Roux-en-Y surgery complications

Posted by bborth @bborth, Aug 5, 2019

Well, after dealing with bile reflux on and off for 5 years my GI has recommended this surgery for me. I will be having this done at the U of M after have been treated by Dr. Martin Freeman there for the past few years, and many ERCP procedures. The surgeon claims I am a good candidate for this being in good health otherwise and relatively young (56). A bit scared of course given the nature of this type of surgery, but staying as-is can't be a long term plan for me. The surgeon agreed, and was concerned that the bile is now getting up in the esophagus/throat which can pose more serious issues down the road if not abated. I guess if anyone has advice on recovery, or hints on moving forward in life post roux en y surgery I would appreciate it.

Interested in more discussions like this? Go to the Bariatric Surgery & Weight Loss Support Group.

@blueseasalt

Similar symptoms for three years here. Hoping you’ve found answers and feeling better.
Wondering if I have motility issues/gut yeast overgrowth with frequent constipation, dry yellow tongue, dry breaking hair and nails, post prandial nausea and sweating and need to lie flat, early satiety, joint (?mineral?) deposits….
Seeing variety of Mayo specialists in Rochester.

Jump to this post

Interesting to see this reply come in. I was in the hospital for a couple days 2 weeks ago due to an infection of the liver that was caused by a newly found stricture/scar tissue in one of the ducts leading into the liver. An abcess had started to form, so I went on some antibiotics pronto, and had an ERCP to clean out some "sludge". Fever is gone, but I am feeling really backed up and sore in that same small area where the stricture was found (via MRI). The MRI was ordered after bloodwork showed higher liver enzymes and sign of an infection with a high while cell count. Came on all of a sudden after a good spell of normal health/digestion. Can these strictures suddenly develop after a surgery like this? Getting some anxiety of course to think of going through another surgery to fix this after feeling like the worst was behind me. Really appreciate any insights here!

REPLY

Post fundoplication question. In 2019 I had a toupet fundoplication with hernia repair. Since 2020, I have been suffering from documented malnutrition and sporadic dehydration that requires an ER visit. I’m currently a Mayo patient but my GI doc refuses to intervene. Mayo patient services refuses to help me get a new GI doc-or a second opinion.
How did everyone get their doctor to help them with malnutrition and dehydration? I also have profuse sweating as in dumping syndrome and my doctor wants to give me estrogen-even though I’m post menopausal, evidenced by blood work. My colon is never empty, according to imaging but no doctor will clean me out-enemas don’t do it.
I have literally been starving to death for two years.
How do you get doctors to help?

REPLY
@dr2023

Post fundoplication question. In 2019 I had a toupet fundoplication with hernia repair. Since 2020, I have been suffering from documented malnutrition and sporadic dehydration that requires an ER visit. I’m currently a Mayo patient but my GI doc refuses to intervene. Mayo patient services refuses to help me get a new GI doc-or a second opinion.
How did everyone get their doctor to help them with malnutrition and dehydration? I also have profuse sweating as in dumping syndrome and my doctor wants to give me estrogen-even though I’m post menopausal, evidenced by blood work. My colon is never empty, according to imaging but no doctor will clean me out-enemas don’t do it.
I have literally been starving to death for two years.
How do you get doctors to help?

Jump to this post

dr2023 | @dr2023

Do you have a primary provider, are they giving you any advice?
Have you considered seeking a second option at a non-Mayo facility?

Estrogen for GI problems seems like an odd solution.

Laurie

REPLY
@roch

dr2023 | @dr2023

Do you have a primary provider, are they giving you any advice?
Have you considered seeking a second option at a non-Mayo facility?

Estrogen for GI problems seems like an odd solution.

Laurie

Jump to this post

Mayo was my second opinion. I moved to a Mayo state just to get better care. The primary care team and the GI provider dismissed me and left me in a malnourished and dehydrated state-for years.
When I requested a second opinion for Mayo-I was denied and told to leave the office.
I don’t know what I’m doing wrong. I’m at a top five care facility in the nation and I still don’t have access to quality care. I feel so stuck. My voice does not matter

REPLY
@mdk

I have to revise to gastric bypass after having the sleeve 2 years ago. The problem is I have already lost all my weight. I am being revised because my sleeve is twisted. I have gastroparesis and am nauseous constantly. I feel sick every time I eat and always have stomach pain lately too. Will this revision stop all this nausea and pain? I want relief, but I am worried about malabsorption issues and looking sickly from losing more weight. Please help

Jump to this post

Omg I finally found someone that has the same problem. Be careful. I had the bypass in January. The surgery was supposed to fix the problem. I have lost 20 since the bypass surgery I had no weight to lose. I’m now on A T. P.N. Because the second surgery didn’t work. I don’t think the surgeon did it correctly. I have an obstruction. 7 mm wide where my food goes through I can’t eat are drink. I eat it gets stuck in my chest and hurts like I’m having a heart attack and then I vomit. This can last anywhere from one to five hours . I call them my episodes. My surgeon suggested I do the balloon endoscopic procedure. I do my fourth one April 18th. My fifth one is scheduled for May 6 th. Then if that doesn’t work we will do a stint. Need all this being said . I did seek out a second opinion. I went to the Mayo Clinic and that was there opinion to. I don’t like the balloon treatments. At all I’m doing them to try to get off the TPN treatment. We could discuss further if you would like

REPLY
@nova1976

I've had roux n y in sept 2016. Approx a month later came the strictures. 7 balloon endoscopes and a temporary stent solved that problem
Then adhesions caused multiple obstructions and multiple surgeries to remove adhesions and multiple intestinal resections
The symptoms to watch for are bloating Nausa uncontrolled salivating followed by dry heaving If that happens, get to dr asap
As the next thing is total obstruction. Hope this helps you and good luck

Jump to this post

Can I ask if they have resolved this for you? I’m going on my 4 th balloon procedure and after this on they want to do one more then the stint . I’m at a loss here and if this common . Why are the Doctors not telling me. About the risk? I have a second opinion and it’s the same do the balloon procedure then the stint. I have been dealing with this ever since I had my bypass in January to fix the obstruction. Now I’m on a TPN 14 hours a day hydration 2 hours twice weekly. And I’m hungry all the time. I eat it gets stuck in my chest cavity and hurts until I vomit lasting 1 hour to 5 hours. I can’t work I’m getting no financial support. And just more procedures. Please tell me there is a solution.

REPLY

I had exactly the same problem. After my RNY I had an obstruction
I had six balloon endoscopie. Finally went to Dr Gonda at Columbia Univerity hospital who put in a stent It was supposed to stay in for a month but broke loose after two weeks. This caused 3 surgeries in a week to get it out
It worked. No more obstructions Dr Gonda is now at NYU in NYC. Highly recommended

REPLY
Please sign in or register to post a reply.