Re: PSC after Gastric Bypass (Roux-N-Y)

[Guest guest]

I have recently (June 2006) been diagnosed with Stage I primary

sclerosing cholangitis, Barrett's esophagus and a moderate hiatal

hernia. Will RNY have a positive effect on any or all of these? Also,

since the anatomy will be changed, how can they scope the biliary ducts

after RNY? I do have an appointment with my GI next week, but also

wanted to see if anyone has had any experience with this.

[Guest guest]

Welcome to the group. Of course sorry that you too have to deal with

PSC.

It's nearly impossible to do an ERCP after RNY because the GI can't

get the scope in the right position. For diagnosis you could have a MR

cholantiogram. For opening up bile ducts, and stenting you could have

a percutanous tranhepatic cholangiogram. Basically this is a tube put

through the skin, through the liver, out the common bile duct and into

the small intestine. This probably wouldn't be considered until the

bili is elevated. If you've read this list for long you've probably

found that ERCPs can cause misery and complications. Perhaps by the

time you need it there might be a better way.

>

> I have recently (June 2006) been diagnosed with Stage I primary

> sclerosing cholangitis, Barrett's esophagus and a moderate hiatal

> hernia. Will RNY have a positive effect on any or all of these?

Also,

> since the anatomy will be changed, how can they scope the biliary

ducts

> after RNY? I do have an appointment with my GI next week, but also

> wanted to see if anyone has had any experience with this.

>

[Guest guest]

Welcome to the group. Of course sorry that you too have to deal with

PSC.

It's nearly impossible to do an ERCP after RNY because the GI can't

get the scope in the right position. For diagnosis you could have a MR

cholantiogram. For opening up bile ducts, and stenting you could have

a percutanous tranhepatic cholangiogram. Basically this is a tube put

through the skin, through the liver, out the common bile duct and into

the small intestine. This probably wouldn't be considered until the

bili is elevated. If you've read this list for long you've probably

found that ERCPs can cause misery and complications. Perhaps by the

time you need it there might be a better way.

>

> I have recently (June 2006) been diagnosed with Stage I primary

> sclerosing cholangitis, Barrett's esophagus and a moderate hiatal

> hernia. Will RNY have a positive effect on any or all of these?

Also,

> since the anatomy will be changed, how can they scope the biliary

ducts

> after RNY? I do have an appointment with my GI next week, but also

> wanted to see if anyone has had any experience with this.

>