Doctor insights on:
Endoscopic Gastric Bypass
Big pouch, outflow: The pouch does not usually stretch out. Above picture is the outflow from the pouch. When it is this big, some narrowing will help. Sclerotherapy is a simple 15 min endoscopic option that we have found to be helpful to reduce outflow size and help people stay full longer. Check out the youtube video: http://m.Youtube.Com/?Reload=3&rdm=m1n4ps37u#/watch?V=gofxmkpx-qo. ...Read moreSee 1 more doctor 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
I had small sliding hiatal hernia 4/12. 3/27/13 i was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia.Can the accident cause this?
It is possible: It is possible, but difficult to know 100%. It would be helpful to know how large the hernia was at the time if you gastric bypass, something your surgeon would know. You should see your surgeon anyway to help guide you on what to do about the paraesophageal hernia. Hope this helps! ...Read moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
I used to eat roux and had gastric bypass 8 years ago. I lost 120 lbs in a year. In the succeeding years, I have gained back 45 lbs. What should I do?
Regain weight bypass: There are many reasons why you may have regained weight. It can be your habits like eating too much, poor food choices, not enough exercise, etc., or it can be an anatomical problem with a stretched pouch, a dilated anastomosis, a gastro-gastric fistula, or some combination of all of these. You need to see a bariatric surgeon that specializes in revisions and get an UGI and egd. ...Read moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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