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Doctor insights on: Endoscopic Gastric Bypass

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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! ...Read more

Dr. Gregg Nishi
449 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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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. ...Read more

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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 . ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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What are the chances of a successful gastric bypass?

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. ...Read more

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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. ...Read more

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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! ...Read more

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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. ...Read more

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Gastric (Definition)

This refers to something that is ...Read more