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Topic: RE: small bowel/roux limb dilation
Dear Stephanie,
There are a number of conditions that can cause dilation of the small bowel and/or Roux limb, including:
1) intestinal blockage due to scar tissue (adhesions) or internal hernia
2) intussusception
3) SMA (superior mesenteric artery) syndrome
4) stenosis (narrowing) or blockage at the jejunojejunostomy ("plumbing" connection where your Roux limb forms the "Y" connection with the rest of your small bowel).
This all sounds very technical, I know, but it highlights that there are a lot of things that can cause this. You should know a) some of these conditions are potentially dangerous, and b) most all of them require surgery to fix.
Therefore, I would not delay in finding a surgeon in your local area to have this addressed. If your original surgeon cannot be easily visited, I would recommend going to the ASMBS website ( http://www.asbs.org/html/about/membersearch2.html ) to find an ASMBS surgeon in your area with expertise to help you.
Good luck!
There are a number of conditions that can cause dilation of the small bowel and/or Roux limb, including:
1) intestinal blockage due to scar tissue (adhesions) or internal hernia
2) intussusception
3) SMA (superior mesenteric artery) syndrome
4) stenosis (narrowing) or blockage at the jejunojejunostomy ("plumbing" connection where your Roux limb forms the "Y" connection with the rest of your small bowel).
This all sounds very technical, I know, but it highlights that there are a lot of things that can cause this. You should know a) some of these conditions are potentially dangerous, and b) most all of them require surgery to fix.
Therefore, I would not delay in finding a surgeon in your local area to have this addressed. If your original surgeon cannot be easily visited, I would recommend going to the ASMBS website ( http://www.asbs.org/html/about/membersearch2.html ) to find an ASMBS surgeon in your area with expertise to help you.
Good luck!
David C. Elliott, MD, FACS, FASMBS
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
Bariatric Surgeon & Bariatric Medical Director
Parham Doctors' Hospital
Richmond, VA
(deactivated member)
on 10/18/10 2:23 pm
on 10/18/10 2:23 pm
Topic: RE: small bowel/roux limb dilation
My husband's boss had his RNY done by him. Try him at the number listed here, if he is not there anymore they should be able they should be able to tell you where to find him. Sorry, I do not know anything about the small bowel/roux limb dialtion. I haven't had my surgery done yet.
http://www.obesityhelp.com/morbidobesity/bariatric+surgeon+profile+Thomas+Clark+ds.html
http://www.obesityhelp.com/morbidobesity/bariatric+surgeon+profile+Thomas+Clark+ds.html
Topic: RE: looking for new dr in richmond, va!!!
I too have Dr. Maher and would recommnend him. I am about to approach a year with the lap-band any have had very few issues and the ones that I have had have been mostly my fault.
Topic: small bowel/roux limb dilation
Anybody know anything about this? I had my surgery in 2005 and now this has come up...along with some GI symptoms and I am drained and just ill. Have already been to the ER for fluids and pain meds. I have been trying to also find out if my Doc in VA that did the surgery is still practicing? I know he has a clinic...but all I can find on the webpage are non-surgical options. I am in SC now...and have a GI doc I will be consulting...but I really don't want any one else operating on me other than Dr. Thomas Clark. Anyone know if he is still around....or about the condition I have now? I am just miserable! Thanks...
Stephanie
Topic: RE: UVA information and opinions
Dr.Shirmer and his staff are first rate and wonderful to work with. The only thing I can prepare you for is the long office waits. You may sit for hours. This may have changed now that he has a partner, not sure. But I always went away feeling it was worth the wait. Pam
Topic: RE: LIFE STARTS ? A NEW YEAR ? A NEW YOU! JANUARY ANNOUNCMENT
Tink,
Hey Long time no see. well I will do the quick catch up with you.
Had no insurance and now do! I qualify for the VSG the one I always wanted.
But I need to find a new primary Care Dr who supports people who want WLS. What is your doctors contact info? You are close enough to me that maybe I could go to your doctor.
If you know of other Drs in the leesburg area please let me know. I have to do the 6 month diet and dont want to waste anymore time.
Thanks.
Jack
Hey Long time no see. well I will do the quick catch up with you.
Had no insurance and now do! I qualify for the VSG the one I always wanted.
But I need to find a new primary Care Dr who supports people who want WLS. What is your doctors contact info? You are close enough to me that maybe I could go to your doctor.
If you know of other Drs in the leesburg area please let me know. I have to do the 6 month diet and dont want to waste anymore time.
Thanks.
Jack
Topic: UVA information and opinions
I haven't been around in a while but during that time I have started the process of switching from MJH to UVA. MJH's bariatric staff was being difficult to work with, and one even so much as said I lied concerning some paperwork. 
So I packed up my little red wagon and switched hospitals!
Any opinions concerning UVA? Any warnings? I have done all required for the insurance co. and meet with UVA next week. I'm not sure if they will want me to do anything else or just summit my stuff to insurance and get this thing going! I am wanting to do bypass.
Looking for any info!
So I packed up my little red wagon and switched hospitals! Any opinions concerning UVA? Any warnings? I have done all required for the insurance co. and meet with UVA next week. I'm not sure if they will want me to do anything else or just summit my stuff to insurance and get this thing going! I am wanting to do bypass.
Looking for any info!
Topic: RE: hi, I'm new....and stressed with questions
Sorry to be so late in answering. I haven't been around. Long story short, I have switched to UVA. So why doesn't UVA accept self-pay? Payment is payment in my book.
Topic: RE: Any plastic surgeon recommendations?
I also had a couple of consults; Dr. K will be doing my BL and upper arms on Dec. 15th. I left his office very confident with his knowledge and procedures with WLS patients. Good Luck with your search.
Geri G
Topic: RE: The mind is greater than the body.
That is a fantastic idea. I never would have thought of it. I have a few pictures of me before the surgery. Not to many since I was not happy at all at what I looked like. So for this I might need help from some of my family.
So when was your surgery and what type did you have?
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