Sleeve to Bypass - would this be beneficial for someone like me?

Question

I had the gastric sleeve done in October 2018 along with a hiatal hernia repair. My heartburn has gotten worse to the point I have to take Prilosec 40mg every other day or a few days without it, I need to vomit. I am currently between 240-230. My lowest weight was 220. I have PCOS and prediabetes. I take birth control and mental health meds. Would the bypass be beneficial for someone like me? What should I start doing now to get ready for the journey?

Jorge Maytorena, MD · Answer

The gastric bypass is indicated in patients with diabetes, prediabetes, gastroesophageal reflux, it is definitely what you are looking for, if you perform the bypass the annoying reflux will be completely eliminated.

Ali Solmaz, MD · Answer

Since you’re experiencing worsening heartburn after your gastric sleeve, along with PCOS, prediabetes, and some weight regain, gastric bypass could potentially be a beneficial option. Bypass surgery is often recommended for patients dealing with severe acid reflux after sleeve surgery because it reroutes the digestive system in a way that can significantly reduce or even eliminate reflux.
In your case, bypass may not only help with the heartburn but could also improve insulin resistance associated with PCOS and prediabetes. Many patients with these conditions experience noticeable improvements or even remission after undergoing gastric bypass.
To begin preparing for this journey, the first step is to schedule an appointment with a bariatric surgeon. They can discuss your symptoms, review your history, and recommend tests such as an upper GI series to evaluate the severity of your reflux and the condition of your sleeve. It can also be helpful to track your food intake, medications, and symptoms leading up to the appointment to provide your doctor with a comprehensive overview of your current situation.
As part of your preparation, consider making small lifestyle changes now, such as focusing on reducing foods that trigger reflux and emphasizing protein-rich, low-carb meals to help manage weight and blood sugar levels. It may also be beneficial to explore mental health support, as addressing emotional well-being can improve overall outcomes with bariatric surgery

Islam Abdelkhalek, MD · Answer

Yes, the revision surgery by the standard reux en y gastric bypass will improve the reflux condition even cures it. In addition to that it I'll optimize weight preventing the weight regain.To be ready for the journey you can send us email and our support team will be in contact with you, sending you questionnaire to fill out and facilitate the booking process illustrating with you everything from time to your arrival and pickup from airport till your departure.

H. Joseph Naim, MD, FACS · Answer

Gastric Bypass is the answer to almost every side effects of Sleeve.This could be Heartburn, Reflux, GERD, Dysphasia, Vomiting, limited weight loss and narrowing in Sleeve.In experienced hand, that can be done safety with minimal or no side effects or complications.

Pablo Garcia, MD - Account Suspended · Answer

Hello, hope you are well. Based of yor weight and history it is very likely you would benefit for a revision procedure, however your height would be needed in order to calculcate your BMI. Due to your symptoms you would also need to be further evaluated by a certified bariatric surgeon, as tests would need to be performed. A bypass procedure is usually done for these cases. It is always adviced to diet and attempt to lose some weight prior to procedures. Hope this answer was helpful. Please dont hesitate to contact us if any other questions arise.

Sleeve to Bypass - would this be beneficial for someone like me?

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