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Marginal Ulcer 1 year out

Today I found out that I have a marginal ulcer. Had an egd done after having awful pains last night. Treating it with carafate and nexium for 40 days. Then reevaluate with another egd. Anyone have any experience with these?? I am literally 4 days away from my one year anniversary.

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  • Marginal ulcers are a fairly common complication following RnY. They can occur at any time but often develop in the one to two year post-op window. Mine developed at 6 months post op. The good news is

  • From one Texan to another, you're certainly welcome! :-)

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I'm only two weeks out but were you taking nexium the whole time?

  • Author

My surgeon only had me taking nexium for the first three months or so. :/ Back on it now for what it's worth.

I have the samething I will be a year out april 17, still have awful pain, nausea when i eat it very painful.

  • Author

Yes I have been getting nauseous every time I eat. :( it was going so well up to now. I am mainly going to focus on getting in protein drinks as they are the only thing that seems not to bother me. Best of luck to you :) hope we get over this fast!!

Marginal ulcers are a fairly common complication following RnY. They can occur at any time but often develop in the one to two year post-op window. Mine developed at 6 months post op. The good news is that they usually respond well to medication with no further surgery required. In my case, once the ulcer was identified with the endoscopy, my surgeon increased my Prevacid from one 30mg capsule a day to two. Three months later they performed a second endoscopy and the ulcer was completely healed.

The diagnosis is a little nerve wracking but the treatment is most often pretty straightforward and the prognosis is excellent!

  • Author

Thanks Dlcoggin! I'm glad to finally know what's going on at least. Hopefully the meds will take care of everything. I'll have another egd in 30 days and go from there :)

From one Texan to another, you're certainly welcome! :-)

  • 11 months later...

I have also been diagnosed with a marginal ulcer. This is the second ulcer I have gotten. This one is real large. The GI Dr said it's due to a large gastric pouch. He says it's releasing a lot of acid. I've been on Prilosec 40mg since my second surgery (2nd hernia repair) which took place 2 months after my RNY. I have also used Carafate and now taking 2 different antibiotics. I am now being referred to another bariatric specialist. Surgery (revision) seems to be the only fix at the moment.

RNY 7/11/2014

HW 300 8/28/2014

SW 276 7/1/2014

CW 182 3/10/2015

GW 176

What causes these ulcers and is there anything that can be done to reduce your chances of getting them? My doctor removed me from all reflux meds after the first month and I seem to be doing fine. I would prefer not to take medications. I am more or less wondering if there are foods I should stay away from.

Any thoughts?

  • 1 month later...

I have also been diagnosed with a marginal ulcer. This is the second ulcer I have gotten. This one is real large. The GI Dr said it's due to a large gastric pouch. He says it's releasing a lot of acid. I've been on Prilosec 40mg since my second surgery (2nd hernia repair) which took place 2 months after my RNY. I have also used Carafate and now taking 2 different antibiotics. I am now being referred to another bariatric specialist. Surgery (revision) seems to be the only fix at the moment.

RNY 7/11/2014

HW 300 8/28/2014

SW 276 7/1/2014

CW 182 3/10/2015

GW 176

I been having lots of reflex I'm also on carafate and Prilosec. What type of revision are you going to have?

I revised from RNY to SIPS (loop ds/sadi) 3/16/2015

I'm doing ok. I still have acid reflux and I'm taking 80mg of prilosec daily. I hope the more I heal the better it gets. Waking up with acid in the throat sucks!

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