08/13/2026
🔥 Having reflux after sleeve gastrectomy? Don’t just keep increasing the medication without asking WHY.
GERD can occur or worsen after sleeve gastrectomy. For some patients, symptoms are mild and respond well to lifestyle changes and medication. For others, persistent reflux may be a sign of an underlying anatomical or functional problem that deserves further evaluation.
And reflux doesn’t always mean classic heartburn.
Regurgitation, nighttime symptoms, chronic cough, throat clearing, hoarseness, sour taste, difficulty swallowing, or needing daily acid suppression can all be reasons to talk with your bariatric team.
When symptoms persist, an UGI contrast study and EGD can provide complementary information.
🔎 UGI: helps us understand the shape and function of the sleeve and identify problems such as hiatal hernia, narrowing, angulation, or abnormal anatomy.
🔬 EGD: allows us to directly evaluate the esophagus and stomach for inflammation, Barrett’s esophagus, ulcers, narrowing, and other abnormalities.
Selected patients may also benefit from pH testing or esophageal manometry.
Then we can answer the question that really matters:
What is causing your reflux?
Treatment may range from lifestyle modif**ation and medication to correction of a hiatal hernia or other anatomical problem. For appropriately selected patients with signif**ant refractory GERD, conversion from sleeve gastrectomy to Roux-en-Y gastric bypass may be an effective surgical option.
Don’t just treat the burning. Understand the anatomy.
📞 321-843-8900
Educational content only. Individual evaluation and treatment recommendations vary.