lazer procedure to shrink stoma

[Guest guest]

I was wondering if anyone on this list has heard of a new procedure

done with a lazer to shrink a stoma that has stretched. I read some

about it recently, but can't seem to find the information again.

Thanks,

Sandy Rodgers

4.5 years post-op

[Guest guest]

> I remember someone else had found a doc in the New England area,,,,I

> believe,,,,that had tried that as a way to treat a stretched

stoma. I have since heard of it once or twice more, but everyone I

have asked personnaly about it denies such a procedure. I am talking

professionals in the bariatric business.

*****Yes, I think it was doing something with a laser to form scar

tissue, but I don't think it was successful. At least it's nice to

know there are docs trying to do something about it.

>

> I have a stretched stoma and a pouch that any other surgeon will

not touch. I have never ever really been given a good solid reason

why a procedure cannot be performed to reinforce or remake the

stoma.

*****Dr. Gagner did my transection when I was a year out, and he told

me after that my stoma was stretched to the max, but it was just too

dangerous to fix. In my case, I still throw up if I eat to much or

too fast, so it's certainly not a total loss. But, aside from staple

line disruptions, it does seem to be the biggest mechanical problem

with the surgery, probably even more than SLD's.

in NJ

[Guest guest]

*****Dr. Gagner did my transection when I was a year out, and he told

me after that my stoma was stretched to the max, but it was just too

dangerous to fix. In my case, I still throw up if I eat to much or

too fast, so it's certainly not a total loss. But, aside from staple

line disruptions, it does seem to be the biggest mechanical problem

with the surgery, probably even more than SLD's.

in NJ

The fascinating feature of a stretched stoma is that I have been unable to

really find anyplae where anyone address the issue at all either for

revision or against it, or why, etc.,,,,,,and it seems to be a very common

issue. I know my surgeon was deeply offended that I even dare mention this.

When I asked him about it, he had no idea I had a copy of the radiologist's

report estimating the diameted at 30mm. I just felt like he was arrogant

and insulting and less than forthcoming when he accused me of just being non

compliant and one of those patients who wander the earth like The Ancient

Mariner except for having to tell a story, these patients seek revison after

revision,,,,LOL But why? Why is there so little mention about it as a

complication or so little that I can find addressing this issue?

Dan Slone

Surgery 5/2/2000,Yahoo Msg navwriter

AIM Navwriter58, ICQ 260890468

[Guest guest]

In a message dated 6/29/2003 11:28:06 AM Eastern Daylight Time,

yahoodave@... writes:

> What my doctor told me was the it was a natural tendency of the stoma, or

> hole, to gradually try to become the size of the piece of intestine attached

> to it. I have no idea of actual measurements, but if you have a 1/2'' hole

> emptying into a 1 " piece of intestine, I can easily imagine how that

> happens.

>

******That makes sense.

> I am a little concerned about not getting enough vegetables. I wonder if

> taking a fiber thing would help reduce the risk of colon cancer like veggies

> would.

>

> ******Me, too. I wish I liked veggies more, although I do eat a lot of fruit

in the summer...yeah, I know, sugar.

in NJ