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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Pain In Stomach Even After One Year Of Gastric Bypass?

Hello Doctor, In October last year i had to have Gastric Bypass surgery due to a large duodenal ulcer which the surgeon was unable to remove because it had attcached itself to the liver. The surgeon cut off blood supply to the ulcer so it could die off. My last GGT reading done yesterday is 207 Alka Phos is 162. I have a lump at the site of the liver whichmostly just causes discomfort and only hurts when I strain my seld like bending down and twisting my torso I get a stitch like pain, when running I feel the discomfort more severly, should I be worried?
Thu, 15 Feb 2018
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Your history is a bit odd as it does not show any histopathology report of the large gastric ulcer, which could have been a cancer too.
Well as per the history you have provided, I would advise you the following in such a pain as explained by you.
CT scan of abdomen to know any further development from ulcer or liver disease as GGT is highly raised indicating intrahepatic stasis or outflow obstruction.
Upper GI Endoscopy and biopsy.
Tests of blood: CBC, full liver functions, sugar, kidney and thyroid functions and whichever are required as per the clinical picture.
All these things will lead to a proper diagnosis and lead to a proper management.
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What Can Cause Pain In Stomach Even After One Year Of Gastric Bypass?

Hi. Thanks for your query. Noted the history and understood the concerns. Your history is a bit odd as it does not show any histopathology report of the large gastric ulcer, which could have been a cancer too. Well as per the history you have provided, I would advise you the following in such a pain as explained by you. CT scan of abdomen to know any further development from ulcer or liver disease as GGT is highly raised indicating intrahepatic stasis or outflow obstruction. Upper GI Endoscopy and biopsy. Tests of blood: CBC, full liver functions, sugar, kidney and thyroid functions and whichever are required as per the clinical picture. All these things will lead to a proper diagnosis and lead to a proper management.