Doctor insights on:
Lap Band Surgery And Thyroid Disease
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 moreSee 1 more doctor answer
You can have problems with they thyroid making too much or too little thyroid hormone. You can also have problems with it being too large (goiter) of having nodules or cysts in it. There are also occasional thyroid cancers. Most thyroid problems can be easily diagnosed and treated ...Read more
I have sarcoidosis and i would be undergoing a weight loss surgery. The bariatric doctor suggests gastric bypass and irequested for gastric sleeve. Which one is better?
About the same: While there more data on the gastric bypass, more recent data suggest similar benefits in terms of weight loss and improvement in glucose metabolism with the sleeve. What is more important us the degree of proficiency the operating doctor has with the procedure. ...Read moreSee 2 more doctor answers
If I have an ulcer, will i need lap band revision surgery? I'm nervous about having lap band revision surgery on my stomach. Is this kind of surgery usually successful? Is it any riskier than my original surgery?
Although : Although the situation you describe is unclear, it seems that you may have had a lap band and now found to have an ulcer near the area of the band and that you have been suggested to have this revised. If indeed this is the case, you should consider whether you have taken medications that may have increased the risk for stomach ulceration, such as the use of Aspirin or steroids. It that is not the case and the ulcer is near the vicinity of the lap band, then one should consider whether this is a lap band erosion, which can occur if the reservoir is overfilled, incorrectly placed, or other events, such as prolonged vomiting may have preceded this. As this occurs in about 3-5% of cases, it is not common, but the treatment will require removal of the lap band. In this case, another lap band is not usually recommended, but rather consideration to conversion to another bariatric procedure, such as sleeve gastrectomy, after the ulcer is healed. ...Read moreSee 4 more doctor answers
Many ortho surgeries on legs as a child, on crutches now @ age 55, pain & low mobility & nafld-best wt loss route? Bypass, sleeve or lapband?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Has anyone had both a gallbladder removed and also undergone nissen fundoplication surgery? How is the recovery process?
Combining surgeries: Usually makes the surgery longer, causes more complications, increases healing time and increases the risk of bleeding or infection. As for healing - ask your surgeon usually at least 6-8 weeks. ...Read more
I have 2to hernias from colon resection (hemicolectomy) which surgeon should correct TSH and incisional hernia with transverse colon in umbilical site? Colon or hernia specialist
40yo endo, pcos, ulcerative c. childbirth via c-section, 2 surgeries to remove endo from rectus muscle. Many meds over 15y. Hysterectomy pro and con?
Complicated Surgery: Your history of surgeries makes me worry that another surgery for you might be difficult if you have a physical exam that shows a uterus that's fairly stuck in the pelvis. If you haven't tried medical methods of care for endometriosis, I would do that first. Consider continuous pills, Depo, Lupron, (leuprolide) etc. ...Read more
Does excessive post-surgery scar tissue reflect at all on the surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet syndrome
No: There is no correlation between post op excessive scar tissue and the surgeons ability. First excessive is a relative term. Excessive may be appropriate for some situations. It is a relative term. What is normal amount of scar tissue? Other issues can affect the outcome like was an infection present? Is there a history of keloids? Are there are any medications or medical issues? ...Read moreSee 2 more doctor answers
Sleeve: In most recent studies the sleeve has shown better weight loss and resolution of other illnesses such as diabetes. Keep in mind however that the sleeve is not reversible. The choice of the right operation is made by you in discussion with your surgeon. Great question. ...Read moreSee 3 more doctor answers
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