What would cause severe nausea and vomiting 8 months after gastric sleeve?

My daughter had gastric sleeve surgery 8 months ago and still has severe nausea and vomiting when trying to eat! she has had several EGD's, stents, etc. with no help. She is now having severe constipation. Drs are considering flipping the sleeve to bypass. Please can you give us any advice on this.

Doctor Answers 2

Gastritis vs Narrow

after the sleeve you may need to close some scarring area and produce symptoms such as these.  This surgery also cause reflux symptoms. Other possibility could be an active gastritis, helicobacter pylori or gastro esophageal reflux.
At this time, these symptoms should not be present. Possibly some changes are important feeding, use of medications that reduce gastric juices and others that make emptied faster.
The most important thing is that you quickly go back to her surgeon or lead her team support.
soon she'll be better if you attend with your physician

Dominican Republic Bariatric Surgeon
5.0 out of 5 stars 111 reviews

Treatment of sleeve stricture

It sounds like her sleeve is too narrow.  There are several options.  The first is to try to wait it out, hoping that it will stretch out on its own.  Next would be to try to stretch it endoscopically, or to place a stent to try to stretch the stricture.  If those options don't work, surgery is the next step.

You can convert to gastric bypass, which would bypass the narrow part of the sleeve.  This is the most reliable choice.  For patients who really don't want a bypass, there are a few other "less guaranteed" options.  One would be to try to widen the narrowed segment by cutting the outer muscular layer of the stomach.  This is called a seromyotomy.  Finally, you could cut out the narrow segment and sew the sleeve back together.  I've seen all of these methods work successfully.

Mark Pleatman, MD
Bloomfield Hills Bariatric Surgeon
5.0 out of 5 stars 20 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.