Surgery Complication?

jbodary
on 1/4/16 3:04 pm
RNY on 06/02/14

I had rny bypass surgery a year and a half ago and I had a couple questions.

First - other than the sutures in the small bowel and proximal stomach is there any reason I would have had actual surgical clips left in me - and not been told about it?

Second I just had to have a ct scan done with contrast and my proximal stomach shows as highly prominent and measuring 9.6 x 6 cm. the er doctor at first thought this might be normal from a recent surgery but my surgery is far from recent so they weren't sure what to think... Is it normal for our stomachs to appear like this?

 

I am asking these of my surgeon of course as well, but he is out of town for a bit and I am just hoping to get some semblance of an idea so I can not worry quite so much, or know what to look into, while I wait.

CerealKiller Kat71
on 1/4/16 4:50 pm
RNY on 12/31/13

From my personal experience, ER doctors have no clue what is normal or typical in post-RNY patients.  They can cause a lot of needless worry. That said, I am not really sure what you are asking and its context, but here is what I do know.

The proximal stomach is what is most commonly referred to as a pouch after RNY.  There is no standard pouch size, and they average from a range of 63.91 cm 2 to 248 cm 2.  (source:Society of Gastrointestinal and Endoscopic Surgeons 2012 Annual Meeting.)

Surgical clips are not left in after surgery.  However, staplers have been used in abdominal surgery for the past 30 years. In the Roux-en-Y gastric bypass, a special type of cutting stapler is used when the stomach is completely divided to create the stomach pouch. It is also used to divide the small intestine. Tissue grows over the staples. They are there permanently and will show up on an x-ray.  

 

"What you eat in private, you wear in public." --- Kat

chulbert
on 1/5/16 5:45 am - Rochester, NY
RNY on 01/21/13

It is routine to have surgical clips - typically used to stop bleeding - left inside following a surgery.  They are made of non-reactive metal and while they will obviously show up on an x-rays and other scans they should not concern you.

hollykim
on 1/5/16 9:28 am - Nashville, TN
Revision on 03/18/15
On January 5, 2016 at 1:45 PM Pacific Time, chulbert wrote:

It is routine to have surgical clips - typically used to stop bleeding - left inside following a surgery.  They are made of non-reactive metal and while they will obviously show up on an x-rays and other scans they should not concern you.

this is incorrect. bleeds ate commonly cauterized and have been for many years. 

 


          

 

chulbert
on 1/5/16 2:31 pm - Rochester, NY
RNY on 01/21/13

There are many approaches surgeons can take depending on location, severity, or even their preference.    Much like a surgeon might use glue, sutures, or staples to close your incisions. 

Surgical clips are one of the tools a surgeon can use and they are intended to remain in the body.  They were not "forgotten" and are not inherently a cause for concern. 

CerealKiller Kat71
on 1/5/16 9:40 am
RNY on 12/31/13

Yes, you are right.  I should have said that in my post -- I was too busy thinking about the staples.

 

"What you eat in private, you wear in public." --- Kat

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