Question:
New Procedures bieng done to address

I am looking for information from patients that have consulted with a surgeon about a "Enlarged Stoma" I am finding it difficult to find articles or sites that discuss the new procedures bieng done to correct/address Enlarged Stoma's after RNY. Where is the scaring of the stoma procedure bieng done and what all is required for that procedure? Any information would be appreciated.    — Rebecca B. (posted on April 16, 2004)

April 16, 2004
I know one doctor in Vermont was 'triing' it; but dont know if she is still doing it. There is suppose to be a 'trial' going on.. BUT if that is true, trials are ususally 'set' and would not allow for new patients. IF you are having this trouble and dont live near or cant get into the trail... Consider the lap band. My doctor installed the lap band on my RNY to fix my stoma.. After the fill it works like a charm.
   — star .

April 16, 2004
There is a doctor in Boston MA doing the scaring: http://www.brighamandwomens.org/mdSearch/MedicalProfessionalDetail.asp?MPR=6506&N=Christopher C. Thompson, M.D.,M.H.E.S.&D=Medicine&OP=1450&NP=Yes&L=No Data Available&PT=Specialist I have heard of having an adjustable band installed (if there is room) or having a ring around the end of the pouch. This has been done but I know not where. Or, sometimes, the surgeon can re-create a stoma if the stomach is right for it. But who and where? I dunno. Big help, aren't I? Nina in Maine
   — [Deactivated Member]

April 17, 2004
Dr. Carlos Barba in Hartford, Commecticut has been working with injecting a sclerosing agent into the stoma & said it is successful about 50% of the time. He is very very nice. He said it is not difficult to do & he will talk to your surgeon if you want him to, to save you the trip. Dr. Chris Thompson is a bariatric endoscopist at Brigham and Women's in Boston. He is extraordianry - a truly helpful human being. He has been working since last July with a combination of things; in some instances injecting a sclerosing agent, but more often suturing the stoma. He can repair fistulas, or staple line disruptions, endoscopically as well, which is much simpler than having to go through a revision. I do need to add that the work of both of these doctors is considered experimental, yet both these procedures have a far lower complication rate than a surgical revision.
   — Suzanna M.

April 19, 2004
You might try e-mailing Dr. Mitchell Roslin in New York at [email protected]. He has mentioned working on a procedure done by way of an endoscopy, but I don't know if it is ready for use. Can hurt to ask.
   — Fixnmyself