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How Would I Know If My Sleeve Had A Leak?



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Did you ask with leaks get multiple leak tests? My doc did the usual or during surgery, the next day a barium swallow and the day after that a blue dye test.

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2 years later and I still am having problems from my leak. After a year and a half of complaining about constantly throwing up and being told I was scared of food or I was eating too much (half of a yogurt container) or it was my head, I was sent for a CT scan with contrast which showed I had a superior mesenteric thrombosis which developed right around the same time as my surgery. They can tell this by how much larger the smaller two veins have become carrying the extra blood. I was put in Coumadin for 5 months with labs drawn almost everyday the entire time to have another CT scan at the 5 month mark to show no changes, it was ruled chronic and it is an occlusion. That 1st CT scan also showed what looked like a stricture in my sleeve. An egd showed it is not a stricture, it is a distal angulation, 90 degrees ive been told. Food, especially anything solid, gets in that angle and sits until I basically throw it up which I hate doing. From where the food sits in the angled part at the bottom of my stomach, the top part of my sleeve is severely enlarged. I'm not concerned about that, I want to be able to eat. I have had a few balloon dilation in an effort to widen the angle out so food does not have such an angle to pass over with no success. If I want to be fixed, I need another surgery my stomach will be sewn up the middle, pulled sideways at the angle, and sewed back sideways at that part instead of up and down. I'm very scared of that as it may have to be open surgery add the location of it and if it has to be converted to gastric bypass, it is more risky as I had a jtube in my intestines and that bowel would have to be resectioned before it could be reattached. My other opinions have told me that over stapling the suture line causes pressure to build which causes a leak, the stomach acid that had gotten into my abdomen causes severe trauma which resulted in the smv thrombosis, the pressure build up and distress in the stomach can affect the shape of the sleeve causing mine to form at angle. Make sure you are checked for everything that could possibly be wrong before you go home.

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So this is very interesting. At what point are our tiny tummies completely healed no longer depending on those staples? I was told 9 weeks but then I saw 9 months later.

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