UPDATE!!!!!!!!!!!!!!!!
Hello everyone, took a little break from the forum. I have had a rough time with acid refux, getting pretty bad this week. Went to work on Thursday, and literally had acid bubbling up the back of my throat. Couldn't eat or drink, made the symptoms worse. I had been back to my GP for three different visits. Changed my PPI three times, $$$$$ cha-ching. So on Thursday, I prayed and begged my Dr. to give me some IV PPIs. Did that and had some Buscopan IV, which sent me into a rapid heart rate of 160 and blurred my vision very badly. I felt so sick.... So one of my collegues, called the clinic for me and spoke with Dr. Vergis. Next thing I know I am admitted to St. Boniface and getting a CT scan. Thanks be to God there was no leak. He has changed my PPI and started a new med called Sulcrafate, which coats the esophagus and stomach therefore preventing erosion/ulceration of the stomach and esophagus. Apparently, the LOSEC, NEXIUM, AND PANTOLOC were going through my GI tract too fast and not getting absorbed. Hmmm.... I got out yesterday. I stayed in the city because of the weather. I feel so horrible still. I have a sore throat, fever, diarrhea, and period (sorry TMI) all at the same time. I am not advancing my diet cause it hurts and feels yucky. I am barely getting in liquid diet, never mind meeting my protein requirements.... Geesh, when will this get better. I hope this is all sorted out before we go to Florida.........
Tomorrow is a new day...
on 3/15/11 7:19 am
Hi,
You have probably already googled this, here is a bit about gerd....i hope it goes away for you soon!
ABSTRACT:
Following the “Magenstrasse" and Mill procedure (M&M), the sleeve gastrectomy was introduced into the spectrum of laparoscopic bariatric surgery. The background for the introduction of this procedure was the high mortality rate (6%) of laparoscopic biliary-pancreatic diversion-duodenal switch operation in super patients (BMI >60 kg/m2) Later the LSG as a sole bariatric operation or as an initial step procedure followed by Roux-en-Y gastric bypass (RYGBP) was used for super-super-obese patients.
Being a relatively just introduced procedure in the menu of obesity surgery, there is a lack of standardization of the technique and hence diversions between the results of the published series. Fifteen recent (2006- 2008) articles about the laparoscopic sleeve gastrectomy and its related issues had been deliberately reviewed and analyzed in a trial to through a light on this newly adopted technique in the field of bariatric surgery. The technique adopted is still lacking true standardization in many of its steps e.g. type of the stapler to be used, size of the bougie and hence the proposed size of the pouch left on the lesser curve as well as the technique of reinforcement of the staple line. The 15 reviewed studies included 707 patients and the indications included nearly the whole grades of morbidly obese patients with or without severe comorbidities. The mean %EWL was 40% after a mean of 14 months follow up Medical comorbidities showed marked improvement to complete resolution in high percentage of cases. The overall major complication rate was 0.14% and this included gastric staple line leak, stenosis of the pouch and renal failure. GERD seems to be common sequelae after LSG but in most cases resolved spontaneously. The short-term results are very encouraging but long- term results are still awaited to give this newly adopted technique its true grading in the field of bariatric surgery.