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Suggest Treatment For Late Complications Of Gastric Bypass
Question: Patient had gastric bypass 15 years ago. Complications occurred over the last 4 days, disused stomach pouch was a brownish red and thick fluid causing extreme pain, cramping and dry heaves every hour. Emergency scope, inserted a drain tube into the old stomach pouch and said they have never seen anything like or heard anything like it ever. Please advise.
She had cat scan and ultrasound at Deacones Hospital, XXXXXXX WA
She had cat scan and ultrasound at Deacones Hospital, XXXXXXX WA
Brief Answer:
Late Bariatric surgery complications
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. I want you to know that these are some late complications of Gastric bypass and are uncommon but possible. These are likely the infection of stomal site as brownish and thick discharge may point towards it. These fluids might be due to the malabsorption and diarrhea which are very common in bypass surgeries. There is one uncommon phenomenon called dumping syndrome, where unused bowel like stomach in your case of roux en Y gastric bypass and result in such complications.
Any how good thing is these have already been taken care of.
Here is a long list of possible complications which gastric bypass surgeries may have.
Food intolerance or noncompliance to band (13%)
Band slippage (stomach prolapse) (2.2-8%)
Pouch dilatation
Band erosion into the stomach
Port complications
Reoperation rate (2-41%)
Esophageal dilatation
Failure to lose weight
Port infection, band infection
Leakage of the balloon or tubing
Mortality rate (0.5%; 0% in some series)
Because the biliopancreatic diversion with duodenal switch procedure is less well known, the complications are potentially more problematic if the surgeon is unfamiliar with the procedure.
Fat malabsorption results in diarrhea and foul-smelling gas in approximately 30% of patients.
The potential nutritional deficiencies mandate frequent follow-up visits, with close monitoring and supplementation of multivitamins and minerals.
Malabsorption of fat soluble vitamins (vitamins A, D, E, and K)
Vitamin A deficiency, which causes night blindness
Vitamin D deficiency, which causes osteoporosis
Iron deficiency (similar incidence to Roux-en-Y gastric bypass procedure)
Protein-energy malnutrition (may require a second operation to lengthen the common channel)
I hope it helps. take good care of the patient and yourself and dont forget to close the discussion please.
Regards
Khan
Late Bariatric surgery complications
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. I want you to know that these are some late complications of Gastric bypass and are uncommon but possible. These are likely the infection of stomal site as brownish and thick discharge may point towards it. These fluids might be due to the malabsorption and diarrhea which are very common in bypass surgeries. There is one uncommon phenomenon called dumping syndrome, where unused bowel like stomach in your case of roux en Y gastric bypass and result in such complications.
Any how good thing is these have already been taken care of.
Here is a long list of possible complications which gastric bypass surgeries may have.
Food intolerance or noncompliance to band (13%)
Band slippage (stomach prolapse) (2.2-8%)
Pouch dilatation
Band erosion into the stomach
Port complications
Reoperation rate (2-41%)
Esophageal dilatation
Failure to lose weight
Port infection, band infection
Leakage of the balloon or tubing
Mortality rate (0.5%; 0% in some series)
Because the biliopancreatic diversion with duodenal switch procedure is less well known, the complications are potentially more problematic if the surgeon is unfamiliar with the procedure.
Fat malabsorption results in diarrhea and foul-smelling gas in approximately 30% of patients.
The potential nutritional deficiencies mandate frequent follow-up visits, with close monitoring and supplementation of multivitamins and minerals.
Malabsorption of fat soluble vitamins (vitamins A, D, E, and K)
Vitamin A deficiency, which causes night blindness
Vitamin D deficiency, which causes osteoporosis
Iron deficiency (similar incidence to Roux-en-Y gastric bypass procedure)
Protein-energy malnutrition (may require a second operation to lengthen the common channel)
I hope it helps. take good care of the patient and yourself and dont forget to close the discussion please.
Regards
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
very helpful Thank You
Brief Answer:
:)
Detailed Answer:
You Are welcome. Please Don't forget to close the discussion.
Regards
Khan
:)
Detailed Answer:
You Are welcome. Please Don't forget to close the discussion.
Regards
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is there a remedy other than a permanent drainage tube?
Brief Answer:
Drainage tube is preferable.
Detailed Answer:
I am afraid there is not. Permanent drainage tube is the best course of action here.
Drainage tube is preferable.
Detailed Answer:
I am afraid there is not. Permanent drainage tube is the best course of action here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank for you the response! Will close discussion and give a positive review. Much appreciated.
Brief Answer:
:)
Detailed Answer:
You Are welcome XXXXXXX
:)
Detailed Answer:
You Are welcome XXXXXXX
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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