Gastroesophageal Reflux Disease (GERD) After Gastric Sleeve Surgery

Gastroesophageal Reflux Disease (GERD) is a potential side effect after gastric sleeve surgery. Understanding the causes and implementing these remedies can help you manage symptoms and improve your quality of life post-surgery. Follow your healthcare provider’s recommendations and stay informed about effective preventative measures.

Why GERD Occurs

Gastroesophageal Reflux Disease (GERD) occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). After gastric sleeve surgery, the reduced size of the stomach and changes in its structure can contribute to GERD. Understanding these causes can help in effectively managing the symptoms:

  1. Reduced Stomach Size: The smaller stomach size can increase the pressure inside the stomach, promoting the backflow of acid into the esophagus.
  2. Changes in Stomach Structure: The surgery alters the anatomy of the stomach, which can affect the function of the lower esophageal sphincter, the valve that prevents acid from escaping the stomach.
  3. Dietary Changes: Post-surgery dietary modifications, such as eating smaller, more frequent meals, can sometimes exacerbate GERD symptoms.

Remedies to Counter GERD

There are several strategies to help manage and reduce the symptoms of GERD after gastric sleeve surgery:

  1. Eat Small, Frequent Meals: Instead of three large meals, aim for 5-6 small meals throughout the day to reduce stomach pressure.
  2. Avoid Trigger Foods: Identify and avoid foods that trigger GERD symptoms, such as spicy foods, fatty foods, chocolate, caffeine, and alcohol.
  3. Stay Upright After Eating: Avoid lying down immediately after meals. Stay upright for at least 2-3 hours to help prevent acid reflux.
  4. Elevate the Head of Your Bed: Raising the head of your bed by about 6-8 inches can help prevent acid from flowing back into the esophagus while you sleep.
  5. Medication: Consult your healthcare provider about medications that can help reduce stomach acid and manage GERD symptoms. Proton pump inhibitors (PPIs) and H2 blockers are commonly used.
  6. Maintain a Healthy Weight: Excess weight can increase abdominal pressure and exacerbate GERD symptoms. Aim to maintain a healthy weight through a balanced diet and regular exercise.
  7. Avoid Smoking: Smoking can weaken the lower esophageal sphincter, increasing the likelihood of acid reflux. If you smoke, consider quitting to help manage GERD symptoms.

Please remember, this is our personal experience and not medical advice. For medical guidance, always consult your GP.