What are the signs or symptoms of a gastric fistula?
I am 10 years post op, RNY which as done Laparoscopically. Day one, post-surgery, a fistual was discovered. I was placed on antibiotics and was observed for a few days to see if it would resolve on its own, which it did. A few endoscopies later revealed no opening at all in the pouch; it had healed completely. An NG tube was placed along with TPN through the central line, I was sent home to wait for the next surgery. Aproximately 6 to 8 weeks later, an open revision was performed, recreating an opening to the pouch. I went on to heal without any further problems. I was successful in losing 164 pounds, reducing my BMI from 51 to 24. I was able to stay within a healthy weight/BMI for about 5 years without much work.
5 years ago, I started gaining weight. I started to work out, running 5 miles per day; if I did not run, I would gain. I noticed I coiuld eat more than what I was used to eating. I noticed that I started to overeat without having any nausea like I had in the past. Around this time I developed a few occasions of gastritis but what really sticks in my mind, is the fact that when I vomitted during these times, stomach acid was present which had been absent in the past...(sorry, don't mean to be graphic).
I do not know if it is normal for an RNY patient with 150 cm bypassed to experience this but it does make me wonder if somehow my insides have grown back together because of a gastric fistula had occured. It wouild not surprise me with my past experience.
Currently, I have a re-gain of 70 lbs. I am in need of some help, my insurance does not cover weight loss surgury and I am not sure of how it goes with a prior surgery needing to be revised. I have been trying to tough it out on my own but I am have been losing the battle, yet again.
I have moved to Florida and I am at a loss as to how to proceed down here, where to go and if there could be any help for me... any information on where to turn and what anyone knows about the stomach "re-attaching" would be great.