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Doctor insights on: Can I Have A Gastric Bypass If I Have Ibs

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Will a gastric bypass help ibs?

Will a gastric bypass help ibs?

No. ..: Gastric Bypass is a surgical treatment indicated for severe obesity causing secondary health complications. Irritable bowel Syndrome (IBS) is characterised by abdominal pain / bloating with bouts of constipation or diarrhoea. It is probably caused by the interaction of certain foodstuffs on somewhat sensitive and overactive intestines. Bypass Surgery is not indicated for IBS and will not help.

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Dr. Gregg Nishi
469 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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Will gastric bypass be done on someone who is 6'1' and 210 ibs?

Will gastric bypass be done on someone who is 6'1' and 210 ibs?

Gastric bypass: Well, it can be done, but with a bmi of 27.7 you would not qualify for any form of weight loss surgery. You would need to weigh at least 265lbs and have some medical problems (high blood pressure, diabetes, high cholesterol, etc) or weigh 305lbs if you have no medical problems. In other words, you need a bmi of 35or higher with medical problems, or a bmi of 40 or higher without medical problems.

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Once I have a gastric bypass surgery what happens to my extra skin?

Once I have a gastric bypass surgery what happens to my extra skin?

Stays unless removed: Individuals undergoing bypass who lose a substantial amount of weight will often have excess skin. The extent is highly variable. If the excess skin is creating a health issue such as rashes or skin breakdown or the pt desires cosmesis, it can be surgically removed, otherwise can leave alone. Surgically excising is the only way to eliminate. Exercise may help some but won't completely eliminate.

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I have systemic scleraderma. Can I have a gastric bypass?

I have systemic scleraderma. Can I have a gastric bypass?

Complicated: Without knowing anything else about you and your medical history and eating habits, etc I would be hesitant and feel that a different procedure may be a better option. But there are many factors that weigh into recommending the best bariatric procedure. You really need to talk to a bariatric surgeon about which surgery is the right one for you.

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How safe is it to have a gastric bypass?

How safe is it to have a gastric bypass?

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.

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I have blue cross blue shield insurence does it cover gastric bypass if I want to have it done?

I have blue cross blue shield insurence does it cover gastric bypass if I want to have it done?

Maybe: You will first have to choose your surgeon and have a consultation. If you meet the criteria, it maybe covered but you will have to follow through on the prescribed program. It can take a few months to know. Just calling the company may not work. The surgeon will be able to tell you.

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Can you still have a gastric bypass when you have systemic vasculitis (churg strauss syndrome)?

Can you still have a gastric bypass when you have systemic vasculitis (churg strauss syndrome)?

Probably: Vasculitis alone does not rule out the possibility of having gastric bypass surgery. However, severe symptoms may increase your risk of certain complications. High dose steriods for example may complicate wound healing.

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I have a high level of Vitamin B12 (2000). I wonder if taking METANX CAPSULE PANAM could be causing my problem? Also I did have a gastric bypass in

I have a high level of Vitamin B12 (2000). I wonder if taking METANX CAPSULE PANAM could be causing my problem? Also I did have a gastric bypass in

Probably: Metanx does, in fact, contain B12 vitamin supplement. It also contains the active form of folic acid, known as methyl folate. Gastric bypass patients usually do not absorb vitamins from their food as well and many physicians will use supplements to make sure patients get the nutrients they need to promote health and well being.

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Can you let me know how many times can you have a gastric bypass?

Tough question: It depends on the type of surgery you had (traditional roux-en-y, sleeve procedure, or banding). In general, you usually get one shot with the surgical procedures except the band. If your band was removed for some reason, it is likely it could be replaced. A gastric bypass specialist could review your specific circumstances.

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Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's, (5'4", 203), but isn't there a less invasive answer?

Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's, (5'4", 203), but isn't there a less invasive answer?

Options: Probably theist popular weight loss operation at the moment is a sleeve gastrectomy. Its not really less invasive, but has less potential for long term side effects. There are also some newer endoscopic therapies, but they are not so effective. Ask your doctor if a consultation with a Bariatric surgeon is appropriate. Hope this helps!

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Why is the mini gastric bypass?

Why is the mini gastric bypass?

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.

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How expensive is gastric bypass?

How expensive is gastric bypass?

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.

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Could I reverse my gastric bypass?

Could I reverse my gastric bypass?

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.

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What determines if gastric bypass was successful?

What determines if gastric bypass was successful?

Ask Bariatric surgeo: I guess the success is the lost of weight and the improvement in the numbers of the glucose (a1c) and improvement in blood pressure and the lack of complications vomiting, dehydration, formation of ulcers etc.

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What are the chances of a successful gastric bypass?

Very good: Bariatric surgery has a success rate of about 80-90% for significant weight loss and maintaining that weight loss. Diet and exercise has a success rate of more like 5-10%. Average weight loss with the gastric bypass is about 70-80% of your excess body weight.

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What are your expert opinions on the effectiveness of gastric bypass?

Caution: The procedures are effective at helping you lose weight, but I have many patients in my practice who have had the procedures in the past and now have terrible nutritional deficiencies. They require pretty frequent iron infusions, which now must be done in the hospital at least where I am. I would never recommend the procedures.

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Is having a gastric bypass safe and what are the disadvantages if any....?

Some risk: Modern gastric bypass surgery is much safer than it used to be, with a risk of death around 1% and other complications around 40%. The risk seems to be worth it though because the risk of death after successful surgery goes down 89% over five years. So if 100 people have gastric bypass, about one will die from the surgery, but 89 will survive longer than they would have without the surgery!

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Salads after gastric bypass?

Yes.: Salads are fine once you are past the early post op time period designated by your surgeon's team. Just be careful of dressings, as many of them are rather high in dietary sugars. Higher amounts of dietary sugars can cause dumping syndrome.

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What are the risks of gastric bypass?

What are the risks of gastric bypass?

Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about. 5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000.

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Dr. Charles Cattano
1,349 Doctors shared insights

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