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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pain Post Bilateral Renal Bypass Surgeries?

My husband has had 2 bilateral renal bypasses in which the incision ran the entire length of his stomach. He now has pain in his upper abdomen, sometimes severe. They have ruled out vascular as reasons for pain. They are going to do an upper GI to make sure there isn t something in his stomach causing the pain. When the doctor did the last renal bypass, he said that my husband had severe scar tissue built up. His doctor thinks this may be the cause of his pain. I have read about lysis of adhesions. Can you tell me more about it and how it is diagnosed? The last CT he had did not show any scar tissue, but they were looking at the vascular. Nothing else was noted in the report. He has been in pain that has gotten progressively worse since his first renal bypass in 2003. The last four or five years have been quite severe. He went to a pain management clinic and the doctor said the source is too deep for them to do a pain block. Any information you can provide would be greatly appreciated.
Tue, 31 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As per my clinical experience, CT does not reveal much details of possible adhesions. In my clinic, I recommend a diagnostic laparoscopy as well as MRI of the abdomen & pelvis for the detailed evaluation and management guidelines to cure at earliest.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel
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What Causes Upper Abdominal Pain Post Bilateral Renal Bypass Surgeries?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As per my clinical experience, CT does not reveal much details of possible adhesions. In my clinic, I recommend a diagnostic laparoscopy as well as MRI of the abdomen & pelvis for the detailed evaluation and management guidelines to cure at earliest. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel