Hi,
Awful experience.
I am a bit bemused as to why it was necessary to wait for a stent when, as soon as they were aware of the peritonitis, it may have been possible to simply oversew the leak.
Leaks can happen, but it is important that proper checks are done on sleeved patients BEFORE DISCHARGE FOLLOWING SURGERY. I'd be interested to know if the "blue dye" test was done immediately after the initial surgery, to check that the staple line was intact...it should have been!
I will post something about proper pre-op tests/precautions and post-operative checking later! (see my response on thread "Endoscopy")
By the way Sharonimo - the sleeve has not been "experimental" surgery since the late 1990s - it was first done as a stand alone surgery in 2000 and started to become a popular first-call approach to Obesity surgery more than 10 years ago. Dr Cierny has been doing VSG routinely since 2004, and he is certainly not pioneer. See M.Gagner study (Obesity Surgery June 2007).
If done correctly it is a very safe and effective procedure, but like all bariatric procedures, the experience of the surgeon and the care and precautions taken by the hospital team are crucial to patient safety
Thank you everyone for your kind words.
I was advised by my surgeon and care team that it was not an option to go back in and sew, glue or staple the leak. They said it simply wouldnt withstand being stitched etc.. becauseof how delicate the tissue was.
Having had the surgery, I was given a gastrograff and swallow before I was allowed to leave the hospital. I was asked to drink blue dye for a morning 3 days after being readmitted to see if any dye came out of the drain inserted into my back. Later they used blue dye to flush the NJ tube and see where that came out.
As I went to an appointment at clinic yesterday I just thought Id update you..
At my appointment I was advised that the biodegradable stents that were fitted are not actually biodegradale. This means in the next 3-5 weeks I have to go BACK to theatre to get them removed. A complication of this is that the procedure which will be via endoscopy will more than likely make the leak point larger again.. theres also a chance that tissue has grown and fused round the stents, and theres a risk of perferation, leakage, internal bleeding and/or infection.
If leaks or bleeding occur during the procedure, they will open me up and glue and clamp the site. I cant understand how they can do this now but couldnt before.
They are not sure whether they can take all stents out at the same time of if this will require several procedures as it may be too much for me.
As I have an NJ tube, theres a possibility this will have to be removed for procedure to be done, and then a new tube inserted. Lucky old me..
I was advised they were using the bio degradable stents as they would disolve in 80 days and no further procedures required. I had a seriously long wait for these stents, and find out that they just used a box standard off the shelf stent and didnt get the ones from Holland after all. What angers me most is that nobody even said, "by the way Rebecca, we couldnt use the biodegradable stents so we had to use plastic ones.. we will have to take them out within the next 3 months.." I think Id have been more ok with that because Id have been told the truth and aware of whats going on.
Instead I just get my head round being back home and being back on the mend to have this bombshell dropped on me. Its really knocked me for 6. Im just waiting for a date now.
Brings the question whether they know what the hell they are doing considering all 3 surgeons have each drawn diagrams (which I have) showing the stents being lattice or trellis shape which the tissue grows through, and how its been positioned over the leak hole... This has been explained to my family whilst I was there and during the time I was in ITU. For the past 5 weeks Ive been advised that the tissue will grow through and bridge over the leak sealing it off, but it hasnt.
It turns out theyve used stents that resemble several pieces of plastic pipe which sit by the hole, dont even cover or plug it. Theyve had to put a stent round a stent because it wasnt doing what it was supposed to, it wasnt big enough and the fluid just ran down the side. To say I am angry is an understatement.
All I want is to stop leaking, get better and get on with my life. I understand we are all human and make mistakes, things dont always go according to plan, but this is beyond a joke.