Doctor insights on:
Gastric Banding Through The Mouth
Degrees: Band: appliance surg inserted to cinch stomach; adv.-easier surgery, reversible; disadv-less wt loss, less sustained, higher failure rate, compl, slippage, etc. Stapling-surg restrictive procedure; adv: more sustained, succ. Than above; disadv-still easy to cheat/wt gain (e.g. Melt ice cream, then drink it). Bypass: combo restrict and malabsorp; adv: more effective; dis: bigger op, more nutr risk. ...Read moreSee 2 more doctor answers
Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more
Gastric bypass: Well, yes and no. I have never seen anyone complain of problems of their mouth after gastric bypass (over 5000 patients). However, I have had many patients say that food tasted differently after having surgery, and that some foods they used to love eating tasted terrible to them after having surgery. So, your taste buds may be affected after surgery. ...Read more
More than it should.: After a while, the pouch will grow and as such the normal satiety signals will require more food to trigger. As you can imagine, this can lead to some weight gain in the long term. Habits must be maintained consciously as far as portion sizes and exercise intensity to keep the weight down. ...Read more
Atropine drip: Can be given IV or occasional through the trachea if IV access is not available. HR and BP are monitored during the procedure. It is used to dry up secretions with general anesthesia, in the treatment of rapid heat rates, with organophosphate and mushroom poisoning. As far as I know it is not administered through the esophagus. ...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 moreSee 1 more doctor answer
Why do esophageal cancer patients have a feeding tube inserted into the duodenum instead of the stomach?
To avoid stomach: When your esophagus is removed due to cancer (esophagectomy) in order to eat again, your stomach may be used to replace your esophagus (stomach conduit). Therefore you want to avoid any surgery that may compromise the use of the stomach as a conduit. Therefore a feeding tube would be placed in the small bowel or jejunum. This is called a "j" tube. ...Read moreSee 1 more doctor answer
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
Can a dr see larynx/ throat issues with the cam before heading down the esophagus and into the stomach during gastroscope ?
Yes: During an esophagoscopy the gastroenterologist or surgeon will see the larynx and hypopharynx prior to entering the esophagus. Generally if they notice any lesions or concern they will refer to otolaryngology for evaluation which will usually include an office flexible fiberoptic laryngoscopy/pharyngoscopy. ...Read more
Timing: Timing of swallowing liquids with regards of performance of gastric tube anastomosis is important. Enough time is allowed for anastomotic healing before trying to swallow any food or liquid. Depending on how good the gastric tube drainage is you may be able to swallow easy. The wound healing process is similar for all wounds. By 21 days wounds develop 1/3 of base tensile strenght. ...Read more
Had gastric sleeve & told not to drink diet soda because stomach fills with air stretching the stomach. How can stomach fill with air since open @top?
Not open at the top!: there is the cardio-esophageal sphincter which closes off the esophagus ...Read more
Please help! what is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?
Bypass and band: Lap band is the safest and is reversible which attracts a lot of patients, but failure rates are high, it is easy to cheat, weight loss is slower. Bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, but has a higher risk. Stomach stapling can mean many different things. You probably mean sleeve gastrectomy, also good, the newest. ...Read more
Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more
Consumed cough drop during exercise.postexercise swallowing food burns roof of mouth and esophagus as food travels through the areas. what is this?
Have LPR maybe?: Avoid foods & behavior that delay stomach emptying &/or relax the lower esophageal sphincter--spicy, greasy food, mints, alcohol, tobacco, chocolate, tomato-based products, caffeinated & fizzy drinks, eating before bedtime, exercises. Lose weight. Elevate head of bed on blocks. Can try otc acid blocker for relief (h2's: tagamet, zantac, (ranitidine) pepcid; ppi's: prilosec, prevacid,nexium). Eval if persistent ...Read more
Not usually: Hearburn can be due a little acid, and a lot of stomach content, or sometimes due to no acid at all. It is due to sensitivity to backflow of stomach content into an area not designed to deal with it. ...Read more
Gastric acid: If you have gastric acid hypersecretion (too much gastric acid), you may develop gastric ulcers, and if this acid goes up to the esophagus for a long time, you can develop barrett's esophagus. ...Read more
The band is placed around the stomach to decrease appetite. It does not work when you eat- it works two hours later. The band adds pressure to the stomach and that allows your body to be fooled into thinking your last meal was more than it was. It does not make you feel full, it does not make you feel satisfied when you eat, it works two hours later. - it is a ...Read more
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