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Doctor insights on: What Kind Of Doctor Performs Gastric Bypass Surgery

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After gastric bypass surgery, when should I follow up with the doctor?

After gastric bypass surgery, when should I follow up with the doctor?

Hmmmmm?: That should have been made perfectly clear at the time of discharge from your surgery. That is a decision of the surgeon and could vary. Call the surgeon's office and speak with them or with his office personnel and find out this answer. It coud be 1 or 2 days or 1 or 2 weeks depending on your case. Call very soon and find out. ...Read more

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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Can any doc tell me what's it like going through gastric bypass surgery?

Can any doc tell me what's it like going through gastric bypass surgery?

Gastric bypass: 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 a safe operation but should only be done by an experienced gastric bypass surgeon. Surgery takes 60-90 minutes. Back to work in 2 weeks. Transition from liquids to solid food over 5 week period. Very effective. ...Read more

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What steps should I be following directly (3 weeks) after my gastric bypass surgery? The hospital doctors have to me so little, I'm relying on google

What steps should I be following directly (3 weeks) after my gastric bypass surgery? The hospital doctors have to me so little, I'm relying on google

Call your surgeon: Following up with your surgeon is really important. Okay to call for the follow up appointment. If you need to, okay to call the hospital to get help with follow up appointment. Basically small meals and hydrate until you can get in with your surgeon. ...Read more

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My doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals can I eat?

My doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals can I eat?

Little ones: You'll need to eat very small meals afterward or you'll 1) feel awful 2) stretch your stomach and not get the desired effect. You will receive detailed nutritional counseling prior to discharge from your bariatric surgery team. ...Read more

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What do you suggest if my doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals?

What do you suggest if my doctor is going to give me a laproscopic roux-en-y gastric bypass surgery and I was wondering what meals?

Education: Patients that undergo a weight reducing procedure, known as bariatric surgery, must undergo appropriate screening and preparation prior to surgery, including a several month period of regimented diet and achievement of defined goals. Failure to do so increases the risk that the procedure will not achieved desired weight loss. You will not be able to eat the same diet after surgery. ...Read more

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I wanna get gastric bypass surgery but I'm to afraid to go to my doctors office and talk to him about it. I'm 18 years old 5'5 and weigh 240 BMI 40?

I wanna get gastric bypass surgery but I'm to afraid to go to my doctors office and talk to him about it. I'm 18 years old 5'5 and weigh 240 BMI 40?

Talk to PCP: Talk to your PCP about your concerns. Do not request anything specific, don't say " I want gastric bypass" but discuss your concerns. You probably qualify for a procedure. Typically either BMI equal or greater than 40 alone, or BMI > 35 plus other medical risk factors like BM, hypertension, elevated cholesterol qualify pt for a procedure. Plus you are 18 y/o and are an adult. ...Read more

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Not sure why doctors think my mom would qualify for gastric bypass surgery or the band? Yes she's 350 lbs but she has copd, chf, diabetic with fluids around lungs and her legs swell up a lot due to the fluid. How could she qualify?

Good case: Needs some tuning, but a great candidate, since most of her problems will resolve with sleeve or bypass. Less benefit with band. She would be one of our typical patients. ...Read more

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Is a general surgeon qualified to perform gastric bypass surgery?

Is a general surgeon qualified to perform gastric bypass surgery?

Yes, but inquire exp: All bariatric-only surgeons started as general surgeons. Surgeons who do a variety of procedures are sometimes your best technical operators. You do want to ask about experience. Also want to make sure he/she has a good after-surgery program. Finally, look for a compassionate surgeon. ...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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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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Can you tell me about roux-en-y gastric bypass surgery?

Can you tell me about roux-en-y gastric bypass surgery?

Gastric bypass: 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 gastric bypass surgeon. The sleeve is a close second. ...Read more

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Can you tell me the price range for a roux-en-y gastric bypass surgery!?

Gastric bypass: Well, insurance usually covers it if you qualify (bmi over 40 if you have no medical problems, or bmi over 35 with medical problems). If you don't have insurance, you are looking at somewhere between $20-30, 000. You can get financing through care credit as one example. ...Read more

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Is it possible to have gastric bypass surgery if you have hepatitis c?

Is it possible to have gastric bypass surgery if you have hepatitis c?

Hepatitis C: Yes if you don't have active liver disease like acute hepatitis or cirrhosis. ...Read more

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Is gastric bypass surgery good?

Is gastric bypass surgery good?

Operations: In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. ...Read more

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How risky is gastric bypass surgery?

How risky is gastric bypass surgery?

Gastric bypass: 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 a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read more

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How extensive is the gastric bypass surgery?

How extensive is the gastric bypass surgery?

Major surgery: Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. ...Read more

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How effective is the rny gastric bypass surgery?

Depends on behavior: A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. This can include support, diet, exercise, as well as the surgery. Your doctor can guide you in finding a qualified bariatric program, but you must be willing to accept that such a procedure is not the end, and you will have to actively participate in your recovery. Good luck. ...Read more

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What can be expected from gastric bypass surgery?

Weight loss: Other benefits include better sugar control, BP control. Better health and exercise tolerance and feeling good about oneself. ...Read more

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What are the chances of death sith gastric bypass surgery?

Very low: Most bariatric centers of excellence track their mortality rate. When given a choice, most patients gravitate towards a center with mortality rate < 2% (different from morbidity/complication rate). If you need bariatric surgery, do your homework and get the best center you can. ...Read more

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Can you please describe the downsides to gastric bypass surgery?

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 sleeve gatrectomy surgery safer as compared to the gastric bypass surgery?

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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What is weightloss-gastric bypass surgery like?

What is weightloss-gastric bypass surgery like?

Gastric bypass: Well, I've done a few thousand, and the only regret I here patients say is that they wish they had done it sooner. People are often back to work at 2 weeks after surgery. I just saw a 19yo patient who is 9 months out and went from 255lbs to 155lbs. She was crying because she is so happy with her weight loss and how good she feels. It's hard work, and not a magic bullet, but you will be happy. ...Read more

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What is long limb gastric bypass surgery?

What is long limb gastric bypass surgery?

More bypassed bowel: This is a weight loss operation that's similar to standard gastric bypass, except that the amount of intestines diverted is longer than typical. In this operation, the stomach is divided and a small pouch of stomach is connected to a portion of the small intestines (the jejunum), thereby skipping over the rest of the stomach and duodenum. "long-limb" referrs to how much intestines is skipped over. ...Read more

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Why no alcohol after gastric bypass surgery?

Why no alcohol after gastric bypass surgery?

Alcohol ; bypass: You can have alcohol after a bypass but in moderation. Keep in mind that sweet drinks can cause dumping syndrome. Also, your tolerance will be much less than before so be careful. Lastly, alcoholic drinks (like beer and wine) can contain a lot of calories and you can gain weight from drinking too much. ...Read more

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How do I tell my parents I want gastric bypass surgery?

How do I tell my parents I want gastric bypass surgery?

The Truth: Tell the truth as to why you believe this option is necessary for you. ...Read more

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How come digestive enzymes are reduced after gastric bypass surgery?

How come digestive enzymes are reduced after gastric bypass surgery?

Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more

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Is it allowed for a teenager to get the lap band or gastric bypass surgery?

Is it allowed for a teenager to get the lap band or gastric bypass surgery?

Teen: Waiting until 18 would be ideal but 16 ; 17 year olds can have surgery but should only do so at an adolescent weight loss surgery program and after extensive evaluation. This includes the usual evaluations by the surgeon, dietician, ; social worker, plus a pediatric endocrinologist, pediatrician, and x-rays of their growth plates to prove physiologic maturity. ...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