Top
20
Doctor insights on: Sphincter Of Oddi Dysfunction In Gastric Bypass Patients

Share
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


2

2
Can Crohn's cause gallbladder failure and then sphincter of oddi disfunction ?

Can Crohn's cause gallbladder failure and then sphincter of oddi disfunction ?

Unlikely : They are not directly related. U can have one without the other. No obvious relationship between the two. ...Read more

See 1 more doctor answer
3

3
What are the complications involving sphincter of oddi dysfunction?

What are the complications involving sphincter of oddi dysfunction?

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

4

4
Can gastric dumping syndrome occur in a person with no prior gastric bypass surgery?

Can gastric dumping syndrome occur in a person with no prior gastric bypass surgery?

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 more

See 1 more doctor answer
5

5
HAD ENDOSCOPY DONE RESULT ESOPHAGEAL MOBILITY DISTURBANCE(BIOPSY) ERYTHEMA IN THE ATRUM COMPATIBLE WITH GASTRITIS (BIOPSY) EVIDENCE OF FUNDOPLICATION?

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 more

See 1 more doctor answer
6

6
Right upper quadrant pain post gall bladder surgery. Sphincter of Oddi dysfunction or adhesions? Conflicting physician opinion.Need specialty care.

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

7

7
How effective is surgery in fixing gastro esophageal reflux disease?

How effective is surgery in fixing gastro esophageal reflux disease?

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 more

See 1 more doctor answer
8

8
Hello dr.Why jaundice in gastric outlet obstruction?

Hello dr.Why jaundice in gastric outlet obstruction?

Duct obstruction?: The same process contributing to the outlet obstruction, whether mass or inflammation, is likely causing obstruction of the bile duct, leading to jaundice. ...Read more

9

9
What is the risk of gastric bypass surgery leading to colon cancer?

What is the risk of gastric bypass surgery leading to colon cancer?

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 more

See 1 more doctor answer
10

10
Which one increase risk of gallbladder cancer: acalculus cholecystitis(no stone) or fistula in gallbladder and intestine? ?

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

11

11
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?

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

12

12
Whats incompetency of the lower esophageal sphincter?

Prone to reflux: The les prevents excessive reflux of the stomach contents into the esophagus. When it is incompetent, it is more likely you will develop symptoms of gerd (gastresophageal reflux disease) such as heartburn, esophagitis etc. ...Read more

13

13
What are the chances of death sith gastric bypass surgery?

What are the chances of death sith gastric bypass surgery?

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 more

See 1 more doctor answer
14

14
High res meno 1. Severe dysfunction of the smooth muscle esoph.2. No hiatal hernia, hypotensive les with normal relaxation.?Explain above cure?

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 more

See 1 more doctor answer
15

15
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

16

16
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

See 1 more doctor answer
17

17
Is the internal sphincter hypertonicity the more common problem (than the external u s) in bladder sphincter dissynergy ? Ie urinary hesitation ?

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

18

18
Is the dumping syndrome from gastric bypass pain similar to pain from an infected gallbladder?

Is the dumping syndrome from gastric bypass pain similar to pain from an infected gallbladder?

Dumping syndrome: Not quite the same. Gallbladder pain is usually in the right upper quadrant, right under your ribcage. Dumping is more of a generalized abdominal cramping, plus cold sweats, heart palpitations, maybe diarrhea. ...Read more

19

19
How is the gastric sleeve and the gastric bypass procedure done?

How is the gastric sleeve and the gastric bypass procedure done?

Laparoscopic: More steps involved with bypass. The current picture shows bypass. The last question i answered for you has the picture of sleeve. ...Read more

See 2 more doctor answers

Gastric (Definition)

This refers to something that is ...Read more