Doctor insights on:
What Kind Of Dr Performs Gastric Bypass
Bypass and band: Gastric bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, hypertension, etc, but has a slightly higher risk. It is an excellent operation and accounts for the majority of weight loss operations done in the us. It is safe if done by a surgeon who has done thousands of cases. ...Read more
Bariatric surgeon: While many general surgeons are able to perform bariatric surgery, bariatric surgeons focus in this area and often have additional training. Look for a bariatric surgeon who meets center of excellence criteria from a national surgical organization such as the american society for metabolic and bariatric surgery or the american college of surgeons. ...Read moreSee 2 more doctor answers
Arterial blockages..: In the legs are treated with angioplasty +/- stenting. The traditional approach is bypass around the blockage as you describe. A vascular surgeon usually does this surgery. Some cardiovascular surgeons still do this, a few general surgeons in ares limited to specialists and urgent situations may also do this. Vasculary surgery is it's own specialty and they are best to deal with this in most cases. ...Read more
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
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 moreSee 1 more doctor answer
General surgeon: General surgeons do this work, or open cholecystectomy when needed. ...Read more
Cost of bypass: That varies tremendously. If you have great insurance, it could cost you nothing. If you paid cash for a bypass at a hospital, it can cost you upwards of $30, 000. The average cash price for a band is close to $20, 000 but there are chop shops that will do it for as little as $13, 000 (and even less in mexico). I would not bargain shop. I have seen a lot of complications from these bargain places. ...Read more
Sleeve vs Bypass: You should have a detailed conversation about this with a bariatric surgeon. Briefly, a gastric sleeve is a simpler, shorter operation with less perioperative and nutritional complications. However, the long term results aren't quite as good as bypass. I'm barely scratching the surface of this issue, so again you need to make this decision after and in-depth evaluation with a bariatric surgeon. ...Read more
Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about .5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000. ...Read moreSee 1 more doctor answer
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
See reference: A picture is woth a thousand words. http://www.obeseinfo.com/bariatric-surgery-comparison-chart.htm ...Read more
Weight loss: The band is placed around the upper part of the stomach to restrict the amount of food you can consume. It is adjustable depending on the amount of food you can eat and weight loss. The bypass permanently changes the anatomy by re-routing the intestines. The sleeve gastrectomy permanently changes the size of the stomach. All work well for the right people. ...Read more
Triple CABG : This is surgery bypassing three coronary arteries. It has the same risks as any cardiac surgery. In the best situations a mortality risk of 1% or less. ...Read more
Dermatologist: Mohs paste is a form of topical therapy used in treating more advanced forms of skin tumors such as basal and squamous Ca's. If the lesion is spread out and difficult to resect or not responsive to Efudex Mohs, an arsenical paste is applied with margins then biopsied to assure inclusion in resection sitr ...Read more
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