Anyone ever had this done after rny?
I have been having pain and they think it maybe gallstones in my bile duct. Theyve done a bunch of tests but still havent found anything that would cause the pain. Also when they done my blood work my pancreas level was 400 something that was at about 9 pm, they sent me to a differant hospital where my surgeon is and at about 5 am took blood again and my pancreas level was 30 something. Also my blood preasure was 82/53 when I got to the e r and when they sent me to the other hospital it was normal. But my surgeons thinking that maybe a gallstone might be stuck in my bile duct and they cant see it through ct scan or ultra sound, so she said she may have to do an "endoscopic retrograde cholangiopancreatography" "ercp". Where they run the light down you. But since Iv had rny and they cant get to it for the stapples and such , theyll have to cut a whole in the bottom of my old stomach to get to my bile duct. Or this is how I understood it. I was wondering if anyone has heard of this or has had it done. If so is it a bad surgery and what can I expect? Any info would be greatly appreciated. Thanks alot.....
Amanda,
I am experiencing Gallbladder Trouble myself. I have have had pain in my right side and in my back in the middle of my Rib Cage. Sometimes I just can'nt get comfortable. I have had experiences where I could not catch my breath when I laid flat down and pain in the center of my chest. I went to ER and they gave me a GI ****tail and Protonix through IV to help me. I went back to Saint Joe East on Monday and they did X-Rays and Ultrsounds and told me I had buildup in my Colon and my Gallbladder was Enlarged. Dr. Nightbert told me to drink a glass of whole milk every day this week and he gave me Mirolax and told me to call him Friday. I am some better but it comes and goes. I take Tylonol for the back pain. I am told this is something that can happen after surgery. I think you will be ok. But they may remove your Gallbladder. But it is not that big of a deal.
Yes this is what you have to do.
Getting to the bile duct is very difficult after gastric bypass surgery. If you havent had any stomach surgery, a GI doctor can do an ERCP and go thru your mouth, thru your stomach and into the first two inches of your intestine to get to the end of your bile duct. Once there they can do things to get gallstones out. However, after gastric bypass, they can't get to the part of the stomach they need to thru your mouth. So, one way is to put a hole in the other part of your stomach. This could be done with open or laparoscopic surgery and then put the ERCP scope thru that hole.
Another option is to undergo a common bile duct exploration where a hole is made directly into the bile duct (a structure normally about 3 mm across) and a surgeon can put a camera or tubes in and inject contrast and take x-rays.
Both of these options are a much bigger procedure than just doing the ERCP thru the mouth.
Still another option, where the stones in a bile duct can be diagnosed, is called MRCP, which is a special version of an MRI. This allows a picture of your bile duct but would not allow treatment (removal) of a gallstone.
For those that undergo Lap-Band surgery or sleeve gastrectomy, ERCP by mouth is still an option. There is no question that having gastric bypass surgery makes treating gallbladder disease and especially bile duct problems more difficult.
I hope this helps.
David Geller, MD
Medical Director Norton Suburban Hospital Bariatric Surgery Program
Bariatric Surgeons of Kentuckiana
4001 Dutchmans Lane, Suite 1E
Louisville, KY 40207
(502) 893-7151, fax 893-7020
[email protected]
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