Comments on: Does Your Sleeve Look Like this? https://www.dssurgery.com/stomach-look-like/ Duodenal Switch & Gastric Sleeve Weight Loss Surgery in Los Angeles, CA Fri, 07 Dec 2018 05:32:24 +0000 hourly 1 https://wordpress.org/?v=7.0.2 By: Dr. Ara Keshishian https://www.dssurgery.com/stomach-look-like/#comment-391 Tue, 27 Dec 2016 04:54:46 +0000 https://dssurgery.com/?p=2740#comment-391 In reply to Ben.

Hello
I can not make any recommendations. MY decision needs to be made based not he films, endoscopy results etc. In general however there are a lot of alternatives such as stricturoplasty before a conversion to and RNY which has a whole lot of other problems associated with it.
Ara

]]> By: Ben https://www.dssurgery.com/stomach-look-like/#comment-390 Mon, 26 Dec 2016 23:16:05 +0000 https://dssurgery.com/?p=2740#comment-390 My wife is currently suffering from a stricture resulting from a gastric sleeve procedure done about 7 years ago. Apparently, the problem was there for quite awhile but was fully exposed after a successful hiatal hernia surgery in August, according to the surgeon. The bariatric surgeon argues that her current problem didn’t come on until after the hernia repair so the problem lies there. After the back-and-forth, the bottom line is scar tissue from the sleeve surgery is the cause of the stricture which gives her nausea, pain and vomiting.
Here’s the timeline:
August: Hiatal hernia surgery. 3 weeks later complaints of abdominal pain, nausea, vomiting.
September: Stricture discovered by endoscopy.
Dilation of stricture. Improvement for 2 weeks before symptoms returned. Repeat dilation of stricture. Improvement for about 1 week before symptoms returned with daily visits to the ER for pain, nausea and vomiting.
November: stents placed at site of stricture to help in allowing food to pass. It did not help. In fact, there was rejection of any clear liquids and increased pain, nausea and vomiting foam/dry heaves. Started TPN feed thru picc line. Stents removed after 3 weeks of stent-related pain, nausea and vomiting. After removal, the stents acted like dilators as her appetite returned. Diet improved from clear to full liquids to soft foods, small amounts. This lasted for about 3 weeks before symptoms returned.
December: referred to bariatric specialist. He has dilated her twice already with the same results but this time the symptoms returned in just a few days. His plan is to do a bypass after the holidays. He said the surgery would be relatively ‘easy’ due to the location of the stricture. I’ve read a little about stricturoplasty which seems like a simpler procedure. What is your opinion on these procedures? Given my wife’s situation what would you recommend? I’m asking because her bariatric doctor is currently unavailable until after the holidays.

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