Question on revision vsg to bypass

[animallover1247 249]

I revised one week ago due to severe acid reflux. My understanding was my reflux would resolve immediately. However, that has not been the case. I'm not having the regurgitation of liquids. My main issue is my stomach being on fire all the way up to my throat. Even drinking Water worsens the pain and it's constant pain. Can anyone shed some light as to why this is happening? I'm about to lose my mind.

[James Marusek 5,244]

Prior to surgery, I suffered severe acid reflux (Gerd). As a result I had gastric bypass because sleeve will only make the condition worse. After my surgery, my surgeon put me on Omeprazole (over the counter Prilosec), which was the same thing that I used for acid reflux. He said the reason why he prescribed this was to allow my stomach to heal properly. I took it daily for a year and then stopped. I am 5 years post-op and haven't taken it past the first year and haven't experience Gerd since.

So you might see if your surgeon will prescribe Omeprazole (a proton-pump inhibitor) for you.

According to the internet:

Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.

[animallover1247 249]

20 minutes ago, James Marusek said:

Prior to surgery, I suffered severe acid reflux (Gerd). As a result I had gastric bypass because sleeve will only make the condition worse. After my surgery, my surgeon put me on Omeprazole (over the counter Prilosec), which was the same thing that I used for acid reflux. He said the reason why he prescribed this was to allow my stomach to heal properly. I took it daily for a year and then stopped. I am 5 years post-op and haven't taken it past the first year and haven't experience Gerd since.

So you might see if your surgeon will prescribe Omeprazole (a proton-pump inhibitor) for you.

According to the internet:

Nausea and vomiting are the most common complaints after bariatric surgery, and they are typically associated with inappropriate diet and noncompliance with a gastroplasty diet (ie, eat undisturbed, chew meticulously, never drink with meals, and wait 2 hours before drinking after solid food is consumed). If these symptoms are associated with epigastric pain, significant dehydration, or not explained by dietary indiscretions, an alternative diagnosis must be explored. One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.

Thanks James. I am currently on Dexilant, carafate and zantac. I'm hoping it's just going to take some time to see significant improvement. I was expecting the reflux to go away immediately after surgery.

[Frustr8 7,886]

Goody @Animallover1247 someone else,on Dexilant in the world🌎 besides me. I thought perhaps I was a Voice Crying in the Wilderness.💥😝💥

[animallover1247 249]

It only took an act of Congress to get it approved and the authorization ends soon so it will be here we go again next month!

[Frustr8 7,886]

Oh please don't tell me no more Dexilant! None of the other PPI worked, my gastroenterologist and tried the cheaper ones before he wrote me a script for,it. Dr Mujataba called it the Ferrari of💊 PPI, at Walmart the cheapest in my town, it,would run $ 350 witout insurance, I shudder to,think,what CVS and RiteAid charge.

[jmart_RN 18]

I had revision from VSG to bypass on May 22 due to severe GERD. I felt mild GERD maybe once or twice within the first 10 days post op. My surgeon told me to take Omeprazole for three months and then stop. I have not had any GERD since starting the medication. I hope you find relief for your GERD soon. I know the pain can be unbearable.

[animallover1247 249]

13 hours ago, Frustr8 said:

Oh please don't tell me no more Dexilant! None of the other PPI worked, my gastroenterologist and tried the cheaper ones before he wrote me a script for,it. Dr Mujataba called it the Ferrari of💊 PPI, at Walmart the cheapest in my town, it,would run $ 350 witout insurance, I shudder to,think,what CVS and RiteAid charge.

Every insurance company is different, it may not be an issue with you at all. My doctor had to submit all kinds of documentation to get it approved.

[Starfish23 24]

Are you on omeprezole or Protonix? You should be.

[animallover1247 249]

57 minutes ago, Starfish23 said:

Are you on omeprezole or Protonix? You should be.

Yes. I'm on dexilant, carafate and zantac

[Kimber628 31]

My revision was yesterday due to severe reflux. They have me on Protonix while at the hospital, and I will go back to Prilosec and Zantac once I’m home. I will then slowly go off of them. So far so good, as I used to taste and feel reflux even on meds.