How will the Rouz-en-Y affect Barretts Esophagus or Esophagitis
on 9/22/15 9:07 am
I had the early stages of Barrett's diagnosed in 2012 during an endoscopy for something unrelated -- turns out I had bad GERD, but since I only had nausea and no heartburn, I didn't realize it for years. I had been planning VSG then, but GI issues derailed that plan at that time. 3 years later, when I had resolved that, had new insurance, lived in a new state, and finally saw a surgeon again, he said, "the two reasons we advise sleeve over bypass are diabetes and GERD, and you have both." My more recent endoscopies hadn't shown the same signs of Barrett's that the first one did since I'd been on Prilosec since then, but I wasn't going to risk worsening it, so I took my doc's advice and went with the RNY. It makes sense -- with RNY, the bulk of the acid produced by the stomach no longer even has a connection to the esophagus. It can often be curative for GERD, which of course improves Barrett's.
I googled my surgeon before surgery and found out he actually authored some articles on RNY as a treatment for GERD (which is the primary cause of Barrett's). Here are a few that helped solidify my decision for RNY (and my choice in surgeon!):
http://www.sciencedirect.com/science/article/pii/S1547412711 000922
http://link.springer.com/chapter/10.1007/978-1-4939-1749-5_1 6#page-1
on 9/22/15 10:26 am
I developed Barretts after my lapband in 2009. Severe GERD was the main reason for my revision and the reason I chose the RNY over the sleeve.
I was hoping that it would be an overnight fix, but I Am 9 weeks out and still have GERD symptoms more than I hoped (but it is definitely improving every day!). I take Omaprozole morning and night, still, but was told I will likely half the dose at 3 months, and eventually I should be off of all of the meds.
on 9/22/15 11:25 am - WI
Sometimes those GERD symptoms early out from surgery are actually motility issues. I had symptoms after surgery for about three months. It takes a long time for the anesthesia to work itself out of our systems and it slows down our digestive tract. The food backs up and it can feel like GERD.
Sometimes they don't cut away enough of the area of the stomach where acid is produced and you can get a little reflux. That usually will resolve as you lose weight.
Omeprozole is a life saver!
on 9/22/15 11:20 am - WI
I have Barrett's Esophagus. My GERD was cured with RNY. They removed 6 tumors in my esophagus and I went through ablation therapy. I have to go in yearly for an endoscopy( for five years) just to make sure there is no cancer developing in those areas. Once you have Barrett's, you have to keep on top of any possible issues. The surgery stopped the reflux, so there should not be any new damage. After five years I can have the Barrett's checked less frequently.
I also have Barrett's and had RNY in hopes of preventing future damage. However, I am under the impression that once you have Barrett's, it never goes away. You can prevent future damage, but not cure established damage. I could be wrong. I have to go for regular endoscopies to monitor the condition and, of course, take a daily PPI.
~Jen
RNY, 8/1/2011
HW: 348 SW: 306 CW:-fighting regain GW: 140
He who endures, conquers. ~Persius
I had GERD for years prior to WLS. Because my pre-op endoscopy showed Barrets, I had to go with RNY instead of VSG. Thrilled with the results!!
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HW: 295; SW: 272; CW: 159; Surgeon's goal: 167; My goal: 140