Part 2 Duodenal Ulcer repair /Duodenal perforation..

Missyrn2009
on 7/25/15 12:10 pm

So, I spent 5 days in the hospital receiving multiple IV antibiotics, under the care of an Infectious Disease specialist, he explained to me that with any perforation, you get 7-10 days of aggressive IV medication due to the extreme risk of abcess developing and potential Sepsis.  I discharged with a PICC line for 7 more days of sntibiotics, 2 JP drains, and a feeding tube in the unused Duodenum that can not be removed for at least 4 weeks, it is not used for feedings, but I do flu****

This has been by far the most painful surgery and recovery, but, I still do not regret my 2007 RNY!!!

My bariatric surgeon did tell me that because if the location of the ulcer and her repairing it, she went ahead and revised my RNY, as she questioned if the ulcer had extended into that stoma and weakened it, she also tightened up my pouch a bit as well, she did report that it really hadn't stretched excessively for being almost 8 years old.  So she told me that I was back at post op RNY of 6-8 weeks and that if I follow those guidelines, I could resume losing and easily reach my goal weight, she said to consider it a perk from a very unpleasant experience that in reality had nothing to do with me having RNY, the ulcer and perforation happens to people without any bariatric surgery.

 

So can anyone share with me what to expect from this "bonus" revision??

Thanks for your time

Missy

peachpie
on 7/25/15 4:30 pm - Philadelphia, PA
RNY on 04/28/15

Wow, I'm sorry for what you've been through! Was any reason given why or how the unused duodenum got an ulcer? It seems a bit odd that eating gave you nausea, cause again, it was the unused section that had the ulcer. 

Hopefully the bonus revision yields the results the doctor said, sorry, I can't give any insight otherwise. 

 

5'6.5" High weight:337 Lowest weight:193/31 BMI: Goal: 195-205/31-32 BMI

Missyrn2009
on 7/25/15 5:12 pm

My surgeon believes the pain and nausea was due to the ulcer even though it wasn't severe nor bleeding, she also felt that I had developed intolerances that contributed to the nausea, vomiting and stalled weight loss.

Missyrn2009
on 7/25/15 5:09 pm

The ulcer was directly above the RNY stoma, the perforation occurred in the unused section of Duodenum, but wasn't ulcerated, and my bariatric surgeon said my case was rare, she has only seen one other patient have it happen.  So no real explaination, she did say that there was an extremely larger than normal amount of bile that spilled from the perforation and subsequently drained post op.  Draining bile from the unused Duodenum after repair was the reason for the feeding tube placement.  

Missyrn2009
on 7/25/15 5:22 pm

My surgery posted above, Duodenal Ulcer and perforation repair, was done on 7/10/15.  I remain very swollen, bloated and tire so very very easily.  I am up and about, perform simple house work, no lifting more than 10 pounds, no pulling or tugging.  Drinking 64-70 ounces daily, 3 pureed protein focus meals and 1 12 ounce protein shake a day, never hungry, but make myself eat.  

Surgeon says the G tube is uncomfortable due to being thru muscle and close proximity to my ribs.  Can anyone tell me when the bloating will start to decrease and fatigue will start to lift.  I Don not recall feeling this way 2 weeks post-op any of my other abdominal surgeries.

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