Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 Another aspect of always being hungry is a stretched stoma. This allows food to just pass through the pouch, much like water. My surgeon uses a silastic ring around the stoma to keep it from stretching, but I don't know what it will mean to me 4 years out. Anyone else have the rny bypass w/silastic ring. Fay Bayuk 300/183 10/23/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 hmmm. I looked down the list of posts, and don't see a response to this one yet. I have the silastic ring, but I am only 26 months post-op, so I can't tell anything long-term on this yet. I believe that the ring does help with keeping the meals small, whereas those without the ring do stretch the connection and then can eat a lot more. I understand some even stretch the intestines right under the connection and then have what is the equivalent of a stomach size section again. I am hoping to avoid some of these problems because I do have the silastic ring. How is it working out for you? I have been told that not too many doctor's use the silastic ring though. I am glad mine did, so far anyway. Chrissie RNY 373/172 -201 lbs shihtzumom@... http://users.snip.net/~shihtzumom My WLS Journey: http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm ----- Original Message ----- From: Fay Bayuk Another aspect of always being hungry is a stretched stoma. This allows food to just pass through the pouch, much like water. My surgeon uses a silastic ring around the stoma to keep it from stretching, but I don't know what it will mean to me 4 years out. Anyone else have the rny bypass w/silastic ring. Fay Bayuk 300/183 10/23/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 All I can say is that when I went in to consult with my surgeon at about the 18 month mark after an upper GI wherein the radiologist said I had a wide open stoma and an expanded small intestine linking to it. First he said the radiologist was full of beans and could not tell from an upper GI the size of the stoma. Then he said, in response to my query, that he did not use the rings because they end up causing more problems as the body tends to absorb them. He then said his surgery was utter perfection and I was just consuming tons of calorie dense foods and the problem was wholly mine. He really wanted me to disappear. The amazing thing is that he and his entire staff said they had never heard of a stoma expanding. That does boggle the imagination a bit as he supposedly had done about a thousand RNY procedures when he did mine 30 months ago. Not one? No one ever had this in his practice??????? Dan Slone Surgery 5/2/2000 Re: silastic ring hmmm. I looked down the list of posts, and don't see a response to this one yet. I have the silastic ring, but I am only 26 months post-op, so I can't tell anything long-term on this yet. I believe that the ring does help with keeping the meals small, whereas those without the ring do stretch the connection and then can eat a lot more. I understand some even stretch the intestines right under the connection and then have what is the equivalent of a stomach size section again. I am hoping to avoid some of these problems because I do have the silastic ring. How is it working out for you? I have been told that not too many doctor's use the silastic ring though. I am glad mine did, so far anyway. Chrissie RNY 373/172 -201 lbs shihtzumom@... http://users.snip.net/~shihtzumom My WLS Journey: http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm ----- Original Message ----- From: Fay Bayuk Another aspect of always being hungry is a stretched stoma. This allows food to just pass through the pouch, much like water. My surgeon uses a silastic ring around the stoma to keep it from stretching, but I don't know what it will mean to me 4 years out. Anyone else have the rny bypass w/silastic ring. Fay Bayuk 300/183 10/23/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 My ring seems to be working well. My daughters surgeon said he does not use it because of problems later on, that is why I asked. It seems to me that the ring is worthwhile. I would be quite unhappy to have had the surgery for nothing. Fay Bayuk 300/183 10/23/01 open rny w/silastic ring Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 Dan: All I can say about your surgeon's response is (liar, liar pants on fire). I think many post ops who regain believe that it is all their fault and don't go back to their surgeons due to embarrassment. Fay Bayuk Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2002 Report Share Posted October 30, 2002 In a message dated 10/30/02 7:35:03 PM Central Standard Time, navwriter@... writes: << The amazing thing is that he and his entire staff said they had never heard of a stoma expanding. That does boggle the imagination a bit as he supposedly had done about a thousand RNY procedures when he did mine 30 months ago. Not one? No one ever had this in his >> -------------------------------- Dan, I well remember reading some of the other crap that surgeon also told you. I can only say this just fits right in along with the rest of the b.s. I go for an upper g.i. Fri am. Wondering what if anything they will find, and what kind of b.s. I will get from MY doc, who's given me all kinds of it so far. Carol A Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 > All I can say is that when I went in to consult with my surgeon at about the > 18 month mark after an upper GI wherein the radiologist said I had a wide > open stoma and an expanded small intestine linking to it.<< *** Aside from your perfect surgeon *tongue in cheek* what can be done about your stoma and expanded intestine? Is that a valid reason/ thing / to get fixed? (insurance wise?) by someone who has heard of this happening of course? Have you gained? How much? For how long? I know my own mechanics are off -- not had my test yet but am calling to schedule next week and am not sure even who to call... my surgeon is still doing the old horizontal non-transected pouch (still!!!) Do ya' call a GI person or the old surgeon or a new surgeon or what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 > All I can say is that when I went in to consult with my surgeon at about the > 18 month mark after an upper GI wherein the radiologist said I had a wide > open stoma and an expanded small intestine linking to it.<< *** Aside from your perfect surgeon *tongue in cheek* what can be done about your stoma and expanded intestine? Is that a valid reason/ thing / to get fixed? (insurance wise?) by someone who has heard of this happening of course? Have you gained? How much? For how long? I know my own mechanics are off -- not had my test yet but am calling to schedule next week and am not sure even who to call... my surgeon is still doing the old horizontal non-transected pouch (still!!!) Do ya' call a GI person or the old surgeon or a new surgeon or what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 > All I can say is that when I went in to consult with my surgeon at about the > 18 month mark after an upper GI wherein the radiologist said I had a wide > open stoma and an expanded small intestine linking to it.<< *** Aside from your perfect surgeon *tongue in cheek* what can be done about your stoma and expanded intestine? Is that a valid reason/ thing / to get fixed? (insurance wise?) by someone who has heard of this happening of course? Have you gained? How much? For how long? I know my own mechanics are off -- not had my test yet but am calling to schedule next week and am not sure even who to call... my surgeon is still doing the old horizontal non-transected pouch (still!!!) Do ya' call a GI person or the old surgeon or a new surgeon or what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 Well, when I had the upper GI to check for the SLD, the radiologist said she really didn't know what to look for. But, I was able to see the TV screen when the gunk was going through me, and even as a non-medical person, I pretty much knew what I was seeing. If your surgeon still does not transect, I'm guessing that several of his patients have already approached him about possible SLD's, and if he's open to the idea, he'll review the upper GI and offer to do a transection, if it shows a break. If you're not happy with him, go to a different surgeon, but ONLY one who is WLS-savvy. Just an FYI, my original RNY was open, and I was able to be transected laparoscopically. MAJOR difference in recovery time, especially since we now know that there is life after WLS. I spent the day at the mall the day after I got home from the hospital. Obviously, it depends on the amount and location of scar tissue, but if you do go lap, I would go to the absolute top lap bariatric surgeon in your area as it's a much tougher surgery the second time around, just weaving their way through scar tissue. Also, when they're in there, they can tell you if the stoma is really stretched out. Gagner told me my stoma was stretched to the max, but it was much too dangerous to correct it, so I just live with it. I do hope this is just a temporary setback and you don't need another surgery, but if you do, the good news is that it really did help me. Good luck, in NJ ********************************* In a message dated 10/31/2002 11:04:56 AM Eastern Standard Time, datwell@... writes: > I know my own mechanics are off -- not had my test yet but am calling to > schedule next week and am not sure even who to call... my surgeon is still > doing the old horizontal non-transected pouch (still!!!) Do ya' call a GI > person or the old surgeon or a new surgeon or what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 Well, when I had the upper GI to check for the SLD, the radiologist said she really didn't know what to look for. But, I was able to see the TV screen when the gunk was going through me, and even as a non-medical person, I pretty much knew what I was seeing. If your surgeon still does not transect, I'm guessing that several of his patients have already approached him about possible SLD's, and if he's open to the idea, he'll review the upper GI and offer to do a transection, if it shows a break. If you're not happy with him, go to a different surgeon, but ONLY one who is WLS-savvy. Just an FYI, my original RNY was open, and I was able to be transected laparoscopically. MAJOR difference in recovery time, especially since we now know that there is life after WLS. I spent the day at the mall the day after I got home from the hospital. Obviously, it depends on the amount and location of scar tissue, but if you do go lap, I would go to the absolute top lap bariatric surgeon in your area as it's a much tougher surgery the second time around, just weaving their way through scar tissue. Also, when they're in there, they can tell you if the stoma is really stretched out. Gagner told me my stoma was stretched to the max, but it was much too dangerous to correct it, so I just live with it. I do hope this is just a temporary setback and you don't need another surgery, but if you do, the good news is that it really did help me. Good luck, in NJ ********************************* In a message dated 10/31/2002 11:04:56 AM Eastern Standard Time, datwell@... writes: > I know my own mechanics are off -- not had my test yet but am calling to > schedule next week and am not sure even who to call... my surgeon is still > doing the old horizontal non-transected pouch (still!!!) Do ya' call a GI > person or the old surgeon or a new surgeon or what? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 My doctor says he uses the silastic ring to " save " an RNY where the stoma is stretched. I had an upper GI and have the situation you speak of, which the doctor says is common. That is, the stoma has a tendency to become the size of the smaller thing it's connected to. So I have a pouch connected to a piece of small intestine. The stoma, or opening, has become the size of the small intestine it's connected to. My stoma, or opening is now nickel to quarter size, rather than dime to penny size. Also, the tip of the small intestine where it's attached serves as an extra little stomach. Lucky me. His words to me were that he wasn't touching it, my weight loss and health are stable, and he wants me on the " chicken fried steak " diet. You all are probably tired of it, but the point is, he wants me eating bulky, non-water soluble foods to fill my pouch up and not drink for as long as possible afterward. It's working just fine. in Austin RNY April 1998 Re: silastic ring > hmmm. I looked down the list of posts, and don't see a response to this one yet. I have the silastic ring, but I am only 26 months post-op, so I can't tell anything long-term on this yet. I believe that the ring does help with keeping the meals small, whereas those without the ring do stretch the connection and then can eat a lot more. I understand some even stretch the intestines right under the connection and then have what is the equivalent of a stomach size section again. I am hoping to avoid some of these problems because I do have the silastic ring. How is it working out for you? I have been told that not too many doctor's use the silastic ring though. I am glad mine did, so far anyway. > > Chrissie > RNY 373/172 -201 lbs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 My doctor says he uses the silastic ring to " save " an RNY where the stoma is stretched. I had an upper GI and have the situation you speak of, which the doctor says is common. That is, the stoma has a tendency to become the size of the smaller thing it's connected to. So I have a pouch connected to a piece of small intestine. The stoma, or opening, has become the size of the small intestine it's connected to. My stoma, or opening is now nickel to quarter size, rather than dime to penny size. Also, the tip of the small intestine where it's attached serves as an extra little stomach. Lucky me. His words to me were that he wasn't touching it, my weight loss and health are stable, and he wants me on the " chicken fried steak " diet. You all are probably tired of it, but the point is, he wants me eating bulky, non-water soluble foods to fill my pouch up and not drink for as long as possible afterward. It's working just fine. in Austin RNY April 1998 Re: silastic ring > hmmm. I looked down the list of posts, and don't see a response to this one yet. I have the silastic ring, but I am only 26 months post-op, so I can't tell anything long-term on this yet. I believe that the ring does help with keeping the meals small, whereas those without the ring do stretch the connection and then can eat a lot more. I understand some even stretch the intestines right under the connection and then have what is the equivalent of a stomach size section again. I am hoping to avoid some of these problems because I do have the silastic ring. How is it working out for you? I have been told that not too many doctor's use the silastic ring though. I am glad mine did, so far anyway. > > Chrissie > RNY 373/172 -201 lbs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2002 Report Share Posted October 31, 2002 My doctor says he uses the silastic ring to " save " an RNY where the stoma is stretched. I had an upper GI and have the situation you speak of, which the doctor says is common. That is, the stoma has a tendency to become the size of the smaller thing it's connected to. So I have a pouch connected to a piece of small intestine. The stoma, or opening, has become the size of the small intestine it's connected to. My stoma, or opening is now nickel to quarter size, rather than dime to penny size. Also, the tip of the small intestine where it's attached serves as an extra little stomach. Lucky me. His words to me were that he wasn't touching it, my weight loss and health are stable, and he wants me on the " chicken fried steak " diet. You all are probably tired of it, but the point is, he wants me eating bulky, non-water soluble foods to fill my pouch up and not drink for as long as possible afterward. It's working just fine. in Austin RNY April 1998 Re: silastic ring > hmmm. I looked down the list of posts, and don't see a response to this one yet. I have the silastic ring, but I am only 26 months post-op, so I can't tell anything long-term on this yet. I believe that the ring does help with keeping the meals small, whereas those without the ring do stretch the connection and then can eat a lot more. I understand some even stretch the intestines right under the connection and then have what is the equivalent of a stomach size section again. I am hoping to avoid some of these problems because I do have the silastic ring. How is it working out for you? I have been told that not too many doctor's use the silastic ring though. I am glad mine did, so far anyway. > > Chrissie > RNY 373/172 -201 lbs Quote Link to comment Share on other sites More sharing options...
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