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Doctor insights on: The Latest Break Through To Alternative To Gastric Bypass Surgery

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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


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The 5 bite diet is supposed to get results like from a gastric bypass without the actual surgery.. Any opinions to that extent?

The 5 bite diet is supposed to get results like from a gastric bypass without the actual surgery.. Any opinions to that extent?

Yes eat less: What gastric by pass do ? It will not allow you to eat , as the stomach is tiny, same thing with dr alain lewis 5 bite diet , consuming only five bites of food , no break fast , low carbohydrates, no sugary drinks no transfats , surly will loose weight if you follow. ...Read more

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Is the removal of the wires used to close the sterum after heart bypass sugery a valid option in an effort to reduce non-cardiac chest pain?

Is the removal of the wires used to close the sterum after heart bypass sugery a  valid option in an effort to reduce non-cardiac chest pain?

Sternal wires: Its rare that sternal wires are the actual cause of pain. The pain is more than likely due to scarring from the healing. The pain should also be evaluated by firstly the surgeon and then a pain doctor. Taking the wires out may not solve the problem. ...Read more

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What are the non-surgical alternatives to an open-heart bypass?

What are the non-surgical alternatives to an open-heart bypass?

Stenting: Coronary stent and/or angioplasty, if possible. Medical management, including beta-blockers and nitrates and/or ace inhibitors. There are also off-pump CABG for appropriate candidates as well as "minimally invasive" robot-assisted. ...Read more

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What's the procedure to get gastric bypass surgery?

What's the procedure to get gastric bypass surgery?

Bypass preop: See a surgeon for consultation. If they think you are a good candidate and meet the bmi requirements, you then see a dietician and social worker for evaluation. You also get an egd done, labs, chest x-ray, ekg, ultrasound of your liver, etc. Once you have been cleared by everyone and insurance authorization has been obtained, you get scheduled for surgery. This process takes 4-6 weeks. ...Read more

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During cardiac catherization, if blockage found, which best to use to open the blockage:balloon or stint, cons and pros please?

During cardiac  catherization, if blockage found, which best to use  to open the blockage:balloon or stint, cons and pros  please?

Stents: Provided that the anatomy is favorable for such. Stenting keeps arteries open longer....Disadvantage is need for Plavix (clopidogrel) after which is generally far outweighed by benefits. ...Read more

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In the procedure cpr i shuod fracture the rebs to help the patient?

In the procedure cpr i shuod fracture the rebs to help the patient?

CPR: No fracturing a rib may occur but it will not help the patient. The desire is to compress the chest to push blood through the heart and the rest of the body. ...Read more

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Can you please describe the downsides to gastric bypass surgery?

Several: It's an operation infection failure reoperation adhesions death failure to sustain weight loss with effort, one can overcome it! ...Read more

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Is it possible that I have the alternates to conventional open heart procedure to valve surgery?

Is it possible that I have the alternates to conventional open heart procedure to valve surgery?

Valve surgery: If you qualify for open heart valave surgery then go for it. If yuou are not a candidate then you can explore for alternatives. It depends upon the type of surgery. Multiple other factors play a role. ...Read more

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What are the downsides to gastric bypass?

What are the downsides to gastric bypass?

Surgical risks: Every surgery carries risks and gastric bypass is no exception. There can be issues related to underlying medical conditions in surgery, anesthesia, postoperative infection or leak. Patients are also left with loose skin that often requires plastic surgery (not often covered by insurance) to remove the excess skin. Discuss all this with a bariatric surgeon. ...Read more

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What are the blood testing procedures before gastric bypass/ any surgery?

What are the blood testing procedures before gastric bypass/ any surgery?

Pre op labs: Blood tests before surgery are basically safety checks. A hematocrit, white cell count, platelet count and electrolyte panel give a lot of information to the surgery team about how the patient's organs are functioning. Surgery and recovery are hard work for the organs, so any dysfunction (yet without symptoms) is important to know. ...Read more

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Pregnancy and gastric bypass surgery? What happens to a developing fetus if the b-vitamins and protein is not accessible after gastric bypass surgery?

Pregnancy and gastric bypass surgery? What happens to a developing fetus if the b-vitamins and protein is not accessible after gastric bypass surgery?

Pregnancy is ok. : Pregnancy is quite appropriate after roux-en-y gastric bypass. Most programs ask patients to wait 12-18 months post-op to be one pregnant. Regarding "b" vitamins and protein, as long as you are taking the recommended vitamin supplementation and sufficing your protein requirements (typically around 70 grams/day) all should be good for the developing fetus. ...Read more

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Is there any natural remedy to fix the les a part from surgery and reduce the reflux or at least replace ppi drugs with some natural medicine?

Is there any natural remedy to fix the les a part from surgery and reduce the reflux or at least replace ppi drugs with some natural medicine?

Reflux: Besides avoiding things that decrease the function of the lower esophageal sphincter such as coffee, alcohol, chocolate i know of no natural remedies. If you are having severe reflux not controlled by ppi's surgery may be a great option and a potentially cancer preventing procedure. ...Read more

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What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

What is the best way to treat anemia for a pregnant patient with gastric bypass surgery 7 years ago?

B12 and Fe : Gastric bypass is associated with vit B12 deficiency which is secondary to loss of intrinsic factor secreted by the stomach along with fe (iron) deficiency which is absorbed by the duodenum. Moreover during pregnancy the blood volume increase to support the fetal circulation thus lead to dilutional anemia. The best approach is to receive vit B12 and fe replacements. Good luck. ...Read more

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How to absorb more iron after having roux-n-y gastric bypass surgery since iron is absorbed in the beginning of your small intestines, which is bypassed after roux-n-y gastric bypass, where else can it be absorbed enough to keep your iron level up

How to absorb more iron after having roux-n-y gastric bypass surgery since iron is absorbed in the beginning of your small intestines, which is bypassed after roux-n-y gastric bypass, where else can it be absorbed enough to keep your iron level up

Generally : Generally the malabsorption seen after a roux-en-y lasts for about 18 months and eventually diminishes, so iron absorption will likely improve at around that time. If you simply can't get adequate iron, make sure your doctor looks at your ferritin level and not just hemoglobin level. You may indeed benefit from iron infusion or if you happen to be a premenopausal women with a heavy period, you may benefit from discussing birth control pills to help diminish the degree of bleeding that occurs each month with your menstrual cycle. ...Read more

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What procedure do you doctors here reccommend for curing lpr .tif procedure or that surgical one where they make 3-5 incisions? Which one has best suc

What procedure do you doctors here reccommend for curing lpr .tif procedure or that surgical one where they make 3-5 incisions? Which one has best suc

Lap Nissen: Depends not only on the procedure but on the expertise of the Surgeon. The best results are at USC-LAC in LA by the Demeester group ...Read more

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Does an endoscopic pill camera take pics all the way through the bowel to the end?

Does an endoscopic pill camera take pics all the way through the bowel to the end?

No: It only take pic from mouth through first section of colon on right colon then it stop because once in colon. The stool prevent any chance of getting a recognizable pic. ...Read more

Dr. Gregg Nishi
501 doctors shared insights

Bypass Surgery (Definition)

Bypass surgery is done to aid in weight loss and recovery from obesity by drastically diminishing the size and absorptive capacity of the stomach. Bypass surgery is often successful, but requires extensive follow-up with ...Read more


Gastric (Definition)

This refers to something that is ...Read more