I had RNYGB on 7/19/16. I still say it is the greatest surgery I have ever had. My BMI is down from 37 to 21.

I had no problems until I had to go to the ER on 4/10/18 with horrific abdominal pain, nausea, and vomiting. My surgeon put me on Prilosec and Carafate for 6 weeks, but I found out later the Prilosec caps were not bioavailable and just went through without being effective. So on Mother's Day I went back to the hospital for pain control and an upper scope to look for a marginal ulcer. Unfortunately the GI MD had no expertise in looking for marginal ulcers and said my scope was normal. So, I had 6 more weeks of unbelievable pain. My surgeon said maybe I had gallbladder disease so I had my gallbladder removed on 5/29/18. Did not help my pain at all. Finally, my surgeon referred me to a bariatric subspecialist who repeated my upper scope, and he found my marginal/anastomotic ulcer.

This is potentially very serious in that the ulcer could perforate and require emergency surgery. I am concerned because I was pain-free after starting Prilosec liquid for the first four weeks, but the crippling pain has returned. My patients compliment me on my weight loss, but nausea and pain is a horrible way to do it!

Does anyone else have experience with having a marginal ulcer?

On 10/14/2018 at 20:53, Frustr8 said:

yep and a moderate stricture of my stoma. That's why she repulsed all the different types of food, she couldn't pass it on to the intestine without a big enough opening. so i have a change of medication and I hope,the next scope shows it has resolved.,That should be donevagaijs Ervin

Oh wow ?! Is that all since the surgery or did you have ulcers before? Did they open up the stricture during the procedure?

I had one, Hector, showed up during my EGD in December 2017 when my gastroenterologist had me on omeprazole, that's why I was on Dexilent until they stopped it ,at my surgery time.Told them, my bariatric team, omeprazole was not going to be gastric protective, they didn't listen, they like the stuff because you can open the capsules and pour them on your food. Foolish when I am on a liquid Stage 2 diet, I don't eat solids unless you can Do it applesauce. I don't whether I was going to have it or off the endo caused it but now I have laryngitis.
Did Dr Noria get my stricture stretched so I could eat solids? Nope she did as much as she felt she could, but that is one of the reasons I have to have another EGJ within 2 weeks. I knew I had a stricture, I just could tell, the ulce4s, I feel since I was a known ulcer producer, I should have been on Carafate from the beginning. Now I have it 6am Noon 6pm Midnight for 3 months, and instead of removing omeprazole the dosage was doubled. Oh I shall be compliant, but i,have my doubts whether this maneuver is going to work!

I have done a bunch of research into what causes ulcers.

Gastrin is a hormone that is released by eating protein which causes the parietal cells in the stomach to release acid. Well, can't stop eating protein.

Alcohol and caffeine directly stimulate parietal cells without affecting gastrin. So all alcohol & caffeine of any amount are out. I have cut out my morning coffee and sometime 1 glass of wine after work & feel a lot better.

Yeah I hear a lot about the unholy 3, gastrin, leptin and ghrelin, I guess all of them have to be in balance or you get ulcers, strictures and misery. And the outsiders think Bariatrics is an Easy Way out? Ha Hah, YOU just try living it.?

So sorry your all going through this, sounds horrible! Hope the healing will begin ?

oh it will, it will! I am basically optimistic in all things, I guess if you live long enough things do balance out. I never did think I would accomplish any land-speed records at healing. But it does seem moving slow but maybe right for me. We shall see how everything works out, won't we????

Be so very glad they were not bleeding I think I posted pictures of mine somewhere on this site and let me tell you when you are throwing up blood form them and they make the walls of your stomach paper thin it is one of the most painful things I think I have every experienced. Just because they are not challenging the stomach wall now does not mean they wont in the future so keep a close eye on them.

And I now have my Repeat EGJ Scoping scheduled, October 26 at 3:10 pm. Had a choice of that one or 7:20 am, would have meant leaving my town at 5:30 or 6am to miss traffic bottlenecks in Columbus. Take my chances later in the day! Bad news : being NPO FROM MIDNIGHT ON!

Yes the three dreaded letters NPO lol.

My EGJ time changed again, now 11:30AM , they had cancellation so I moved up in the rotation. Got my ride scheduled and comfirmed, God Bless my friend Kay, she has been a an abolute ? peach of a person. Funny, some people When you see them, the years fall away, you remember old jokes and you can just relax with them! ?&?

I really hope all goes well so you could feel better soon.

Yeah me too, dietician Roy, actually my fan favorite of all the ones I met, was giving me a pep talk for Stage 3 diet if everything goes well, asked what i am hungry for? He kind of flinched when I told him teryaki fried tofu, I think he thought he would have to talk me down from a Steak Desire. Closest I would come to that: a 1/8 to 1/4 Wendy patty, and I don't think I'm quite ready, maybe Thanksgiving? He is hopeful I will make it to Stage 4 by my 3 month assessment. To me it looks like an impossibleble dream, but then I never thought my weight would peel off like it has, 55th+ pounds since the end of August, just want to feel good to enjoy. Think I might be ready to decrease one Big Girl Size, takes a lot of loss when you are still in the. 3-how much did you say hundreds, but 290 and never ever going back!????

Nope, I guess end of July, but still Victory Lane for ME!

I had one, Hector, showed up during my EGD in December 2017 when my gastroenterologist had me on omeprazole, that's why I was on Dexilent until they stopped it ,at my surgery time.Told them, my bariatric team, omeprazole was not going to be gastric protective, they didn't listen, they like the stuff because you can open the capsules and pour them on your food. Foolish when I am on a liquid Stage 2 diet, I don't eat solids unless you can Do it applesauce. I don't whether I was going to have it or off the endo caused it but now I have laryngitis.
Did Dr Noria get my stricture stretched so I could eat solids? Nope she did as much as she felt she could, but that is one of the reasons I have to have another EGJ within 2 weeks. I knew I had a stricture, I just could tell, the ulce4s, I feel since I was a known ulcer producer, I should have been on Carafate from the beginning. Now I have it 6am Noon 6pm Midnight for 3 months, and instead of removing omeprazole the dosage was doubled. Oh I shall be compliant, but i,have my doubts whether this maneuver is going to work!

Hi Frustr8, just reading your slightly older post and I have a question re: the omeprazole. My surgeon wants me on it and my GP has prescribed it in capsule form which I've been just taking like a regular capsule (swallowing the thing whole) am I doing that wrong? I couldn't figure out what you meant here.

I took it in Capsule form and it seemed to help but when I came off of it was when I noticed the biggest issues.