Doctor insights on:
Stretched Stoma Revision Gastric Bypass
Try Bagel Test: After a bypass, you can test your pouch size and emptying by a bagel test. Eat mini bagels until full (in morning without any fluids). Record number of bagels (could be up to two for normal). Then wait 30 minutes. Dont drink anything. Try eating mini bagels again. Ideally, most of the pouch should still be full and you should only be able to eat one. ...Read moreSee 1 more doctor answer
Im 4 months out of gastric bypass surgery, is there way your ouch can stretch so you eat more and wont lose weight?
Bariatric surgery: Yes. Of course. Many fail by eating too much and too often. ...Read more
Had gastric bypass 12 yrsago. Lost 130#. Gains about 95 back. Would weight watchers work for me. . Can't afford a revision.?
Absolutely : Yes weight watchers, jenny craig or any of the other weight loss programs would work. It would certainly help if you worked closely with a nutritionist and a trainer at te gym. You proved to yourself already that when you had the right tool and you used it, you lost weight. You simply need to use a new tool to help yourself in the right direction. Good luck. ...Read moreSee 1 more doctor answer
Depends: Please seek the opinion of another skilled bariatric surgeon in your area to get an opinion. ...Read more
Big pouch, outflow: The pouch does not usually stretch out. Above picture is the outflow from the pouch. When it is this big, some narrowing will help. Sclerotherapy is a simple 15 min endoscopic option that we have found to be helpful to reduce outflow size and help people stay full longer. Check out the youtube video: http://m.Youtube.Com/?Reload=3&rdm=m1n4ps37u#/watch?V=gofxmkpx-qo. ...Read moreSee 1 more doctor answer
I had gastric bypass 5 years ago. I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?
Eating behavior KEY: Tips for eating success: don't drink fluids with meals (washes food down); avoid high fat snacks (chips, crackers, peanut butter); avoid sugar, eat more solid food that "packs your pouch", avoid too many slider foods that go right through. Can also see your surgeon for endoscopy or solid meal UGI to check size of pouch and pouch outflow size. ...Read moreSee 1 more doctor answer
Ok, wondering if I need revision. Had gastric bypass, lost 100, gained 50 back. Can't eat meat, except for ground beef. Still throw up of eat too much?
Typically surgery is: recommended for patients with morbid obesity (BMI>40), patients who are obese (BMI > 35) with other medical conditions like diabetes or heart disease, and now many people are also recommending surgery for those with BMI > 30 (overweight) with other high risk med problems. There are many options for weight loss surgery (bypass, sleeve, band); see a good bariatric surgeon to discuss. Good luck! ...Read more
Absolutely: Bariatric surgery represents the single most effective therapy of losing weight and potentially resolving medical conditions such as diabetes, high blood pressure, sleep apnea, high cholesterol etc… surgery should not be taken lightly. It is work, but worth the effort. Find a reputable surgeon with a good dietitian and after-care program willing to follow you and help you be successful for life. ...Read moreSee 1 more doctor answer
Potential risks: Gastric bypass is a major surgery - never to be approached casually. As with any major surgery, there exist complications - even the possibility of dying! on the other hand, when a person has multiple "co-morbidities" of obesity (diabetes, high blood pressure, sleep apnea, etc.), the benefits may outweigh the risks. Talk to your doctor, your family, and yourself as you make this important choice. ...Read moreSee 3 more doctor answers
Not bad. 2 weeks: Most of our patients are up walking and sipping liquids right after surgery. With tiny catheters that drip numbing medicine into the skin, most patients use only oral pain meds on the first day after surgery. Most go home the day after surgery. Most go to work in two weeks. ...Read moreSee 2 more doctor answers
A few weeks: The answer depends on how it was done. Open bypass takes 3-4 weeks to recover, while laparoscopic bypass is often less than 2 weeks. You won't be 100%, but should be able to return to a desk job in this time. For manual labor, recovery will be longer. ...Read moreSee 1 more doctor answer
Bypass: Completely different procedures band is simpler and less effective. Restriction only bypass is more involved however has much better results in between you find the sleeve an option worth looking into. Kind of the best of both for committed patients. ...Read more
Very common: Less then 30% of the american population actually has a normal bmi. Obesity is a major epidemic in this country and is rapidly expanding, especially in the adolescent and preadolescent age groups.Surgery is performed in 1% or less of those individuals who are consider candidates for these procedures. Surgery for obesity, especially over the last ten years has become increasingly more popular. ...Read moreSee 1 more doctor answer
Use blood levels: Lithium blood levels are monitored at a regular frequency and this way you can tell if you are absorbing the medication and if you are at therapeutic doses. For my patients having had gastric bypass is not an issue; rarely if they develop side effects by diving the dose into 2 times a day this resolves the problem. ...Read moreSee 1 more doctor answer
Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about .5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000. ...Read moreSee 2 more doctor answers
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