DS, RNY and GERD

I misread---I thought you said you were no longer counting calories and eating a rabbit, and I thought "But rabbit's GOOD, and high-protein, too!"

May I add that before RNY I had a very mild acid reflex, one I could control with diet? (only some food cause that).
Now - post op RNY - I do have to take the acid reducer pills daily due to acid and ulcers... every time I try to get off them - I end up in pain... so my doc and I agreed that for now I may need to be on them to limit the ulcers... how much fun is that?
My story shows that even though most RNY "cures" GERD, the higher probability of ulcers post op RNY may make some people to take anti-acid meds if not for life - then for a while...for me - it is over 3.5 years... 

I am not against RNY... I just wish I had VSG or DS... just saying...  

I never had Gerd pre-op.

  I have never had problems with ulcers but I now have nighttime problems with Gerd and take meds for it.

Must be my age :-)

Pup

I never had problems with GERD pre-RNY. Post-RNY, it was a nightmare, and a major reason for my revision.

Post-DS revision, it's gone. I am happy.

help me bump

BUMP

Some Rny pt's (like myself) have to take acid reducers for the rest of our lives anyway, so I would never have based my surgery solely on that alone.

Personally, I would never try to convince someone to have Rny over DS. I would only incourage that they look up the facts and do lots of research before choosing.

I think it is great that the DSer's are vocal about their surgery so that more people can be better informed, and realize that it just may be best WLS out there. I wish that I had known more about it before I had started my process. Not complaining about my Rny. I just know so much more about all  the surgeries now.

One thing that I find extremely ironic is that while the RNY may have a higher % resolution of gerd the RNY anatomy itself often causes problems with reflux.

I had TERRIBLE reflux pre-op. I spent a lot of nights sleeping sitting up, it was so bad.

My surgeon put everyone on Protonix for one month post-op. I've never taken any sort of acid-reducer since then, nor have I ever needed one. I am completely reflux-free.

Of course, I had my DS almost eight years ago, when everyone was making the DS stomach on the larger size. My surgical notes say mine was made to hold 3-5 ounces. There's no mention in those notes of my having a hiatal hernia, or of one being repaired.

Just as a note about stomach size, GERD & sleeves...

My sleeve was done with a 36F bougie.  At 9 months post-op, my comfortable capacity for dense protein is 2.5oz.   Can I eat 3oz? Yes, but it's a VERY 'full' feeling.  I don't eat that much so as not to stretch my sleeve. I also have little or no hunger. Smaller sleeves have less ghrelin producing tissue and less of the remaining 'stretchy' part of the stomach.  

My surgeon feels the 36F is the 'sweet spot' between too small and too big for standalone VSG. I've met patients from his practice who are years out, easily maintaining, and still have good restriction. My expectation is that if I continue to treat my sleeve kindly it will do the same to me.

From what I've seen, successful VSG vets (2 or more years post-op) generally maintain their restriction by not eating until they get 'full.'   This is my surgeon's advice, as well.  Since I eat an ounce less than is generally expected at each meal at this point, my plan was modified to eat 4x daily instead of 3. It's fairly common for women especially those who are smaller. I'm 5'3."  Most of the successful vets I've met or talked to say they have had about the same capacity from 6-9 months out until years later. 

I had mild, occasional GERD pre-op . I have none post-op even with a relatively small sleeve (although there are plent of 32F's out there). I don't eat late in the evening -- in fact I rarely eat anything solid after 6:00pm because I work out at night. I stay very well hydrated and generally have no issues at all with my stomach.