Doctor insights on:
What Happens If After Lap Band Surgery Bulimia Returns
If you begin to regain weight after gastric bypass surgery, talk to your doctor: You may have a sense of what’s causing your weight gain. However, you may need a more thorough evaluation to determine what factors — medical, psychological, lifestyle — are involved in the weight gain. You may have gained weight after gastric bypass surgery because of changes in your stomach and intestine that allow you to eat more and absorb more calories. It's also possible that your diet and exercise habits have slipped, in which case you must typically lose the regained weight the old-fashioned way — both by reducing your calorie intake and increasing your physical activity. In some cases, a second surgery to repair — or redo — a gastric bypass may be appropriate. This is especially true if the anatomy of your stomach and small intestine have changed, such as with a fistula (additional connection between the stomach and intestine). However, a second surgery has an increased risk of complications, including infection, bleeding and leaks in the gastrointestinal tract. Because of these risks, gastric bypass surgery usually isn't redone if you regain weight because of poor diet or exercise habits. Gastric bypass surgery can be an effective treatment for obesity, and most people do lose weight after the procedure if they are adequately prepared for the changes that are necessary. But you'll always be at risk of regaining weight, even years later. To help reach your weight-loss goal and prevent weight regain, it's crucial to make lifestyle changes along with having gastric bypass surgery. ...Read more
If I have an ulcer, will i need lap band revision surgery? I'm nervous about having lap band revision surgery on my stomach. Is this kind of surgery usually successful? Is it any riskier than my original surgery?
Although : Although the situation you describe is unclear, it seems that you may have had a lap band and now found to have an ulcer near the area of the band and that you have been suggested to have this revised. If indeed this is the case, you should consider whether you have taken medications that may have increased the risk for stomach ulceration, such as the use of Aspirin or steroids. It that is not the case and the ulcer is near the vicinity of the lap band, then one should consider whether this is a lap band erosion, which can occur if the reservoir is overfilled, incorrectly placed, or other events, such as prolonged vomiting may have preceded this. As this occurs in about 3-5% of cases, it is not common, but the treatment will require removal of the lap band. In this case, another lap band is not usually recommended, but rather consideration to conversion to another bariatric procedure, such as sleeve gastrectomy, after the ulcer is healed. ...Read moreSee 4 more doctor answers
Lap band: I certainly would wait 6-8 weeks before thinking about surgery ...Read more
After a double lap hernia how long before a seroma will develope think I have 1 bulg was there about 5 days after surgery but not day or so after. ?
Yes: No physiological reason not to.Get a more detailed answer ›
How long after any surgery is it safe to have another. I'm having the gastric sleeve soon then after i want a breast reduction.
Bloating: If you are having this done laparoscopically or robotically the incisional pain will improve quickly. Most patients having repair of a large hiatal hernia develop some bloating of their stomachs and some will have difficulty swallowing particularly with solids for several weeks. If you are having a fundoplication this is particularly likely. Once your surgeon allows solids chew well. ...Read more
Swallowed air. : Most belching is due to swallowed air. People with acid reflux and heartburn swallow much more often to clear the acid in esophagus. With a sleeve, you might still have reflux. Should be on acid suppressing med (prilosec) and give it time. Usually gets better after few months. ...Read moreSee 1 more doctor answer
What does "severe'" gas-bloat after nissen fundoplication mean/look like? What causes gas-bloat after this surgery?
Can't burp: An effective nissen fundoplication provides a barrier to gastroesophageal reflux, but also a barrier to vomiting and burping since the lower esophageal sphincter no longer relaxes to let air (or other stomach contents) escape upward from your stomach. The air then accumulates in the stomach, resulting in gas and bloating until it can be evacuated into the small bowel. ...Read more
After surgery to repair FAI or avascular necrosis of hip. What is the shortest time before the patient could do 9 hour international fly after surgery?
Varies: The graft may have closed because it was attached to a diffusely diseased vessel with miminal flow. If the area is collateralized, nothing may need to be done. If reduced blood flow to that are of the heart is documented and associated with symptoms, then your own vessel that lost the bypass may possibly be opened with a stent. Talk to your cardiologist. ...Read more
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