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Doctor insights on: Gastric Bypass Revision Surgery

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I had gastric bypass 5 years ago. I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?

I had gastric bypass 5 years ago.  I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?

Eating behavior KEY: Tips for eating success: don't drink fluids with meals (washes food down); avoid high fat snacks (chips, crackers, peanut butter); avoid sugar, eat more solid food that "packs your pouch", avoid too many slider foods that go right through. Can also see your surgeon for endoscopy or solid meal UGI to check size of pouch and pouch outflow size. ...Read more

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Dr. Gregg Nishi
449 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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When is a revision necessary for those that have previously had gastric bypass surgery?

When is a revision necessary for those that have previously had gastric bypass surgery?

Big pouch, outflow: The pouch does not usually stretch out. Above picture is the outflow from the pouch. When it is this big, some narrowing will help. Sclerotherapy is a simple 15 min endoscopic option that we have found to be helpful to reduce outflow size and help people stay full longer. Check out the youtube video: http://m.Youtube.Com/?Reload=3&rdm=m1n4ps37u#/watch?V=gofxmkpx-qo. ...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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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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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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How do I tell my bf about gastric bypass surgery?

How do I tell my bf about gastric bypass surgery?

Simply : Most find that people who go through surgery did a courageous thing by undergoing surgery to save their life. ...Read more

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Dr. Charles Mitchell
87 doctors shared insights

Revision Surgery (Definition)

Revision surgery is performing a procedure to ...Read more


Gastric (Definition)

This refers to something that is ...Read more