This is interesting. just a few months after my RNY my stoma was blocked because I ate pasta too soon (I was told after the fact that pasta should not be consumed until 6 months out because it acts like glue). My local hospital didn't know how to treat me. They didn't even know how to get a picture of what was wrong as they said I HAD to drink a half gallon of contrast while I was in pain. So I was transported to the city where they specialized in RNY surgery and where I had mine done. My surgeon had an NG tube inserted in me to suction out the pasta. It wasn't as difficult to place as I thought. The only thing that was uncomfortable was I could feel the end of the tube, and it was just under my throat, so whenever I swallowed I would feel it rub up against the wall of my throat. It wasn't that low at all, so I guess they knew how to place it. Well, this procedure took a few days, but it worked and kept them from having to surgically correct the blockage. This was almost 3 yrs ago, and my pouch is fine. I hear so many conflicting things about what you can and cannot do after RNY. I had nasal surgery following RNY too and asked my surgeon about the breathing tube being an issue because I was getting general anesthesia. He said the tube didn't go down far enough to contact the pouch, so that was a relief too.