Doctor insights on:
Roca Labs Gastric Bypass
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
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
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
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 2 more doctor answers
LUQ pain daily 6+ mos. Fat malabsorption 3 mos. Neg CT, celiac biopsy, h.pylori, gallbladder fine, enzymes fine. What else to check?
Spleen: LUQ the home of the spleen, you need to have a CT scan of the abdomen to visualize the spleen. the other possibility is your colon. the end of the transverse colon, and the beginning of the left colon is in LUQ, colonoscopy could clear that area. tail of the pancreas is there, and that will be cleared by the CT scan that was done for the spleen last is stomach and that need upper endoscopy. ...Read more
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 moreSee 2 more doctor answers
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
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
Abd pain & nausea w/eating.Neg GI tests.Aortic US &CT show hook shaped celiac artery. Surgeon suspects MALS.Ordered angiogram.Might surgery help ?
HAD ENDOSCOPY DONE RESULT ESOPHAGEAL MOBILITY DISTURBANCE(BIOPSY) ERYTHEMA IN THE ATRUM COMPATIBLE WITH GASTRITIS (BIOPSY) EVIDENCE OF FUNDOPLICATION?
Irritation: Results like this are fairly common and not specifically indicative of any particular disease. Often the Gastroenterologist will try an acid blocker to relieve symptoms. One of the main reasons they do the biopsies is to rule out cancer, and nothing you noted above sounds like any kind of cancer. Discuss the findings, and their relation to your symptoms, with the GI Dr. who performed the endo ...Read moreSee 1 more doctor answer
See reference: A picture is woth a thousand words. http://www.obeseinfo.com/bariatric-surgery-comparison-chart.htm ...Read more
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
Mother had hiatal hernia surgery Jan2016. Complications included tear. Healed. Lost 70lbs. Thinking gastroparisis. Started reglan (metoclopramide). Safe?CVA history
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