My understanding is that the pressure comes from the band or sleeve pushing food up while the esophagus is trying to push the food down. So there is this constant pressure battle going on when your esophagus is trying to get the food down into the stomach the pressure of having something around the stomach or the smaller stomach with.

After awhile you lose motility because the esophagus muscles just get worn out and can't push any more. I've lost quite a bit of mine also and still have problems with it even tho my band has been out for almost 2 yrs! Once it is gone, it is gone for good. 

With the RNY it uses gravity to get the food down so that is really the only option once the esophagus has been damaged. Even if you don't want it, it may not be an option to just leave it. You may have to get RNY just to eat anything. There may be no other choice, from what I understand the RNY may be needed just to be able to eat. I could be wrong but that is how I have seen it put to others who have had issues with swallowing.

I know one gal who had to have her stomach completely removed and her esophagus attaches directly to her intestines. She has a horrible time eating and dumps on almost everything. Maybe someone else can give you a more scientific explanation but I don't know of any studies personally.

Thank you so much for your fast reply

I just got a fill this morning and had a few sips of coffee after... No problems but full after. Had a bite of Popsicle and started feeling a really uncomfortable feeling in my back. Kinda burped up the Popsicle. Then a bite of soup broth brought the same pain. When the band is this tight, does it tend to loosen up after a few days bc I know it is a little traumatic of the stoma. Anyone else feel the back discomfort when tight 

Curious...I've been trying to find anything that says the sleeve is high pressure surgery.  Is there anything published anyone could share?  I'm just curious.  I don't know if I'm not searching using the right wording but haven't had any luck.

Thanks!

Sorry Karen!

I need to say this to you so that it is out there.  If your esophagus continues not to work well, a sleeve will be a poor choice for you as it is considered high pressured as well.  I really did not want to say that but better I do than you maybe suffering later.  It seems you tolerated and waited oh so very long before taking action.  Not cool.  Our bodies are forgiving though . . . sometimes.  It's the roll of the dice, hand of the deck kind of luck.

Best,

Layla