First make sure it’s not caused by a hiatal hernia. If it is, they can fix that during the revision to the DS. Supposedly the RNY “cures” reflux but many discover it didn’t or it comes back with a vengeance between year 5-10.Which surgery will help with reflux more? I have it pretty bad right now.
Oops! You have the sleeve! Well since you have the sleeve there’s no way to make it bigger really without some riskier surgery and that wouldn’t help your GERD. I would go on with the BPD unless I knew my GERD would lead to Barrett’s disease or something like that which could lead to cancer. But this is decision you have to live with and I can only offer my rationale for why I made this choice.Welcome!
I wouldn’t get an RNY period. I don’t want dumping or vomiting if I eat something I am not supposed to or if my belly decides to do it. But I have chronic pain and vomiting hurts my back a lot. Vomiting can throw my back out and repeated stuff can cause my back to hurt so bad that I can’t walk. Chronic pain is also why I chose the DS because I am better able to keep the weight off with it. Also I would see if my surgeon could make my sleeve a little bigger than usual to reduce the chances of GERD. But they would need to be the surgeon who actually does what they say they are going to do and not do the whole switcheroo and make decisions you Plus do as Southern Lady said about the hernia. I would rather be on a couple prescription GERD medicine than to have to be concerned in the back of my mind that I am going to vomit.
My primary insurance would cover the sleeve and the bypass at 100% (if I had diabetes which was a matter of time) but I didn’t want that. I wanted the DS to make sure I would lose most of my excess weight and keep it off without having such an awfully restrictive and miserable low calorie diet for the rest of my life with vomiting. My friend had this and was happy with her choices and was successful. But I am unlucky and just knew I would be the one who didn’t lose it all, keep it off and then also would be hugging the toilet. Most of the time with the DS I kept waiting for the DS to not work.
I had mine July 2019 and have lost 110 ish and have met my surgeon’s goal weight. I am glad I chose it but also glad I was at the point in life where I was willing to eat a certain way and take quite a few vitamins. I don’t have any regrets about my decision