Comments on: GERD, Nausea and Vomiting- Don’t ignore it! https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/ Duodenal Switch & Gastric Sleeve Weight Loss Surgery in Los Angeles, CA Sat, 25 Dec 2021 19:20:52 +0000 hourly 1 https://wordpress.org/?v=7.0 By: Sophie Douce https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-2011 Sat, 25 Dec 2021 19:20:52 +0000 https://dssurgery.com/blog/?p=572#comment-2011 In reply to Dr. Ara Keshishian.

Thank you for this reply. Is there any advice you could give me on what type of surgeries this could be? Is it likely to be a gastric bypass? I have an ‘s’ shape in the middle of my sleeve & oesophageal dysmotility as-well. The person that did the X-ray said the sleeve doesn’t look like a normal sleeve gastrectomy & the staple line cannot be identified.

Many thanks

]]> By: Dr. Ara Keshishian https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1956 Sat, 18 Dec 2021 18:42:26 +0000 https://dssurgery.com/blog/?p=572#comment-1956 In reply to DESIREE THAMATHITIKHUN.

The duodenal switch will not help with reflux. Unfortunately do not have detail to know what else are your alternatives. It is however surprising that you are having reflux after RNY. An experienced surgeon needs to evaluate that operation, including doing an upper GI to make sure you do not have a hiatal hernia. If you do that will require surgery with hiatal hernia repair with mesh (because you have had three previous operations). A gatro-gastric fistular should also be ruled out.
please see the links below:
https://www.dssurgery.com/?s=fistula
https://www.dssurgery.com/gastro-gastric-fistula-after-gastric-bypass-operation/

]]> By: Dr. Ara Keshishian https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1953 Sat, 18 Dec 2021 18:26:46 +0000 https://dssurgery.com/blog/?p=572#comment-1953 In reply to Sophie Douce.

Strictures are seen occasionally with Sleeve and even Gastric bypass. It may need surgical intervention.

]]> By: Sophie Douce https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1853 Mon, 06 Dec 2021 19:08:05 +0000 https://dssurgery.com/blog/?p=572#comment-1853 I have just been for a barium swallow & it has been confirmed that I have a structure in my sleeve in the shape of an S. they said it will be referred to surgeon to review & contact me further.

I suffer with severe GERD food intolerances, vomiting & changes have been horrid lately. I am losing weight as I am struggling with even my ‘safe’ foods now. Is this likely to end up in an operation? If so, what type is it likely to be? No one seems to be able to give me an answer & I’m terrified of living the rest of my life like this. I had my operation privately at irmet in Turkey in 2019 & have been suffering since. It’s taken until now to be taken seriously in the uk sadly

]]> By: DESIREE THAMATHITIKHUN https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1411 Sun, 17 Oct 2021 00:00:59 +0000 https://dssurgery.com/blog/?p=572#comment-1411 I have congenital gastroparesis and also no lower esophageal sphincter. I have had 4 failed Nessons since age 18 mo (they worked a while). 2.5 years ago I had a RNY to try to control my reflux and to loose weight. I lost 160# with current BMI 32.5. My reflux was controlled for about 1 year. I now have non acidic reflux to my mouth several times a day and have to sleep sitting to help prevent aspiration. I am now oxygen dependent due to frequent aspiration causing pneumonia, scaring and inflammation. Would a DS help and if not, any suggestions?

]]> By: Dr. Ara Keshishian https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1206 Wed, 17 Mar 2021 16:24:07 +0000 https://dssurgery.com/blog/?p=572#comment-1206 In reply to v Dhamaja.

GERD, refers to reflux. What you are describing is not reflux but possibly a stricture because of the sleeve. See your surgeon for further evaluation and treatment.

]]> By: v Dhamaja https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-1203 Mon, 08 Mar 2021 18:19:38 +0000 https://dssurgery.com/blog/?p=572#comment-1203 Hello i got gastric sleeve last month and since day 1 i can not eat anything other then liquids. if i eat i vomit thick mucus first three times before the food comes up. they have already stretched my tube on Friday and today same thing again i can not eat. is this called Gerds

]]> By: Lindsey Atkins https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-389 Thu, 10 Nov 2016 19:23:53 +0000 https://dssurgery.com/blog/?p=572#comment-389 Hi ,there. Dr Ara. I was told about you from a Turkish Surgeon. I have ended up with bile in my stomach from day 1 after gallbladder surgery . I have spoke to other surgeons here in Missouri where I’m from and none of them are willing to keep my pyloric valve. They say a bile diversion is not done that way. As the research I have done , you most definitely want to do that. As well the surgeon next Turkey told me that as well. I’m really wanting some help with finding out how and what I need to do to reach you in hopes of find a better life as of now I suffer and have no quality of life. Your reply would mean the world to me. Thank you so much

]]> By: Ara Keshishian https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-324 Mon, 14 Dec 2015 20:00:14 +0000 https://dssurgery.com/blog/?p=572#comment-324 In reply to Scott Reicheneker.

Thank you for your comment. The cause of GERD is important to identify and treat. PPI’s have their place short term but can be covering an underlying issue. PPI use has not shown a decrease in gastric cancer rates and they have been associated with increase in pneumonia, C.diff, osteoporosis, malabsorption of calcium, magnesium, iron, and medications.

]]> By: Scott Reicheneker https://www.dssurgery.com/gerd-nausea-and-vomiting-dont-ignore-it/#comment-323 Mon, 14 Dec 2015 17:03:25 +0000 https://dssurgery.com/blog/?p=572#comment-323 This is a great blog Dr K. As you know my family has significant history with GERD. Left untreated it can be debilitating and as you point out, can even lead to esophageal cancer. I am active on a bariatric veterans site and advise people who have recently had a DS to watch closely for symptoms of GERD and see their surgeon or PCP for a PPI if need be.

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