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Doctor insights on: Meal Plans For Gastric Bypass Patients

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Gnawing left upper/center quad pain that's more constant lately. Goes away when eating a meal. Had gastric bypass 2 yrs ago?

Gnawing left upper/center quad pain that's more constant lately. Goes away when eating a meal. Had gastric bypass 2 yrs ago?

Gastric bypass pain: Epigastric and left sided pain can be a marginal ulcer, reflux esophagitis, a gastro-gastric fistula (which can cause the ulcer too), an ulcer in your gastric remnant, and an internal hernia. You should see your surgeon, get started on a proton pump inhibitor to see if it helps. Other tests to get would be an endoscopy to look at your pouch, and if that us neg, a ct scan to r/o internal hernia. ...Read more

Dr. Gregg Nishi
473 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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My doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals can I eat?

My doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals can I eat?

Little ones: You'll need to eat very small meals afterward or you'll 1) feel awful 2) stretch your stomach and not get the desired effect. You will receive detailed nutritional counseling prior to discharge from your bariatric surgery team. ...Read more

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What do you suggest if my doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals?

What do you suggest if my doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals?

Education: Patients that undergo a weight reducing procedure, known as bariatric surgery, must undergo appropriate screening and preparation prior to surgery, including a several month period of regimented diet and achievement of defined goals. Failure to do so increases the risk that the procedure will not achieved desired weight loss. You will not be able to eat the same diet after surgery. ...Read more

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Is the Lipozene effective in patients that have had a gastric bypass?

Is the Lipozene effective in patients that have had a gastric bypass?

No it doesn't work: No. You need to lern to eat correctly. For some pointer see www. Weighstation. Net hope this helps. ...Read more

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Is it true that carbonated sodas really bad for gastric bypass patients?

Soda: Carbonated soda is bad for everyone. Regular soda has way too much sugar. Diet soda has sugar substitutes that are bad for you. So soda isn't good for anyone. For bypass patients, the co2 gas can build up in the gastric remnant and you can't burp that out. This can cause discomfort, but will eventually get absorbed. I tell my patients not to drink soda anymore. ...Read more

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Is it ok to take a small does of ibuprophen (one 200 mg)) as a post gastric bypass patient?

Post Bariatric Surg: Yes. That is the simple answer. But, if with that dose you feel any burning or acid or increase of pain then in your case it may not be so safe. ...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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Is the 5 day pouch test ok for gastric bypass patients?

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´Čücantly to postoperative patient care ...Read more

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Can a gastric bypass patient take correctol laxitive?

Short term: Constipation is fairly common after gastric bypass. Correctal laxative is ok for a short course. Long term constipation is best managed with fiber or miralax (polyethylene glycol). ...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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Can a lap band procedure be done if patients already had gastric bypass?

Can a lap band procedure be done if patients already had gastric bypass?

Yes: Some surgeons do band-over-bypass procedures and report good weight loss results. However, there is an increased risk of complications such as band erosion when placing a gastric band over the gastric pouch. You should first talk with your bariatric surgeon to determine whether there are other options. ...Read more

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Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?

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 more

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I am a gastric bypass patient. Drs have told me can't take aspirin to prevent a stroke?

I am a gastric bypass patient. Drs have told me can't take aspirin to prevent a stroke?

Depend: Depending on which type gastric bypass (sleeve gastrectomy vs roux en y vs gastric banding) also may be you have bad stomach ulcer that prevent you from taking aspirin. Please call you surgeon/doctor and ask for the explaination on your case. ...Read more

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Gastric bypass patients are more likely to develop gallstones later on after surgery. How can this be prevented?

Gastric bypass patients are more likely to develop gallstones later on after surgery. How can this be prevented?

Cholecystectomy: Having your gallbladder removed can possibly decrease the incidence, but you can still develop gallstones in the bile ducts. Medication and diet adjustment can also help. Discuss this with your physician prior to gastric bypass. ...Read more

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If it's true that patient stops losing weight after one year of gastric bypass surgery, can she still lose weight with diet and simple sports?

If it's true that patient stops losing weight after one year of gastric bypass surgery, can she still lose weight with diet and simple sports?

Yes: Diet and exercise are the mainstay for weight loss. As long as the balance of calories in vs calories out is negative, then there will be weight loss. A gastric bypass surgery is only a tool to jumpstart a weight loss program. Any tool can be beaten. Continue for a lifetime with prudent, low-carb diet and daily exercise for ongoing weight loss and weight maintenance. ...Read more

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What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

B12 and Fe: Gastric bypass is associated with vit B12 deficiency which is secondary to loss of intrinsic factor secreted by the stomach along with fe (iron) deficiency which is absorbed by the duodenum. Moreover during pregnancy the blood volume increase to support the fetal circulation thus lead to dilutional anemia. The best approach is to receive vit B12 and fe replacements. Good luck. ...Read more

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What's the vitamin (s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins I already take seems too much. Surgery was over five years ago. All blood work ok.

Go back: To your bariatric surgeon to discuss and get a dietician and your OB physician talking. We don't have good data on this yet and it takes a team effort. Malnutrition is our main concern. ...Read more

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Does the discovery key care plus plan pay for gastric bypass?

Does the discovery key care plus plan pay for gastric bypass?

Call insurance: Healthtap does not do gastric bypass. Surgery and if it is paid for you- need to call your insurance company and ask them. ...Read more

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Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's, (5'4", 203), but isn't there a less invasive answer?

Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's, (5'4", 203), but isn't there a less invasive answer?

Options: Probably theist popular weight loss operation at the moment is a sleeve gastrectomy. Its not really less invasive, but has less potential for long term side effects. There are also some newer endoscopic therapies, but they are not so effective. Ask your doctor if a consultation with a Bariatric surgeon is appropriate. Hope this helps! ...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?

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?

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

Gastric (Definition)

This refers to something that is ...Read more