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Doctor insights on: How To Qualify For Gastric Bypass Surgery

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Dr. Gregg Nishi
468 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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How much do you need to weigh to qualify to have gastric bypass surgery?

How much do you need to weigh to qualify to have gastric bypass surgery?

Obesity, and...: Obesity is the main health problem to qualify. Bmi (body mass index) >40, or >35 with associated health problems such as diabetes, sleep apnea, hypertension. Formerly had to be "morbidly obese" >100 pounds (45 kg) over ideal body weight. Bmi=wt (kg)/sqht (meters). Can be thrown off if very muscular. Measures weight not amount of fat. ...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?

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?

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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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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What are the indications for gastric bypass surgery?

Morbid obesity: Gastric bypass and other weight loss operations are indicated for patients with a body mass index (bmi) greater than 40, or greater than 35 with significant weight-related medical conditions including but not limited to diabetes, high blood pressure, high cholesterol, sleep apnea and many other diseases. ...Read more

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Can you tell me about repeat gastric bypass surgery?

Revision of bypass: Well, it's called a revision of a gastric bypass and it can involve making the pouch smaller, making the anastomosis smaller, or both. Occasionally, a lap band can even be placed around the gastric pouch too. The risks of a leak are much higher in a revision than during the initial gastric bypass and that is important to understand. Also, wt loss is less after revisions. ...Read more

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How long is recovery time for gastric bypass surgery?

Recovery time: About 2 weeks before you would return to a desk job. No strenuous activity for about 6 weeks. After that you can do whatever you want. ...Read more

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Tips on caring for my baby after gastric bypass surgery?

Only: Precaution I can give is to avoid any heavy lifting or straining for 6 weeks after surgery. Otherwise enjoy your baby. ...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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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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Dr. Gregg Nishi
497 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


Gastric (Definition)

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