Still Throwing Up :(

[Catracks 865]

They use a bougie to stretch an esophageal stricture. Maybe it's something like that. I also read a study that surgeons should stay 5 cm. away from the pylorus when making the cut because getting too close causes nausea and vomiting in patients.

I also found this:

"The most important consideration in designing a tight sleeve is to ensure that there is no narrowing at the level of the incisura (the sag-point of the stomach where the organ turns horizontally towards the right of the patient). A narrowing will cause a leak at the GE junction or lead to persistent vomiting later, necessitating invasive treatment later. All in all, a highly regrettable outcome could ensue, so it is wise to leave a wider incisura than make it too tight."

http://www.bmi-india.com/does-bougie-size-in-sleeve-gastrectomy-matter/

Ask the surgeon what he means.

[Lisa's Hope 421]

They use a bougie to stretch an esophageal stricture. Maybe it's something like that. I also read a study that surgeons should stay 5 cm. away from the pylorus when making the cut because getting too close causes nausea and vomiting in patients. I also found this: "The most important consideration in designing a tight sleeve is to ensure that there is no narrowing at the level of the incisura (the sag-point of the stomach where the organ turns horizontally towards the right of the patient). A narrowing will cause a leak at the GE junction or lead to persistent vomiting later, necessitating invasive treatment later. All in all, a highly regrettable outcome could ensue, so it is wise to leave a wider incisura than make it too tight." http://www.bmi-india.com/does-bougie-size-in-sleeve-gastrectomy-matter/ Ask the surgeon what he means.

After reading this article, it makes me want to tell my surgeon to go bigger with my sleeve. I can't stand the thought of vomiting all the time and being nauseous or having a leak or stricture. I know there aren't any guarantees but seems that everything I read, bigger sleeve is better.