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Doctor insights on: Leptin 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
475 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 are gastric band operation and gastric bypass different?

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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Gastric bypass, lapband, stomach stapling, what's the difference?

Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www.Realize.Com to read about the various operations. ...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 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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Roux-en-y gastric bypass weight loss surgery, how effective is this?

Roux-en-y gastric bypass weight loss surgery, how effective is this?

Gastric bypass: Very effective. In fact, it is the most effective weight loss operation when compared to the lap band and sleeve gastrectomy. In addition, it has nearly a 90% cure rate for type 2 diabetes. Most people lose between 65-70% of their excess body weight. So if you are 100lbs overweight, that's about 65-70lbs of weight loss at a year to 18 months. ...Read more

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Do gastric sleeve or gastric bypass work better for losing weight?

Do gastric sleeve or gastric bypass work better for losing weight?

Both similar: The sleeve and bypass work in almost all patients. Our experience is to expect about an 80% excess body weight loss with the bypass and 70% with the sleeve. So if you weigh 250 and you are supposed to weigh 150, then you have an excess weight of 100 lbs. Most patients make their decision based on side effects or risks. Both are great. ...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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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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Does smoking affect gastric bypass surgery?

Does smoking affect gastric bypass surgery?

Snesthesia specific: Patient's who qualify for bariatric surgery are already at risk for sleep apnea and collapsed lungs. Why make things worse by triggering constriction of airways? I know of many bariatric surgeons who refuse surgery on smokers. Remember, post-surgical instructions are very strict so you have to demonstrate the ability to change unhealthy behaviors prior to surgery. ...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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Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Will bariatric surgey (gastric bypass) help with diabetes? Thanks!

Yes: Bariatric surgery will often resolve many medical issues along with successful weight loss. Some of the most significant health conditions that can be improved or resolved with bariatric surgery include, type 2 diabetes ( previously described as adult onset or non Insulin dependent ) , sleep apnea , high blood presssure , gastroesophageal reflux disease, and osteoarthritis. ...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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Does excess gastrin reduce stomach motility which delays gastric emptying?

It can: gastrin actually a stimulant to the acid patient with high gastrin level has many ulcers and they could have some thing we called ZOLLINGER-ELLISON SYNDROME. whic hard to treat and could be associated with a tumor in the pancreas, and could be associated with MEN stand for multiple endocrine neoplasm. to answer your question. yes it can effect the gastric motility, and might delay gastric emptying ...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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Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Witch slows gastric emptying more Carafate (sucralfate) or proton pump inhabitants?

Neither: Carafate (sucralfate) tends to bind to sites oozing blood. Proton pump inhibitors partially block hcl acid secreting cells in upper 2/3 of stomach from making & secreting acid; look up the prescribing information. No evidence either have much affect on stomach emptying. Many meds prescribed by docs because available, even though low odds of being helpful - promotes illusions (to the foolish) of being helpful. ...Read more

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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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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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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. Robert Cabay
518 doctors shared insights

Leptin (Definition)

Leptin is a hormone (a chemical made in one part of the body that is carried by the blood to other parts of the body) made by fat cells, and may have effects on appetite and the way ...Read more


Gastric (Definition)

This refers to something that is ...Read more