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.
January 14, 2020
Answer: 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.
Helpful
January 14, 2020
Answer: 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.
Helpful
