Doctor insights on:
Use Of Celebrex In Gastric Bypass Patients
I suffer daily back pain & tendonitis is it ok to use celebrex (celecoxib)? I had gastric bypass roue en y back in 2008
Yes: Some surgeons do band-over-bypass procedures and report good weight loss results. However, there is an increased risk of complications such as band erosion when placing a gastric band over the gastric pouch. You should first talk with your bariatric surgeon to determine whether there are other options. ...Read more
Since the gastric sleeve can cause complication with a sarcoidosis patient. Is the gastric bypass better to have done with sarcoidosis?
sleeve ; sarcoidosis: Neither one (bypass or sleeve) is better than the other with respect to sarcoidosis. Studies have shown that people on immunosuppressive therapy can safely undergo either operation. I would just decide which operation is best for you. In a healthy ; moderately obese person, either operation is fine. If you have gerd, diabetes, or have a bmi over 50, bypass is preferred. ...Read more
Yes, but ? need: Many bariatric programs routinely do a pouch leak test in the early post-operative period, some the day after, some waiting 5-7 days after surgery. The overall leak rate is low and does not always pick up all leaks, especially if done too early. In one study from UCLA, routine pouch leak studies after laparoscopic gastric bypass did not contribute signiﬁcantly to postoperative patient care ...Read more
No it doesn't work: No..You need to lern to eat correctly..For some pointer see www.Weighstation.Net hope this helps. ...Read more
Soda: Carbonated soda is bad for everyone. Regular soda has way too much sugar. Diet soda has sugar substitutes that are bad for you. So soda isn't good for anyone. For bypass patients, the co2 gas can build up in the gastric remnant and you can't burp that out. This can cause discomfort, but will eventually get absorbed. I tell my patients not to drink soda anymore. ...Read more
Post Bariatric Surg: Yes. That is the simple answer. But, if with that dose you feel any burning or acid or increase of pain then in your case it may not be so safe. ...Read more
Yes: Regaining weight frequently happens. It used to be thought that it had to do with enlargement of the gastric pouch, but more recent studies suggest that it is related to a gradual widening of the gastrojejunal anastomosis (the joining between the stomach pouch and small intestine that is created). ...Read more
Gastric bypass patients are more likely to develop gallstones later on after surgery. How can this be prevented?
If it's true that patient stops losing weight after one year of gastric bypass surgery, can she still lose weight with diet and simple sports?
Yes: Diet and exercise are the mainstay for weight loss. As long as the balance of calories in vs calories out is negative, then there will be weight loss. A gastric bypass surgery is only a tool to jumpstart a weight loss program. Any tool can be beaten. Continue for a lifetime with prudent, low-carb diet and daily exercise for ongoing weight loss and weight maintenance. ...Read more
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
Are there new recommendations on how many grams fats, carbs, protein and calories should be consumed daily, for post gastric bypass patients? I'm 9 years out and want to start tracking my intake again. I've gained nearly 30 pounds back. I'm female, 53 yea
Yes: Go to www.Caloriecount.Com (free) and http://www.Health.Harvard.Edu/special_health_reports/lose-weight-and-keep-it-off ($18 if you buy the book). Both will answer your questions. ...Read more
What's the vitamin(s) requirement for pregnant gastric bypass patients? Adding a pre-natal on top of the vitamins i already take seems too much. Surgery was over five years ago. All blood work ok.
I know gastric bypass surgery is a great weight loss tool, but can patients take diet pill to help speed things up?
Should not: One thing at a time and follow instructions! ...Read more
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
Mini gastric bypass: The mini gastric bypass is not endorsed by any asmbs or any of the top academic bariatric surgery programs in the country. It is safe, but it is basically a billroth 2 operation which can cause bile reflux. The fix for that problem is a roux-en-y gastric bypass meaning that for 50 years we have known that a roux-en-y is better than a billroth 2. The b2 is just easier for the surgeon to do. ...Read more
1 st do you need one: then you have to be in program , will motivate you loose weight , assess your general status before accepting into program . Go and see one close to you , if you are a candidate they will tell you how much it costs work out a plan for the payment . ...Read more
Yes you can: The standard bypass does not remove any parts, so re-connecting the stomach pouch to the remnant stomach and removing the roux small bowel limb are possible. Reversal is rarely done since most problems causing patients to consider reversal can be treated with other means. The procedure has higher risk than the first operation since the surgeon is working with altered anatomy. ...Read more
Very safe. : Bariatric surgery has come a long way in the last 20 years. The major complication rate is in the range of 1-2 % but varies considerably between surgical groups. Find a skilled group who focuses on bariatrics and are fellowship trained in it. The bottom line is that the risk of death from living with morbid obesity is higher than the risk from surgery, by far. ...Read more
Caution : The procedures are effective at helping you lose weight, but I have many patients in my practice who have had the procedures in the past and now have terrible nutritional deficiencies. They require pretty frequent iron infusions, which now must be done in the hospital at least where I am. I would never recommend the procedures. ...Read more
Some risk: Modern gastric bypass surgery is much safer than it used to be, with a risk of death around 1% and other complications around 40%. The risk seems to be worth it though because the risk of death after successful surgery goes down 89% over five years. So if 100 people have gastric bypass, about one will die from the surgery, but 89 will survive longer than they would have without the surgery! ...Read more