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Doctor insights on: Gastric Bypass Surgery Seizures After Surgery

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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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Dr. Gregg Nishi
474 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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Stomach bypass surgery safe?

Stomach bypass surgery safe?

Mostly...: Modern bariatric procedures have become more standardized and safer. However, you need to go through a complete evaluation process to determine whether it is right for you. The most important decision is perhaps picking the right program with a good record. ...Read more

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Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Is sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

Sleeve gastrectomy: That's a common misconception by patients. The gastric bypass is a more complicated operation than a sleeve, but the risk of a leak is the same for either operation. In addition, if a leak occurs, it is much harder to control in a sleeve than in a bypass. There are many other pros/cons for each, but the bottom line is that the risk is about equal. For diabetes and heartburn/reflux, bypass is best. ...Read more

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Can you avoid complications after gastric bypass surgery?

Can you avoid complications after gastric bypass surgery?

Nothing's perfect.: You can minimize the chances of surgery by picking an experienced surgeon and losing weight before your operation as best you can. But surgery is imperfect and you can't completely eliminate risk. ...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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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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Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

Atrial fibrilation post triple bypass surgery risks and concerns after one incident ?

A fib: Risk of emboli going to brain causing stroke. Rapid ventricular response(heart rate to high) may cause angina, dizziness, passing out, heart attacks, other heart irregular rhythms. Let you cardiologist manage case. Is complex to explain here. It is certainly manageable. ...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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Treatment for GERD after gastric sleeve surgery?

Treatment for GERD after gastric sleeve surgery?

Diet and: Medication management first. Sleeves can be converted to gastric bypasses with little or no natural stomach left and therefor is ofter curative for the gerd. Also a new procedure, the torax is approved. http://www.toraxmedical.com/linx/. ...Read more

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How do gastric band surgery and gastric sleeve surgery differ?

Different type: Gastric band is reversible , where the adjustable ( removable ) device at upper stomach with very small pouch constricts like dumbbell . In gastric sleeve , a tube of stomach is left , rest of stomach is removed ...Read more

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Anyone done a nissen fundoplication laparoscopic surgery?

Anyone done a nissen fundoplication laparoscopic surgery?

Yes!: This is the most common anti-reflux procedure, involving closure of the hiatal hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. An incisionless option, tiff, is available 2. ...Read more

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Any personality changes after cardiac bypass surgery ?

Any personality changes after cardiac bypass surgery ?

Sometimes: Although many patients experience some effects on the brain as the result of cardiac bypass, personality changes are not particularly common. The most common changes require sophisticated neuropsychological testing to detect. Drugs and unanticipated adverse outcomes can also affect personality following surgery. Off pump surgery has been touted as a solution, however this has not been born out. ...Read more

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What is long limb gastric bypass surgery?

What is long limb gastric bypass surgery?

More bypassed bowel: This is a weight loss operation that's similar to standard gastric bypass, except that the amount of intestines diverted is longer than typical. In this operation, the stomach is divided and a small pouch of stomach is connected to a portion of the small intestines (the jejunum), thereby skipping over the rest of the stomach and duodenum. "long-limb" referrs to how much intestines is skipped over. ...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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After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?

After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?

Yes.: When performing a nissen fundoplication, the esophagus is only marginally affected. Therefore, following reversal your esophageal function should return to your pre-surgical state. This is best determined by a motility study. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read more

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Can cardiac bypass surgery be done laparoscopically?

Can cardiac bypass surgery be done laparoscopically?

Small incisions: Cardiac surgery can be done through very small incisions robotically and/or thorascopically. http://www.ucdmc.ucdavis.edu/surgery/specialties/cardio/robotic_surgery.html. ...Read more

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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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What's the procedure to get gastric bypass surgery?

Bypass preop: See a surgeon for consultation. If they think you are a good candidate and meet the bmi requirements, you then see a dietician and social worker for evaluation. You also get an egd done, labs, chest x-ray, ekg, ultrasound of your liver, etc. Once you have been cleared by everyone and insurance authorization has been obtained, you get scheduled for surgery. This process takes 4-6 weeks. ...Read more

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How do I know if i'm eligible for gastric bypass surgery?

How do I know if i'm eligible for gastric bypass surgery?

Criteria: The criteria are generally a bmi over 35 with a major health issue like diabetes or a bmi over 40 even without a major health issue. ...Read more

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Please tell me, could i get gastric bypass surgery at 16?

16yo gastric bypass: Can you? Yes. Should you? That will take a lot of discussion to determine. You should only be evaluated for gastric bypass surgery at place that has an adolescent weight loss surgery program. Very few places around the country have that. The work up process for a 16yo is much different than an adult. Make sure you go to a surgeon that has done thousands of gastric bypasses. Experience counts. ...Read more

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What is the definition or description of: gastric bypass surgery?

What is the definition or description of: gastric bypass surgery?

.: 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 bowel before digestion start. ...Read more

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Help please? What is it like going through gastric bypass surgery?

Gastric bypass : Well, i've done a few thousand, and the only regret i here patients say is that they wish they had done it sooner. People are often back to work at 2 weeks after surgery. I just saw a 19yo patient who is 9 months out and went from 255lbs to 155lbs. She was crying because she is so happy with her weight loss and how good she feels. It's hard work, and not a magic bullet, but you will be happy. ...Read more

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I was wondering what are some complications of gastric bypass surgery?

I was wondering what are some complications of gastric bypass surgery?

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 or liposuction better and why?

2 Entirely different: The indications for this are entirely different. First off, liposuction is not used for weight loss. It is indicated to control localized fatty deposits. Gastric stapling, bypass, or lap banding are indicated for morbid obesity. ...Read more

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I have gastroparesis, am I able to have gastric bypass surgery?

I have gastroparesis, am I able to have gastric bypass surgery?

Ask your surgeon: Gastroparesis can be a complication of diabetes. Obesity is often associated with diabetes. Most of the stomach is removed in bypass surgery. Your surgeon is your best adviser on this. ...Read more

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How overweight do you have to be to have gastric bypass surgery?

How overweight do you have to be to have gastric bypass surgery?

BMI >40: As different people have different dimensions of weight and height, the current recommendations of bariatric or weight loss surgery are based on bmi (weight/height squared). People with bmi>35 and a comorbid condition such as high blood pressure, diabetes, sleep apnea or anyone with bmi>40. You can calculate bmi this by going to http://www.Cdc.Gov/healthyweight/assessing/bmi/index.Html. ...Read more

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What diet should be followed by gastric bypass surgery patients?

What diet should be followed by gastric bypass surgery patients?

Diet: High protein, small meals, with vitamins like b12 and other multivitamins. ...Read more

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Which is safer and works better: gastric bypass surgery or liposuction?

Which is safer and works better: gastric bypass surgery or liposuction?

Apples and oranges: These are two separate issues. If you are a candidate for gastric bypass surgery then you need to investigate that first. ( bmi >30-32) liposuction is to reduce fat from specific areas- not for weight loss. ...Read more

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I had gastric bypass surgery in April 2014. I went from 262 to 152. I have reached a plateau and was wanting advice on how to overcome this plateau. ?

Questions for you: How long have you been in this plateau? What is your height? What is your goal weight? Have you begin exercising? Have you done any weight training? Most plateaus from weight loss are multifactorial. Some end with time and persisting with dietary efforts. Also as you lose weight, Mean muscle mass decreases and metabolism decreases. Weight training to keep the muscles that carried 262lbs is key. ...Read more

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What is long limb gastric bypass surgery?

More bypassed bowel: This is a weight loss operation that's similar to standard gastric bypass, except that the amount of intestines diverted is longer than typical. In this operation, the stomach is divided and a small pouch of stomach is connected to a portion of the small intestines (the jejunum), thereby skipping over the rest of the stomach and duodenum. "long-limb" referrs to how much intestines is skipped over. ...Read more

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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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Is a general surgeon qualified to perform gastric bypass surgery?

Yes, but inquire exp: All bariatric-only surgeons started as general surgeons. Surgeons who do a variety of procedures are sometimes your best technical operators. You do want to ask about experience. Also want to make sure he/she has a good after-surgery program. Finally, look for a compassionate surgeon. ...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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After gastric bypass surgery, when should I follow up with the doctor?

After gastric bypass surgery, when should I follow up with the doctor?

Hmmmmm?: That should have been made perfectly clear at the time of discharge from your surgery. That is a decision of the surgeon and could vary. Call the surgeon's office and speak with them or with his office personnel and find out this answer. It coud be 1 or 2 days or 1 or 2 weeks depending on your case. Call very soon and find out. ...Read more

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Dr. Gregg Nishi
502 doctors shared insights

Bypass Surgery (Definition)

Bypass surgery is done to aid in weight loss and recovery from obesity by drastically diminishing the size and absorptive capacity of the stomach. Bypass surgery is often successful, but requires extensive follow-up with ...Read more


Dr. William Singer
1,065 doctors shared insights

Seizure Disorder (Definition)

Seizure disorder also known as epilepsy, is a neurological condition in which the brain's abnormal electrical activity causes muscular convulsions and altered mental states. Epilepsy is diagnosed when an individual has ...Read more