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Stomach Ulcer In Gastric Bypass Patient
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
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
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
Degrees: Band: appliance surg inserted to cinch stomach; adv.-easier surgery, reversible; disadv-less wt loss, less sustained, higher failure rate, compl, slippage, etc. Stapling-surg restrictive procedure; adv: more sustained, succ. Than above; disadv-still easy to cheat/wt gain (e.g. Melt ice cream, then drink it). Bypass: combo restrict and malabsorp; adv: more effective; dis: bigger op, more nutr risk. ...Read moreSee 2 more doctor answers
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
See reference: A picture is woth a thousand words. http://www.obeseinfo.com/bariatric-surgery-comparison-chart.htm ...Read more
Gastric: Ulcers of the three you list are more likely to be malignant. ...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
Please help! what is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?
Bypass and band: Lap band is the safest and is reversible which attracts a lot of patients, but failure rates are high, it is easy to cheat, weight loss is slower. Bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, but has a higher risk. Stomach stapling can mean many different things. You probably mean sleeve gastrectomy, also good, the newest. ...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
No: Typically, when people talk about stomach stapling they are referring to a surgery called the vertical banded gastroplasty (which we don't do in the us anymore). The bypass, which does is a different type of surgery to treat obesity. It involves not only stapling the stomach to make it smaller but also re-routing your small intestines to decrease the number of calories you absorb after you eat. ...Read more
Does Carafate (sucralfate) help heal ulcer from non-infectious ulcer (i.E. Prior pancreatitis damage) in stomach/upper intestine for non-alcohol drinker. ?
Gastric acid: If you have gastric acid hypersecretion (too much gastric acid), you may develop gastric ulcers, and if this acid goes up to the esophagus for a long time, you can develop barrett's esophagus. ...Read more
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
Ulcer: With stomach ulcer the pain gets worse with food, with small intestine ulcer the pain is worse while hungry and in the middle of the night. The most common causes of user is H Pylori infection, Non Steroidal Anti Inflammatory medications like Motrin, Smoking and Alcohol. ...Read moreSee 1 more doctor answer
Gastric bypass 2008, peptic ulcer since 2009, quit smoking seven weeks ago, pain is much worse and more often than before. Protonix (pantoprazole) and carafate?
Need close follow-up: When symptoms like pain get worse, the questions include: is the disease spreading, is the medication no longer working, is there a new problem, etc.? An ulcer 3 years ago should have healed. Is there a problem with recurrent gastritis or repeat ulcers? Is there stomach cancer, or is there a gallstone problem? A G.I. Specialist can recheck to figure things out. Another endoscopy may be needed. ...Read moreSee 1 more doctor answer
No, but not uncommon: Follow up with surgeon. Tested for h .Pylori? Can cause ulcers. Marginal ulcers usually on the intestinal side of the anastomosis (seam) not rare. Needs follow up, especially if interfering with oral intake, or if vomiting ( a big deal). See your doc. ...Read moreSee 1 more doctor answer
I had gastric bypass surgery can I get a ulcer in the bypassed stomach or just pouch or sm. intestine? I have a jejunal ulcer but pain under left ribs
Yes: i very often recommend taking anti acid the first 6 months after surgery ...Read more
Is it considered to be a normal symptom for a gastric ulcer and gallstone patient to have to sleep sitting up straight due to burning pain in stomach area if lying down. I have no acid reflux. I'm already on 40mg x 2 of ppi. This was after chocolate.
Reflux: It's true that the discomfort of reflux occurs in the esophageal area(chest) especially in the reclining position. In my experience gastric ulcers often have atypical symptoms and it could be causing your distress or perhaps reflux is being felt in the lower esophagus near the stomach junction. Chocolate can produce reflux. Since you're so symptomatic, I hope you're under the care of a gastroenter ...Read moreSee 1 more doctor answer
I am almost 7 years out from gastric bypass in 2007. I have upper left quad abd pain and cannot lay on my left side. What could this be? Bowel, ulcer?
How would be a patient taking Plavix (clopidogrel) treated if he/she got a stomach ulcer? Would Plavix (clopidogrel) be quitted/changed with something else?
Plavix (clopidogrel) stopped: Yes, Plavix (clopidogrel) would be discontinued in this situation. Unfortunately it is really not safer than aspirin when it comes to risk for bleeding from ulcers. In this situation all factors would be considered: reason/need for anti-coagulation, how strong is it, etc. Options would include no anti-coagulation, low or intermediate dose aspirin, self-administered shots/heparin, or warfarin/Coumadin. ...Read more
Less common: Stomach ulcers were very common 40-50 years ago. They still occur, but are not nearly as common. Some of the decrease is due to medicines like tagamet and nexium, (esomeprazole) but they were declining even before tagamet came out. Still if you have persistent pain in your upper abdomen, especially with burning, see your doctor. ...Read more
I had the gastric bypass 2007 and I have a anastomotic ulcer. I'm taking raniidine 150 and sucralfate 1 mg 3x/day. Suggestions?
I had the gastric bypass 2007 and I have a anastomotic ulcer. I 'm taking raniidine 150 and sucralfate 1 mg 3x/day. I in pain and 8yrs is too long?
See details: Gastric acid is a normal substance secreted to help digest food. An ulcer is an erosion or damage to the wall of the stomach. ...Read more
5 yrs. Postop gastric bypass, not able to have solid food 3 months, now passing old stool and have anastomotic ulcer. Blockage possible?
Anastomotic ulcer: Yes. A blockage or narrowing of your gastro jejunal anastomosis can occur if you have an anastomotic ulcer. The ulcer needs to be aggressively treated with proton pump inhibitors and carafate (sucralfate). Also make sure you are not taking any nsaids or smoking. ...Read moreSee 1 more doctor answer
I am having epigastric pain with excessive belching that leads into rlq abd pain. I have had a gastric bypass done 8 yrs ago and a ulcer. What's wrong?
We don't have the: background information. Suggest that you discuss this further with your physician. ...Read more
Can Coumadin levels be accurately monitored by a finger stick instead of a blood draw? Following a roux-n-y gastric bypass I suffered a perforated ulcer, splenectomy, collapsed lung, disconnected bowel, numerous septic infections, 18 months of picc lines,
Recently ended 2 week course of antibiotic for h. Pylori and gastric ulcer. Why does coffee still aggravate my stomach?
H pylori => ulcer: 2 week course of antibiotics only gets rid of h pylori if taken as directed. But that may not be enough time for stomach lining to heal, which is why coffee & other foods may still aggravate your stomach. Ask your doc if a short course of proton pump inhibitor like Omeprazole or Pantoprazole would be ok to tie you over until you're completely healed (which is never quickly enough). ...Read moreSee 1 more doctor answer
What is the best medication to treat gastric ulcer.. My stomach produces much Gas and upper part of it got swollen up.. Being using omeprazole?
Maybe not just ulcer: Feeling full of "gas" may reflect malabsorption of food (like gluten, lactose), intake of poorly digested food, or choosing foods known to promote gas (beans, fizzy drinks). Sometimes its more complicated--a stomach emptying too slowly, bacterial overgrowth syndrome, delayed intestinal function, partial obstruction from any cause, infection, rectum problems, &/or pathology outside the gut. ...Read more
If they have a gastric ulcer or one in the duodenum, can they have pernicious anemia due to the stomach of duodenum being destroyed somewhere?
Possibly.: Pa is associated with antibodies that attack cells in the stomach. Besides interfering with B12 absorption, the stomach can develop atrophic gastritis, an inflammation of the stomach that results in the loss of all glandular tissue and scarring of the stomach. But ulcers are not a sign of this, and definitely not duodenal ulcers. The B12 problems come first, other stomach issues later. ...Read more
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