Ulcer Questions

[Guest guest]

I had a complete staple line disruption and anastomostic ulcer that

perforated, causing me to develop peritonitis at 4 mo post op open RNY. I also

had the

bleeding ulcer to spread to the backside of my liver. Due to the sld, and

ulcer, I had a revision at 4 mo to transect me, and to resect the ulcer on m

stoma, and scrape the ulcer on my liver. I was transfused two units during this

surgery and remained anemic for awhile afterwards..

I had very erractic blood pressures prior to my diagnosis, and I also had a

very metallic taste in my mouth.. everything tasted metallic. I also had

severe right quadrant pain, and nausea/ vomiting..

I hope you are feeling better. I was placed on aciphex, liquid zantac,

liquid carafate, and told to forever avoid nsaids, and similar drugs. such as

cox

2 inhibitors. I try my best to avoid doing things that can lead to another

ulcer.

I think , though , if we are prone to ulcer development, the best we can do

is take the anti ulcer meds that our docs feel is best for us, and avoid the

known pouch burners.. ie.. nsaids, cox 2 inhibitors, some anti - osteoporosis

meds, certain antibiotics, etc..

If we start experiencing any symtoms, .. black stools, abdominal pain,

indigestion, heartburn, mettallic taste to things, erractic blood pressures,

then

we should run to the doc and demand a scope.. and follow directions after

that..

Take care

Peachy hugs,

Hugs,

in GA

open RNY 12/12/00

revision 04/18/01

revision 02/07/02

sw392

cw 207

-185

5'6

l

[Guest guest]

Hi All,

I had WLS in June 2000 (BPD) and I have a few questions for those of you

who know a lot about ulcers. First a little history - this week I was

hospitalized for a bleeding ulcer. The only way I knew something was

wrong was I was unable to stand without feeling like I was going to

faint and also I was pooping black gel and a lot of blood. So I saw a

local GI doc and was admitted to the hospital. My hematocrit and

hemoglobin were 22 and 7 so I also needed 2 units of blood. They did an

endoscopy and found the ulcer at the site of my WLS. They also injected

epinephrine into the ulcer to stop the bleeding. The doc called it an

anastomosis ulcer and said it was a complication from the WLS. They put

me on IV Protonix and after the bleeding stopped, they sent me home with

Protonix pills and also told me to take Maalox. They said to eat a soft

bland diet for two weeks while it heals. But they couldn't tell me was

what caused this and how I can prevent it from reoccurring. This doc

was not familiar with the effects of WLS and really couldn't help me.

He said normal ulcer preventative instructions don't apply here.

So for all you out there in the know - what causes this type of ulcer

for us? How do I prevent it from reoccurring (other than taking the

Protonix)? Did you all alter your diet or do anything different?

Anything else I should know?

Thanks for your help,