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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible To Have Gastroparesis Even With Most Of Stomach Removed?

I was diagnosed with gastroparesis in 2002. After 6 years of the worst of all that goes along with this from the nausea, pain, throwing up, having to have a J-G Tube, a gastric pacer placed, three port-a-caths, almost daily dehydration, going to the Infusion Lab 3X/week to get meds, ending up in the ER more times than I d ever imagine, having to quit working at the age of 47, I had given up. My health seemed to be declining daily. I decided to talk to a surgeon. My thought was, if I didn t have a stomach, how could I have gastroparesis? After researching this myself, I talked to two surgeons and they both said I would no longer have the symptoms or gastorparesis if I had the surgery. I did and it was just as horrible as any of the 26 surgeries I had during my lifetime. Unfortunately, it didn t alleviate the symptoms. I still have all the same issues and now I ve been to the ER so much that I ve been labeled, put on a sort of black list, for needing pain meds, nausea, IVs for dehydration and I don t know what that doctors think I m suppose to do. What am I suppose to do? Why would a physician not want to give you any meds to help the symptoms? They see the stats and the blood work. How can they black list me? Reglan helped for a few months then didn t. I ve taken Zofran and Phenergan so long that I have built-up a tolerance to them and even IVs of the meds don t help much, they take the edge off but never eliminates the problems. I m allergic to Morpheine so I have to use Dilaudid. You d think I ask for their first born! After all this, my question is simply, can I have gastroparesis if the majority of my stomach was removed?
Mon, 19 Nov 2018
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General Surgeon 's  Response
Hello,

As per my surgical experience, there is no issue of gastroparesis after major stomach removal.

The issue sounds to be chronic anxiety with neuronal mediated reflux as vagus or else.

However, a detailed case evaluation is mandatory via through physical examination and co-relation of supportive documents.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel,
General Surgeon
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Is It Possible To Have Gastroparesis Even With Most Of Stomach Removed?

Hello, As per my surgical experience, there is no issue of gastroparesis after major stomach removal. The issue sounds to be chronic anxiety with neuronal mediated reflux as vagus or else. However, a detailed case evaluation is mandatory via through physical examination and co-relation of supportive documents. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon