Doctor insights on:
Severe Gerd After Gastric Sleeve
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
I have had a nissan fundoplaction for gerd. Can I have a gastric sleeve procedure done for obesity?
2yrs post gastric sleeve and having increased GERD. Ompeprozole and Nexium (esomeprazole) ineffective. Been to Dr. twice. Diet changes made with no relief. Advise?
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
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
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
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
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
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
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
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
Yes: No physiological reason not to.Get a more detailed answer ›
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
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
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
Masterbate: I think it's OK but suggest you check this with your Primary doctor. ...Read more
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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