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stoma stretching

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When I had my upper gi, it was noted that my stoma was larger than at the

time of surgery. My doctor says that it is common for an anastamosis(?) to

gradually enlarge to the size of the smaller thing attached, in this case my

small intestine. But he said we're talking basically the difference between

the size of a dime and the size of a nickel.

Anyway, that's when he told me he wanted me to be on the " chicken fried

steak " diet. In other words, to eat very bulky foods that don't dissolve

easily in water, to keep my pouch fuller longer. Also, the longer one can

wait to drink, the better.

Meat first, then veggies, then starch. I had an irrational fear of food

getting stuck at first, so till this very day, I chew the hell out of

anything I eat. I often wondered if I had chewed like that, how much weight

I would have lost without surgery. Don't wonder too much.

in Austin

RNY April 1998

Re: Whining here too! **LONG**

> Your stoma, at 16-17 mm, is borderline length for achieving satiety.

> The goal is for 10-12 mm. A larger stoma allows more food through

> quicker without creating a feeling of satiety. The results for

> corrective surgery for this are mixed. You will have to depend on

> developing good eating habits to maintain your weight.

>

> Ray Hooks

> For WLS nutrition info, visit

> http://www.bariatricsupplementsystem.com

>

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