Stomach emptying

[Losing for Jack 9]

I am pre-op for bypass on 10/28. As part of the process, I had to do a stomach emptying study, and it showed that my stomach clears it’s contents faster than normal. This isn’t a problem, if it emptied slow it would be.

My question is, has anyone else had this and does this mean I may have an easier time getting my Water in post-op?

[catwoman7 10,863]

this is the first time I've heard of that - maybe it's a new test? Or maybe something just not commonly done? Not sure. At any rate, I didn't have that done.

[RickM 1,747]

This has me somewhat baffled - and same as catwoman, I've never heard of this being done as a normal pre-op test.

I would be interested in hearing what their rationale is, as my understanding of it all is that stomach emptying in a normal person is largely a function of the pyloric valve, which is being bypassed along with the remnant stomach in your RNY. I can understand that if you were having a sleeve or DS done, which preserves the pyloric valve, then faster than normal emptying could imply a higher risk of post-op dumping or reactive hypoglycemia, which are rare with the sleeve based procedures but relatively common with the bypass (owing to the existence or non-existence of that pyloric valve.) Maybe a tendency toward rapid empyting implies that the surgeon should give you a tighter stoma to slow things down post-op?

Call me confused - but curious!

[Losing for Jack 9]

Now I am curious. From what Kaiser told me it’s their standard procedure that everyone gets. All it was, was eating some “radioactive” scrambled eggs and they tracked that through my system.

[Deemar007 244]

I have Kaiser. I did not have this done. Never heard of this procedure.

[Frustr8 7,886]

Maybe it's a Colorado thing? Never heard any of the California Kaiser pals mention it.

[elcee 3,340]

Sounds similar to a barium swallow which they use to assess how a lapband is working

[FluffyChix 17,409]

Personally, if you KNOW your tum empties quicker than normal, then I would want to start with the sleeve procedure where you keep your pyloric valve.

When you do RNY, you cut out the valve and only have a stoma, so it's an open system. I think you will have issues with satiety in both surgeries. But you might have a better chance with satiety in the sleeve where more of the vagus nerve is cut, more of the grehlin producing portion of the tum is cut away and the pyloric valve is intact.

Also, if you have to revise, you would be able to revise to DS with more malabsorption for better weight long term sustained losses. Also with DS, you can eat quite a lot of food due to the malabsorption. So if you were struggling with satiety, would have better tools to deal/manage it.

An RNY surgery is pretty much the "golden shot surgery" and no really helpful revisions can be made from it.