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Doctor insights on: Gastric Bypass Digestive Problem Enemas

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How come digestive enzymes are reduced after gastric bypass surgery?

How come digestive enzymes are reduced after gastric bypass surgery?

Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more

Dr. Gregg Nishi
472 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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Can a gastric bypass patient take correctol laxitive?

Can a gastric bypass patient take correctol laxitive?

Short term : Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...Read more

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How do gastric band, gastric bypass and a gastric balloon differ?

How do gastric band, gastric bypass and a gastric balloon differ?

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

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Will a gastric bypass help ibs?

Will a gastric bypass help ibs?

No ...: Gastric Bypass is a surgical treatment indicated for severe obesity causing secondary health complications. Irritable bowel Syndrome (IBS) is characterised by abdominal pain / bloating with bouts of constipation or diarrhoea. It is probably caused by the interaction of certain foodstuffs on somewhat sensitive and overactive intestines. Bypass Surgery is not indicated for IBS and will not help. ...Read more

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Gastric bypass, lapband, stomach stapling, what's the difference?

Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www.Realize.Com to read about the various operations. ...Read more

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Vomiting heartburn digestion problems maybe appendix hernia ulcer?

Vomiting heartburn digestion problems maybe appendix hernia ulcer?

Possibilities: With the symptoms you've described, appendicitis is unlikely. More likely are a hiatal hernia or an ulcer. Avoid alcohol, spicy foods, and stay upgright (don't lay flat) 2 hours after eating. You can also try some over the counter antacids. If your symptoms persist you should see your doctor as an upper endoscopy might be informative. ...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 are gastric band operation and gastric bypass different?

How are gastric band operation and gastric bypass different?

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

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Salads after gastric bypass?

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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How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read more

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Can Gallbladder hypokinesis cause Delayed Gastric Emptying? Will having Gallbladder removed possibly fix the delayed Gastric emptying? Thank you

Can Gallbladder hypokinesis cause Delayed Gastric Emptying?  Will having Gallbladder removed possibly fix the delayed Gastric emptying? Thank you

No: Gall bladder dyskinesis and delayed gastric emptying are separate entities. Having the gall bladder removed may improve your symptoms but will not not fix delayed gastric emptying. ...Read more

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Can gastric reflux cause delayed gastric emptying? Also can a dairy intolerance cause gastric reflux?

Reflux: Gastroparesis, or delayed gastric emptying, causes reflux - not the other way around dairy intolerance can cause increased gas and more gas means more burping and more burping means more reflux. ...Read more

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4yr old. asd, gastric reflux, low iga,allergic related mediated gastrointestinal dysmotility. Black bloos streaks stool. Pain esophagus stomach. What?

4yr old. asd, gastric reflux,  low iga,allergic related mediated gastrointestinal dysmotility.
Black bloos streaks stool. Pain esophagus stomach. What?

Abdominal pain : You gave obviously been to a whole conference of physicians. You already have a huge list of legitimate GI diagnoses. If the stool is still bloody/black you need to do more. Sorry. Add these to your find out list- mechel's diverticula, h pylori, c diff, milk allergy, and endoscopy. Perhaps you need a second opinion from another doctor and hospital. Your persistence will be best solution ! ...Read more

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Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

There : There are many nutritional changes after bypass surgery and they can vary depending on type of bypass or band. If you are thinking of undergoing bypass surgery be sure that wherever you are thinking of having the procedure preformed there is a nutritionist as they will be an important part of your medical team. Usually, immediately following surgery, there will be strict guidelines for how much and what types of food to eat. These will loosen over time. It is important to remember that you can still gain weight and have your bypass fail if you continue with poor eating habits. While you will feel full after little food you can stretch the pouch. Avoid foods with high fat and sugar content. Remember at first to eat very slowly, stop when full, chew food well, and concentrate on protein and hydration. Over time, months, you will most likely be able to eat all the foods you used to, but much less. Most often people will eat three, small, well chewed meals per day. Because of changes in gastric acidity and the new structuring of the intestine after roux-en-y gastric bypass the absorption of several micronutrients may be affected; b12, calcium, vitamin d, folate, iron, and thiamine to name a few. Your physician will usually do blood tests at 3 months, 6 months, and then yearly to follow lipid levels, iron levels, B12 and folate levels, calcium, vitamin d and parathyroid hormone levels, and your blood count. Most recommend taking a multivitamin with minerals and iron daily, and a B12 supplement (may be oral or injected). If your iron level is low you may be instructed to take a supplement --only do this if your level is low. You may also need additional calcium or vitamin d depending on your lab work. Patients undergoing lap banding may only need a multivitamin. Above all remember to work closely with your doctor and nutritionist. Weight loss surgery takes a lifelong commitment to be successful. ...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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Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

Mild gastritis diagnosed via endoscopy. Could gas, belching bloating, heartburn, & dyspepsia be related to IBS. Is a colonoscopy required? 48 y/o fem.

S.C.D.: Discuss with your gastroenterologist. Try dairy free x1 month,if no relief follow Specific carbohydrate diet.Google for Elaine Gotschall's book or recommendations. ...Read more

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Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more

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Dose gastric motility deteriorate when using jejunul tube feeding

Dose gastric motility deteriorate when using jejunul tube feeding

Slows down: You are essentially bypassing the stomach ( gastric area) and feeding right into the intestines. Thus the motility of the stomach would be less in instances in which you are feeding directly into the intestines. ...Read more

Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


Gastric (Definition)

This refers to something that is ...Read more