Gastric Bypass Vs. Gastric Sleeve with GERD Symptoms Present

I had my consult with a bariatric surgeon yesterday. I liked him a lot and he was helpful. Just one glitch – I am interested in the sleeve but I have SEVERE acid reflux (controlled with meds with some break through that makes me add over the counter meds to my prescription GERD meds).

Since the sleeve can cause an increase in heartburn, the surgeon suggested a few things:

1) Get further testing regarding the GERD which will require 10 days off my Prevacid (which I truly feel I cannot do as I will not be able to function)

2) Proceed with gastric bypass as it not only provides the weight loss benefits but cures the GERD

3) Proceed with gastric sleeve as ESD test shows I do not have reflux & doctor suspects that there is some other problem causing my symptoms.

I’m hoping to get a second opinion about all of this.

Thanks in advance for any help!

Comments for Gastric Bypass Vs. Gastric Sleeve with GERD Symptoms Present

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Bariatric surgeon at CBGSA, Arcadia, California

by: Dr. Troy LaMar

Dear Sir/Madame,

The gastric bypass is clearly the surgery of choice for those dealing with reflux disease, usually regardless of the etiology or cause.

The gastric bypass divides the stomach in two, so the acid created can no longer reach the new stomach pouch or the esophagus....therefore, no reflux symptoms.....almost always.

The sleeve keeps the continuity of the anatomy, and one can still have acid move back up into the esophagus, leading to reflux symptoms.

I would recommend the gastric bypass.

Good Luck with your journey,
Troy LaMar MD

los angeles bariatric surgeon

(click here for Dr. LaMar's full bio & contact info)

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DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

Definitely Bypass not sleeve

by: Gena

I had the sleeve done 45 days ago. I had slight reflux that I thought was diet induced. I am now suffering with severe reflux and poor gastric emptying. Looking at having a revision to RNY. Save yourself some pain and suffering.


by: James

I have had a Nissen wrap done on me 2 years ago. A new surgeon suggested a gastric bypass to stop the acid after we found out my vagus nerve is not emptying my stomach properly. But they keep giving me the run around.

Was wondering is that a good idea to have the procedure and if so how do i convince them. I am only 5 feet 11inches tall and I weigh around 205 lbs.

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