Doctor insights on:
Charcoal Tablets For Gastric Bypass
I had gastric bypass 2 years ago. I'm having horrible gas problems. I started taking active charcoal pills, am i harming myself?
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
Can gastric bypass surgery be reversible after meeting the appropriate weight to prevent malnutrition?or it's enough to have one pill include all vit?
I know gastric bypass surgery is a great weight loss tool, but can patients take diet pill to help speed things up?
Should not: One thing at a time and follow instructions! ...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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Recovery: Most of my patients are back to work in 2-3 weeks. No heavy lifting or strenuous activity for six weeks. ...Read more
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