OK, met with the bariatric surgeon today. I really like him! Dr. Hargroder in Baton Rouge, LA. He said one view of my films it looks like a "normal" sleeve, but on another view, it looks like it is larger from the back. He said he knows of possibly two reasons I may be having trouble. If my sleeve surgeon did not dissect the stomach far enough, it would have left a bulb-like protrusion on the back side, which he thinks he is seeing on the film. This would mean I have a much too big pouch. The other problem my be the hernia repair surgery he (Dr. Hargroder) performed on me when I had my band. He said it was a Nisson fundoplication (sp?) in which the upper stomach is wrapped around the esophagus. My sleeve doctor may not have unwound it and just "sleeved" (stapled) around it making a larger pouch. He also may have unwound it, cut/stapled the stomach and not wound it again - also resulting in a larger pouch and explaining why the hernia came back.
So, he proposes that he look at it while removing my gallbladder and repairing my hiatal hernia. If it looks too big, he will resection it - just like the original surgery. But it would have to be pretty big to have enough room to do this. The other possibility is he may be able to do a pliacation (pleat the upper, enlarged pouch - fold it over on itself). He really won't know until he get in there to see what was done and if it looks "unusual".
I think I'm having it done on 8/2 or 8/4. They will confirm with me tomorrow.
Thanks,
Monica