Doctor insights on:
Gastric Bypass Ama Rating
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 moreSee 2 more doctor answers
No: It is very definite, no.Get a more detailed answer ›
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 2 more doctor answers
Yes: Bariatric surgery will often resolve many medical issues along with successful weight loss. Some of the most significant health conditions that can be improved or resolved with bariatric surgery include, type 2 diabetes ( previously described as adult onset or non Insulin dependent ) , sleep apnea , high blood presssure , gastroesophageal reflux disease, and osteoarthritis. ...Read moreSee 3 more doctor answers
BMI: To my knowledge there is a range of requirements for gastric bypass. Many bypass surgeons will put you on a diet for a month or more before making a decision about bypass surgery. Once you have listened to and been evaluated by a bypass surgeon you will spend some time thinking about future steps. ...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
Chronic obese pain patient. Medicare and Medicaid. Trying to have gastric sleeve bypass need primary for physician supervised diet. ADrive? Thanks
Gastric sleeve: Hi. We don't have all the information on you (BMI, obesity comorbidities), but you may very well meet criteria for sleeve gastrectomy surgery. It can help a lot with weight loss, and doesn't alter the anatomy of the small intestine, so there is generally not a problem with nutrient malabsorption. And depending on the nature of your chronic pain, it may help with that. What does "ADrive" mean? ...Read more
Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?
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
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
If denied insurance coverage for gastric sleeve procedure because no co morbidities, what are the options? Qnexa?
Cost of bypass: That varies tremendously. If you have great insurance, it could cost you nothing. If you paid cash for a bypass at a hospital, it can cost you upwards of $30, 000. The average cash price for a band is close to $20, 000 but there are chop shops that will do it for as little as $13, 000 (and even less in mexico). I would not bargain shop. I have seen a lot of complications from these bargain places. ...Read moreSee 1 more doctor answer
Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?
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