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!