Which is the best metabolic surgery for chronic acid reflux?

Question

Hi doctor,

I have a BMI of 42 and have been struggling with severe acid reflux for years. My doctor said weight loss might help, but diet and medication have not worked. Now, I am considering metabolic surgery, but worried it could make the reflux worse. Which metabolic surgery would be the best choice for someone with chronic acid reflux? How do I know if my reflux will improve or get worse after the procedure? Also, what should I expect in terms of long-term lifestyle changes after surgery?

Please help me.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Given your BMI (body mass index) and chronic acid reflux, it is important to choose a metabolic surgery that addresses both weight loss and reflux management. Gastric bypass surgery is often recommended for patients with severe acid reflux, as it can significantly reduce reflux symptoms. On the other hand, gastric sleeve surgery might worsen reflux in some cases.

To determine if your reflux will improve or worsen after surgery, a thorough evaluation by your healthcare provider is essential. This may include tests like endoscopy, pH monitoring, and manometry to assess the severity of your reflux and esophageal function.

In terms of long-term lifestyle changes, you can expect to:

Follow a strict diet plan, focusing on small, frequent meals and avoiding trigger foods.
Commit to regular physical activity to maintain weight loss.
Take vitamin and mineral supplements as recommended by your healthcare provider.
Attend regular follow-up appointments to monitor your progress and address any complications.

Reply to me if you have more concerns or questions.

I hope this information helps you.

Thank you.