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Doctor insights on: Charcoal Tablets For Gastric Bypass

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I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills, am i harming myself?

I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills,  am i harming myself?

No: Charcoal will not harm you. What gas comes out after gastric bypass is completely dependant on your diet. Try to reduce carbohydrates. See your bariatric program and see if they can help you. ...Read more

Dr. Gregg Nishi
474 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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After gastric bypass, does the body absorb tablets and pills differently?

After gastric bypass, does the body absorb tablets and pills differently?

Capsule & pills: Well, bypass patients should open capsules and crush pills so in theory, if that is done, the absorption should be about the same. ...Read more

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How safe is gastric bypass now?

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

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Who should get a gastric bypass?

Who should get a gastric bypass?

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

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Do you agree with gastric bypass ?

Do you agree with gastric bypass ?

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

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What is the down side to gastric bypass?

What is the down side to gastric bypass?

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

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How rough is recovery from gastric bypass/?

How rough is recovery from gastric bypass/?

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

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What is the recovery time for gastric bypass?

What is the recovery time for gastric bypass?

A few weeks: The answer depends on how it was done. Open bypass takes 3-4 weeks to recover, while laparoscopic bypass is often less than 2 weeks. You won't be 100%, but should be able to return to a desk job in this time. For manual labor, recovery will be longer. ...Read more

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How are gastric bypass and the band different?

How are gastric bypass and the band different?

Totally different: in Banding a rubber strap with balloon applied around stomach. It narrows the stomach opening and forces patents to eat less.

In bypass stomach is divided and rerouted, this helps lose weight with food intake restriction as well as some malabsorption. Bypass is considered more effective than band but it needs a personal consult with surgeon to decide what will be best for someone. ...Read more

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What should I expect to eat after gastric bypass?

Not much: Remember that a gastric bypass is effective because of two mechanisms: 1) restriction of untake and 2) malabsorption. With a smaller stomach, you will get fuller faster and be able to take in less. ...Read more

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How common is it for someone to need a gastric bypass?

Very common: Less then 30% of the american population actually has a normal bmi. Obesity is a major epidemic in this country and is rapidly expanding, especially in the adolescent and preadolescent age groups.Surgery is performed in 1% or less of those individuals who are consider candidates for these procedures. Surgery for obesity, especially over the last ten years has become increasingly more popular. ...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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Salads after gastric bypass?

Yes: yes, it may take few weeks after surgery before you can eat leafy greens. Watch the calories in the dressings! ...Read more

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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. ...Read more

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Gastric bypass any thing like the lapband?

Gastric bypass any thing like the lapband?

No: Band does not involve cutting the stomach or re-routing intestines. ...Read more

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What happens to skin after gastric bypass?

Not much: Unfortunately, as your waistline starts to shrink, your skin stays pretty much where it was. This results in significant laxity of your skin. Your skin tends not to retract back very much, leaving you with excess, hanging skin. ...Read more

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Can I still drink after i've had gastric bypass?

Can I still drink after i've had gastric bypass?

Very little: You may drink some non-carbonated alcohol. The absorption is rapid and effect is quick. There is some data that a small percentage might fall into alcohol abuse, since they get rapidly intoxicated, then quickly sober, then drink again, chasing the quick "high". Best to keep verylimited, like one half glass of wine. ...Read more

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Can you have gastric bypass after total colectomy?

Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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What do docs think of the gastric bypass procedure?

What do docs think of the gastric bypass procedure?

Bypass and band: Gastric bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, hypertension, etc, but has a slightly higher risk. It is an excellent operation and accounts for the majority of weight loss operations done in the us. It is safe if done by a surgeon who has done thousands of cases. ...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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Can you tell me can a 13 year old get a gastric bypass?

Doubt it: I have heard of some bariatric centers offering some weight control surgery to kids as young as 16, but not younger. These limits are subject to change over time as the treatment standards evolve. ...Read more

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Is it bad to have laparoscopic gastric bypass for scores?

Is it bad to have laparoscopic gastric bypass for scores?

Scars: No. You use have 5 or 6 small incisions (an inch or less in length). Some people form dark scars or even thick keloids. Other people have scars that literally disappear. African americans and asians tend to form keloids compared to caucasians. ...Read more

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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 significantly to postoperative patient care ...Read more

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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. ...Read more

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Can I get gastric bypass covered by insurance or medicaid?

Usually: Gastric bypass is usually covered by most insurances including medicare and medicaid. There are often requirements such as doctor supervised weight loss for a number of months, or the surgery to be performed at a bariatric center of excellence.
But yes it is covered usually. ...Read more

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For what reason wouldn't gastric bypass work on some people?

Gastric bypass fail: In order for a gastric bypass to work, the patient must do their part which is to eat healthy food, eat the right portions, and exercise. The operation helps with eating the right portions, but it doesn't dictate what you eat. You can eat junk food, not exercise, and defeat a gastric bypass. Also, overeating can stretch the pouch and make it easier to eat more food. ...Read more

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How long would recovery for laparoscopic gastric bypass take?

Recovery: Most of my patients are back to work in 2-3 weeks. No heavy lifting or strenuous activity for six weeks. ...Read more

Gastric (Definition)

This refers to something that is ...Read more