Doctor insights on:
Esophageal Adenocarcinoma Gastric Bypass
I had a nissen for GERD 2 yrs ago. It has failed and esophagus shortened and ulceration. Dr advises gastric bypass. I'm very concerned. Bmi is 23.
I had nissen. It has unwrapped and esophagus shrunk. My BMI is 29. My md recommends gastric bypass. I'm not convinced. Take plavix (clopidogrel) so no meds .
Complicated Question: A bmi of 29 without comorbid conditions is not an indication for gastric bypass. That being said your bmi may have some contribution to why your nissen failed. First of all i would recommend seeing a surgeon in specializes in nissen or bariatric procedures. You may just need to lose a little weight and then have repeat wrap with an esophogeal lengthening procedure. ...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
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 moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
About two weeks: After gastric bypass, many go home the following day, feeling fairly well and caring for themselves. Most can drive a car after one week and run short errands. Most return to work at two-three weeks. People who are self employed often return to work at one week. ...Read moreSee 1 more doctor answer
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