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Intestinal Bypass And Anastomosis Status

Intestinal bypass and anastomosis status refers to the health of your digestive tract after surgical bowel removal and reconnection. Monitoring ensures the anastomosis is intact, functional, and free of leaks or blockages-crucial for optimal healing and long-term well-being after surgery.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Resection for Crohn's disease or colon cancer
  • Gastric bypass surgery for weight loss
  • Traumatic injury to the small or large intestine
  • Scar tissue formation or fluid collections seen on imaging
  • Repeated abdominal operations leading to stricture or narrowing

Signs and Symptoms

  • Persistent or cramping pain around the surgery site
  • Excessive gas, bloating, or feeling full quickly
  • Diarrhea or constipation
  • Unintended weight loss or evidence of poor nutrition
  • Nausea, vomiting, or warning signs of obstruction

Expert Treatment for Intestinal Bypass And Anastomosis Status by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your prior surgeries (type of bypass or resection), the onset and location of epigastric or abdominal pain, changes in appetite or weight, and any related symptoms such as bloating, nausea or vomiting.

Laboratory Tests

Blood work includes a complete blood count (CBC), electrolytes, nutrition markers (albumin, prealbumin), inflammatory markers (CRP, ESR) and liver enzymes to rule out other causes of epigastric pain.

Imaging Studies

  • CT scan or MRI of the abdomen to assess the anastomosis, check for leaks, abscesses or fluid collections.
  • Small bowel follow-through (contrast X-ray) to observe transit through the reconnected segments and identify strictures or blockages.

Endoscopic Evaluation

Upper endoscopy or colonoscopy (depending on the site of your anastomosis) to directly visualize the surgical connection, look for ulceration, narrowing or fistulas, and obtain biopsies if needed.

Advanced Testing (if needed)

Breath tests for bacterial overgrowth, motility studies for functional disorders, capsule endoscopy for difficult-to-reach segments, or diagnostic laparoscopy to evaluate adhesions and scar tissue.

Bharat Pothuri
Treatment

Our Team offers a full range of care for intestinal bypass and anastomosis status.

1. Lifestyle and Diet Modifications

  • Eat small meals often to ease digestion
  • Choose low-fiber foods during flare-ups
  • Stay well-hydrated with plenty of fluids
  • Work with our Houston dietitian for a personalized meal plan

2. Medications

  • Anti-inflammatory or immune-modulating drugs for Crohn's or other bowel conditions
  • Bile acid binders to manage post-surgical diarrhea
  • Acid reducers for reflux symptoms
  • Antibiotics to treat bacterial overgrowth

3. Minimally Invasive or Advanced Procedures

  • Endoscopic dilation to open narrowed segments
  • Laparoscopic surgery to address scar tissue or obstructions
  • Stent placement to keep the bowel passage open
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What does intestinal bypass and anastomosis status tell me?

It shows how well your bowel connection is healing after surgery and whether there are leaks, blockages, or other issues.

What is the ICD-10 code Z90.2?

Code Z90.2 indicates you've had a past intestinal bypass or reconnection (anastomosis) documented in your medical record.

What tests are used to evaluate my anastomosis?

Dr. Pothuri may order blood work for inflammation or nutrition, imaging like CT or MRI, endoscopy/colonoscopy, or a small bowel follow-through X-ray.

Can I eat normally after an endoscopic dilation?

Yes. Most patients start with clear liquids the same day, advance to soft foods in a few days, and then return to a regular diet as tolerated.

Can complications appear years after my surgery?

Yes. Scar tissue and narrowing can develop long after the operation, so ongoing monitoring is important.

How is small bowel bacterial overgrowth managed?

We usually prescribe rotating antibiotics, suggest targeted diet changes, and may recommend probiotics to restore a healthy gut balance.

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