Total Gastrectomy

[Anteater]

Hello back again for some advice .... As mentioned before, my mother had a total Gastrectomy in May and coming along slowly. However, she seems to get a feeling of indigestion which she finds very uncomfortable - could someone please explain this and is there anything she can take for it knowing that there is no stomach?

[Hidden]

First of all, the best thing is to see a specialist Upper GI dietician if you can.

It makes quite a bit of difference what food you eat, and you will almost certainly find some things cause more problems than others. So keeping a food diary is important. There is a sample that you can download (and some other factsheets) here:

opa.org.uk/pages/factsheets...

Fat and sugar are often the most common culprits, but it will all depend on what kind of indigestion she is having. Eating little and often is another important thing to do. Your mother's system is gradually adapting to a new method of digestion where food rushes in to the rest of the system before the stomach has had time to process it.

Also try low glycemic food - people often find white bread, cakes and so on troublesome.

There are various remedies that people try - including gripe water, with varying degrees of success.

[medway]

Although the normal advise is not to eat and drink at the same time as you no longer have a stomach to take full meals, my surgeon suggested just a little liquid to help food pass down as jejunum is not lubricated naturally. I am 18 months post op. Perhaps you should ask this question of your mothers team as I must be fully healed and your mother may not be.

Reading comments on here by numerous people, its quite common to have a 'stretch' of the join by endoscopy but it is probably too early for this. Again discuss with your team this option when they think it can be done if that is what is suggested.

18 months on I still suffer from 'indigestion' and its just a case of slowing down the eating process. I find I eat a little, wait a while and am then able to continue with no problem, usually! You have a completely new way of digesting food and it takes time for your body to adapt. I find hard work upsets my system.

[chris_usa]

Depending on what part and how much of the stomach is removed, sometimes the stomach produces a lot of mucous and acids after a major insult such as surgery. After my esophageal myotomy with Toupe fundoplication in 2000, the NG tube produced large amounts from the stomach, and had to be changed owing to a full suction container after about four days. When I would disconnect the NG from suction in order to walk, I couldn't wait to get the suction back started because I felt fullness, nausea, and pressure coming into my throat. This isn't normal, and was probably due to unintended stomach injury. The poorly preformed myotomy led to my need for esophagectomy in 2010.

Even now after esophagectomy, this occurs a lot of nights, but to a lesser degree. Ranitidine (Zantac 150mg) helps, as do PPIs (omeprazole et al). Something to decrease the secretions in the stomach may aid your mother. It is also important to see if there is any type of food which worsens the symptoms, or any medications. Hopefully for your mother it will be just a temporary issue until the stomach heals a little more.

[allyson3james]

Laparoscopic Sleeve Gastrectomy: What to Expect?

The laparoscopic sleeve gastrectomy is a surgical weight loss procedure performed to reduce the stomach size by about 25% of its original size. This procedure will reduce the stomach size permanently and this an irreversible procedure.

During this procedure, your surgeon will make a longitudinal resection of the stomach beginning from the antrum at the point 5 to 6 cm from the pylorus and ending at the fundus closer to the cardia. This results in a tube or sleeve like structure which is calibrated with a bougie. Often the surgeons prefer using a bougie of 36-40 Fr with this procedure. The ideal remaining size of the stomach post sleeve gastrectomy is nearly 150mL.

In this procedure, the doctor will make five or six small incisions in the abdomen and then insert a video camera called laparoscope through these incisions. LSG (Laparoscopic Sleeve Gastrectomy) takes nearly one to two hours to complete.

Read more to get the detailed info about it:

healthcareandbeautytricks.w...

Reviews:

indianhealthguru.com/best-s...