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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
465 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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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

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Do you agree with gastric bypass ?

Do you agree with gastric bypass ?

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 more

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What is the down side to gastric bypass?

What is the down side to gastric bypass?

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 more

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How rough is recovery from gastric bypass/?

How rough is recovery from gastric bypass/?

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 more

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What is the recovery time for gastric bypass?

What is the recovery time for gastric bypass?

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 more

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How are gastric bypass and the band different?

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

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What should I expect to eat after gastric bypass?

Not much: Remember that a gastric bypass is effective because of two mechanisms: 1) restriction of untake and 2) malabsorption. With a smaller stomach, you will get fuller faster and be able to take in less. ...Read more

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How common is it for someone to need a gastric bypass?

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 more

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I'm on 600mg of lithium a day. I've had a gastric bypass. Should this be an issue?

I'm on 600mg of lithium a day. I've had a gastric bypass. Should this be an issue?

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 more

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Salads after gastric bypass?

Salads after gastric bypass?

Yes. : Salads are fine once you are past the early post op time period designated by your surgeon's team. Just be careful of dressings, as many of them are rather high in dietary sugars. Higher amounts of dietary sugars can cause dumping syndrome. ...Read more

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What are the risks of gastric bypass?

What are the risks of gastric bypass?

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 more

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Dr. Erik Borncamp
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