Thank you for your comment. Yes he has been to his surgeon and he says he needs to expand the pouch but if he cant eat/drink that will not happen. At this point all he does is try to work and sleep. He has received one IV infusion but he got sick even with that. It is like his stomach is producing so much gastric fluids because thats all that he vomits. All we can do at this point is try to figure out how to get any nutrients for him.