Doctor insights on:
Gastric Bypass And Gastritis
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
Don't go mini!: A "mini-gastric bypass" usually refers to a loop gastric bypass. This is a procedure you should NOT have. It will put you at risk for severe bile reflux gastritis. A gastric sleeve is removal of the outer portion of the stomach and is a procedure that is safe and well studied. ...Read more
Had a report of CBD at 13mm w/pain in up adom & low bk. gastric bypass 18 yrs ago& GB removed. Is this common and what does it mean?
Normal CBD: After the removal of the GB the CBD increases in size to accommodate for bile storage after the GB is removed. The size of 1.3mm is normal post-chole. There can be other causes of the pain such as adhesions, gastric ulcer, or gastritis. It would be best to see a PCP or a surgeon. ...Read more
Gnawing left upper/center quad pain that's more constant lately. Goes away when eating a meal. Had gastric bypass 2 yrs ago?
Gastric bypass pain: Epigastric and left sided pain can be a marginal ulcer, reflux esophagitis, a gastro-gastric fistula (which can cause the ulcer too), an ulcer in your gastric remnant, and an internal hernia. You should see your surgeon, get started on a proton pump inhibitor to see if it helps. Other tests to get would be an endoscopy to look at your pouch, and if that us neg, a ct scan to r/o internal hernia. ...Read moreSee 1 more doctor answer
I had gastric bypass 2 weeks ago Would marijuana smoke do the same harm as cigarettes would to my new stomach?
Not usually: tobacco smoke contains a number of substances that increase stomach acid and reduce the lower esophageal sphincter pressure, which increases reflux and esophagitis, while reducing the effectiveness of gastric mucous. Marijuana smoke does much less of this, but if you have had problems with peptic ulcer, gastritis or esophagitis, you are far better off not smoking ANYTHING. ...Read more
I've had a Roux-en-Y gastric bypass and I've been told to avoid ibuprofen products can I take Naprosyn ?
That's an Ibuprofen-: like compound, known as NSAIDS (nonsteroidal anti-inflammatory drug). It's also known as Aleve too OTC. This class produces gastritis or stomach lining irritation and worse without food. So this is why when you are getting gastric bypass surgery, and have little space hold food in, the NSAIDS can wreak havoc on your stomach's lining and cause you pain and distress. ...Read moreSee 1 more doctor answer
Gastric bypass 2008, peptic ulcer since 2009, quit smoking seven weeks ago, pain is much worse and more often than before. Protonix and carafate?
Need close follow-up: When symptoms like pain get worse, the questions include: is the disease spreading, is the medication no longer working, is there a new problem, etc.? An ulcer 3 years ago should have healed. Is there a problem with recurrent gastritis or repeat ulcers? Is there stomach cancer, or is there a gallstone problem? A G.I. Specialist can recheck to figure things out. Another endoscopy may be needed. ...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
No one must.: It may be advised for difficult obesity situations, and of course, beneficial for some patients; but they should have appropriate treatment with conservative methods, ie eating management and exercise; also drug management; before they proceed with surgical intervention. I have had a few patients lose and maintain a weight a weight loss of of over 100 lbs without surgical intervention. ...Read moreSee 2 more doctor answers
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