Duodenal switch or gastric sleeve surgery, which procedure is best for me?

Hello Cheylando79! How are you?Each bariatric surgery has its own indications. Just as you say, the gastric sleeve may not improve acid reflux or even worsen it, in fact having severe esophagitis is a "contraindication to performing a gastric sleeve." This can be known by performing an endoscopy prior to the procedure.On the other hand, in effect, DS is a very invasive surgery, preferably to be performed especially in patients who have morbid obesity or very high BMI (more than 40), which is not your case, but with good supplementation and follow-up by your bariatric surgery team, you can have a very good state of health after surgery.There are other bariatric surgery options that you can consider, especially according to your medical history of acid reflux and your BMI. Gastric Bypass is the treatment of choice for patients who have obesity + gastroesophageal reflux.