Stomach, Ulcers, Gastric Bypass Forum - Gastric fistula between pouch and old stomach?

Conditions and Diseases > Stomach, Ulcers, Gastric Bypass Forum > Gastric fistula between pouch and old stomach?

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Q: Gastric fistula between pouch and old stomach?

asked by: MaryD on June 1st, 2009

New User

After much pain, I saw my surgeon (RNY 2004) and after an endoscopy and several other tests by gastroenterologist found a large fistula that goes from my pouch to my old stomach. In other words the old stomach is open for business again, and food is not being routed the way the surgery intended. My GE indicated I should have surgery soon to correct this. However my surgeon says in the thousands of surgeries he's done he's never had a patient with a fistula that needed surgery. And most of my pain was on the right side so he wasn't sure that was my problem. I want the hole in my stomach repaired! He scheduled me another endoscopy for the GE to actually go down into my old stomach to check for ulcers. Does anyone have any experience with gastro-gastric fistulas?

Replies(2)

MandMs

replied on June 4th, 2009

Extremely eHealthy

Gastogastric fistula is an abnormal channel that makes the old stomach and pouch communicating.
This is a rare and uncommon complication of gastric bypass surgery.
Leakage of ingested food through the fistula may allow the small pouch to empty faster, leading to increased volume of meals and increased appetite. Patients stop losing weight or begin regaining weight.
Severe abdominal pain and nausea after eating are common complains.
This fistula needs to be corrected with surgery.

Best wishes!
Marija

EMRRN

replied on June 27th, 2009

New User

Mary D-Gastric fistula

MaryD--I will let you know was just diagnosed had my surgery 10 yrs ago--had endoscopy Thurs 6/25/09 Upper GI scheduled for Mon 6/29 then back to GI Dr July 8 to see what to do--I will post after 7/8--I have the symptoms GERD- and increased appetite with less weight loss--so we will see--Beth R

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