Canada is a pretty big country with lots of great doctors /surgeons.  She MAY need to go to a larger Centre if she's in a small community hospital, but she sure doesn't need to leave the country. 

I just hope that she gets help.

Are you at St Joes? And are you seeing  Anvari?

I would highly recommend,  once again, that you contact Dr. Hong or Dr. Anvari from St. Joes in Hamilton.  I was like you and had numerous ulcers.  Ended up having a second revision last year and just recently a conversion to a VSG.  I was given the option of a full reversal or a VSG.  With that being said I am still having issues ( blood clots, strictures and blood issues), but those are no fault of the surgeons...just my body not being able to handle anything. 

I also agree with another poster about going in and having an exploratory lap.  When I had the second revision last year they did an exploratory lap first.

You will need to do something soon as you may end up like me.  I am malnourished (was on a PICC line for nutrition for almost 3 months pre my VSG conversion, and recently just had a feeding tube placed in, which has just been removed to see if I could handle food.  I still am not able and am undergoing a dilation in a few weeks to deal with a stricture. 

If you keep throwing up, especially blood, I am surprised they haven't done the PICC line for you to give your stomach a rest. 

You have been through a lot, and my heart goes out to you.

Good luck once again.

Omg NewMe....you have been through a lot too! I'm so sorry!

Yes, I am in Canada and currently in the Toronto Western clinic. I have complete confidence in my surgeon. He is just as frustrated and upset as I am that we cannot figure this out. 

I am currently waiting for a referral to Dr. Hong out of St.Joes. I'm hesitant to do ANY further surgeries to my insides until we can figure this out. I just had a laparoscopy on Saturday last week for an internal hernia. NO source of the bleeding could be found. He also scoped me while I was asleep and had a REAL THOROUGH look at everything from my esophagus all the way down and found no source for the bleeding. I mean yes, the scope can only go so far down....but it can reach far enough that if any bleeding was occurring beyond that point, it would be physically impossible to throw it up. It's just too far down the roux limb. The remnant stomach is virtually inaccessible at this point but again even if it was bleeding, how on earth could I vomit it!? It's too far down! 

I'm hoping Dr.Hong might have some idea of what could be going on....the other two surgeons are completely stumped. I already told them I'm NOT going into a reversal surgery without knowing exactly what the problem is in there. Very frustrating!

....and yes, leaving the country is not really an option at this point, unfortunately. ?

Will definitely ask if they've tested for an kinds of things like pancreatitis. Thanks!

A scope on reaches the second portion of the duodenum at best. The remainder of the small bowel is not visible by endoscopy. (Colonoscopy on checks the large intestines). I think you need a small bowel enteroscopy and/or a capsule study to check the small bowel for ulcers or AVMs (arteriovenous malformations) that can bleed profusely.

Just your friendly GI nurse's suggestion :)

Kathy would it not be safe to say that any bleeding coming from further down than the endoscopy can reach would be next to impossible to vomit? That's my surgeons thinking. I mean it's not possible to vomit feces?? ...being totally serious here! Lol

Ive read of a few ways that they CAN reach the remnant stomach using a Pediatric colonoscope, but again my surgeon thinks bleeding from there could not be vomitted. 

Actually you CAN vomit feces. I watched this episode of Monsters inside me. Anyway the bowel on some teenager had gotten twisted then a piece of steel wire from a GRILL brush had gone thru it (the family was big on BBQ). So the intestine could not untwist. The kid would eat and drink and digest teh food. It would only down so far..then he would start puking "the most horrid smelling vomit"  The mother said it smell "putrid". Notably she did not say it smelled like "****".

So you can indeed vomit feces.

You dont have a valve anymore. You have a hole there. If anything, I would say it would be easier for you to vomit feces than that kid. You dont have a spincter to control teh directional flow.

Actually, I've seen someone vomit large amounts of blood, and had to be rushed to the ER, they had to put a tube down his nose to his pouch, (he was several years out) and there was indeed feces coming out of the tube. IF it was in his pouch, it can be vomited. He had some kind of blockage, and it had to be repaired surgically. 

Vomiting feces? (melena)  Esophageal varices?  Ulcers in the remnant? (not likely but not impossible)  You need to find someone else if your doctors can't figure this out.

Audrey