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Doctor insights on: 5 Day Pouch Test For Gastric Bypass Patients

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Is the 5 day pouch test ok for gastric bypass patients ?

Is the 5 day pouch test ok for  gastric bypass patients ?

Yes, but ? need: Many bariatric programs routinely do a pouch leak test in the early post-operative period, some the day after, some waiting 5-7 days after surgery. The overall leak rate is low and does not always pick up all leaks, especially if done too early. In one study from UCLA, routine pouch leak studies after laparoscopic gastric bypass did not contribute signi?cantly to postoperative patient care ...Read more

Dr. Gregg Nishi
465 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


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What's the vitamin(s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins i already take seems too much. Surgery was over five years ago. All blood work ok.

What's the vitamin(s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins i already take seems too much. Surgery was over five years ago. All blood work ok.

Go back: To your bariatric surgeon to discuss and get a dietician and your OB physician talking. We don't have good data on this yet and it takes a team effort. Malnutrition is our main concern. ...Read more

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Patients with gastric bypass can they gain weight back?

Patients with gastric bypass can they gain weight back?

Yes: Regaining weight frequently happens. It used to be thought that it had to do with enlargement of the gastric pouch, but more recent studies suggest that it is related to a gradual widening of the gastrojejunal anastomosis (the joining between the stomach pouch and small intestine that is created). ...Read more

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Is the Lipozene effective in patients that have had a gastric bypass?

Is the Lipozene effective in patients that have had a gastric bypass?

No it doesn't work: No..You need to lern to eat correctly..For some pointer see www.Weighstation.Net hope this helps. ...Read more

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Is it true that carbonated sodas really bad for gastric bypass patients?

Is it true that carbonated sodas really bad for gastric bypass patients?

Soda: Carbonated soda is bad for everyone. Regular soda has way too much sugar. Diet soda has sugar substitutes that are bad for you. So soda isn't good for anyone. For bypass patients, the co2 gas can build up in the gastric remnant and you can't burp that out. This can cause discomfort, but will eventually get absorbed. I tell my patients not to drink soda anymore. ...Read more

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Is it ok to take a small does of ibuprophen (one 200 mg) ) as a post gastric bypass patient?

Post Bariatric Surg: Yes. That is the simple answer. But, if with that dose you feel any burning or acid or increase of pain then in your case it may not be so safe. ...Read more

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Can a gastric bypass patient take correctol laxitive?

Can a gastric bypass patient take correctol laxitive?

Short term : Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...Read more

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What diet should be followed by gastric bypass surgery patients?

What diet should be followed by gastric bypass surgery patients?

Diet: High protein, small meals, with vitamins like b12 and other multivitamins. ...Read more

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Can a lap band procedure be done if patients already had gastric bypass?

No: If you have had a gastric bypass and are gaining weight, you need to see your bariatric surgeon to see why. There are a number of reasons why this could happen. A lap band should not be done after a gastric bypass. ...Read more

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Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

sleeve ; sarcoidosis: Neither one (bypass or sleeve) is better than the other with respect to sarcoidosis. Studies have shown that people on immunosuppressive therapy can safely undergo either operation. I would just decide which operation is best for you. In a healthy ; moderately obese person, either operation is fine. If you have gerd, diabetes, or have a bmi over 50, bypass is preferred. ...Read more

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I am a gastric bypass patient. Drs have told me can't take aspirin to prevent a stroke?

I am a gastric bypass patient. Drs have told me can't take aspirin to prevent a stroke?

Depend: Depending on which type gastric bypass (sleeve gastrectomy vs roux en y vs gastric banding) also may be you have bad stomach ulcer that prevent you from taking aspirin. Please call you surgeon/doctor and ask for the explaination on your case. ...Read more

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Gastric bypass patients are more likely to develop gallstones later on after surgery. How can this be prevented?

Gastric bypass patients are more likely to develop gallstones later on after surgery. How can this be prevented?

Cholecystectomy: Having your gallbladder removed can possibly decrease the incidence, but you can still develop gallstones in the bile ducts. Medication and diet adjustment can also help. Discuss this with your physician prior to gastric bypass. ...Read more

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What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

B12 and Fe : Gastric bypass is associated with vit B12 deficiency which is secondary to loss of intrinsic factor secreted by the stomach along with fe (iron) deficiency which is absorbed by the duodenum. Moreover during pregnancy the blood volume increase to support the fetal circulation thus lead to dilutional anemia. The best approach is to receive vit B12 and fe replacements. Good luck. ...Read more

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..five bite diet.. I can't afford the gastric bypass surgery thought I'd try this and guess what I've lost over 75lbs! I feel great! But is this safe?

..five bite diet.. I can't afford the gastric bypass surgery thought I'd try this and guess what I've lost over 75lbs! I feel great! But is this safe?

Weight loss : You may have lost weight on this diet and it may have worked for you ! I don't think it is healthy , because you are missing out on nutrients , because you are eating such low volume of food . Unless you are taking some high powered organic , food supplements , I believe , long term side effects would be hair loss , brittle nails , saggy skin . Rethink this concept . See a dietician and a doctor ...Read more

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S/p gastric bypass sugery by you 12/2010. I have a high pth level w/low calcium levels , 4 tests all high, can this be parathroid cysts? Scan was ?

S/p gastric bypass sugery by you 12/2010. I have a high pth level w/low calcium levels , 4 tests all high, can this be parathroid cysts? Scan was ?

High PTH low ca: This condition is due to your gastric bypass. Calcium and vitamin D are absorbed in the small bowel. This is now bypassed. The PTH is elevated due to low calcium absorption and likely low vitamin D. This can be corrected medically, but in rare cases the bypass had to be reversed to correct the condition when it resulted in severe hypocalcemia. ...Read more

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I'm on 600mg of lithium a day. I've had a gastric bypass. Should this be an issue?

I'm on 600mg of lithium a day. I've had a gastric bypass. Should this be an issue?

Use blood levels: Lithium blood levels are monitored at a regular frequency and this way you can tell if you are absorbing the medication and if you are at therapeutic doses. For my patients having had gastric bypass is not an issue; rarely if they develop side effects by diving the dose into 2 times a day this resolves the problem. ...Read more

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I had a gastric bypass 2 years ago. Is it safe to perform a 10 day cleanse?

I had a gastric bypass 2 years ago.  Is it safe to perform a 10 day cleanse?

Clean is good: If you mean a 10 day meal replacement with a balanced low sugar shake like medifast or glucose-controlled boost (plus all vitamins) it should be ok. However, the best diet to work with a bypass is a solid meal (protein and veggies) with no sipping, fewer slider foods, no sweets and no bad snacks. Might be good to check with your surgeon and program. ...Read more

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I had gastric bypass 2.5 yrs ago. Im currently doing the standard process 21 day cleanse. Im on day 7. I feel weak & tired. Is this cleanse safe 4 me?

No cleanse: There is no "standard" cleanse of any type, let alone one that lasts 21 days. If it makes you feel weak and tired, it is probably doing you more harm than good. I would stop it, and maintain good hydration, don't eat too many calories, make sure the food that you do eat had all the vitamins and minerals, and take vitamin supplements as appropriate after a gastric bypass. ...Read more

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I had gastric bypass 3 years ago, but am still trying to get the last 20 pounds off, how many calories a day should I consume to lose?

More out than in..: Weight loss is a matter of burning more than you take in. A good place to start is around 1000 calories a day, make sure you keep up with your protein intake and your post bypass vitamins. Then you need to exercise to burn more than you take in.. ...Read more

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I had gastric bypass surgery about 5 years ago, how many calories should I eat a day?

I had gastric bypass surgery about 5 years ago, how many calories should I eat a day?

8-9 calories per lb: We have been doing indirect calorimetey on postop bariatric patients. We are finding a total metabolism of about 8-9 calories per pound. So, if you are now 200 lb, them you would ear about 1700 cal per day to maintain your weight. If you wanted to lose wt, then you can eat 1200-1400 cal per day. Eating 400 fewer cal per day would allow you to lose 1 pound in 9 days (3500 cal for 1 lb). ...Read more

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I had the gastric bypass 2007 and I have a anastomotic ulcer. I'm taking raniidine 150 and sucralfate 1 mg 3x/day. Suggestions?

I had the gastric bypass 2007 and I have a anastomotic ulcer. I'm taking raniidine 150 and sucralfate 1 mg 3x/day. Suggestions?

Be careful: If you smoke or take a lot of medication such as Ibuprofen (nsaids), then stop those things too. Make sure to stay in touch with your surgeon as well. ...Read more

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I need some answers about current symptoms I am having. I am a recovering alcoholic. I have only been sober for 11 days. I also had a gastric bypass in 2004. I was drinking a 5 liter box of wine a day and prior i was drinking vodka. Within the last 4

There is no ?: Unfortunately, both in the posting of questions and in our answers, we are limited to the space of a tweet. You need to find a shorter way to express yourself in asking a question. Am glad to hear you are working a program and have had 11 24 hours of sobriety. ...Read more

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Gastric (Definition)

This refers to something that is ...Read more