I have always considered myself one of those gastric bypass success stories. Weight loss was achieved with only a few minor issues. I was a huge proponent of the RNYGB.
Up until 6 months ago I felt great. Then I began having pain in my upper right abdomen which grew increasingly worse. I sought medical attention and blood work showed that I was moderately anemic.
My nurse practitioner referred me to gastroenterology and they began testing. Upper GI, abdominal ultrasound, and CT scan showed every thing was fine.
They were ready to diagnose as GERD and poor absorption of iron. But my NP felt there was more going on and ordered a endoscopy and colonoscopy which were performed three days ago. The endoscopy revealed two marginal ulcers which are ulcers that only occur with RNYGB procedures. They form on the staples and sutures.
I began to do a little research and it appears that many post surgery patients have stomach pain and symptoms mimicking GERD or IBS, gallbladder pain, etc. They undergo the same initial tests that I had and when nothing shows up they are given prescriptions without first having an endoscopy which is the only test that determines the presence of marginal ulcers.
Marginal ulcers can lead to serious complications that may result in surgery. Even then they may return.
I encourage anyone out there who has had a RNYGB and is experiencing new abdominal problems to advocate for themselves. Insist on having an endoscopy to look for marginal ulcers. They are not uncommon and if left untreated can be very dangerous.