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Doctor insights on: Girdles After Gastric Bypass

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Salads after gastric bypass?

Salads after gastric bypass?

Yes: yes, it may take few weeks after surgery before you can eat leafy greens. Watch the calories in the dressings! ...Read more

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Dr. Gregg Nishi
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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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Ways to minimize "dumping syndrome" after gastric bypass?

Ways to minimize "dumping syndrome" after gastric bypass?

Dietary: Best way is to make appropriate dietary changes as recommended by your surgeon or nutritionalist. ...Read more

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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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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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Can you have gastric bypass after total colectomy?

Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...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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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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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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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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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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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 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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Dr. John Fung Dr. Fung
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How come digestive enzymes are reduced after gastric bypass surgery?

Dr. John Fung Dr. Fung
3 doctors agreed:
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 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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What are the risk having gastric bypass surgery after having a nissen for gerd?

What are the risk having gastric bypass surgery after having a nissen for gerd?

Bypass & Nissen : Doing a bypass after having a nissen is very difficult and considered revisional surgery. Lots of scar tissue from the nissen and your wrap must be undone. Risks of complications like a leak are much higher. Doesn't mean you shouldn't have a bypass. I have done many of these. You just need to go to an experienced surgeon that does revisional bypass surgery. ...Read more

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Hx of hiatal hernia. Gastric bypass 3 yrs ago. Can hernia get bigger afterwards?

Hiatal hernia: Yes. Even if your hiatal hernia was repaired during your gastric bypass, it can occur again. An EGD or upper GI will show if you have one. ...Read more

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Is laparoscopic nissen fundoplication similar to lap band?

Is laparoscopic nissen fundoplication similar to lap band?

No: A lap band is a device that wraps around the top of your stomach used to treat obesity. A fundoplication wraps the top of your stomach around itself to treat reflux. ...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 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 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?

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?

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?

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: yes, it may take few weeks after surgery before you can eat leafy greens. Watch the calories in the dressings! ...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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Gastric bypass any thing like the lapband?

Gastric bypass any thing like the lapband?

No: Band does not involve cutting the stomach or re-routing intestines. ...Read more

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Dr. David Yan Dr. Yan
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What happens to skin after gastric bypass?

Dr. David Yan Dr. Yan
2 doctors agreed:

Not much: Unfortunately, as your waistline starts to shrink, your skin stays pretty much where it was. This results in significant laxity of your skin. Your skin tends not to retract back very much, leaving you with excess, hanging skin. ...Read more

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Can I still drink after i've had gastric bypass?

Can I still drink after i've had gastric bypass?

Very little: You may drink some non-carbonated alcohol. The absorption is rapid and effect is quick. There is some data that a small percentage might fall into alcohol abuse, since they get rapidly intoxicated, then quickly sober, then drink again, chasing the quick "high". Best to keep verylimited, like one half glass of wine. ...Read more

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Can you have gastric bypass after total colectomy?

Bypass: If you have extensive abdominal surgery such as a tital colectomy a gastric bypass is not a good choice for you however you can look into other options such as the band or the sleeve gastrectomy. ...Read more

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What do docs think of the gastric bypass procedure?

What do docs think of the gastric bypass procedure?

Bypass and band: Gastric bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, hypertension, etc, but has a slightly higher risk. It is an excellent operation and accounts for the majority of weight loss operations done in the us. It is safe if done by a surgeon who has done thousands of cases. ...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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Can you tell me can a 13 year old get a gastric bypass?

Can you tell me can a 13 year old get a gastric bypass?

Doubt it: I have heard of some bariatric centers offering some weight control surgery to kids as young as 16, but not younger. These limits are subject to change over time as the treatment standards evolve. ...Read more

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Is it bad to have laparoscopic gastric bypass for scores?

Is it bad to have laparoscopic gastric bypass for scores?

Scars: No. You use have 5 or 6 small incisions (an inch or less in length). Some people form dark scars or even thick keloids. Other people have scars that literally disappear. African americans and asians tend to form keloids compared to caucasians. ...Read more

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Is the 5 day pouch test ok for gastric bypass patients ?

Yes, but ? need: Many bariatric programs routinely do a pouch leak test in the early post-operative period, some the day after, some waiting 5-7 days after surgery. The overall leak rate is low and does not always pick up all leaks, especially if done too early. In one study from UCLA, routine pouch leak studies after laparoscopic gastric bypass did not contribute signi?cantly to postoperative patient care ...Read more

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I have systemic scleraderma. Can I have a gastric bypass?

Complicated : Without knowing anything else about you and your medical history and eating habits, etc i would be hesitant and feel that a different procedure may be a better option. But there are many factors that weigh into recommending the best bariatric procedure. You really need to talk to a bariatric surgeon about which surgery is the right one for you. ...Read more

Gastric (Definition)

This refers to something that is ...Read more