I've done some searches, but haven't run across this particular issue.

I am approximately 12 years post bariatric surgery (Roux-En-Y.) My stomach was stapled to hold about 10cc, but I'm sure it has stretched some over the years. My small intestine was disconnected and rerouted to facilitate some malabsorbtion. I've lost about 120 pounds, and been able to maintain that weightloss. However, I am a bit concerned about being able to consume the enormous amounts of water that is recommended. I also have a difficult time consuming sugars (dumping syndrome...not fun.) I eat a high protein diet, and the protein shouldn't be a problem for me (not sure about the amount of calories though...wow, that sounds daunting.)

My main question, and I will ask my RO tomorrow at my first treatment.... How will I be able to consume the amount of calories and water if my stomach is so small? Should I get a Peg tube? Where would they put a Peg tube? In my tiny stomach pouch? In my jejunem which is not connected to my stomach, but is connected to the rest of my small intestine? Can it be done in interventional radiology, or would I need to have it placed in the operating room? Damn, this is SO frustrating...so confusing...so worrisome.

Any advice would be greatly appreciated!

Kellijojo,

There is an answer to your delima either w peg or without. You'll need to consume high calorie like carnation vhc or use ensure plus and then compliment those drinks w oils, like olive oil. Olive oil is 120 calories and 14g of fat per "tablespoon". There are higher fat and calorie oils out there too, so you have options even with a small stomach. I would mix a bit of ensure for the vitamins/minerals with a healthy serving of olive oil and you've got yourself a high calorie meal.

Hope that helps, keep your chin up

Eric

If you are able to take the carnation vhc or ensure plus orally, I'd recommend adding coconut oil rather than olive oil. It tastes better, and because it's a medium-chain triglyceride it is very readily absorbed and utilized for energy. I add some to my breakfast smoothie every day!

Good luck!

Coconut oil is wonderful, palm kernel is the best source for mct's (I use both depending on what flavor I'm drinking). Energy isn't just the goal during tx though, its maintaining weight as well which is where you'll want long chain tri's in there too. The point is there are several options to talk to a nutritionist about as the goal is maintaining weight preferably lean muscle mass.