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I had RNY Gastric Bypass surgery in 2011 and lost a total of 265 pounds.  I am now a potential candidate for total Colectomy due Chronic Constipation-Colonic Inertia, with a slated time frame of surgery in mid to late July, 2015.  I have researched, but I am not finding much information about this procedure and it effects for weight loss surgery patients.  Any advice or pointing me in a direction where I can find some useful information would be greatly appreciated. 

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Hi and welcome,

Congratulations on the weight loss, I know that it is not an easy thing.

I believe, but am not sure, that Vanessa had gastric bypass done prior to j pouch surgery...she might be the person to contact. 

I think that the 2 surgeries combined were quite a tough thing for her.

Hope that all goes well for you

Sharon

 

I had a similar surgery.  I had a gastric sleeve done during my first surgery, with a couple of other things done.  I was in surgery for 9 hrs.  Anyway, I had UC really bad and had to loose the colon but to be hooked back up I had to loose over 100 lbs.  (Got to love steroids, not) anyway with the sleeve I was able to loose the weight and get reconnected.  The main issue I have is making sure I watch my weight still.  Food does not hurt as bad as it did before my surgeries so I feel like eating more.  In many ways I am glad I had both done, as I don't put as much food through my jpouch.  I know I would eat more if I had not had it done.  Now that I am a couple years out I see that it helps with control.  One thing I have found in my research and living like this I have found there is no way to predict everything.  Sometimes you have to go for it and hope for the best.  Deal with any after effects as they come.  I would do it again, even though I do have some issues.  Overall the positive of feeling better outweighs the issues.  Good Luck, hope that helps.

wbtn1963 posted:

I had RNY Gastric Bypass surgery in 2011 and lost a total of 265 pounds.  I am now a potential candidate for total Colectomy due Chronic Constipation-Colonic Inertia, with a slated time frame of surgery in mid to late July, 2015.  I have researched, but I am not finding much information about this procedure and it effects for weight loss surgery patients.  Any advice or pointing me in a direction where I can find some useful information would be greatly appreciated. 

 

Hi,  I had a gastric bypass back in 2002 and lost a lot of weight myself. However they discovered on 2/29/16 that I had colon cancer due to a genetic mutation. I had a colon resection on march 16th but a new tumor developed so now I'm going to be having my entire colon removed on January 23. I'm wondering how you did with your procedure as you are the only person I have found who's had a gastric bypass and then a colectomy.   I welcome any feedback I hope you're doing well 

Hello liberty, I had  your gastric bypass in 2002 and  I had a total colectomy and the majority of my rectum removed.  I had a bag for several months and recently been reversed it a month ago.  I'm losing a lot of weight which I don't mind but I also want to be healthy. However, the diarrhea is very frequent about 15 to 20 times a day and at times I find myself depressed over it  because it seems the nighttime is the worst so I'm not getting a lot of sleep.  Imodium helps a little bit and I do not like lamotil as it makes me dizzy & tired but I'm going to have to take it.  I'm still trying to find a balance as to what foods are ok to eat and what to avoid.  I would love to talk with you and others who may offer some more wisdom. 

MelissaHathaway posted:

Hello liberty, I had  your gastric bypass in 2002 and  I had a total colectomy and the majority of my rectum removed.  I had a bag for several months and recently been reversed it a month ago.  I'm losing a lot of weight which I don't mind but I also want to be healthy. However, the diarrhea is very frequent about 15 to 20 times a day and at times I find myself depressed over it  because it seems the nighttime is the worst so I'm not getting a lot of sleep.  Imodium helps a little bit and I do not like lamotil as it makes me dizzy & tired but I'm going to have to take it.  I'm still trying to find a balance as to what foods are ok to eat and what to avoid.  I would love to talk with you and others who may offer some more wisdom. 

So much "yes" to your reply!  I wander if it is more difficult for us that have had roux n y?  I lost so much weight...   I too got so upset/depressed.. I felt like a bag of bones... and I hated looking in the mirror .   

I had a 1 step surgery, so I have been dealing with crazy diarrhea for almost 4 months. I always wear depends.. I found silhouette "fit" and they are wonderful!   

My healthy range "goal weight" is 155... right now I weigh 122... it's insane..  

i hear ya on the diarrhea. I have never had anything but very watery diarrhea with maybe some food chunks...  thankfully, I have been going 1-2 times after I eat, so depending on how many "small" meals I have depends on how often I go..  usually 9-10...  BUT, yesterday I decided to try to make myself NOT go and see how long I could last...  amazingly, I was able to do it.  Yesterday I went to the bathroom 5 times...  today, only 2 times (almost 10p here)... I know I will go at least one more time.

my nutritionist put me on at least one ensure a day...  truthfully, it doesn't stay in me long either, but I try..

I do not drink any plain water.. It goes straight thru me.. I only drink things with a lot of electrolytes in it.. Gatorade G2 is low in sugar. This is my main drink...  along with Mio electrolytes... I try to drink some pickle juice too here and there.. I salt everything like crazy (ha)...  sometimes I add Himalayan salt to my drink just for added electrolytes.  Maybe see if adding electrolytes to your liquids will help..  for the first 6-8 weeks, the only thing I could drink that I didn't run to the toilet for was Sprite Zero.. no joke! It was awful .... 

i just started back on imodium...  I tried immodium, fybergel and also guar gum...  but it made me feel constipated even though I wasn't ...  so I stopped them all.  Decided to just try immodium.  Morning and night for now.. 

It is weird.. the only time I have to get up at night to go is if I eat and eat late at night... some days I feel as if I eat and eat non-stop!  

it is so good to see someone else on here with the same crazy insides as me .   

 

Thank you  for sharing, I am hoping that I will find a better balance. When I take Imodium it seems to hurt me too it's as if things are not really different but  just coming out of the speakers. I would almost rather get it over with at once than to have to be a slave to the toilet  ��.  Also, if I have to pass gas I can't tell the difference sometimes so I always just go to the bathroom.   I'm not going to be eating at night to see if that helps. But I have so much diareah at night that I find myself so hungry and parched.   I'm also dealing with hemerhoids right now because of all the pressure and going to the bathroom so much. I am using various creams to help.  I wish there was a study done on people like us who had the gastric bypass because I wonder what it would tell. 

I am the same with gas... I "think" I might be noticing a difference between the two, but I am not always correct, so I run to the bathroom... ha!

yes! That starving feeling from going to the bathroom so much....  it's awful...  I am trying something different (eating less times) to see if it helps.

i think it's just gonna take time... thinking "time" is the magic answer with all of this... 

hemrhoids . No fun..

i agree... I think a study would be amazing.. I have a feeling there aren't a ton of "us" out there... haha.

I had gastric rou-n-y in 2010 and due to slow bowel and chronic constipation and severe bloating for several years, had to resort to having colon removed in 2019. I have my rectum and no bag. I was told that my bowels would get use to a normal diet after 4-6 months. It is 20 months later and I go almost immediately after eating.. almost like a dumping syndrome, but definitely not that. I in addition developed hyporeactive hypoglycemia which results in sugar drops and the need to eat again to get it up. My low weight on my 5’ 4” body was 142 and I was feeling great about 15 months after my bypass in 2011. I gained a few back and stayed steady until about 2015. Then things began happening that results probably changed from diet, stress and other things. Of course you can’t overeat too much with a bypass and I was having to use saline enemnas to go to bathroom otherwise I would look 6 months pregnant (not good in my mid 50’s then). Now I can’t stop pooping.. I go and go.. my weight is high and I just don’t know what to do. I need iron infusions about every year now and my hair is falling out to an alarming rate since colon resection. Going to see my gastro doc that did the bypass tomorrow morning and frankly just want to know how to fix some things and why wasn’t I informed of some things when I was told I would get my colon out and be fixed. Wrong!!! Any advice would be appreciated.



does anyone know if you can get vitamin and supplements administered by shots to take place of supplements that I feel certain my body is only taking minimal quantities in and the rest is quickly being flushed down toilet as it leaves my body. Sorry for being frank here but it’s the truth.



can’t wait to get some other people answers or stories.



thanks

vjojo

Hi Vjo,

I am so sorry...I know that this is not an easy path.

When a surgeon decides to remove your colon, it is rarely if never an 'option' but an 'obligation'. They don't take them out unless it is absolutely necessary.

That said, everyone reacts differently to colectomies. Some symptoms are similar in a lot of patients. You are the lucky one who did not need a bag of any sort (did they really just reconnect you to your rectum without creating a J pouch? Wow!!!)

So now you are stuck with a colonless body and a bypass...2 conditions that shorten your digestive system and may (or often) cause you to suffer from 'dietary shortages' like iron or certain B vitamins.

Your body is doing its best to adapt.

If your body is dumping and things and they are not hanging around long enough to get absorbed then there are other ways to compensate.

As you said, Iron infusions are the one way to get your iron levels up.

But other vitamins can be taken in patch form or under the tongue. I take B6 in patch form or under my tongue (most of my B's get taken that way), Copper, silver and gold are also sublingual (taken to boost my immune system), Vit A also comes that way and many others come as gummies or chewables...even liquids are better than pills...they absorb quickly in the stomach or in the small intestine.

You might need to visit a nutritionist who is specialized in people with short bowel or bypasses. If nothing else, they could help you to find your way through all of the complications that you are suffering from dietarily. They can also suggest foods that might 'hang around a bit longer' and supplements that will help your body regain some strength and energy.

Any 'unessentials' (according to your body, not me)  will suffer from malnutrition (hair, nails, skin, teeth can all fall out and even your eyesight can weaken or become fuzzy...) meaning that the human body makes choices. It decides what is essential for its survival (essential organs like your brain, heart, lungs, and circulatory system...) and protects it by sacrificing other parts.



Talk to your surgeon or doctor and get a letter to see a specialist who can help you.

Sharon

This sounds hard, @Vjojohnson. I’m sorry you’re going through it.

There are a few folks here with IRAs (ileo-rectal anastomosis). They haven’t reported great results, but I don’t think we can conclude anything about the overall success of IRAs based on that, since the ones doing well are unlikely to visit a J-pouch forum. As Sharon writes, there are other ways to get vitamins.

Are you doing anything to slow things down (e.g. Lomotil or Imodium) or thicken things up (e.g. psyllium)?

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