Gastric Sleeve or Bypass after Nissen Fundoplication

Ronald in Houston sent us this question: “So which is better sleeve or bypass I have mesh in my stomach and have had Nissen fundoplication and several hernia repairs”.

Dear Ronald,

There is no one answer to your question. We tailor surgery to patient condition and choose the most effective and safest solution to help our bariatric patients. Both gastric sleeve and gastric bypass surgeries are effective weight loss solutions. They are equally safe and when done correctly, protect against acid reflux.

I recommend a good work-up prior to surgery by a competent acid reflux specialist and bariatric surgeon in Houston. Accordingly, a decision can be made on the most appropriate surgery for you. In certain cases, the fundoplication can be left intact and gastric bypass or sleeve gastrectomy performed below the wrap.