Question:
revision of RNY

Within the last 4 months i have had bleeding ulcers. scopes were done and the bleeding stopped temp. my gasrtoenterologist recommend a revision. would like more info. also am iron def and have to have regular iron transfusions    — Karen J. (posted on July 29, 2005)

July 29, 2005
Revision to reverse? I don't understand. What are your doctors reasons for the revision, how is it supposed to help?
   — RebeccaP

July 29, 2005
Not sure what type of revision he's thinking of besides the one that lines his pockets. Ulcers are not uncommon for RNY patients.
   — careywatkins

July 29, 2005
Are these marginal ulcers, where the stoma connects the intestines to the pouch? If so, he may be suggesting revising you from the RNY to the sleeve gastrectomy, the 'stomach portion' of the DS. The sleeve gastrectomy would re-activate your pyloric sphincter and get rid of your stoma. The reason that bleeding ulcers near the stoma are so common in RNY patients is that the stomach contents are acidic, but the intestinal contents are alkaline. Without the pyloric sphincter to retard back-flow from the intestines, the constant pH shifts can irritate the tissues and lead to ulcers.
   — MsBatt