Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Loss of Weight due to ileal resection with Secondary Duodenal Stenosis with Stricturing Crohn's disease.
The accompanied crohn's disease with strictures in the granular inflammatory lesions in the
duodenum, has been Causing Duodenal stenosis in your case.The cause of
acid reflux is from this resultant secondary duodenal stenosis
Treatment-
-I would advise you to Consult GI surgeon and correct the fluid imbalance and lost weight from past ileal resection you had for ileal Crohn's disease.
-PIP treatment with Veloz D- for 4 weeks / accompanied with
steroids would recoup the duodenal and gastric tissue, for the impending needful surgery.
-Stricteroplasty to correct duodenal stricture and resultant duodenal stenosis in your case.
-
Hope this would resolve your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS