Recent Posts
Oh, I know what you are talking about. I can't imagine how you've been taking Citrucel all this time. I can't tolerate it. It's so disgusting for me. I prefer to use organic products instead, as they are safer and healthier. Anyway, a friend of mine recommended to try the lion's mane mushroom. You know, it's a very good source of fiber. It's presented in form of powder, thus I find it very easy and comfortable to administer. I take it twice a day, and I can tell you that it's just perfect for me.
Hello,
Let me try to answer all of the questions as I understand so far. I've had 2 upper endoscopies. One in September which found the ulcers, another in December to verify if things are improving and when the hiatal hernia was found. I only started to feel uncomfortable heart burn/reflux symptoms following my December endoscopy. Then early February I had a barium swallow to see if that hernia was still prominent and verify how my esophagus was reacting. At this time I was referred to a surgeon who specializes in repairing such hernias. There is concern that my sleeve is nice and trim but also worry that over all this time, I have too much scar tissue on the outside to work with without turning it into a major surgery or failed repair in as little as 5 years.
The suregeon *****commended the DS doesn't perform gastric surgeries and referred me to another doctor (Zare) who I have an initial consult with this upcoming week. I'm waiting for this other surgeon's input on next steps, and he's come highly recommended by multiple doctors now. I will definitely review my options, and since my sleeve has failed me for the long-term despite the continued work I've done (exercising and watching my foods), and the various tries of adjusting my diet to drop down increased gains again, another form of bariatric option that fixes things and has the bonus side effect of weight loss again may be beneficial.
why do you say your sleeve has failed you since it is still"nice and trim."
Hello,
Let me try to answer all of the questions as I understand so far. I've had 2 upper endoscopies. One in September which found the ulcers, another in December to verify if things are improving and when the hiatal hernia was found. I only started to feel uncomfortable heart burn/reflux symptoms following my December endoscopy. Then early February I had a barium swallow to see if that hernia was still prominent and verify how my esophagus was reacting. At this time I was referred to a surgeon who specializes in repairing such hernias. There is concern that my sleeve is nice and trim but also worry that over all this time, I have too much scar tissue on the outside to work with without turning it into a major surgery or failed repair in as little as 5 years.
The suregeon *****commended the DS doesn't perform gastric surgeries and referred me to another doctor (Zare) who I have an initial consult with this upcoming week. I'm waiting for this other surgeon's input on next steps, and he's come highly recommended by multiple doctors now. I will definitely review my options, and since my sleeve has failed me for the long-term despite the continued work I've done (exercising and watching my foods), and the various tries of adjusting my diet to drop down increased gains again, another form of bariatric option that fixes things and has the bonus side effect of weight loss again may be beneficial.
I'm sorry that you are having these problems, but it is good that you are finding things out. Who did the checking on you (presumably an endoscopy) - a general gastroenterologist or bariatric surgeon that you consulted? Where are you hearing that you don't have enough stomach to repair the hernia? This is one of those maybe you do, maybe you don't things, and it depends both upon your particular condition, and the surgeon's experience and skills. The classic hiatal hernia repair for normal people is a Nissan fundoplication, and you right in that since much of our fundus has been removed for the sleeve, there may or may not be enough left to do a viable Nissan. Some surgeons can do it, while others can't.
The ulcers, and whatever other problems in your stomach and esophagus are often a consequence of the sleeve, whether in general or yours specifically. Many surgeons simply go for an RNY revision when faced with this, sometimes because it is the best approach in a particular case, sometimes because it is the best that they know how to do (while others may be able to correct the sleeve.) Simply changing to a DS won't do much for the problem a the DS uses your existing sleeve; a resleeve may or may not be done when doing this revision depending what the existing sleeve needs (but sounds like it would be appropriate in your case.) The DS would be most appropriate in correcting your regain problem and helping to maintain things the way they should be (assuming that it is appropriate for your other problems.
Who is the surgeon that you are working with (if you are), as there are a couple of good ones in the Bay area to handle this type of problem? In general, I am a big fan of second and even third opinions, particularly for revisions, as the causes for their need are more varied than for our original WLS, which means there can be a wider variety of possible solutions for the problem(s) and varied opinions on which is the best approach based upon different experiences that each surgeon brings to the table.
Good luck in getting some answers!
1st support group/seminar - 8/03 (has it been that long?)
Wife's DS - 5/05 w Dr. Robert Rabkin VSG on 5/9/11 by Dr. John Rabkin
Hello,
A year ago I posted that I was having issues with consuming proteins, 12 years after my VSG. After many tries to figure out what's happening, we discovered ulcers in my stomach and esophagus. After a recheck, new discovery of a hiatal hernia (small, but I am feeling so many symptoms from it now). 13 years out, and I'm hearing that I don't have enough of a stomach from my sleeve to repair the hernia, and I should consider the DS. Anyone else experience this? I suppose the bonus is I could lose more weight (initially dropped around 90 lbs, but have gained back 40 in recent years no matter what I did to keep it from happening). Wondering if anyone else out there has battled further, experienced difficulties and now looking at another form of bariatric surgery to help fix things.
Thanks!
How can I get back on track with my goals if I've failed to try for 2 months? I've lost motivation and I don't eat according to my plan.
Good Morning!
I wrote this blog post for people that would like to know more on how to set goals for your Gastric Sleeve Surgery.
Check it out here: https://www.endobariatric.com/weblog/2021/02/03/goal-setting -in-your-gastric-sleeve-surgery-journey/
Regards
Dr. Alvarez
We had this with dinner salads a few nights ago and it was very good. We're going to make a double batch for this weekend's festivities for sure.
Keto Cheese Bread Sticks
https://www.thedietchefs.com/keto-cheese-bread/
We also might try these:
Mozzarella Sticks
https://www.thedietchefs.com/keto-mozzarella-sticks/
Buffalo Chicken Dip
https://www.thedietchefs.com/buffalo-chicken-wing-dip-keto/
Stuffed Peppers
How did you know your sleeve was leaking.
Recent experience an attack and fell on my stomach. I am 33 days post op. I feel weak and have some uncomfortable soreness on the left side of my stomach. I can hold down water but vomited up puréed chicken 2 tsp. I think it's just cause my nerves but wondering if my sleeve could be leaking. I don't have a fever just feel weak.
a leak after wls will make you feel like you are dying. You will have fever snd be very ill. You will be going to the emergency room instead of posting on the internet.
