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Doctor insights on: Gastric Bypass Chat Rooms

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I wanna get gastric bypass surgery but I'm to afraid to go to my doctors office and talk to him about it. I'm 18 years old 5'5 and weigh 240 BMI 40?

I wanna get gastric bypass surgery but I'm to afraid to go to my doctors office and talk to him about it. I'm 18 years old 5'5 and weigh 240 BMI 40?

Talk to PCP: Talk to your PCP about your concerns. Do not request anything specific, don't say " I want gastric bypass" but discuss your concerns. You probably qualify for a procedure. Typically either BMI equal or greater than 40 alone, or BMI > 35 plus other medical risk factors like BM, hypertension, elevated cholesterol qualify pt for a procedure. Plus you are 18 y/o and are an adult. ...Read more

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Dr. Gregg Nishi
465 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


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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?

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

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Why is the mini gastric bypass?

Why is the mini gastric bypass?

Mini gastric bypass: The mini gastric bypass is not endorsed by any asmbs or any of the top academic bariatric surgery programs in the country. It is safe, but it is basically a billroth 2 operation which can cause bile reflux. The fix for that problem is a roux-en-y gastric bypass meaning that for 50 years we have known that a roux-en-y is better than a billroth 2. The b2 is just easier for the surgeon to do. ...Read more

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How expensive is gastric bypass?

How expensive is gastric bypass?

1 st do you need one: then you have to be in program , will motivate you loose weight , assess your general status before accepting into program . Go and see one close to you , if you are a candidate they will tell you how much it costs work out a plan for the payment . ...Read more

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Could I reverse my gastric bypass?

Could I reverse my gastric bypass?

Yes you can: The standard bypass does not remove any parts, so re-connecting the stomach pouch to the remnant stomach and removing the roux small bowel limb are possible. Reversal is rarely done since most problems causing patients to consider reversal can be treated with other means. The procedure has higher risk than the first operation since the surgeon is working with altered anatomy. ...Read more

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How safe is it to have a gastric bypass?

How safe is it to have a gastric bypass?

Very safe. : Bariatric surgery has come a long way in the last 20 years. The major complication rate is in the range of 1-2 % but varies considerably between surgical groups. Find a skilled group who focuses on bariatrics and are fellowship trained in it. The bottom line is that the risk of death from living with morbid obesity is higher than the risk from surgery, by far. ...Read more

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What determines if gastric bypass was successful?

What determines if gastric bypass was successful?

Ask Bariatric surgeo: I guess the success is the lost of weight and the improvement in the numbers of the glucose (a1c) and improvement in blood pressure and the lack of complications vomiting , dehydration , formation of ulcers etc. ...Read more

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What are the chances of a successful gastric bypass?

What are the chances of a successful gastric bypass?

Very good: Bariatric surgery has a success rate of about 80-90% for significant weight loss and maintaining that weight loss. Diet and exercise has a success rate of more like 5-10%. Average weight loss with the gastric bypass is about 70-80% of your excess body weight. ...Read more

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What are your expert opinions on the effectiveness of gastric bypass?

What are your expert opinions on the effectiveness of gastric bypass?

Caution : The procedures are effective at helping you lose weight, but I have many patients in my practice who have had the procedures in the past and now have terrible nutritional deficiencies. They require pretty frequent iron infusions, which now must be done in the hospital at least where I am. I would never recommend the procedures. ...Read more

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Is having a gastric bypass safe and what are the disadvantages if any....?

Some risk: Modern gastric bypass surgery is much safer than it used to be, with a risk of death around 1% and other complications around 40%. The risk seems to be worth it though because the risk of death after successful surgery goes down 89% over five years. So if 100 people have gastric bypass, about one will die from the surgery, but 89 will survive longer than they would have without the surgery! ...Read more

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Salads after gastric bypass?

Yes. : Salads are fine once you are past the early post op time period designated by your surgeon's team. Just be careful of dressings, as many of them are rather high in dietary sugars. Higher amounts of dietary sugars can cause dumping syndrome. ...Read more

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What are the risks of gastric bypass?

What are the risks of gastric bypass?

Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about .5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000. ...Read more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

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

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Does gastric bypass surgery work?

Does gastric bypass surgery work?

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

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How risky is gastric bypass surgery?

How risky is gastric bypass surgery?

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

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Are nsaids ever safe after gastric bypass?

Are nsaids ever safe after gastric bypass?

NSAIDS after: Weight loss surgery is discouraged. Acetaminophen is ok, the rest carry the risk of causing ulcers in the stomach. Topic compounded medications may be a solution to acute, localized pain. ...Read more

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Does gastric bypass best choice for obesity?

Does gastric bypass best choice for obesity?

Yes and no: most reliable at losing 10% and changing diabetes, metabolic disorders. AND...has high risk of complications from malabsorption, even pancreatitis, and the usual surgical complications of bleeding, infection, pain, scarring. consider a psychological approach. with finding triggers of overeating and dealing with them https://www.kickstarter.com/projects/1775472781/1708440999?token=378a5145 ...Read more

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How extensive is the gastric bypass surgery?

How extensive is the gastric bypass surgery?

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

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To what extent does gastric bypass surgery cost?

Cost of bypass: That depends. Generally speaking, health insurance covers the cost of surgery. However, you may have a co-pay of 10, 20, even 50%. If you didn't have any insurance at all, it could cost you $30, 000 to have a gastric bypass done depending on where and by who. ...Read more

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Gastric (Definition)

This refers to something that is ...Read more