How will the Rouz-en-Y affect Barretts Esophagus or Esophagitis

eyestowardthefuture
on 9/22/15 4:01 am

I have Barretts Esophagus (also know as esophagitis).  I read on may internet reports that the surgery may actually help the problem.

Anyone out there have Barretts and have gone through the surgery and give me some feedback?

 

(deactivated member)
on 9/22/15 9:07 am
RNY on 05/04/15

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

eyestowardthefuture
on 9/22/15 9:23 am

How surprised I am that someone out there also suffers from Barrett's and had RNY.  The information you gave me was so helpful and I do appreiciate you taking time to explain and give examples.  

Thanks again

 

Queen JB
on 9/22/15 10:26 am
RNY on 07/20/15

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. 

  • High Weight before LapBand: 200 (2008)
  • High Weight before RNY: 160 (2015)
  • Lowest post-op weight: 110 (2016)
  • Maintenance Weight: 120 (2017-2019)
  • Battling Regain Weight: 135 (current)

rocky513
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!

HW 270 SW 236 GW 160 CW 145 (15 pounds below goal!)

VBG Aug. 7, 1986, Revised to RNY Nov. 18, 2010

eyestowardthefuture
on 9/22/15 10:51 am

Just to clarify:  When you had the RNY did the process cut away the Barrett's region on your esophagus, or did the Barrett's remain with hopes that the GERD will go away in 3 months thereby also eliminating the Barrett;s?

rocky513
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.

HW 270 SW 236 GW 160 CW 145 (15 pounds below goal!)

VBG Aug. 7, 1986, Revised to RNY Nov. 18, 2010

NHPOD9
on 9/22/15 2:30 pm

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

TimeForMe61
on 9/22/15 3:05 pm - Lancaster, PA
RNY on 01/22/15

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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