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So as I mentioned in my last thread, I had VSG in 2014. I did quite well for a decent amount of time but after really losing focus of my diet and lifestyle I have had significant regain.

I have literally had GERD my entire life. When my surgeon initially told me that VSG WAS an option, I decided to go ahead with it thinking it was a much 'safer' option than RNY. He did reassure me that the GERD I had was directly related to my significant abdominal weight and that with weight loss it would subside.

It DID, and eventually I went from a double strength PPI twice a day to a H2 blocker (at my lowest weight) a few times a week. I thought I was over the moon with this!

However, fast forward about 4 years and now my GERD is worse than ever, I literally have productive reflux now. I will be sitting and talking to my husband and what I ate a couple hours ago will just shoot up to my throat without warning (I just read another thread saying this same thing). I get it SO bad when I lay in bed that I will run to the bathroom and literally spit out acid. When I had my VSG I had a hiatal hernia repair too, and I was under the impression that was a permanent fix but i'm thinking maybe not.

I have EGD this Thursday and frankly, I am petrified scared of what she will find. I'm not worried about my sleeve but I AM worried that there is irreversible damaged to my esophagus or God forbid, esophageal cancer is found.

IF I am found to not have anything significant, I've decided to go ahead with a revision for my longterm health. I have been on PPIs for decades. I want off of them. And I want to conquer the regain.

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I chose the RNY because of the high rate of getting GERD from the VSG, so I don't know why your physician said that it was weight related. While some of it might be, usually it isn't, and with a smaller stomach, the acid can easily go up into the esophagus. If you are able, I would change that VSG and revise to an RNY if you are able, RNY you can't take NSAIDs but the possibility of GERD decreases about 80% of patients. Hope things go well for you, or went well with your EGD, please update us.

Wishing you well.

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“Prepare for the worst and hope for the best!” That’s what my mom used to say. I’m wishing you a doable solution and a triangular foam pillow to keep your head elevated. Let that barium stuff fly out so the doctor can see how bad it really is! Keep us posted and best wishes xoxo!

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      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
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        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

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