op report

[Guest guest]

Sharon,

Dr Anez doesn't do a very big bypass, so that may be why you're seeing some

wt regain, along with perhaps " funnel syndrome " , but only a " scope " will

tell. No one can guess. Does he separate the stomach? Or do you just have a

staple line (4 or 8 or 12-doesn't matter) to separate the stomachs into 2

portions?

Goes like so:

Preoperative diagnoses: Status post gastric bypass with staple line

disruption, chronic erosive gastritis (story of my life, even pre-op),

severe gastroesphageal reflux disease, nausea secondary to gastroesophageal

reflux disease and the abdominal discomfort associated with the gastritis,

umbilical hernia.

Indications for surgery:

With the staple line disruption, it is inevitable that this patient will

return to her original 265+ lbs. with her sleep apnea and other serious

co-morbidities. The treatment of choice is gastric transaction and

re-establishment of the inability of food to progress into the distal

stomach. A gastrectomy is indicated because of her long history of peptic

ulcer disease and the severe gastritis she has experienced over the past

many months. Because the stomach will be excluded, it is difficult to

follow and manage the gastritis. Esphagogastroduodenoscopy's that allow

visualization of the stomach are impossible with a gastric bypass.

Gastrectomy will reliever her very bothersome mid-abdominal and epigastric

pain.

-------

That combines the reason for revisions WITH my insistence on removal of the

old stomach, big acid-filled trouble maker. So, you'd not need all of it.

*** Please reply to me at: vitalady@... ***

Thanks,

www.vitalady.com

Re: 2nd surgery

>

>

> --- Vitalady wrote:

> > Acute gastric distress in pouch & lower stomach,

> > esophageal reflux and more

> > like that. Pain was my first symptom. If you want

> > details, scream and I

> > will give you the scoop right off my op report, OK?

> > Who's your doc? Where? Is he a general surgeon or

> > bariatric surgeon? The

> > bariatric surgeons can sound pretty convincing. They

> > have to know in their

> > heart of hearts that it is ALL coming back. They

> > have to believe it. Then

> > they can show the insurance companies.

>

> ,

> Yeah, if you don't mind, I would love all details of

> your op report--it may help me in achieving a re-do.

> My doc is Dr. Anez in Fairfax, Virginia. He is

> technically a general surgeon, but does a great many

> RNYs. I have seen him a couple of times in the last

> year, crying to him as I keep gaining more and more.

> He performed an upper GI in March of last year, and my

> pouch was still 2-3 oz even though I'd gained back

> about 20lbs as of that point. He merely told me to not

> eat so much, and to make regular visits with the

> nutritionist. I'm so opposed to that as it mimics the

> traditional forms of weight loss that I had attempted

> before realizing that this surgery was my last, and

> only hope. There's nothing that nutritionist can tell

> me that I don't intellectually know, but I need the

> restriction of the pouch to not let me eat the

> doughnut, candy, cake, (fill in my favorite sugar

> laden food here). If my pouch is only 2-3 oz, then the

> opening from the stomach to the intestine must surely

> be stretched, allowing my pouch to empty too fast,

> allowing me to, and making me want to, eat a lot and

> eat often. My doc even told me that even if he

> completely removed my stomach, I could eat too much if

> I wanted to. Basically made me feel that my getting

> fat again was my fault, and that even this operation

> couldn't help me. Almost like he didn't believe in the

> operation. I know--it's a TOOL, and the rest is up to

> me. But it just seems I've lost my tool completely....

>

> Thanks for you help, ,

> Fairfax Sharon

> ('' is an online alias---my other mailbox got so

> full, I had to create a new account)

>

> __________________________________________________

>