Doctor insights on:
Sphincter Of Oddi Dysfunction In Gastric Bypass Patients
SOD: ...Is a potential cause of chronic abdominal pain and pancreatitis. It can be tricky to diagnose and difficult to treat. If you have been told you have SOD and are having chronic symptoms, consider a second opinion at a regional center that specializes in this field. Indiana university in Indianapolis or the mayo clinic may be reasonable choices in your area. Good luck. ...Read more
Dumping: No, not really. There are a very small percentage of people that will get post prandial hypoglycemia, but that only gives you some of the symptoms of dumping. With dumping, you can also get diarrhea, a stomach ache, nausea. There are people that have these symptoms and who have irritable bowel syndrome, but this is different than dumping syndrome that people get after a bypass. ...Read moreSee 1 more doctor answer
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
Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.
Can be both: Sphincter of Odi dysfunction can cause gall bladder like pain. Drugs like Morphine Sulfate can cause spasm of the sphincter of Odi with similar pain. Adhesions can also cause similar pain, so both opinions may be correct. A more detailed history will likely help answer your question ...Read more
Surgery for GERD: In 2008, a british study conducted by grant compared surgery vs medical therapy in patients with gerd. The investigators reported that by 12 months, 38% of those who had surgery were taking reflux medication, compared with 90% of those on medical management. Long-term results of antireflux surgery have shown that, at 10 years, 90% of patients are symptom-free and only a minority still take meds. ...Read moreSee 1 more doctor answer
Risk factors: Risk factors for colon cancer include smoking, obesity, high fat diet, high red meat diet, low fiber diet, history of polyps, family history of colon cancer. I am not aware of gastric bypass surgery increasing the risk of colon cancer, but the need for gastric bypass surgery suggests that some risk factors mentioned above are likely present. ...Read moreSee 1 more doctor answer
Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?
Both conditions: By themselves probably do not increase chance of gallbladder cancer. If it does, it is still very very low. Even if you have gallstones, chances of developing gallbladder cancer is very low. Unfortunately, once you develop gallbladder cancer, chances of survival are quite low. ...Read more
25 yrsFemale the last biopsy had shown that i'm suffering of barrett's esophagus+dialated esophageal sphincter.Are there any surgeries that would help?
Yes: A nissen-fundoplication. During fundoplication surgery, the upper curve of the stomach (the fundus) is wrapped around the esophagus camera.gif and sewn into place so that the lower portion of the esophagus passes through a small tunnel of stomach muscle. This surgery strengthens the valve between the esophagus and stomach, which stops acid from backing up into the esophagus ...Read more
Very low: Most bariatric centers of excellence track their mortality rate. When given a choice, most patients gravitate towards a center with mortality rate < 2% (different from morbidity/complication rate). If you need bariatric surgery, do your homework and get the best center you can. ...Read moreSee 1 more doctor answer
High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?
Complex: Could an entity known now as ineffective esophageal motility (iem). This is commonly associated with gerd. Dysmotility can also be due to diabetes and scleroderma. See a general surgeon or gastroenterologist with expertise in esophageal and foregut disorders for more info. ...Read moreSee 1 more doctor answer
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
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
Is the internal sphincter hypertonicity the more common problem (than the external u s) in bladder sphincter dissynergy ? Ie urinary hesitation ?
Inner sphincter: The term 'overactive bladder' is used to describe dis synergy of the bladder muscle -not contracting in coordinated fashion; this leads to loss of regularity and coordinated, controlled urination. The inner sphincter is controlled by the autonomic nervous system and is involuntary. The outer sphincter is part of the voluntary nervous system, and we can control it (the basis of kegel exercises). ...Read more
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