Yep, that's right. It's happening. All the tests and exams are done (my bloodwork was surprisingly decent!) and insurance has re-approved the surgery.
I originally chose vertical sleeve gastrectomy, but early on I knew there was a chance I wouldn't be a good candidate because my esophagus is, well ...
(Actual footage of my throat processing marinara sauce without Prilosec.)
My latest upper endoscopy showed that my hiatal hernia didn't magically close up from the last time we took a peek, and this time my esophagus showed some erosive changes, WHICH IS NOT GOOD. It's called Barrett's esophagus, but mine is in the very early stage with no dysplasia (cell changes).
My surgeon had said that sleeve surgery can create hiatal hernias over time, and make existing ones worse.
There's a very bad thing that can happen if you let your esophagus turn to beef jerky, and basically roux en y bypass surgery can actually reverse the Barrett's.
Weight loss and GERD relief: Two birds with one stone. Believe me, I've been taking PPIs for a decade, eat super healthy and barely touch alcohol. I just have this stupid hiatal hernia and a flaming pit of acid in my stomach.
So bypass it is!
Frankly, I'm more concerned with the Barrett's than the size of my ass, so agreeing to change course was a no-brainer for me. My surgeon has done many, many procedures over the years (Cleveland Clinic Florida is a Bariatric Center of Excellence), and he said while the bypass is more involved, recovery is around the same amount of time.
I'm really looking forward to the improvements in both areas.
Last week, I started the pre-op diet, which was fairly easy -- two protein and veggie meals and one protein shake meal with clear liquids in between. I dropped around 5 pounds. but today was the first day of a liquids-only diet, and damn! I was doing OK with my delightful protein drinks and water until around 4:30 when the hangry polar bear appeared. So I busted open the low-sodium chicken broth, and I swear, it was the best thing ever.
Dinner was probably a little more substantial then I should have eaten -- I found a can of Progresso Organic Tomato Basil Soup in the pantry and stirred in a scoop of unflavored Quest protein powder. That's kind of a smoothie, right? Actually, the soup was a lot higher in sugar than everything I ingested today -- go figure!
That held me for around an hour and the bear came back, so I just went nuts and ate an Oikos Triple Zero.
Not perfect but, yeesh, the hunger monster is outta control.