Prior to having the sleeve I had the lap band. I had to have the lap band removed because of gerd and not keeping anything down. I am now having the sleeve converted to RNY due to Gerd. My current surgeon said that the surgeon that did the sleeve should not have even considered me for sleeve due to my history with the lap band. I lost approximately 100 lbs 12 years ago and I've kept it off, but for the last 2 years gerd has been horrible. Everything I eat comes back up. My surgeon told my insurance company that I needed to convert to RNY to sustain life. I will say that I've had a lot of stress in my life for the last 3-4 years and I don't know if that contributed to the throwing up. I also had a large para-esophageal hernia that I had repaired last year, but it hasn't helped the gerd at all. I would do my research and do what's best for you. Get a second opinion.

Perfect! I will try to email/call my doctor today. (It would be nice to have an updated list of the do's and don'ts since information is ever changing). Thanks again for your insight!

Treating them the same used to be the ASMBS recommendation, as that is what most surgeons did when they were first learning the sleeve. Their current recommendation is to follow your doctor's advice:

https://asmbs.org/patients/life-after-bariatric-surgery

Q: Which medications should I avoid after weight loss surgery?

A: Your surgeon or bariatric physician can offer guidance on this topic. One clear class of medications to avoid after Roux-en-Y gastric bypass is the "Non-steroidal anti-inflammatory drugs" (NSAIDs), which can cause ulcers or stomach irritation in anyone but are especially linked to a kind of ulcer called "marginal ulcer" after gastric bypass. Marginal ulcers can bleed or perforate. Usually they are not fatal, but they can cause a lot of months or years of misery, and are a common cause of re-operation, and even (rarely) reversal of gastric bypass.

Some surgeons advise limiting the use of NSAIDs after sleeve gastrectomy and adjustable gastric banding as well. Corticosteroids (such as prednisone) can also cause ulcers and poor healing but may be necessary in some situations....

So, the advice basically remains the same as it always has been - check with your doctor, particularly since he recommended this course of treatment in the first place soon after your surgery; he knows you better and implicitly (by his original advice) has more experience than most when it comes to the VSG. Even if you aren't local anymore, perhaps you can drop him an email about this (my surgeon isn't local, either, but it still gets a response - even a phone response if that is appropriate). Another possibility would be to look up Dr. Alvarez (he posts here occasionally) who specializes in the VSG and is big on social media and does some Q and A things. He may be better than a random bariatric surgeon who are often primarily bypass guys who do VSGs on the side.

In this case, there is no difference between the two. The ASMBS recommends no NSAIDS for both sleeve and RNY.

Check with your surgeon to see what he says, as the NSAID thing is an RNY specific limitation. While many surgeons cookie cutter things and treat all their patients the same irrespective the procedure they had - same supplements, dietary progression, medication limitations, etc. - there are also many who appreciate the differences and treat their patients accordingly.

There may also be something that works better for your particular case, so again, check with your surgeon, as he is responsible for your after care, even this far out.