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Family Medicine (Expert Forum)
Chronic Hydronephosis and Gastric Bypass
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
Chronic Hydronephosis and Gastric Bypass
by tanina, May 12, 2002 12:00AM
I was recently diagnosed with having Chronic Hydronephrosis in my left kidney and I was also told that the left kidney has and obstruction and it is smaller than the right one. I need to get some information on the different ways of treating this condition. I am also interested in having a Gastric bypass and need to know what complication if any will I suffer from having the bypass or is it possible to have the Gastric Bypass with this condition.
Doctor's Answer
by Forum-M.D.-DT, May 13, 2002 12:00AM
Thank you for visiting the Family Practice Forum.
What you describe refers to a dilation of the ureter (tube connecting the kidney with the bladder). Many times this may be due to kidney stones or other problems with the ability of the kidney to "drain" properly. Nevertheless, this sounds like it has been a chronic problem for you and I suspect you may have had a problem with chronic infections in this area as well. (hence the damaged 'smaller' kidney) To my knowledge, the best way to "treat" this problem is to relieve the obstruction(s). A test known as an IVP would be a good place to start to determine if there is the presence of stones or other blockages. Urologists are the doctors who would evaluate the problem and would place a "stent" to help the kidney drain properly into the bladder if an obstruction was present.
Regarding the gastric bipass procedure. I do not suspect the condition you describe would affect your ability to be a candidate for this surgery. However, if there was and evidence of kidney failure or infection, I suspect the doctor would not allow you to proceed with this surgery until these problems were resolved. There is a good website to help answer these and other questions about the gastric bipass procedure. It is at www.obesityhelp.com.
I hope this helps.
What you describe refers to a dilation of the ureter (tube connecting the kidney with the bladder). Many times this may be due to kidney stones or other problems with the ability of the kidney to "drain" properly. Nevertheless, this sounds like it has been a chronic problem for you and I suspect you may have had a problem with chronic infections in this area as well. (hence the damaged 'smaller' kidney) To my knowledge, the best way to "treat" this problem is to relieve the obstruction(s). A test known as an IVP would be a good place to start to determine if there is the presence of stones or other blockages. Urologists are the doctors who would evaluate the problem and would place a "stent" to help the kidney drain properly into the bladder if an obstruction was present.
Regarding the gastric bipass procedure. I do not suspect the condition you describe would affect your ability to be a candidate for this surgery. However, if there was and evidence of kidney failure or infection, I suspect the doctor would not allow you to proceed with this surgery until these problems were resolved. There is a good website to help answer these and other questions about the gastric bipass procedure. It is at www.obesityhelp.com.
I hope this helps.
I have begged and pleaded with the doctor that did my surgery to help me. Instead of trying to help me he blames it on a personality disorder, which my main doctor says I don't have. I have severe depression setting in...you try going without food for 3 years, 4, months and 1 day and see how liquids stack up to it. I can tell you now there are not that many drinks that are good tasting to me anymore.
I am on disability now thanks to this mess. Is there any doctor that would be willing to go into court and testify about the complications on this surgery? And would they do it on contingencey?