burping? Kink in the sleeve?

[windycitymom 60]

Hello Vets,

I've been having increased burping and I'm almost 5Yrs post op. Its been fairly smooth sailing so far in terms of complications (only limited ones not worth mentioning).

Now I'm burping uncontrollably. I do not have any any heartburn "typical" symptoms. I'm taking Pantoprazole along with just starting on Carafate. I did not have any GERD prior to surgery however Dr. Aceves told me that I had a hiatal hernia that he fixed during sleeve surgery even though I had no idea I had it.

I'm told I may possibly need a revision sleeve to bypass which I do NOT want to do but the new surgeon doctor (I was operated on by Dr. Aceves so I can't see him about this unfortunately, may he RIP... ) told me I may have a "kink in my sleeve". Apparently sometimes they put a stitch or two in to keep the sleeve from floating around. My sleeve was not stitched into place to keep it from flopping around so I guess it may have a kink.

I'm supposed to get an endoscopy scheduled in the next few weeks with a GI and the (new) surgeon doc wants to be present to see what she's working with.

Has anyone ever had this happen this far after surgery?

Confused and concerned...

[James Marusek 5,244]

It is somewhat common for people to develop ulcers after surgery. Generally the advise from the internet is:

Treatment for both marginal ulcers and stomal ulcers should include avoidance of NSAIDs, antisecretory therapy with proton-pump inhibitors, and/or sucralfate. In addition, H pylori infection should be identified and treated, if present.

So you said that you are taking pantoprazole which is a proton-pump inhibitor, you are already following one of the prescribed approaches.

You should also avoid all NSAIDs. This includes aspirin and Excedrin (which contains aspirin), which can cause ulcers or make them worse.

The following is a list of NSAIDs: Aspirin, Ibuprofen, Diclofenac, Naproxen, Meloxicam, Celecoxib, Indomethacin, Ketorolac, Ketoprofen, Nimesulide, Piroxicam, Etoricoxib, Mefenamic acid, Carprofen, Aspirin/paracetamol/caffeine, Etodolac, Loxoprofen, Nabumetone, Flurbiprofen, Salicylic acid, Aceclofenac, Sulindac, Phenylbutazone, Dexketoprofen, Lornoxicam, Tenoxicam, Diflunisal, Diclofenac/Misoprostol, Flunixin, Benzydamine, Valdecoxib, Oxaprozin, Nepafenac, Etofenamate, Ethenzamide, Naproxen sodium, Dexibuprofen, Diclofenac sodium, Bromfenac, Diclofenac potassium, Fenoprofen, Tolfenamic acid, Tolmetin, Tiaprofenic acid, Lumiracoxib, Phenazone, Salsalate, Felbinac, Hydrocodone/ibuprofen, Fenbufen

[windycitymom 60]

Thanks James. I really appreciate the comprehensive list and the support!

This is interesting and sounds as though it may be an ulcer and not a hiatal hernia. They want to give me a possible revision to gastric bypass however I'm thinking that maybe I should wait it out to see if the carafate takes care of the ulcer. I read it can take 4-8 for Carafate to heal an ulcer, does that sound right? I hate to rush into surgery if I don't need it and don't want to get a bypass unless it's my only choice.

[erp 2,016]

I would get a second opinon as well if you haven't already.

[windycitymom 60]

Thanks Erp