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Dawn.s

Gastric Bypass Patients
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Posts posted by Dawn.s

  5. Posted

    Hi, My name is Dawn and I had a RNY on 16/06/2015 with Mr. Michael Hii at the Royal Melbourne Hospital.

    To cut a long story short I am a long time large volume GERD sufferer. I had 3 Nissen Fundopication operations with Mr. Peter Nottle. They all failed. The last one big time. I therefore ended up with no option but the RNY. I was 76.6 kgs before surgery and 62.2 kgs now..

    I still have my good days and bad days. I found I can and do throw up sometimes to often

    look forward to sharing with you all

    Dawn

    Albury NSW Australia

    Hi Dawn I'm also going to see Dr Hii. I'm getting a revision from failed band to mini bypass. I live around half an hour from you, would love to hear your experiences.

    Sent from my SM-G900I using the BariatricPal App

    Hello, good to hear from you.. you are not that far away. Mr Hii is a wonderful surgeon.

    I am again suffering GERD and I had a gastroscopy Monday, performed by Dr Adam Cichowitz in Wangaratta. I have another hiatus hernia and severe reflux esophagitis.. I see Dr Cichowitz on the 5th of r he next move for me. I am taking Nexium and it is not helping..

    Dawn

    Oh no you poor thing hope they can get it sorted soon.

    Do you have much restriction?

    Sent from my SM-G900I using the BariatricPal App

    Hello

    What do you mean by restriction? As in what sort of foods I can eat?

    regards

    Dawn

    Yes and how about portion size?

    Sent from my SM-G900I using the BariatricPal App

    I am pretty much unrestricted on foods except I do get dysphagia from bread, red meat and rice. v much much smaller than I used to eat. I find if I eat sweet things they do not agree, dumping syndrome has been an issue here.

    When are you for surgery? Is at at Royal Melbourne?

  6. Posted

    Thank you for your input, I do not take nsaids, i am on Nexium- proton pump inhibitor, no helicobacter as I was tested for this.

    Regards

    Dawn

    I haven't heard of nissen fundoplication operations before so I looked it up.

    Laparoscopic Nissen fundoplication is now considered the standard surgical approach for treatment of severe gastroesophageal reflux disease (GERD). GERD is increasingly prevalent and costly, and it may affect as much as 20% of the US population.

    The pathophysiology of GERD is not due to acid overproduction but rather mechanical dysfunction centered around the lower esophageal sphincter (LES). Furthermore, the mainstay of GERD treatment, proton pump inhibitors (PPIs), have come under scrutiny because of worrisome side effects. Laparoscopic magnetic sphincter augmentation of the LES has been proposed as an additional surgical option. Like Nissen fundoplication, it relies on 360° buttressing of the LES, but it may cause fewer long-term adverse effects.
    Prior to my RNY gastric bypass surgery 3 years ago I had severe acid reflux (GERD). But after surgery this condition went into remission. Sometimes dumping syndrome feels a little like GERD. My severe acid reflux was caused by the fact that I was obese. That doesn't seem to be the cause of your problem. I am not a medical professional, so take whatever I say with a grain of salt.
    One of the most common complications causing nausea and vomiting in gastric bypass patients is anastomotic ulcers, with and without stomal stenosis. Ulceration or stenosis at the gastrojejunostomy of the gastric bypass has a reported incidence of 3% to 20%. Although no unifying explanation for the etiology of anastomotic ulcers exists, most experts agree that the pathogenesis is likely multifactorial. These ulcers are thought to be due to a combination of preserved acid secretion in the pouch, tension from the Roux limb, ischemia from the operation, nonsteroidal anti-inflammatory drug (NSAID) use, and perhaps Helicobacter pylori infection. Evidence suggests that little acid is secreted in the gastric bypass pouch; however, staple line dehiscence may lead to excessive acid bathing of the anastomosis. Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.
    So basically there are 3 recommendations here. Strictly avoid NSAIDs such as aspirin. Use proton-pump inhibitors such as Prilosec (omeprazole). Make sure you are medically tested for Helicobacter pylori infection. My surgeon put me on omeprazole for the first year after surgery, not for GERD but to allow my stomach to heal properly. So you asked for ideas from non-medical professionals, so this is all I can offer.

  7. Posted

    I am very sorry! Having had severe gerd before RNY, I cannot imagine how disappointing this is. Have they confirmed that it is definately gerd? Or could it be an ulcer?

    I just wanted to say that I hope you get answers and solutions soon. It is awful living with this and you are seriously the first person that I heard was not resolved with RNY.

    Yes they have confirmed it is Gerd. I had a gastroscopy on Monday and it says severe reflux esophagitis and a hiatus hernia. Dr says I have quite severe Gerd again. I see him on 5 October for discussion on where to from here. I have been tested for heli blactor and it was negative, no ulcer's or constrictions either

    regards

    Dawn

  8. Posted

    Hello

    Looking for information if anyone can help me. I had three nissen fundoplication operations for Gerd and they all failed. in June 2015 I had my roux en y.... now 15 months later I have another hiatis hernia, severe reflux and severe reflux eosphagitis. This was mean to be my final surgery to fix the Gerd....

    Suggestions? Ideas?

    I am in Australia..

    Thank you

    Dawn

  9. Posted

    Hi, My name is Dawn and I had a RNY on 16/06/2015 with Mr. Michael Hii at the Royal Melbourne Hospital.

    To cut a long story short I am a long time large volume GERD sufferer. I had 3 Nissen Fundopication operations with Mr. Peter Nottle. They all failed. The last one big time. I therefore ended up with no option but the RNY. I was 76.6 kgs before surgery and 62.2 kgs now..

    I still have my good days and bad days. I found I can and do throw up sometimes to often

    look forward to sharing with you all

    Dawn

    Albury NSW Australia

    Hi Dawn I'm also going to see Dr Hii. I'm getting a revision from failed band to mini bypass. I live around half an hour from you, would love to hear your experiences.

    Sent from my SM-G900I using the BariatricPal App

    Hello, good to hear from you.. you are not that far away. Mr Hii is a wonderful surgeon.

    I am again suffering GERD and I had a gastroscopy Monday, performed by Dr Adam Cichowitz in Wangaratta. I have another hiatus hernia and severe reflux esophagitis.. I see Dr Cichowitz on the 5th of r he next move for me. I am taking Nexium and it is not helping..

    Dawn

    Oh no you poor thing hope they can get it sorted soon.

    Do you have much restriction?

    Sent from my SM-G900I using the BariatricPal App

    Hello

    What do you mean by restriction? As in what sort of foods I can eat?

    regards

    Dawn

  10. Posted

    Hi, My name is Dawn and I had a RNY on 16/06/2015 with Mr. Michael Hii at the Royal Melbourne Hospital.

    To cut a long story short I am a long time large volume GERD sufferer. I had 3 Nissen Fundopication operations with Mr. Peter Nottle. They all failed. The last one big time. I therefore ended up with no option but the RNY. I was 76.6 kgs before surgery and 62.2 kgs now..

    I still have my good days and bad days. I found I can and do throw up sometimes to often

    look forward to sharing with you all

    Dawn

    Albury NSW Australia

    Hi Dawn I'm also going to see Dr Hii. I'm getting a revision from failed band to mini bypass. I live around half an hour from you, would love to hear your experiences.

    Sent from my SM-G900I using the BariatricPal App

    Hello, good to hear from you.. you are not that far away. Mr Hii is a wonderful surgeon.

    I am again suffering GERD and I had a gastroscopy Monday, performed by Dr Adam Cichowitz in Wangaratta. I have another hiatus hernia and severe reflux esophagitis.. I see Dr Cichowitz on the 5th of r he next move for me. I am taking Nexium and it is not helping..

    Dawn

  18. Posted

    Hi, My name is Dawn and I had a RNY on 16/06/2015 with Mr. Michael Hii at the Royal Melbourne Hospital.

    To cut a long story short I am a long time large volume GERD sufferer. I had 3 Nissen Fundopication operations with Mr. Peter Nottle. They all failed. The last one big time. I therefore ended up with no option but the RNY. I was 76.6 kgs before surgery and 62.2 kgs now..

    I still have my good days and bad days. I found I can and do throw up sometimes to often

    look forward to sharing with you all

    Dawn

    Albury NSW Australia

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