Doctor insights on:
Foods To Avoid After Gastric Bypass Surgery
What are some tried and true ways to get adjusted to eating solid foods after having gastric bypass surgery?
Go slow: Gradually transition your diet. Start with soft food such as baked fish, eggs and canned vegetables. Transition to ground meats and eventually solid meat that you cut. Use small bites the size of peas. Pace yourself. Start at one ounce eaten over 10 min. A 3 ounce solid meal can take 30 min. You should be able to transition to a solid diet by 6 weeks, if not, you may need to have your pouch evaluated. ...Read more
2-4 pounds per week: Weight loss after gastric bypass surgery varies depending on your starting weight, where you carry your weight (abdomen versus lower body), how well you stick to your dietary regimen, whether you drink liquid calories (except for protein shakes!), and your other illnesses that may limit your exercise. Higher weight loss is seen in those that exercise, follow their diet, and see their surgeon! ...Read more
Probably: Do not see any reason why not, but please check with your surgeon, who knows you well. ...Read more
Stop weight loss: Usually, weight loss tapers off and stops around a year to a year and a half after bypass surgery. If you are under a year out from surgery, I wouldn't worry about it. If you are several years out, make sure you eat enough food everyday. Some surgeons bypass too much of your intestinal tract and that can cause excessive weight loss. That can be fixed surgically. ...Read more
Yes, even safer: Pregnancy is perfectly safe after gastric bypass. In fact, many obese women have trouble getting pregnant until gastric bypass. Fertility improves almost immediately. Usually best to wait 6 months to get pregnant after bypass since losing weight so fast. I helped write an article about the safety here: http://www. Ncbi. Nlm. Nih. Gov/m/pubmed/17161090/. ...Read more
Massive Weight Loss: From gastric bypass surgery will result in a remarkable change in your body. There will be excesses of skin everywhere as well as loss of breast volume. Much of this can be improved through plastic surgery but most plastic surgeons would like for you to recover at least a year from your surgery and to reach a plateau in your weight where you diet and exercise are maintaining you weight easily. ...Read more
I would like to know about hairloss after gastric bypass surgery and how often it happens. Is there a lot of lost and does it grow back.
Alcohol ; bypass: You can have alcohol after a bypass but in moderation. Keep in mind that sweet drinks can cause dumping syndrome. Also, your tolerance will be much less than before so be careful. Lastly, alcoholic drinks (like beer and wine) can contain a lot of calories and you can gain weight from drinking too much. ...Read more
OTC iron ok: Over the counter iron is ok. Slowfe is one of most common. If you are eating ice, then you are really deficient and must take 2-3 times per day. Some bypass patient get so low in iron that an infusion might be needed. Get your levels checked! ...Read more
Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more
Hmmmmm?: That should have been made perfectly clear at the time of discharge from your surgery. That is a decision of the surgeon and could vary. Call the surgeon's office and speak with them or with his office personnel and find out this answer. It coud be 1 or 2 days or 1 or 2 weeks depending on your case. Call very soon and find out. ...Read more
Read this for information:
http://en. Wikipedia. Org/wiki/Gastric_bypass_surgery
Hepatitis C: Yes if you don't have active liver disease like acute hepatitis or cirrhosis. ...Read more
Hepatitis c and gastric bypass surgery? Can you have gastric bypass surgery if you have hepatitis c?
Yes: But you have to commit to eating well and avoiding junk. Or you could make your liver worse. ...Read more
Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more
Bypass works: Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. ...Read more
Gastric bypass: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read more
Major surgery: Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. ...Read more
Depends on behavior: A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. This can include support, diet, exercise, as well as the surgery. Your doctor can guide you in finding a qualified bariatric program, but you must be willing to accept that such a procedure is not the end, and you will have to actively participate in your recovery. Good luck. ...Read more
Bypass preop: See a surgeon for consultation. If they think you are a good candidate and meet the bmi requirements, you then see a dietician and social worker for evaluation. You also get an egd done, labs, chest x-ray, ekg, ultrasound of your liver, etc. Once you have been cleared by everyone and insurance authorization has been obtained, you get scheduled for surgery. This process takes 4-6 weeks. ...Read more
Morbid obesity: Gastric bypass and other weight loss operations are indicated for patients with a body mass index (bmi) greater than 40, or greater than 35 with significant weight-related medical conditions including but not limited to diabetes, high blood pressure, high cholesterol, sleep apnea and many other diseases. ...Read more
Revision of bypass: Well, it's called a revision of a gastric bypass and it can involve making the pouch smaller, making the anastomosis smaller, or both. Occasionally, a lap band can even be placed around the gastric pouch too. The risks of a leak are much higher in a revision than during the initial gastric bypass and that is important to understand. Also, wt loss is less after revisions. ...Read more
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