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Doctor insights on: Severe Gerd After Gastric Sleeve

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Treatment for GERD after gastric sleeve surgery?

Treatment for GERD after gastric sleeve surgery?

Diet and: Medication management first. Sleeves can be converted to gastric bypasses with little or no natural stomach left and therefor is ofter curative for the gerd. Also, a new procedure, the torax is approved. http://www.toraxmedical.com/linx/. ...Read more

Dr. David Earle
1,343 doctors shared insights

Gerd (Definition)

It is normal to have some gastroesophageal reflux (ger). It becomes a disease( gerd) when it causes organ damage (imflammation of the esophagus, or barrett's esophagus), it has a significant negative impact on your life, or requires dependence ...Read more


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I was wondering if having the gastric sleeve done would help my reflux and GERD go away?

I was wondering if having the gastric sleeve done would help my reflux and GERD go away?

Weight loss: The gastric sleeve itself will not improve gerd. However, weight loss often reduces or eliminates reflux. ...Read more

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Was diagnosed with GERD a year ago. I've been taking protonix (pantoprazole) since then, had gastric sleeve on 10/21/13. Med not working is there another med better?

Complex : You have undergone a gastric sleeve to lose weight. You also have gerd and take protonix (pantoprazole). This is complex as your stomach is now much smaller. You may require double dosing of the protonix (pantoprazole). Sometimes this works. Because you are trying to lose weight the surgery please let your doctor know. ...Read more

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I have had a nissan fundoplaction for gerd. Can I have a gastric sleeve procedure done for obesity?

Bottom line - yes: The bariatric surgeon may have to modify his technique a bit, but you should be able to get a good sleeve made that should help you in your efforts to lose weight. Good luck and you will be so much better as you lose excess weight! ...Read more

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2yrs post gastric sleeve and having increased GERD. Ompeprozole and Nexium (esomeprazole) ineffective. Been to Dr. twice. Diet changes made with no relief. Advise?

2yrs post gastric sleeve and having increased GERD. Ompeprozole and Nexium (esomeprazole) ineffective.  Been to Dr. twice. Diet changes made with no relief. Advise?

Very difficult: You have had the works for this problem The only thing I might recommend in your area is tertiary consult at Cleveland Clinic. They can suggest a course of treatment after review of your case. This is world-class care and may come up with something effective.
Best wishes. ...Read more

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I had fundoplaction surgery for gerd. Can I have a gastric sleeve procedure done for obesity?

Weight loss nissen: Very difficult question. Discussed currently at medical conferences. The pure answer is no, but there are two ways. The first way, the most correct way, would be to undo the wrap that was the previous antireflux procedure, after a review of the previous operative report and then do the sleeve. The second way, would be to make the sleeve a little wider and avoid the upper portion of the stomach. ...Read more

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Am 295lbs. Considering gastric sleeve so I can still take NSAIDs. I have GERD and hiatal hernia. Anything I should consider re: this procedure?

Am 295lbs. Considering gastric sleeve so I can still take NSAIDs. I have GERD and hiatal hernia. Anything I should consider re: this procedure?

GERD and Sleeve: GERD can worsen after a sleeve, hiatal hernia must be repaired to decrease those chances, bypass is a considered better operation in patients with GERD issues however one can not routinely use NSAIDS after that and definitely no smoking. Obviously this decision needs lot of thinking and consideration of long term complications as well. Plz talk to your surgeon for further details. ...Read more

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Have GERD. Gastric sleeve 2013. Are at red lobster,20 min after got trapped gas pain in chest, back and throat. Is it GERD? Not had that food longtime

Have GERD. Gastric sleeve 2013. Are at red lobster,20 min after got trapped gas pain in chest, back and throat. Is it GERD? Not had that food longtime

Careful chewing: After having esophageal or gastric surgery it is always important to fully chew your food. Gas from seafood sounds rare. You would not expect GERD from air being trapped. However, if you ate quickly and swallowed a lot of air you might feel the pain as you noted. ...Read more

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I am 26yrs old, BMI of 60 (from uk) have severe allergic asthma, due to have a gastric sleeve done. Is this best for me? They say a bypass is to risky

I am 26yrs old, BMI of 60 (from uk) have severe allergic asthma, due to have a gastric sleeve done. Is this best for me? They say a bypass is to risky

Maybe...: Again without examining you directly; commenting on your case is difficult. Please get with your physicians and plot out the appropriate course for your weight reduction! ...Read more

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I have sporadic stomach cramping that is severe. I had a gastric sleeve surgery 2 yrs ago?

Many possibilities: Stomach cramping is mostly due to constipation. Adhesions, ulcers, irritable bowel, are other possible reasons. Of course, your symptom does warrant a trip to your surgeon. Xrays will likely be needed to figure things out. ...Read more

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What can you eat after having the gastric sleeve?

Depends..: What you can eat depends on how far out from surgery you are. Every surgeon has a different protocol for advancing diet after surgery. However, once you are several months since surgery you can eat pretty much whatever you want. Just a lot less of it. ...Read more

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Could I eat a 15oz at a meal after 6 months of gastric sleeve?

Ask your surgeon...: Ask your surgeon who should be the "best" one to give you the answer to this Q since s/he knows more about why & how your gastric sleeve was done than anyone sporadically online. But, generally, may apply common sense and listen to what your stomach & body may tell you so to adjust what you can adopt and adapt to new post-surgical "setup" of gastrointestinal tract. ...Read more

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Can I have gastric sleeve and get pregnant?

Can I have gastric sleeve and get pregnant?

Sleeve gastrectomy: Yes. We recommend you wait at least a year after having weight loss surgery before getting pregnant though. ...Read more

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What can I expect after my gastric sleeve surgery?

What can I expect after my gastric sleeve surgery?

Life changing: Make sure you talk fully with your surgery team before surgery and that you have a full understanding of the surgery and consequences BEFORE you do it. It is lifechanging. First few days after surgery can entail some nausea, pain,etc. Long term, your stomach will hold less food; protein should be the focus. Each program is a little different; talk in depth with a skilled bariatric surgeon. ...Read more

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Is gastric sleeve good for weight loss?

Is gastric sleeve good for weight loss?

Yes: The procedure is fairly new and has risks as do all weight loss operations. In this case, the long-term data shows that some of them return to a normal sized stomach. As with all weight loss operations, they do best when the patient is willing to change their lifestyle. ...Read more

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Is colon blockage a problem after gastric sleeve?

Is colon blockage a problem after gastric sleeve?

No: This is not something specifically associated with a sleeve gastrectomy, but constipation could be a sign of dehydration. ...Read more

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Alcohol and gastric sleeve surgery, can I mix these 2?

Alcohol and gastric sleeve surgery, can I mix these 2?

Not advisable: If you are trying to lose weight, avoiding alcohol will prevent you from taking in unnecessary, empty calories. ...Read more

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Left shoulder pain after gastric sleeve does it go away?

Left shoulder pain after gastric sleeve does it go away?

Left shoulder pain: Unfortunately it is no guarantee with a procedure such as that and if you continue to experience difficulties you should consider pain management or continue conservative care. ...Read more

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How to avoid having gallbladder removed after gastric sleeve?

How to avoid having gallbladder removed after gastric sleeve?

Acting all: Some research supports the use of a drug called acting all after bariatric surgery during the first six months. This drug helps reduce gallstone formation. The research is not conclusive however. ...Read more

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How do gastric band surgery and gastric sleeve surgery differ?

Different type: Gastric band is reversible, where the adjustable (removable) device at upper stomach with very small pouch constricts like dumbbell. In gastric sleeve, a tube of stomach is left, rest of stomach is removed ...Read more

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How common are leaks and complications during gastric sleeve surgery?

How common are leaks and complications during gastric sleeve surgery?

About 1% leak rate: Leaks have steadily decreased with experience. Now less than 1%. For our practice, we have learned to stay on liquids 2 weeks and puréed foods for two additional weeks. That lowers gut pressure until fully healed. ...Read more

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What is the difference between a gastric sleeve and the Roux-en-Y surgery?

What is the difference between a gastric sleeve and the Roux-en-Y surgery?

Different procedures: In sleeve resection most of the stomach will be removed leaving a sleeve or tube of stomach No anastomosis is required in sleeve resection. In Roux-en-Y type of gastric by pass, small pouch of stomach is created then G I continuity is established by passing small bowel, this looks like letter Y described originally by a french surgeon Roux ...Read more

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Why is it important to avoid carbonated drinks after gastric sleeve surgery?

Why is it important to avoid carbonated drinks after gastric sleeve surgery?

To avoid bloating: Carbonated drinks have 3 cans of air in one can of liquid. With a sleeve, that air expands and makes you bloated. More of the air gets in the small bowel and you get bloated. No evidence that it stretches out the sleeve. ...Read more

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Why do some gastric sleeve docs require 2 week liquid preop and some only one or less?

Why do some gastric sleeve docs require 2 week liquid preop and some only one or less?

Reduce liver size: As a bariatric surgeon, I always ask pts who carry a lot of weight in upper abdomen OR have a BMI >50 to be on a very high protein, low calorie liquid diet for 2 wks preop. Your body will use fat from your liver and upper inner belly fat FIRST on this diet, making the liver softer, and easier to lift up. The liver covers the stomach, so it makes stomach surgery easier and fewer complications! :) ...Read more

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Recently had gastric sleeve surgery. Can only drink mere ounces. Is there alternative prep?

Recently had gastric sleeve surgery. Can only drink mere ounces. Is there alternative prep?

No...: That is what the surgery is meant to do......it is doing it. Seems you should have been told about it. ...Read more

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How much over weight do you have to be before you can have a gastric sleeve surgery performed?

Sleeve gastrectomy: You need to have a BMI over 40 if you have no medical problems, or a BMI over 35 if you have at least 2 obesity related medical problems. ...Read more

Dr. Janice Alexander
1 doctor shared a insight

Gastric Sleeve (Definition)

Basically we take your stomach from the size of a football and cut in down to the size of a banana. And throw the excess stomach away. The sleeve has an expected weight loss of about 60-70% of your excess weight ...Read more


Dr. Charles Cattano
1,494 doctors shared insights

Heartburn (Definition)

A painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to ...Read more