/2 years later, loads of PPI's, EGD's, barium swallows, scans, scopes and referrals, I was finally advised by a surgeon that my best option is to have revision of the sleeve to the bypass. I have a mid grade hiatal hernia and severe GERD. It's gratifying to finally get some answers and while I am looking forward to some relief, I am a bit anxious about the surgery.

I relocated from Houston to Dallas, TX in May. I consulted with a new bariatric surgeon on May 26th. Once the ball got rolling, everything went pretty quickly. After thoroughly reviewing my previous surgery and medical records along with additional testing, she determined that in addition to the hernia and GERD, my original pouch from the VSG wasn't as small as it should have been! That explains why I had such slow and minimal weight loss. I lost about 40lbs total, and have regained 20lbs back since COVID.

Has anyone had revision from VSG to RNY with hiatal hernia repair due to GERD? If so, has your GERD improved and how has the weight loss been?

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  • I had GERD before my VSG surgery in 2014, and it only got worse over the next six years. Nothing helped, including PPI's. Fast forward to 2020. After a bunch of diagnostic tests to verify my GERD/Gast

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I also converted from VSG to RNY with a hiatal hernia and GERD on 9/9. I remember being nauseated with everything after the sleeve. Nothing has made me nauseous this time and I feel I could probably eat way more than the 4 ounces I am restricted to, which concerns me. I have lost about 10 pounds since surgery (197 pounds on surgery day). Wondering if anyone has found it much easier to eat this time around?

14 hours ago, seekingwellness said:

I also converted from VSG to RNY with a hiatal hernia and GERD on 9/9. I remember being nauseated with everything after the sleeve. Nothing has made me nauseous this time and I feel I could probably eat way more than the 4 ounces I am restricted to, which concerns me. I have lost about 10 pounds since surgery (197 pounds on surgery day). Wondering if anyone has found it much easier to eat this time around?

For me, once I hit solid foods, it was a totally different ballgame. I was able to 1/2c of puree the first month but I can not eat more than 2 tablespoons of solid. I have to eat miniscule bites, chew to liquid or I get the foamies (i.e. lots of saliva and it comes up). I've lost 33 lbs. as of this morning. Surgery was Aug. 4th, 2021.

I guess I should just be happy that I don't have the 'foamies' :)

2 hours ago, seekingwellness said:

I guess I should just be happy that I don't have the 'foamies' :)

Yes, yes be happy hehe. I didn't have the problem till I hit solids so beware. ? So far I'm not a "dumper" but man, do I get the foamies. I have learned something that may help me or anyone else in the future after a horrendous day the other day. Taking 3 of the mini tabs anti gas Mylanta helped me tremendously. I had thought food was still stuck in my stoma, even after I expelled the extra saliva many times (sorry TMI). But it was really gas pushing up from possibly old food in my pouch and making me (and unfortunately my body) think there was food stuck in my throat so my body kept making extra saliva. I read about that phenomenon which is why I thought I'd try the anti gas Mylanta tabs. It miraculously worked.

On 7/14/2021 at 7:25 AM, mae7365 said:

I had GERD before my VSG surgery in 2014, and it only got worse over the next six years. Nothing helped, including PPI's. Fast forward to 2020. After a bunch of diagnostic tests to verify my GERD/Gastritis/Esophagitis, I had bypass surgery October 2020. I haven't had GERD since. I'm off all acid reflux medications. I've lost 56 lbs. since surgery and feel better than I felt in my 40's (I'm 64). I've got a ton of energy, walk 5 miles five days/week and do aquatic fitness classes 5 day/week. I'm loving my new, healthier self and so glad I made the decision to get the surgery. Yes, it is a life-long decision and I've forever changed how I can eat and process food, but so worth it!

Needless to say, I would recommend the revision to anyone with severe GERD.

What a wonderful outcome! The 56lbs you lost was that after the revision? I go in for revision next week and have been looking for others experiences. Thank you for sharing and congratulations!

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