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Doctor insights on: Gastric Bypass Patients And Alcoholism

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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

Dr. Gregg Nishi
473 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 gastric dumping syndrome occur in a person with no prior gastric bypass surgery?

Can gastric dumping syndrome occur in a person with no prior gastric bypass surgery?

Dumping: No, not really. There are a very small percentage of people that will get post prandial hypoglycemia, but that only gives you some of the symptoms of dumping. With dumping, you can also get diarrhea, a stomach ache, nausea. There are people that have these symptoms and who have irritable bowel syndrome, but this is different than dumping syndrome that people get after a bypass. ...Read more

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How are lap band and gastric bypass surgery different?

How are lap band and gastric bypass surgery different?

Malabsorption: The lap band is a device placed to make the stomach seem smaller thus allowing you to eat less and feel satisfied. With the bypass, a surgeon creates a smaller stomach by cutting which has a similar effect. Additionally, the intestines are cut and rerouted so that the upper segment is "bypassed". This decreases the absorption of food which leads to faster and relatively easier weight loss. ...Read more

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Which vitamins can someone with gastric bypass take?

Which vitamins can someone with gastric bypass take?

Vitamins: Vitamin supplementation is extremely important after gastric bypass and there is a handful of comercially available vitamins specially formulated for bariatric patients. ...Read more

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Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

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 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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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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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

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Is gastric bypass surgery safe for people that are obese?

Is gastric bypass surgery safe for people that are obese?

Yes: The laparoscopic approach has greatly reduced the risks associated with gastric bypass. In experienced hands, the 30 day mortality rate is around 0.13%, with a leak rate less than 0.2%. Overall, the complication rate is lower than many other procedures such as hip or colon surgery. There can be significant nutritional deficiencies, which can be minimized by regular follow-up with your surgeon. ...Read more

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Patients with gastric bypass can they gain weight back?

Patients with gastric bypass can they gain weight back?

Yes: Regaining weight frequently happens. It used to be thought that it had to do with enlargement of the gastric pouch, but more recent studies suggest that it is related to a gradual widening of the gastrojejunal anastomosis (the joining between the stomach pouch and small intestine that is created). ...Read more

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How is the gastric sleeve and the gastric bypass procedure done?

How is the gastric sleeve and the gastric bypass procedure done?

Laparoscopic: More steps involved with bypass. The current picture shows bypass. The last question i answered for you has the picture of sleeve. ...Read more

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Why no alcohol after gastric bypass surgery?

Why no alcohol after gastric bypass surgery?

Alcohol ; bypass: You can have alcohol after a bypass but in moderation. Keep in mind that sweet drinks can cause dumping syndrome. Also, your tolerance will be much less than before so be careful. Lastly, alcoholic drinks (like beer and wine) can contain a lot of calories and you can gain weight from drinking too much. ...Read more

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Which is the most effective: lap band, gastric bypass or gastric sleeve?

Which is the most effective: lap band, gastric bypass or gastric sleeve?

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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What occurs with renal failure and heart bypass surgery?

?worse?: Assuming that you are asking what will happen to chronic kidney disease when having cabg. High risk of worsening, possibly needing dialysis. You need to discuss your risks vs benefits with your doctor. ...Read more

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How effective is the rny gastric bypass surgery?

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

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Who has the gastric banding done?

Who has the gastric banding done?

Morbid obesity: People who have about 80 plus pounds to lose. Check with lapband.Com. ...Read more

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Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

sleeve ; sarcoidosis: Neither one (bypass or sleeve) is better than the other with respect to sarcoidosis. Studies have shown that people on immunosuppressive therapy can safely undergo either operation. I would just decide which operation is best for you. In a healthy ; moderately obese person, either operation is fine. If you have gerd, diabetes, or have a bmi over 50, bypass is preferred. ...Read more

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Dr. Kevin Passer
1,574 doctors shared insights

Alcoholism (Definition)

Also known as alcohol use disorder, is an addiction characterized by increased cravings, consumption, and failed efforts to ...Read more


Dr. Heidi Fowler
405 doctors shared insights

Alcohol Dependence (Definition)

Alcohol and any other form of dependence can be thought of as a need to drink, not to feel good, but rather, in an effort ...Read more