I have a question????????

Nope. All your gall bladder does is store bile. If it's taken out, the bile just trickles slowly through your gut. My surgeon did take mine, and my appendix, just because.

Yes

Bile reflux and GERD is common in those who have had their Gall bladder removed. Which is why it is common in people who have the VSG or DS because it is common to remove the gallbladder with these procedures. 

Your LIVER produces bile acid to aid in the digestion and breakdown of fat from the food you eat. The Gall Bladder is a storage vessel for liver bile. It acts as a reservoir for holding bile on its way from the liver to the intestines. SO EVEN without the Gall bladder your liver still creates bile and sends it to the duodenum. It has to.  Bile acid in your stomach occurs due to a malfunction of your esophagus, a tube that connects your throat to your stomach. At the bottom is a muscle, the sphincter. When working properly, the sphincter only allows food to pass into the stomach. In some people, the sphincter opens spontaneously, allowing stomach acids to flow upward from the small intestine, into your stomach and back into the esophagus.

With the DS...

As the name suggests, the duodenal switch also keeps a small part of the duodenum in the digestive system. The duodenum is the first part of the small intestine. It is located between the stomach and the jejunum, or the middle part of the small intestine.

Foods mix with stomach acid, then move down into the duodenum, where they mix with bile from the gall bladder and digestive juices from the pancreas. Even without the Gall bladder you still get bile and sometimes more than normal...so we still get bile even with the DS and it can still back up into our stomach and you can get bile reflux. 
 

It is often overlooked because it goes hand in hand with GERD. Usually, uncontrolled GERD that does not react to most medications is usually GERD with Bile reflux which is why the meds do not work. This is what I have thanks to having my Gall bladder removed. My Band made it worse. I cannot wait to get the damn band out. 
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Bile is not acid. It’s an alkaline fluid consisting of bile salts, bile pigments, cholesterol and lecithin. It is produced by the liver, stored in the gallbladder and released intermittently into the duodenum, the upper part of the small intestine, when needed to digest fat. (Bile continues to be produced as a digestive aid even after the gallbladder is removed.)

Misdiagnosis of bile reflux and failure to control it can result in serious, sometimes life-threatening problems — stomach ulcers that bleed and Barrett’s esophagus, a possible precursor to esophageal cancer. Yet misdiagnosis is common, and even when the condition is properly identified, doctors are often fatalistic about its management.

Surgery is a treatment of last resort, used if nothing else reduces severe symptoms of bile reflux or when the esophagus develops precancerous changes. The most common operation, called Roux-en-Y surgery, involves creation of a new connection to the small intestine to keep bile away from the stomach.

Please, look closely at the picture I posted.

After the DS, bile reflux is almost impossible, since the bile is dumped into the BP limb, not the alimentary limb. The duodenum is cut ABOVE the common bile duct. This is why the DS causes such extensive malabsorption of fat---there's no bile to emulsify the fat until food reaches the common channel.

Your comments about the function of the gall bladder are correct. However, It would be physically impossible for the bile produced in the liver (same with or without gall bladder) to get from the duodenum back to the stomach (sleeve) after a DS because  bile enters the duodenum via the common bile duct, which  is attached to the duodenum well below the little portion of duodenum that remains attached to the stomach. In other words, the bile now drains into the BP limb, then travels down the BP limb to the common channel, where it finally meets up with the food that has traveled down the alimentary limb. There is no way, no how, that bile can reflux back into the stomach after a DS.

Of course, that doesn't apply to the sleeve as a stand alone, where the duodenum is still intact. However, even with just a sleeve, the bile would have to reflux back through the pyloric valve to reach the sleeve before it could reflux up through the lower esophageal sphincter to reach the esophagus. While reflux at the lower esophageal sphincter is very common, reflux through the pyloric valve is not so common. Yes, it can happen, but for most people it isn't a problem, whereas classic GERD with acid refluxing into the esophagus is extremely common.

Bottom line - the DS cannot cause bile reflux, regardless of whether or not you still have a gall bladder. It's physically impossible. Having a sleeve, esp a narrow one, with or without DS,CAN cause GERD (acid, not bile!) because the bulk of the stomach, which normally can provide a reservoir for acid produced in the stomach, is now gone, and the acid that remains has to go somewhere. Moreover, there is no such thing as "bile acid". Bile is a base, which is chemically the opposite of an acid. Either bile or acid can be extremely irritating to the esophagus, but they are not the same thing.

In your particular situation, I can well believe that your band has made any and all reflux issues worse. This is, unfortunately, a common problem with the band, and hopefully getting that thing out will help you greatly.

Larra

I had Barrett's before my DS, and was put on Nexium. The follow-up scope showed the Barrett's resolved. I told my surgeon before my DS, I was scoped, no Barrett's, and the procedure went forward.

If I'd still had Barrett's, I would probably still weigh over 400 pounds. I am on Rx Nexium 40 mg (generic name: omeprazole) for life.

A small price to pay to lose 200+ pounds.

I would have nothing if my only choice was to allow them to remove the function of my pyloric valve.  The reason we DSers have such normal eating is because we have our pyloric valves.

~Becky

Get a true medical evaluation before you make any drastic changes for revisions.  A Nissen wrap is another remedy if you don't want RNY.  

I'd also like to add that being a carb freak is going to sabotage DS efforts, too.  We absorb 100% all of the simple carbs we consume.

I thought that with a DS you can eat more carbs or anything for that matter and you will not gain weight that's why you have the DS is that not true? I was told that you only absorb so much of your food that you take in like 10 percent I don't know too much about the DS I just heard that it was the best weight loss surgery that lasts

50% protein, complex carbs

20% fat

100% sugar