Doctor insights on:
Can Gastric Bypass Be Redone
Mini gastric bypass: The mini gastric bypass is not endorsed by any asmbs or any of the top academic bariatric surgery programs in the country. It is safe, but it is basically a billroth 2 operation which can cause bile reflux. The fix for that problem is a roux-en-y gastric bypass meaning that for 50 years we have known that a roux-en-y is better than a billroth 2. The b2 is just easier for the surgeon to do. ...Read more
Key word: I would like to emphasize the importance of seeking coe listed surgeon. There are plenty of surgeons that offer services and have *much* worse outcomes. Dr st laurent is in my area and has an excellent reputation. ...Read more
1 st do you need one: Then you have to be in program, will motivate you loose weight, assess your general status before accepting into program. Go and see one close to you, if you are a candidate they will tell you how much it costs work out a plan for the payment. ...Read more
Typically surgery is: Recommended for patients with morbid obesity (BMI>40), patients who are obese (BMI > 35) with other medical conditions like diabetes or heart disease, and now many people are also recommending surgery for those with BMI > 30 (overweight) with other high risk med problems. There are many options for weight loss surgery (bypass, sleeve, band); see a good bariatric surgeon to discuss. Good luck! ...Read more
Absolutely: Bariatric surgery represents the single most effective therapy of losing weight and potentially resolving medical conditions such as diabetes, high blood pressure, sleep apnea, high cholesterol etc… surgery should not be taken lightly. It is work, but worth the effort. Find a reputable surgeon with a good dietitian and after-care program willing to follow you and help you be successful for life. ...Read more
Yes you can: The standard bypass does not remove any parts, so re-connecting the stomach pouch to the remnant stomach and removing the roux small bowel limb are possible. Reversal is rarely done since most problems causing patients to consider reversal can be treated with other means. The procedure has higher risk than the first operation since the surgeon is working with altered anatomy. ...Read more
Potential risks: Gastric bypass is a major surgery - never to be approached casually. As with any major surgery, there exist complications - even the possibility of dying! On the other hand, when a person has multiple "co-morbidities" of obesity (diabetes, high blood pressure, sleep apnea, etc.), the benefits may outweigh the risks. Talk to your doctor, your family, and yourself as you make this important choice. ...Read more
Very safe.: Bariatric surgery has come a long way in the last 20 years. The major complication rate is in the range of 1-2 % but varies considerably between surgical groups. Find a skilled group who focuses on bariatrics and are fellowship trained in it. The bottom line is that the risk of death from living with morbid obesity is higher than the risk from surgery, by far. ...Read more
Surgical risks: Every surgery carries risks and gastric bypass is no exception. There can be issues related to underlying medical conditions in surgery, anesthesia, postoperative infection or leak. Patients are also left with loose skin that often requires plastic surgery (not often covered by insurance) to remove the excess skin. Discuss all this with a bariatric surgeon. ...Read more
Bread is hard: To eat after any weight loss surgery unless it is toasted and crunchy. The doughy breads get stuck and do not go away quickly. Toasted breads with "melt" with saliva and, if it gets stuck, will eventually go away. Avoid raw bread, toast it. Really should limit bread intake though. Focus on hard, solid protein like fish and chicken. ...Read more
No one must.: It may be advised for difficult obesity situations, and of course, beneficial for some patients; but they should have appropriate treatment with conservative methods, ie eating management and exercise; also drug management; before they proceed with surgical intervention. I have had a few patients lose and maintain a weight a weight loss of of over 100 lbs without surgical intervention. ...Read more
Center of Excellence: Hi, please research the facility you wish to consult for bariatric surgery.One of the cedentials is "the center of excellence" although that is not absolute credential ask friends who have had the procedure donethe more the procedures reflects a level of experience. True that doing many procedures might produce more complications-but it can also mean that they are capable of handling complications. ...Read more
Not bad. 2 weeks: Most of our patients are up walking and sipping liquids right after surgery. With tiny catheters that drip numbing medicine into the skin, most patients use only oral pain meds on the first day after surgery. Most go home the day after surgery. Most go to work in two weeks. ...Read more
Bypass: Completely different procedures band is simpler and less effective. Restriction only bypass is more involved however has much better results in between you find the sleeve an option worth looking into. Kind of the best of both for committed patients. ...Read more
Depends: If you mean immediately, it will more than likely uncomfortable. If you mean in the long run, then you may have issues with stamina, and there could be some minor discomfort. You should discuss this with your bariatric surgeon. Your nutrition will be in question for certain amounts of exercise. Perhaps you need to consult additionally, a nutritionist, sports trainer or sports doctor. Be caref. ...Read more
Bypass problems: Hard to answer without knowing your problems. Constipation would be from not drinking enough. Abdominal cramps, smelly stools/gas may be from bacterial overgrowth. Upper abdominal pain may be from an ulcer in your pouch. Left upper abd pain may be from an internal hernia. You should see your surgeon. ...Read more
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