Top
20
Doctor insights on: Gastric Bypass 5 Years Post Op

Share
1

1
12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

12 years post op rny, iron 20 & vitamin d at 10. Seeing a new dr that hasn't worked with deficient gastric bypass, is 325ferrous 3x and 2000d 1x okay?

Nutrition!: A gastric bypass is a very complex nutrition situation. If your physician has not dealt with it much i would suggest asking for a referral to a nutritionist or a bariatric center. That being said, the dosage of iron is fda approved treatment for iron deficiency, and the vitamin d is a reasonable amount. You have many nutrient levels that should be monitored and carefully watched! ...Read more

Dr. Gregg Nishi
468 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


2

2
How much should I be eating 3 months post-op from gastric bypass?

How much should I be eating 3 months post-op from gastric bypass?

Whaever is comforrta: The purpose of a gastric bypass is to lose weight safely. The easy way to do that is to drink lots of fluid and eat several small meals a day. It is possible to out-eat your bypass and regain lost weight. Don't get caught in that trap. ...Read more

See 1 more doctor answer
3

3
Doc said gastric bypass 4 severe gastroperesis? What r major changes post op? Food/exercise restrictions? Active 27yo, not diabetic, 52.7kg 67" thx :)

Gastroparesis : Gastroparesis is not well understood. Diagnosis is clinical & nuclear gastric emptying scan. Treatment is medication & dietary, alternative medicine therapies, or surgery - gastric stimulator, "valve" opening, or near complete removal of the stomach, similar to a gastric bypass, but with the stomach excised. This is a last resort. Hope this helps! ...Read more

4

4
I am a 28yo woman, 2yr.Post op gastric bypass. I am often nauseas & go days vomiting keeping.Only liquids down.What could be the cause? Dr says im fine

I am a 28yo woman, 2yr.Post op gastric bypass. I am often nauseas & go days vomiting keeping.Only liquids down.What could be the cause? Dr says im fine

Possible stricture: If the nausea and vomiting have been occuring since surgery it may be your gastric pouch was made to small. If the symptoms are more recent, there is the possibility of an anastomotic stricture or marginal ulceration. Evaluation of the bypass anatomy with an upper endoscopy or an UGI study would be appropriate. ...Read more

See 2 more doctor answers
5

5
What's the vitamin(s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins i already take seems too much. Surgery was over five years ago. All blood work ok.

What's the vitamin(s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins i already take seems too much. Surgery was over five years ago. All blood work ok.

Go back: To your bariatric surgeon to discuss and get a dietician and your OB physician talking. We don't have good data on this yet and it takes a team effort. Malnutrition is our main concern. ...Read more

See 2 more doctor answers
6

6
I had gastric bypass 5 years ago. I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?

I had gastric bypass 5 years ago.  I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?

Eating behavior KEY: Tips for eating success: don't drink fluids with meals (washes food down); avoid high fat snacks (chips, crackers, peanut butter); avoid sugar, eat more solid food that "packs your pouch", avoid too many slider foods that go right through. Can also see your surgeon for endoscopy or solid meal UGI to check size of pouch and pouch outflow size. ...Read more

See 1 more doctor answer
7

7
I had gastric bypass 5 years ago, now I have fibromyalgia with associated neurological deficits does anyone have experience with managing this post gb?

I had gastric bypass 5 years ago, now I have fibromyalgia with associated neurological deficits does anyone have experience with managing this post gb?

Get blood tests done: Before i diagnosed you with fibromyalgia, i would check a complete set of blood tests. People with gastric bypass tend to get vitamin deficiencies, especially low b12. Low B12 could be the cause of your neurological problems. See your doctor for a good physical exam. ...Read more

See 1 more doctor answer
8

8
Could you tell me what happens ten years after a gastric bypass?

Could you tell me what happens ten years after a gastric bypass?

10yrs after bypass: Hopefully nothing. We hope that your bypass anatomy stays the same and that you maintain your weight loss. People can regain weight if they overeat, eat junk food, or don't exercise. You have to constantly work at it. Sometimes the weight gain is due to stretching of the pouch or anastomosis or both. In general though, people do fine 10 years out from surgery. ...Read more

See 1 more doctor answer
9

9
I had a gastric bypass 2 years ago. Is it safe to perform a 10 day cleanse?

I had a gastric bypass 2 years ago.  Is it safe to perform a 10 day cleanse?

Clean is good: If you mean a 10 day meal replacement with a balanced low sugar shake like medifast or glucose-controlled boost (plus all vitamins) it should be ok. However, the best diet to work with a bypass is a solid meal (protein and veggies) with no sipping, fewer slider foods, no sweets and no bad snacks. Might be good to check with your surgeon and program. ...Read more

See 1 more doctor answer
10

10
I've seen my bypass surgin on this issue for years. I was 330lbs had gastric bypass 2010 i weigh now 122lbs no one can tell me what my pain is . Help!

Where is the pain?: You did not describe where your pain is. Either way, consider consulting a GI doctor if pain related to your intestine and bowels (e.g. Eating, defecation). If pain is on the surface, a trapped nerve is possible and should see a pain management doctor for further evaluation and treatment. ...Read more

See 1 more doctor answer
11

11
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 more

See 2 more doctor answers
12

12
I had gastric bypass 3 years ago, after which i was diagnosed with a stricture. It seemed to resolve on its own but problems seem to return, possible?

I had gastric bypass 3 years ago, after which i was diagnosed with a stricture. It seemed to resolve on its own but problems seem to return, possible?

Yes, can recur.: Yes, stricture is a term that describes narrowing within the g-i tract. Could be caused by excessive scar formation at the site of a surgically created connection. There are two of these connections in a patient with a gastric bypass. The symptoms could be intermittent, but at some point the narrowing could lead to partial or complete blockage. Endoscopy or radiology could help to evaluate. ...Read more

See 1 more doctor answer
13

13
Why has the rate of gastric bypass surgery increased so drastically in recent years?

Why has the rate of gastric bypass surgery increased so drastically in recent years?

Quick fix: People are generally looking for the fastest way to do something, requiring the least amount of effort and time. Like any other weight loss surgery, over time, you can find a way to beat it. Losing weight the old fashioned way, diet, exercise, and life style modification is the long term way to success. ...Read more

14

14
I am 25 years. I weigh 224 an I am thinking about doing a gastric bypass to lose weight. Do u think that's a good choice for me?

Gastric bypass: That depends on your height. If you are 5'3" and have no medical problems, you would qualify. If you are 5'7" and have medical problems like diabetes, high blood pressure, sleep apnea, asthma, gerd, etc., you would also still qualify. It is all dependent on your body mass index (bmi). You need a bmi greater than 40 if healthy, or greater than 35 if you have medical problems. ...Read more

See 1 more doctor answer
15

15
I had gastric bypass 3 years ago, but am still trying to get the last 20 pounds off, how many calories a day should I consume to lose?

More out than in..: Weight loss is a matter of burning more than you take in. A good place to start is around 1000 calories a day, make sure you keep up with your protein intake and your post bypass vitamins. Then you need to exercise to burn more than you take in.. ...Read more

16

16
I've had gastric bypass almost 3 years ago so I either chew my mess or crush them but I have noticed my tongue is getting raw,how can I help this?

I've had gastric bypass almost 3 years ago so I either chew my mess or crush them but I have noticed my tongue is getting raw,how can I help this?

Unrelated : This seems to be unrelated to the bypass, and may be secondary to something you're consuming. Try keeping a log of what you take in, and correlate that to the symptom gettin better or worse. If you're getting worse, or this persists, see your primary care provider for a proper evaluation. Hope this helps! ...Read more

17

17
Most of my health issues started in last several years. My surgeon insists it has nothing to do with my gastric bypass 8 years ago. Any thoughts?

Most of my health issues started in last several years.  My surgeon insists it has nothing to do with my gastric bypass 8 years ago.  Any thoughts?

Need information: In the vast majority of bariatric situations, the health benefit is big and easy to access. If you did not have health benefit, and your health issues are linked in time to your bariatric surgery, then check in with your regular doc. Depending on your issues, proper evaluation with testing and imaging you will get to a diagnosis/answer. Good luck. ...Read more

See 1 more doctor answer
18

18
I had gastric bypass surgery about 5 years ago, how many calories should I eat a day?

I had gastric bypass surgery about 5 years ago, how many calories should I eat a day?

8-9 calories per lb: We have been doing indirect calorimetey on postop bariatric patients. We are finding a total metabolism of about 8-9 calories per pound. So, if you are now 200 lb, them you would ear about 1700 cal per day to maintain your weight. If you wanted to lose wt, then you can eat 1200-1400 cal per day. Eating 400 fewer cal per day would allow you to lose 1 pound in 9 days (3500 cal for 1 lb). ...Read more

See 1 more doctor answer
19

19
Im having stomach pain 10 years after gastric bypass?

See yourMD: You need a work up..I have gastric bypass patients in our practice ..Of those with pain we have sent to GI for work up...Most of the time they find a cause..Do not delay ! ...Read more

20

20
Hi i've had gastric bypass surgery 3 years ago and i stopped losing weight 1 year after the surgery... I'm still not happy with my weight what to do?

Hi i've had gastric bypass surgery 3 years ago  and i stopped losing weight 1 year after the surgery... I'm still not happy with my weight what to do?

Bypass surgery: To have successful variant roc surgery one must include significant life changes to include exercise, limiting calories--especially sugars and other carbohydrates. One must have a psychic change where food plays less of an emotional role. And, you must eat slowly and may i repeat, limit your calories! ...Read more

See 2 more doctor answers

Gastric (Definition)

This refers to something that is ...Read more