I am (f) 281 pds..5' 7" with gastro paresis..stomach spasms a lot and sbbo often..would weightloss surgery help? which type surgery for me

Maybe not...: Gastroparesis means a slow-emptying stomach--simulating effects of bariatric surgery already. Causes may be mechanical (obstruction, or the stomach outlet narrowed from healing of past inflammation, treated by endoscopic dilation), post-inflammatory (due to swelling of the stomach lining from ulcers, treated with acid blockers), or neurologic (as with diabetes)--possible reasons not to get surgery.