GERD After The Vertical Sleeve Gastrectomy (Gastric Sleeve)

The gastric sleeve weight loss procedure has potential long-term complications that you should be aware of before choosing to have surgery. I had a co-worker that ignored her acid production post-op Gastric Bypass and she ended up in the hospital due to a ruptured gastric ulcer. She was a nurse as well and knew better then to ignore her stomach “talking” to her. Following gastric resection, the large compliant stomach is converted into a less compliant banana-shaped tube. This leads to increased pressure within the stomach. Iatrogenic removal of some fibers in the lower esophageal sphincter and disruption of the anatomical anti-reflux mechanisms result in weakness of the sphincter. All these contribute to reflux of acidic contents back into the esophagus.

Of important consideration when it comes to patients who underwent gastric banding is the difficulty of ascertaining whether symptoms are a result of a prior or a postoperative GERD pathologic process or of a complication relating to their gastric banding surgery. In a prospective review of 257 patients who underwent gastric banding between January 2002 and December 2006, Arias and colleagues 22 tried to measure the incidence of megaesophagus. Impaired esophageal peristalsis can cause a lack of relaxation of the LES, which in turn can cause esophageal dilatation and megaesophagas following secondary and tertiary peristalsis, leading to symptoms similar to that of GERD. The authors used symptoms, signs and gastrointestinal series findings to verify the presence of megaesophagus and found that of the 257 patients, 5 developed megaesophagus even though 4 of the 5 had previously normal manometry findings before their adjustable band placement and 1 had a nonspecific motility disorder.

Among the different medications are several options for the type of assistance. Antacids contain a neutralizing effect on stomach acid; some drugs reduce acid production itself and others block the production of acid while also healing the esophagus which can become damaged by the stomach acid. I had the sleeve 1-29-14. Have had heartburn the entire time. My doctor said comeback if I continue to have it daily. I saw my local VA doctor and was prescribed Omeprazole. I take it daily and it helps; now only occasionally.

My throat is so irritated, I try eating ice, freeze pops anything to stop or in my mind cool down the burning. If I have to go back and have a revision to my sleeve and do the gastric bypass I am so willing if this will give me relief. Another possibility is that the individual find out this here had some form of reflux before the surgery, and the surgery aggravated the situation by reducing the amount of space for the stomach acid to reside. Whatever the case it is vital that you seek medical attention if you experience any pain or discomfort such as acid reflux.

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