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?

Well get back on the Carafate, it is supposed to help the ulcers heal, I am chugging down the slurry every 6 hours, and I don't much like it. I say it tastes like flour water, but I have to be on it 3 months minimum. And you're lucky if you get enough protein by mouth, that's one of the reasons I have the PICC line, I just couldn't. In some ways I like my TPN, I have felt much better all the way around, but there is always a risk of getting an infection in my blood stream. Today while I was off getting my twice weekly,blood draw, they called from OSU, the woman today said they might wait until January 25 for the next scope, not what I was told last week. Maybe one hand doesn't know what the other is doing. Woman today said she spoke with Dr Noria, nurse last week said she talked to Dr Needleman, He's my surgeon but she does the scoping, nurse said he wanted the results before January 15th. So I guess I call back on the 2nd, scheduler had already left when I returned. her call.
My pouch is happy today so far, but I haven't ate anything by mouth, try her and she will complain,

And I am still on for the 25th, at 12:50 pm, oh I am praying for some good changes. Never give up on Ole Frustr8, I haven't,

Still having pain in that ulcer area, the right subcostal, where if I had a gall bladder, that's where I feel it. And today I threw up again, and my,mind wanted that soup so bad, and my pouch refused to hold it in so it could digest!

I had RNYGB about 10 years ago, dropped from just 0ver 400 to 175 in 7 months, I have varied up to 210 and back down again since. I am currently at 178 so I would say it was a success, I developed strictures with what VA called an Anastomotic Ulcer between 2 strictures, they decided to use a balloon to open the strictures so I could swallow my pills. You can probably guess the result, one perforated intestine. It is amazing how little the VA knows about these procedures and it took years to get put on instant release meds, I am still on extended release omeprazole because that is the only option VA gives the Doctors, I have been on a feeding tube since Aug 2019 and just received another 3 months supply of solution, because of multiple strictures they are against trying anything else. So other than not being able to eat a hamburger in 10 years and now not being able to eat anything thicker than cream soup strained I am actually quite glad that I had the procedure. Now if I could get enough food in me so I quit winding up in the Hospital for Malnutrition I would be perfect, not the fault of the RNYGB