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Doctor insights on: Nutrition Gastrectomy

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Is gastric sleeve good for weight loss?

Is gastric sleeve good for weight loss?

Yes: The procedure is fairly new and has risks as do all weight loss operations. In this case, the long-term data shows that some of them return to a normal sized stomach. As with all weight loss operations, they do best when the patient is willing to change their lifestyle. ...Read more

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Dr. Elias Chousleb Mizrahi
78 doctors shared insights

Gastrectomy (Definition)

Gastrectomy means removal of the stomach. This is done for cancer, ischemia, or ulcer disease. One can perform a partial or total gastrectomy, and then the GI tract is reconstructed accordingly. I hope this satisfies ...Read more


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Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

Nutritional ramifications and gastric bypass surgery? What are the nutritional ramifications to gastric bypass surgery? What vitamins can't be absorbed?

There : There are many nutritional changes after bypass surgery and they can vary depending on type of bypass or band. If you are thinking of undergoing bypass surgery be sure that wherever you are thinking of having the procedure preformed there is a nutritionist as they will be an important part of your medical team. Usually, immediately following surgery, there will be strict guidelines for how much and what types of food to eat. These will loosen over time. It is important to remember that you can still gain weight and have your bypass fail if you continue with poor eating habits. While you will feel full after little food you can stretch the pouch. Avoid foods with high fat and sugar content. Remember at first to eat very slowly, stop when full, chew food well, and concentrate on protein and hydration. Over time, months, you will most likely be able to eat all the foods you used to, but much less. Most often people will eat three, small, well chewed meals per day. Because of changes in gastric acidity and the new structuring of the intestine after roux-en-y gastric bypass the absorption of several micronutrients may be affected; b12, calcium, vitamin d, folate, iron, and thiamine to name a few. Your physician will usually do blood tests at 3 months, 6 months, and then yearly to follow lipid levels, iron levels, B12 and folate levels, calcium, vitamin d and parathyroid hormone levels, and your blood count. Most recommend taking a multivitamin with minerals and iron daily, and a B12 supplement (may be oral or injected). If your iron level is low you may be instructed to take a supplement --only do this if your level is low. You may also need additional calcium or vitamin d depending on your lab work. Patients undergoing lap banding may only need a multivitamin. Above all remember to work closely with your doctor and nutritionist. Weight loss surgery takes a lifelong commitment to be successful. ...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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Nutrition support for patient s/p Whipple.

Nutrition support for patient s/p Whipple.

Short term;long term: If no j-tube (feeding tube), oral diet will be started with clear liquids & slowly advance to solid food. Eating small, frequent (6-8) meals is usually a good idea as is avoiding greasy and fried foods. Gradually increase raw fruits and vegetables. 8-10 cups water/day, but limit liquids with meals. Consider high calorie beverages: smoothies/supplement drinks. Pancreatic enzymes/vits may be needed ...Read more

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Will total parenteral nutrition heal me?

Will total parenteral nutrition heal me?

Difficult to answer: What is the ailment? Tpn is usually a temporary treatment to tide a person over till s/he can recover from a GI illness. ...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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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

Dr. Leon Katz Dr. Katz
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Is lap band weight loss surgery safe?

Dr. Leon Katz Dr. Katz
3 doctors agreed:
Is lap band weight loss surgery safe?

Yes it is: Please keep in mind that in addition to the laparoscopic band, the sleeve gastrectomy represents a good alternative option. They have been doing the band in europe since 1992 and by early 2000's many bands were being removed due to long term complications. Please so your homework and discuss the sleeve with your surgeon, it doesn't mean it is the best option for you but at least learn about it. ...Read more

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What nutrients does total parenteral nutrition provide usually?

What nutrients does total parenteral nutrition provide usually?

See below: Sodium, pottassium, calcium, magnesium, phosphorous, chloride. Besides this there are Amino Acids and lipids, dextrose, vitamins and trace elements. ...Read more

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Does total parenteral nutrition leave the recipient malnourished?

Does total parenteral nutrition leave the recipient malnourished?

No: The purpose of TPN is to feed an individual who can not eat by mouth. It has all the nutrients and calories you need to survive. ...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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Does gastric bypass surgery work?

Does gastric bypass surgery work?

Bypass surgery: Gastric bypass surgery, and all the surgeries for the overweight, essentially work by decreasing the number and or the amount of calories that you are able to absorb. Each of the several procedures work in slightly different ways. All of the surgeries have their unique complications, so ask your surgeon specific questions. ...Read more

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How healthy is bariatrics operation?

How healthy is bariatrics operation?

Quite safe: In experienced hands, the risks of WLS are actually very low. That being said, it's OK to ask your surgeon for his data, including his complication rates. ...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?

It varies: There are reports that indicate that gastric bypass is superior to sleeve as far as long term weight loss is concerned. But there are obviously surgeons that get great loss with the sleeve. The bottom line is that both procedures are simply tools that must be added to lifestyle changes to get the greatest benefit. The more the tool helps to change a person's eating and exercise habits the bette. ...Read more

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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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How does gastric bypass surgery work in losing weight?

How does gastric bypass surgery work in losing weight?

Two Ways: One: it decreases the size of your stomach to that your feel full sooner or at least restrict the amount of food you can take at one time. Two: decreases absorbtion of calories. By re-rounting your intestine, a portion of your intestine is removed from its ability to absorb calories and only acts a a tube to carry secretions from your liver and pancreas. ...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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Is gastric band/stomach stapling a good method for losing weight?

Is gastric band/stomach stapling a good method for losing weight?

Depends on you: Although surgery is often necessary for significant weight loss it also takes a patient willing to work hard also. Avoiding high calorie foods is also necessary. You can drink wendy's frostiness all day and still gain weight. ...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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What is total parenteral nutrition solution?

What is total parenteral nutrition solution?

Everything: its is protein, carbohydrates and fat. It has electrolytes and trace minerals and vitamins. Everything you need to survive is in it. The protein is usually in the form of amino acids, the carbohydrates is a dextrose solution. People on TPN need to be monitored for their electrolytes. It provides the amount of calories a person needs for repair, growth, directlyinto the bloodstream ...Read more

Dr. Heidi Fowler
3,613 doctors shared insights

Nutrition (Definition)

Nutrition is the synergistic combination of nutrients found in food and water that allows the human body to perform all essential ...Read more