Question:
Stenosis of the Gastroenteric Anastomosis????

I just had an upper GI done and found out from the nurse I have a 2cm area of Stenosis seen Proximal to the gastroenteric anastomosis???? Can anyone explain that to me in English???? My Dr. is out of town and I want to know. I had the Upper GI done because of continued pain whenever I eat. I am down to a size zero and wonder If I'll ever be able to eat regular food again. Please any info would Help    — Susie H. (posted on May 27, 2005)

May 27, 2005
OK, you know the stoma? The OUTLET from the pouch where the intestine attaches TO the pouch? OK, make puckered up lips. Look in the mirror. Now, make the opening about as big as a nickel. Still got it? HOLD that position. Now, put your finger in the opening. Wherever your finger is touching, THAT is the "margin" of where the intestine has been attached to the pouch. The stoma or anastamosis. We will call it a stoma. 2mm would not allow a pencile to pass thru that opening. It has puckered itself nearly shut. When it's the size of a dine, it's about 10mm. A nickel is about 12mm. Roughly. 2mm is barely open at all. I'm guessing even saliva has trouble passing? So, have they tried to dilate you? If they were in there with a scope, did they dilate at the time? Simple procedure done at the same time, takes about 5 min longer. they insert a balloon and open the stoma gradually. The one I observed, he opened it, waited, went back, tested, reopened to slightly larger, waited, looked around and the only difference to HER was: no vomiting. Never felt a thing.
   — vitalady

May 29, 2005
After looking at your profile, I'm wondering if you should consult with another surgeon. I don't think what you have going on is normal based on research I've done. (Can't speak from experience - I'm preop, but I've done research!)
   — Jenny X.