Can Reflux Patients Have Gastric Sleeve Surgery?

Assoc. Prof. Dr. Ozan Şen explains the link between obesity and reflux

This article was prepared with the insights of Assoc. Prof. Dr. Ozan Şen, Specialist in Obesity and Metabolic Surgery.

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the oesophagus, often causing a burning sensation in the chest. Obesity is one of the most common causes of reflux.

As body weight increases, the pressure in the abdominal cavity rises, impairing the function of the lower oesophagal sphincter and allowing stomach contents to escape upwards. For this reason, reflux is frequently observed in patients with a high body mass index (BMI).

However, many patients believe that if they suffer from reflux, they should have a gastric bypass instead of a sleeve gastrectomy.

Assoc. Prof. Dr. Ozan Şen offers a different perspective:

“I often prefer gastric sleeve surgery as the first option for many patients with reflux,” says Dr. Şen.

“Obesity itself is one of the main factors that trigger reflux. As the patient loses weight, reflux symptoms decrease. In addition, during the surgery, we can correct anatomical issues that cause reflux.”

How Does Gastric Sleeve Surgery Improve Reflux?

During gastric sleeve surgery, a large portion of the stomach is removed, reducing its capacity. This helps achieve weight loss and also balances internal gastric pressure.

During the procedure, the angle between the stomach and the oesophagus is restored, preventing stomach acid from flowing back into the oesophagus.

Dr. Şen emphasizes:

“The success of the operation is not only in reducing the size of the stomach but also in repairing the anatomical structures responsible for reflux. This way, we can solve both obesity and reflux at the same time.”

Reflux and Obesity: Two Interconnected Problems

Obesity increases intra-abdominal pressure, which worsens reflux symptoms. Meanwhile, reflux can lead to sleep disturbances, heartburn, chronic cough, and a significant reduction in quality of life.

Studies show that reflux symptoms significantly decrease in most patients who lose weight after bariatric surgery.

Therefore, when performed with proper surgical technique, gastric sleeve surgery can be an effective treatment option for both weight loss and reflux.

Conclusion: One Surgery, Two Solutions

Dr. Ozan Şen’s approach gives hope to patients suffering from reflux:

“Every patient’s anatomy is unique. However, in the right patient, gastric sleeve surgery can permanently resolve both obesity and reflux.

Preoperative tests are essential to determine the most suitable surgical approach.”

For patients hesitant about sleeve surgery due to reflux, the good news is this:

With proper surgical planning, both obesity and reflux can be managed in a single operation.

Frequently Asked Questions (FAQ)

Can I have gastric sleeve surgery if I already have reflux?

Yes. According to Assoc. Prof. Dr Ozan Şen, most patients with reflux can safely undergo sleeve gastrectomy, primarily when performed with proper surgical technique that corrects the anatomical causes of reflux.

Will my reflux get worse after the surgery?

When the surgery is done correctly and weight loss begins, reflux symptoms usually decrease or completely disappear. In some cases, a temporary adjustment period may occur during recovery.

How long after surgery will reflux improve?

Most patients notice a significant improvement within the first few months of weight loss. Consistent follow-up and diet adjustments help accelerate this process.

What if my reflux doesn’t go away after sleeve surgery?

In rare cases where reflux persists, additional tests may be required. The surgeon may recommend medical treatment or further intervention, depending on the cause.

Why does Dr. Şen prefer sleeve surgery over bypass for reflux patients?

Because sleeve surgery both treats obesity, the main cause of reflux and allows correction of anatomical issues during the same procedure. It’s a more natural and less invasive option for most patients.

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Real Stories: Life-Changing Transformations from New Zealand & Australia

Sarah, 38, Christchurch, New Zealand

"Before my gastric sleeve surgery with &New Me, I struggled with obesity-related health issues. Now, I’ve lost 40 kg, and my diabetes is under control. I finally feel like myself again."

Michael, 45, Sydney, Australia

"I hesitated for years, but &New Me gave me confidence. I lost 50 kg post-surgery, and my energy levels have skyrocketed!"