Personal Experience with Staple line disruption

[Guest guest]

Was this your experience Ray? Just kinda wondering.

Dan Slone

Surgery 5/2/2000

[Guest guest]

No. I have never had a problem with staple line disruption. My two

additional WLS related surgeries were to correct problems with my

intestinal tract.

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

DanSCen21@... wrote:

>

> Was this your experience Ray? Just kinda wondering.

>

> Dan Slone

> Surgery 5/2/2000

>

>

[Guest guest]

Ray, you had commented that the RNY transsected the stomach due to frequent

SLD. I am one of those who had a SLD and then with the revision had a

transsected stomach. There are people out there still who have RNY surgeries

who are out more years than they have been redoing the surgeyr to the " new

and improved " way

[Guest guest]

In a message dated 08/15/2002 2:03:34 PM Central Daylight Time,

rhooks@... writes:

> My two additional WLS related surgeries were to correct problems with my

> intestinal tract.

Wow! Thanks for the info Ray, never did I realize that you had TWO

additional surgeries. If it is not too personal, details?

Dan Slone

Surgery 5/2/2000

[Guest guest]

My first supplemental WLS was to relocate the " Y " junction on my

intestinal tract. An adhesion had grown over the hole connecting the

stomach to the intestine. This blocked the flow of digestive juices

into the intestinal tract. The primary symptom was the inability to eat

because I felt full. This is curious because no food was going into the

stomach. Hence it did not seem possible that the stomach could be

generating a sense of fullness. Nonetheless, the stomach sensed the

back up of bile and pancreatic juices and conveyed that to my brain as

being full. Another symptom the surgeon wished he had asked in the

investigation in to the problem was the color of my stool. It was a

very light tan color. This evidently can indicate the lack of digestive

juices getting through to the intestinal tract.

The second supplemental WLS was to correct a small bowel obstruction. I

a 6'2 " tall. In a tall person, there is more room for the intestine to

move around and possibly develop a kink. That is what happened. The

intestine shifted and the movement had bent the intestine into a kink.

This seems to be a relatively uncommon occurrence, but not rare. The

symptoms were nausea and the inability to eat or drink. It was

difficult to diagnose because it slipped into the kink position only

intermittently. After my second trip to the ER because of not being

able to eat or drink, the initial diagnosis was an impacted large bowel,

or, I was literally full of crap. I spent two days in the hospital

during which time I drank a gallon of a substance designed to clear out

the large bowel. After two days on the toilet, I had a totally empty

large bowel. Within in an hour of being released from the hospital, the

pains returned again. They subsided after an hour, but returned 5 hours

later. It was back to the hospital the next day for an Upper G.I. test,

the one where they watch barium flow through your intestine. This test

showed where the kink was and corrective surgery was scheduled. In the

surgery, he just moved the bowel around but did not cut on it. My

gallbladder was also taken out at the same time because a gall stone had

been seen earlier.

The RNY was a lap procedure, but the other two were open incisions. I

had the more discomfort after the RNY than either of the two open

procedures. I was 100 and 150 lbs lighter, respectively, for the two

open procedures. Perhaps it was due to the additional removal of the

gallbladder, but the third operation was the one from which it took the

longest time for overall recovery.

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

[Guest guest]

My first supplemental WLS was to relocate the " Y " junction on my

intestinal tract. An adhesion had grown over the hole connecting the

stomach to the intestine. This blocked the flow of digestive juices

into the intestinal tract. The primary symptom was the inability to eat

because I felt full. This is curious because no food was going into the

stomach. Hence it did not seem possible that the stomach could be

generating a sense of fullness. Nonetheless, the stomach sensed the

back up of bile and pancreatic juices and conveyed that to my brain as

being full. Another symptom the surgeon wished he had asked in the

investigation in to the problem was the color of my stool. It was a

very light tan color. This evidently can indicate the lack of digestive

juices getting through to the intestinal tract.

The second supplemental WLS was to correct a small bowel obstruction. I

a 6'2 " tall. In a tall person, there is more room for the intestine to

move around and possibly develop a kink. That is what happened. The

intestine shifted and the movement had bent the intestine into a kink.

This seems to be a relatively uncommon occurrence, but not rare. The

symptoms were nausea and the inability to eat or drink. It was

difficult to diagnose because it slipped into the kink position only

intermittently. After my second trip to the ER because of not being

able to eat or drink, the initial diagnosis was an impacted large bowel,

or, I was literally full of crap. I spent two days in the hospital

during which time I drank a gallon of a substance designed to clear out

the large bowel. After two days on the toilet, I had a totally empty

large bowel. Within in an hour of being released from the hospital, the

pains returned again. They subsided after an hour, but returned 5 hours

later. It was back to the hospital the next day for an Upper G.I. test,

the one where they watch barium flow through your intestine. This test

showed where the kink was and corrective surgery was scheduled. In the

surgery, he just moved the bowel around but did not cut on it. My

gallbladder was also taken out at the same time because a gall stone had

been seen earlier.

The RNY was a lap procedure, but the other two were open incisions. I

had the more discomfort after the RNY than either of the two open

procedures. I was 100 and 150 lbs lighter, respectively, for the two

open procedures. Perhaps it was due to the additional removal of the

gallbladder, but the third operation was the one from which it took the

longest time for overall recovery.

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

[Guest guest]

Not all symptoms are the same for every body. I'm 5'4 " and 18 months

after my gb had an intestinal kink/twist/hernia. Doc said it came

from rapid weight loss allowing enough room for intestines to move

around and evidently they liked the new position because they choose

to stay that way. For me it was cramping/contraction type pain every

time I swallowed anything, no nausea, no ralphing, just pain that

increased over time. Liquid, solid- didn't matter. Waited a month

before contacting my surgeon (bad plan) because at first I thought it

was gas, then I figgered it was upset over my idiot daughter and her

antics. When I did call they had me come right in, he seemed to know

what he would find and scheduled surgery right away. Took a look

with a camera (lap procedure) unkinked 'em, and then did a mattress

stitch to keep 'em in place and I went home a couple of hours later.

But............remember I said that they liked the new position?

They got pretty p.o.'ed at being nailed down and proceeded to cause

pain for another 10 days or so after the surgery. Doc gave me some

sublingual pills to stop the spasms. I have talked to with several

people since then that have had the same problem and most all were

told that they were " full of it " and were treated with constipation

therapy. Wrong move in some cases, so don't just assume that you are

backed up and let them try to blow it out- could cause some big time

trouble. Check with your doc and don't assume that e.r. docs know

what they are doing.

Alice

The Loon

RNY 12/28/00

> well ray we all knew you were full of crap but thanks for

clarifying that

> for us. just so the short newbies out there aren't thinking they

are safe

> from adhesions, as you say it is the tall folks who have room for

the

> intestinal movement. I am only 5'3'' and I've had surgery for

adhesions

> specifically twice and had them removed another time as well in an

unrelated

> op. all the result of wls, I never had a C-section which is another

common

> cause of adhesions.

> I was able to eat, drink and bm during my 24+hr. pain episodes

leading up to

> surgery. the second adhesion surgery my intestine was actually

flipped over

> and stuck to itself from the adhesions. picture a balloon animal

twisted

> adn kinked.

> and there is no test, no xray, no nothing that allows a doc to SEE

adhesions

> so some will have you wait it out, sedate and medicate, while

others will

> operate - I was always given a choice and picked the quickest end

to the

> misery of dry heaves, vomiting, waves of excruciating pain which

lasted more

> than 24hr. of course the dry heaves come on around hour 15 and the

vomiting

> after 24 - for me.

>

> sue