Hi, has anyone had any experience of stomach leaks??
I had a sleeve gastrectomy on 25th February 2012 and all appeareed to go well and I was promptly discharged. A week later, I was readmitted into hospital via A&E as I was vomiting blood and fleshy bits. I was given blood transfusions and admitted nil by mouth.
After 4 days of being in hospital, I was advised I had a leak and would need a stent fitted to control and eventually stop the leak. However, the dissolveable stent required could only be obtained from Holland and were made to order.
14 days later, still waiting for the stent to arrive, and having GAINED 31lbs, I was advised by my surgical team that I was seriously ill and had to goto theatre within the next hour or I may not make it through the day. I needed a stent fitted to stop the leak. They didnt know which stent was needed so whilst in surgery, they would examine the site via endoscopy and order the stent and fit it as soon as it arrived. A total shock as I was under the impression that this had been ordered prior and the talks and discussions with the team suggested that they were waiting for the stent to arrive.
Due to the leak any fluids consumed by me had gone through the hole, eaten through my diaphragm and into my lungs. What didnt enter my lungs cascaded down into my abdomen and attributed to my weight gain. When questioned with hospital staff prior I was advised that this was normal due to the volume of fluid through IV as I was NBM. It turns out it was because Id retained fluid, and developed further complications.
During surgery, 5 drains were sited to take away the infection, 4 in my abdomen and one in my back. It was a huge shock to me when I woke up, what I thought was a few hours later, but was in fact over a week later. Id been admitted to Intensive Care, and had received treatment for pneumonia and septecemia.
The stent had arrived 2 days after surgery, and was cited. However due to a miscalculation, I had to have a further stent fitted as this wasnt big enough to cover the leak. This slipped (stent migration) and found a new home across the base of my new stomach, blocking it off from draining. A further procedure was undertaken to fit a further stent off that at the base of my stomach to act as a slide and aid with drainage, and a further stent was fitted by the hole.
One by one, the drains have been removed except for one. I hoped that this would be removed a few weeks back as the fluid draining from it had drastically reduced from 600ml a day to 40-80ml a day. After having several central lines and TPN I was told I had to have an NJ (nasal-jejula) tube to provide me with the required sustenance as TPN was not sufficient. I was sent to endoscopy to check how the stents were positioned and determine if an NJ tube would be best or alternative method required.
It was determined an NJ tube was needed and I paid a second visit to endoscopy to have the tube fitted. Within a 3 hour period, I was hooked up to feed and things didnt feel right and I could taste the milky substance being pumped through the tube. I was told it wasnt possible, and the feed continued. When My consultant came round, he insisted that he flushed blue dye through the NJ tube to see if anything came out in the drain. He flushed it through, the drain filled up and the tube shot out my mouth. It hadnt been long enough and had coiled up from the bowel into my stomach. A second tube was fitted after the weekend and it had been noted that the drain was now collecting approx 500ml a day instead of the previous 40-75ml. When I questioned this I was advised this was normal, and could be due to a number of things, and not to worry.
The following day, the main man AK himself came to see me and advised that the leak had increased as everytime endoscopy had put the camera down my throat, it had pulled away at the stents sited by the leak and made the hole bigger. It is not an option to use more stents, to have further surgery as the stomach is too delicate to be restapled, sewn etc.. the drain would have to remain in place and I have to wait for the hole to heal naturally and the leak to stop itself.
When asked how long they expect this to take I was advised they did not know, they had never had a leak this severe. They had previously had another case they managed to "get away with" and the poor girl had had a leak for 6 months. At the rate of which I am leaking, they say it could be 6-12 months maybe more.
In the meantime, I have a drain sited in my left side between my ribs collecting any fluid that gets through the hole (99.9% saliva) and I am still nil by mouth.
Physically Im drained, emotionally Im a train wreck and borderline at the end of my tether.