Sleeved 3/9/16 went from 231-169, weightloss stopped st 7 mos. 1 yr post vsg heartburn upper abdomen pain. Went back to surgeon, sleeve still looks good (barium swallow) but small pouch detected in upper right side chest cavity area. CT scan&endoscopy found a ventral hernia & bile. Dr has suggested a revision to bypass after trying meds. I have not gained any weight back 2. and could my weight loss have stopped because Any of these findings...pouch above sleeve, ventral hernia, bile reflux?
October 31, 2017
Answer: Treatment of sleeve complication I can't say for sure without reviewing your tests, but from what you say it sounds like the top of your sleeve has stretched out and herniated into the chest via a hiatal hernia. Sounds crazy, but this is not uncommon. This can be fixed by bringing the sleeve back into the abdominal cavity, fixing the hiatal hernia, and cutting off the excess stomach pouch.The ventral hernia is a separate problem and unrelated to your symptoms.
Helpful
October 31, 2017
Answer: Treatment of sleeve complication I can't say for sure without reviewing your tests, but from what you say it sounds like the top of your sleeve has stretched out and herniated into the chest via a hiatal hernia. Sounds crazy, but this is not uncommon. This can be fixed by bringing the sleeve back into the abdominal cavity, fixing the hiatal hernia, and cutting off the excess stomach pouch.The ventral hernia is a separate problem and unrelated to your symptoms.
Helpful
November 1, 2017
Answer: Sleeve to bypass? you say ventral hernia, but do you mean hiatal hernia? this and the pouch suggests thats the source of your GERD symptoms; that pouch could also represent retained fundus, where a lot of ghrelin is produced, which will affect your weight loss. yes something needs to be done depending on your symptoms, how bad the gerd is, etc; can revise the sleeve and fix the hiatal hernia, convert to bypass and fix the hiatal hernia, and maybe other options, depending on what the full evaluation shows. you need to be comfortable with the plan, i'd encourage second, third, fourth opinions, as many as you need to answer your questions and be comfortable with the plan
Helpful
November 1, 2017
Answer: Sleeve to bypass? you say ventral hernia, but do you mean hiatal hernia? this and the pouch suggests thats the source of your GERD symptoms; that pouch could also represent retained fundus, where a lot of ghrelin is produced, which will affect your weight loss. yes something needs to be done depending on your symptoms, how bad the gerd is, etc; can revise the sleeve and fix the hiatal hernia, convert to bypass and fix the hiatal hernia, and maybe other options, depending on what the full evaluation shows. you need to be comfortable with the plan, i'd encourage second, third, fourth opinions, as many as you need to answer your questions and be comfortable with the plan
Helpful
