Re: lazer procedure to shrink stoma

[Guest guest]

In a message dated 6/27/2003 2:55:55 PM Central Daylight Time,

DivaSandy@... writes:

> 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.

-----------------------------------

Have not heard of laser, per se. But remember hearing there's some docs who

do like a cauterization or " burning " of the stoma. Anyone remember that? Dan

Slone, maybe wrote about it? I remember hearing that it's considered pretty

risky for some reason. I'm interested too, as I suspect I may have a stretched

stoma. Traveling to Wash state for a scope next month to check it out.

Carol A

[Guest guest]

Probably because they just don't know what to do about it.

I have a friend who was in the original FDA lapband trials. She had so many

problems with it (I'm not dissing the lapband, this is just her experience)

and ended up having 3 surgeries on her stomach. She finally got a revision to

an RNY, and the poor girl who can't win for losing, ended up with a SLD.

Anyway, her surgeon (and my original surgeon), Dr. Goodman, said her stomach was

like a sponge and would not transect. But, he did try a new type of glue which

was supposed to work inside the body. The manufacturer was even there as it

was the first time this procedure was being attempted. They gave it several

tries, but it didn't work. Too bad, it had such great potential.

Anyway, there are, obviously, a few surgeons out there who are trying new

ways to fix us, but they just don't seem to be having much success. But, you're

right in that it's almost never mentioned as a possible complication. Maybe

until there's a remedy, it'll be the dark little secret of WLS.

in NJ

********************************

In a message dated 6/28/2003 7:57:29 PM Eastern Daylight Time,

navwriter@... writes:

> Why is there so little mention about it as a

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

[Guest guest]

Dr. Oh in Washington state, has developed a technique for making a stoma

that is much more durable than the ordinary stoma. People who have had

their bypasses done that way almost never have problems with the stoma

stretching. If possible, I would contact him to see if he will do a

revision. I can't imagine why he wouldn't.

Barbara Jean

Re: lazer procedure to shrink stoma

>

> > 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

>

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>

>

[Guest guest]

My surgeon tried using a scarring agent to increase scar tissue to

reduce the size of the stoma. It worked for about 2 months on the 15

folks she did it on. It was a waste of time and money. On of my

friends had the scarring done and she lost 25 lbs in that 6 weeks and

regained it all over the next 3 months by making poor food choices.

If I eat dense protein first then veggies, I get full and stay

satiated, even with a stretched stoma...

Rita in Vermont

open rny 3/31/94

>

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

[Guest guest]

In a message dated 6/29/2003 9:49:01 AM Central Daylight Time,

bjeangrove11@... writes:

> Dr. Oh in Washington state, has developed a technique for making a stoma

> that is much more durable than the ordinary stoma. People who have had

> their bypasses done that way almost never have problems with the stoma

> stretching. If possible, I would contact him to see if he will do a

> revision. I can't imagine why he wouldn't.

-------------------------------------

I have an app't w/Dr. Oh next month, for a scope and consult. Almost hoping

he'll find something mechanical to fix. If he doesn't, I guess it means it's

just all my own darned fault that I can eat so much.

Carol A

[Guest guest]

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.

It's happened to me, and the doctor said that the bulkier foods would

definitely help me. Like fried chicken, meat, etc.

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.

in Austin

RNY April 1998

Re: lazer procedure to shrink 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]

I am not much of a vegetable eater either, though I do try. I also chew three or

four sugar-free Fiber Choice tablets every day--bonus! The sugar-free tablets

taste BETTER than the ones with sugar! The key thing (as I understand it) in

avoiding colon cancer is to make sure that you have a BM at least every four

days (or more often). With my Fiber Choice, I go daily. Without it, it could be

a week, so it's critical for me. Protein shakes don't have any fiber, ya know?

:-)

Z

Open RNY 09/17/01

310/130

http://tinyurl.com/4e3h

________________________________

From: watnext@...

Sent: Sun 6/29/2003 8:37 AM

To: yahoodave@...; Graduate-OSSG

Subject: Re: Re: lazer procedure to shrink stoma

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

yahoodave@... writes:

> 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

[Guest guest]

When will you be here Carol? I'd love to meet you. Might time one of my

vitamin pick ups for when you are here...and finally get to see Carol A face to

face!

Regards~

Jacque

Distal RNY, 5/30/00

Drs. Fox and Oh

310~126

Beginning BMI 50.0

Current BMI 20.3

<A

HREF= " http://obesityhelp.com/morbidobesity/bandafter.phtml?Member_ID=94748\

3760 " >My B4 & After Pics</A>

> Have not heard of laser, per se. But remember hearing there's some docs who

>

> do like a cauterization or " burning " of the stoma. Anyone remember that? Dan

>

> Slone, maybe wrote about it? I remember hearing that it's considered pretty

> risky for some reason. I'm interested too, as I suspect I may have a

> stretched

> stoma. Traveling to Wash state for a scope next month to check it out.

>

> Carol A

>

[Guest guest]

The docs at http://www.sabariatric.com tried stoma reduction operations,

but do not do them anymore. " They just did not work out well " was the

only explanation I was given. We will probably have to wait until a new

surgical instrument is developed before this type of operation can be

done.

Ray Hooks

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

[Guest guest]

I hope you are not too quick to assume it's all your fault. In my

experience, surgeries fail more often the patients do. It's quite possible

that I would have " failed " if I had had a different kind of surgery. Dr.

Oh's techinque, as I understand it, came from his experience as a vascular

surgeon. He does not use a silastic ring, but he reinforces the stoma, so

that it does not stretch.

I would appreciate it if you would let us know what he has to say about

doing revisions on stomas. I'm sure he has done lots of them.. I would

love to let everyone know this, as it looks like there are several people on

the list with the same problem.

Thanks

Barbara Jean

Re: Re: lazer procedure to shrink stoma

> In a message dated 6/29/2003 9:49:01 AM Central Daylight Time,

> bjeangrove11@... writes:

>

> > Dr. Oh in Washington state, has developed a technique for making a stoma

> > that is much more durable than the ordinary stoma. People who have had

> > their bypasses done that way almost never have problems with the stoma

> > stretching. If possible, I would contact him to see if he will do a

> > revision. I can't imagine why he wouldn't.

> -------------------------------------

>

> I have an app't w/Dr. Oh next month, for a scope and consult. Almost

hoping

> he'll find something mechanical to fix. If he doesn't, I guess it means

it's

> just all my own darned fault that I can eat so much.

>

> Carol A

>

>

>