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adhesions inside sleeve

CJPcat
on 3/22/12 2:37 pm - MI
My nut is very biased toward RNY and warned me that I could experience internal adhesions in my sleeve. Have any of you experienced this complication? It sounds so scary but I have never read any posts about it.
bigtigger1010
on 3/22/12 7:17 pm - Laurel, MD
VSG on 04/05/12 with
I've never heard about that, but it would seem reasonable to me that IF u can have adhesions in ur sleeve, u could have adhesions in ur RNY just as easily since it's the same tissue... i will see what i can find out tho...

I do know adhesions/scar tissue r a risk with any surgery, but have never heard of them with a sleeve particularly...

        
HW:344  SW:329  CW:207.8  Losses: pre-op - 15/ post-op - 121.2        
M1 -  25      M2 -  18    M3 -  14.2    M4  - 11.8     M5   - 14      M6  -  9.6
M7 -  6.6     M8 -  7.0   M9 -  5.6      M10 - 7.8      M11 - 1.6+      M12- ??    

bigtigger1010
on 3/22/12 7:21 pm - Laurel, MD
VSG on 04/05/12 with
Bowel obstruction
Abdominal surgery always results in some scarring of the bowel, called adhesions. No matter what surgery you have on the bowel there is a one to two percent lifetime risk of adhesions forming and blocking the bowel.  When a patient's bowels become blocked, the patient generally has severe abdominal pain and eventually vomiting. Vomiting is always abnormal after surgery. The treatment for bowel obstruction is surgery

this is an exerpt from : http://www.saltlakeregional.com/services/weight_loss_surgery /sleeve/

        
HW:344  SW:329  CW:207.8  Losses: pre-op - 15/ post-op - 121.2        
M1 -  25      M2 -  18    M3 -  14.2    M4  - 11.8     M5   - 14      M6  -  9.6
M7 -  6.6     M8 -  7.0   M9 -  5.6      M10 - 7.8      M11 - 1.6+      M12- ??    

bigtigger1010
on 3/22/12 7:27 pm - Laurel, MD
VSG on 04/05/12 with

Losing Weight After Gastric Bypass Surgery

Other potential complications may occur months or even years following surgery. Bowel obstruction can result from adhesions or from internal hernias which may require operative intervention. Vitamin deficiencies can occur particularly if you do not take the prescribed vitamins.
The adjustable gastric band can slip years after surgery which may require surgery to replace it in proper position. The tubing or the port can get infected which may require removal of the port and the band. The band can in rare occasions erode into the stomach which can cause bleeding and infection.

Here's another one from : http://www.vanderbilthealth.com/surgicalweightloss/15991

If u google, u can find numerous sites stating this as a risk for ALL Abdominal surgeries (not even just WLS)
I would confront that NUT and find a nutritionist that is supportive of VSG if that's possible!

GOOD LUCK!

        
HW:344  SW:329  CW:207.8  Losses: pre-op - 15/ post-op - 121.2        
M1 -  25      M2 -  18    M3 -  14.2    M4  - 11.8     M5   - 14      M6  -  9.6
M7 -  6.6     M8 -  7.0   M9 -  5.6      M10 - 7.8      M11 - 1.6+      M12- ??    

CJPcat
on 3/22/12 7:52 pm - MI
The hospital program I am in has a team approach. I don't know how many nutritionists they have but I had already decided to see if I can work with another. There is a support group meeting this weekend so I am going to talk to other sleevers and see if they got this same "warning". Thank you, everyone, for your input and concern.
bigtigger1010
on 3/22/12 8:02 pm - Laurel, MD
VSG on 04/05/12 with
Gotcha... my husband and I hafta use a certain nut as well but she is very supportine in all the procedures... well, just take what she says with a grain of salt and go with what u research has lead u to be the best option for u n u can't go wrong... don't let anyone tell u otherwise!

Best of luck to u

        
HW:344  SW:329  CW:207.8  Losses: pre-op - 15/ post-op - 121.2        
M1 -  25      M2 -  18    M3 -  14.2    M4  - 11.8     M5   - 14      M6  -  9.6
M7 -  6.6     M8 -  7.0   M9 -  5.6      M10 - 7.8      M11 - 1.6+      M12- ??    

CJPcat
on 3/22/12 8:07 pm - MI
Thank you, the same to you! I hope we all realize our dream.
MsBatt
on 3/22/12 7:28 pm
I imagine this is what causes strictures in a Sleeve. Back when I had my DS, sleeves were made somewhat larger than they are today---my surgical notes listed mine as being 3-5 ounces. Back then, no one ever talked about strictures in sleeve gastrectomies---apparently they were extremely rare.

Then, in an attempt to compensate for regain, surgeons started to make stand-alone sleeves smaller and smaller---and we started seeing people talking about strictures. I believe there's a definite correlation between sleeve size and the incidence of strictures.

That said---strictures are a fairly common complication of RNYs. The stoma has to form scar tissue, and fairly frequently this causes the stoma to become too small. It's treated by endoscopic dilation, sometimes several times. (I believe sleeve strictures are treated the same way.)

If YOU want a Sleeve, then you should get one---and I personally would change to a surgeon who was fully on-board with MY choice.

USAF Wife
on 3/22/12 8:28 pm
I'd ask that nut for some cited sources of her information. In all my time around on the VSG forum and various other forums, I've never read that issue. Now, strictures are a possible complication, rare but can happen, just like a blood clot, leak or any other complication.
Band to VSG revision: June 3, 2009
SW 270lbs GW 150lbs CW Losing Pregancy Weight Maintenance goal W 125-130lbs


CJPcat
on 3/22/12 8:36 pm - MI
I have looked all over the internet for any information I could find and just like the sleeve sites...nothing. If it was truly a common problem, you would think someone, somewhere, would be talking about it.
Congratulations on your being below goal. I have the dream of saying the same for myself in a year or so.
lanunes
on 3/23/12 2:20 am - CA
Does she not think that the pouch created can't do the same thing? Higher risks of adhesions with the RNY.

Abdominal adhesions are most commonly caused by abdominal surgical procedures.The adhesions start to form within hours after surgery and may cause internal organs to attach to the surgical site or to other organs in the abdominal cavity.

Small bowel obstruction is another significant consequence of post-surgical adhesions. A small bowel obstruction may be caused when an adhesion pulls or kinks the small intestine and prevents the flow of content through the digestive tract.

 

 




      Leslie Nunes              
Phatchick
on 3/23/12 5:09 am - Lockport, IL
VSG on 04/16/12
Hi, not a surgeon, but I am thinking with a sleeve there is cutting of the stomach, like RNY. But there is only cutting there. In RNY there is more cutting with the resection of the bowels. More cutting  = maybe more adhesions with RNY.... just thinking...Have the surgery you want to have, not the surgery your NUT wants you to have. Blessings, Sharon

  

 

    

    
Queen Koosa
on 3/23/12 7:34 am
You can get adhesion's with any surgery.  Just do your research and pick the best WLS for you.
DON'T DREAM YOUR LIFE.
 LIVE YOUR DREAMS


(deactivated member)
on 3/23/12 10:13 am - Mexico
On March 22, 2012 at 2:37 PM Pacific Time, CJPcat wrote:
My nut is very biased toward RNY and warned me that I could experience internal adhesions in my sleeve. Have any of you experienced this complication? It sounds so scary but I have never read any posts about it.
 
You can have adhesions with ANY stomach surgery including RNY.  You will have more adhesions with bypass than you will with a sleeve because you'll have them throughout your intestine as well.

It's called a stricture and at least with a sleeve on the off chance you get one, it's easily fixed in the GI doctors office.  If you get scarring throughout your intestine as with bypass that is major surgery.
Valerie G.
on 3/23/12 10:33 am, edited 3/23/12 10:33 am - Northwest Mountains, GA
Even though it's a risk for any surgery, I've heard of more of this type complication with the RNY. It may be just the volume that makes it more noted, though. It's just not a common thing. I've not seen many NUTS that are very familiar with all types of surgery, and this one just made themselves look like a fool.

Valerie
 9 years post op DS 
There is room on this earth for all of God's creatures..next to the mashed potatoes

CJPcat
on 3/23/12 2:39 pm - MI
I was thinking what the scene looked like when this whole subject of adhesions came up.  She held up a #2 pencil and explained that this was as big as the sleeve was in circumference...and that's why it could adhere together during healing and prevent food and liquids from going down.  Unlike the pouch which is more of an oval shape and would not stick together.  The comment was, "There's a lot more problems with introducing solid food with a sleeve and that's why we have to keep you on liquids for months.  With the bypass you can go to food much sooner".   Again, if this was such a prevalent problem....why has no one on here (hundreds of members) and the other sleeve sites ever heard of it????  I will be curious to talk to other sleevers at the support meeting this weekend in this clinic.  I agree, Valerie G. either she looks like a fool or she's making the surgeon look like one.  Hmmm, I wonder what the surgeon would say about that?  I sure do have lots of questions and comments for when I have my first surgeon's appt.
(deactivated member)
on 3/23/12 2:41 pm, edited 3/23/12 2:43 pm - Mexico

I have a sleeve and I was off liquids in 3 weeks.  This person is really giving you very wrong information.  Nobody is on liquids for months post op from a sleeve.

I was on clear liquids for 10 days, full liquids 10 days, soft foods for 10 days and whatever I tolerated after that.

I am very well aware of strictures in sleeve people.  It happens in less than 1% of people.
MsBatt
on 3/23/12 7:01 pm
The comment was, "There's a lot more problems with introducing solid food with a sleeve and that's why we have to keep you on liquids for months.  With the bypass you can go to food much sooner".


I call BS! As long as I've been reading here---over 8 years---I've NEVER hear anything like this before. Most RNY patients are on liquids for a couple of weeks, then mushies for a couple more, then soft foods for a couple MORE, then...

As a DSer, I have a Sleeve---and I was eating anything I chose at four weeks out.
CJPcat
on 3/23/12 8:19 pm - MI
I want to thank you all. I can always count on you folks for knowlege borne from experience. I feel more confident to ask the right questions to get the right answers for my health. I appreciate all of you for taking time to help.