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Doctor insights on: Stretched Stoma Revision Gastric Bypass

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How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms ?

How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms
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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 more

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Dr. Gregg Nishi
450 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


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Had gastric bypass 12 yrsago. Lost 130#. Gains about 95 back. Would weight watchers work for me. . Can't afford a revision.?

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 more

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When is a revision necessary for those that have previously had gastric bypass surgery?

When is a revision necessary for those that have previously had gastric bypass surgery?

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 more

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I had gastric bypass 5 years ago. I lost 100lbs, but have gained 50 lbs back. Might I be a candidate for revision surgery?

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 more

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Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's,(5'4", 203), but isn't there a less invasive answer?

Diagnosed me with bile induced gastritis. Wants to do a gastric bypass. In my 40's,(5'4", 203), but isn't there a less invasive answer?

Options: Probably theist popular weight loss operation at the moment is a sleeve gastrectomy. Its not really less invasive, but has less potential for long term side effects. There are also some newer endoscopic therapies, but they are not so effective. Ask your doctor if a consultation with a Bariatric surgeon is appropriate. Hope this helps! ...Read more

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How safe is gastric bypass now?

How safe is gastric bypass now?

Key word: I would like to emphasize the importance of seeking coe listed surgeon. There are plenty of surgeons that offer services and have *much* worse outcomes. Dr st laurent is in my area and has an excellent reputation. ...Read more

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Who should get a gastric bypass?

Who should get a gastric bypass?

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

Dr. Ronald Krauser
29 doctors shared insights

Stoma (Definition)

A stoma is a surgically created hole that creates a connection between the digestive tract and the skin so that liquid food can be put into the stomach, or liquid waste ...Read more


Gastric (Definition)

This refers to something that is ...Read more