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Doctor insights on: What Is The Difference Between Gastric Bypass And Bariatric Surgery

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Please help! what is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?

Please help! what is the difference between gastric bypass surgery, stomach stapling and gastric band surgery?

Bypass and band: Lap band is the safest and is reversible which attracts a lot of patients, but failure rates are high, it is easy to cheat, weight loss is slower. Bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, but has a higher risk. Stomach stapling can mean many different things. You probably mean sleeve gastrectomy, also good, the newest. ...Read more

Dr. Joseph Kuhn
356 doctors shared insights

Weight Loss Surgery (Definition)

Surgical procedures for obesity may be appropriate for some dangerously obese people, and they may reduce heart problems and many of the risks associated with obesity. These risks include high blood pressure, sleep apnea, and diabetes. In fact, surgery provides much greater control of weight and diabetes than nonsurgical weight-loss methods. Studies are reporting significant reductions in diabetes, and the need for diabetic medications, after surgery. Other medical conditions that often improve after surgery include heartburn, arthritis, and other joint and circulation problems. The care of patients undergoing bariatric surgery, before and after surgery, requires specialized expertise and facilities. Studies have shown that the likelihood of complications is significantly associated with the experience of the surgeon and staff. Bariatric surgeries produce weight loss through one of two approaches: * Restrictive Banding Procedures. These procedures restrict the amount of food by closing off parts of the stomach with bands. * Malabsorptive Bypass Procedures. This approach restricts the amount of food and also reduces absorption by using a bypass of parts of the intestine. The malabsorptive procedures are more successful in achieving weight loss than the banding approach, but they carry a greater ...Read more


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I have sarcoidosis and i would be undergoing a weight loss surgery. The bariatric doctor suggests gastric bypass and irequested for gastric sleeve. Which one is better?

I have sarcoidosis and i would be undergoing a weight loss surgery. The bariatric doctor suggests gastric bypass and irequested for gastric sleeve. Which one is better?

About the same: While there more data on the gastric bypass, more recent data suggest similar benefits in terms of weight loss and improvement in glucose metabolism with the sleeve. What is more important us the degree of proficiency the operating doctor has with the procedure. ...Read more

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Main difference (recovery wise, etc) between getting lap band and gastric bypass surgery?

Main difference (recovery wise, etc) between getting lap band and gastric bypass surgery?

A couple weeks: Recovery following laparoscopic banding or 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. There are many other differences which can't be fully covered in this format. I would recommend looking for a free seminar in your area to further investigate this. ...Read more

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Do you recommend roux-en-y gastric bypass surgery?

Do you recommend roux-en-y gastric bypass surgery?

Gastric bypass: Yes. It may not be the best choice for everyone, the the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is also the best operation for patients with diabetes, heartburn/reflux, large hiatal hernias, or are very obese (bmi over 50). It should only be done by an experienced surgeon. ...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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To what extent does gastric bypass surgery cost?

Cost of bypass: That depends. Generally speaking, health insurance covers the cost of surgery. However, you may have a co-pay of 10, 20, even 50%. If you didn't have any insurance at all, it could cost you $30, 000 to have a gastric bypass done depending on where and by who. ...Read more

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How do I tell my bf about gastric bypass surgery?

How do I tell my bf about gastric bypass surgery?

Simply : Most find that people who go through surgery did a courageous thing by undergoing surgery to save their life. ...Read more

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Can you tell me if i could get gastric bypass surgery at 16?

Can you tell me if i could get gastric bypass surgery at 16?

16yo gastric bypass: Can you? Yes. Should you? That will take a lot of discussion to determine. You should only be evaluated for gastric bypass surgery at place that has an adolescent weight loss surgery program. Very few places around the country have that. The work up process for a 16yo is much different than an adult. Make sure you go to a surgeon that has done thousands of gastric bypasses. Experience counts. ...Read more

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What to eat within the first week of having gastric bypass surgery?

Gastric bypass diet: Nothing but clear liquids (sugar free juice, water, broth) and protein drinks (low carb, low sugar). ...Read more

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Can I have an explanation on how the gastric bypass surgery is performed?

Can I have an explanation on how the gastric bypass surgery is performed?

Gastric Bypass: Make the stomach smaller so you cannot eat as much. Usually by separating the top portion of the stomach from the rest. Bypassing some of the small bowel so you have limited absorption capabilities downstream. A piece of small bowel is then hooked up to the new smaller gastric pouch to allow food to continue downstream. Can be done with open surgery or laparoscopic surgery. ...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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Does smoking affect gastric bypass surgery?

Does smoking affect gastric bypass surgery?

Snesthesia specific: Patient's who qualify for bariatric surgery are already at risk for sleep apnea and collapsed lungs. Why make things worse by triggering constriction of airways? I know of many bariatric surgeons who refuse surgery on smokers. Remember, post-surgical instructions are very strict so you have to demonstrate the ability to change unhealthy behaviors prior to surgery. ...Read more

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Can i eat salads 5 weeks after gastric bypass surgery?

Probably: Do not see any reason why not, but please check with your surgeon, who knows you well. ...Read more

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Once I have a gastric bypass surgery what happens to my extra skin?

Once I have a gastric bypass surgery what happens to my extra skin?

Stays unless removed: Individuals undergoing bypass who lose a substantial amount of weight will often have excess skin.The extent is highly variable. If the excess skin is creating a health issue such as rashes or skin breakdown or the pt desires cosmesis, it can be surgically removed, otherwise can leave alone. Surgically excising is the only way to eliminate. Exercise may help some but won't completely eliminate. ...Read more

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What is safer and more effective: gastric bypass surgery or liposuction?

What is safer and more effective: gastric bypass surgery or liposuction?

Diet and EXERCIZE!: Risks and benefits of surgery need to be tabulated for each individual and their personal issues. ...Read more

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Can you tell me is gastric sleeve safer or gastric bypass surgery is safer?

Can you tell me is gastric sleeve safer or gastric bypass surgery is safer?

Sleeve gastrectomy: That's a common misconception by patients. The gastric bypass is a more complicated operation than a sleeve, but the risk of a leak is the same for either operation. In addition, if a leak occurs, it is much harder to control in a sleeve than in a bypass. There are many other pros/cons for each, but the bottom line is that the risk is about equal. For diabetes and heartburn/reflux, bypass is best. ...Read more

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Dr. Kenneth Foreman
210 doctors shared insights

Bariatrics (Definition)

Bariatrics is the field of medicine dedicated to the study and management of obesity. Medical and surgical weight loss, treatment options, clinical research in obesity, and the general medical care of hospital patients who are severely overweight are all covered in this field. Almost a third of american patients suffer from obesity defined as a body mass index ...Read more


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