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Doctor insights on: What To Do If Your Pouch Stretches After Gastric Bypass

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How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms ?

How can I tell if I have stretched out my gastric bypass pouch, are there any symptoms
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Try Bagel Test: After a bypass, you can test your pouch size and emptying by a bagel test. Eat mini bagels until full (in morning without any fluids). Record number of bagels (could be up to two for normal). Then wait 30 minutes. Dont drink anything. Try eating mini bagels again. Ideally, most of the pouch should still be full and you should only be able to eat one. ...Read more

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Dr. Gregg Nishi
449 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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Is there a diet that I can go on to shrink my gastric bypass pouch back down to the size that it was. Have lost over 200+ want to go another 50 lbs. ?

Is there a diet that I can go on to shrink my gastric bypass pouch back down to the size that it was. Have lost over 200+ want to go another 50 lbs.  ?

Probably not: Diet alone will not shrink the pouch. However, limiting your portion sizes should help. Be sure you are limiting high fat foods and carbohydrates. Most people eat too much of these. If you limit them you should lose weight. Also, are you exercising? If you walk daily it should help with weight loss. Be sure to talk with your doctor about a good goal weight. Good luck! ...Read more

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Is the 5 day pouch test ok for gastric bypass patients ?

Is the 5 day pouch test ok for  gastric bypass patients ?

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 signi?cantly to postoperative patient care ...Read more

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Why is the mini gastric bypass?

Why is the mini gastric bypass?

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

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How safe is gastric bypass now?

How safe is gastric bypass now?

Key word: I would like to emphasize the importance of seeking coe listed surgeon. There are plenty of surgeons that offer services and have *much* worse outcomes. Dr st laurent is in my area and has an excellent reputation. ...Read more

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How expensive is gastric bypass?

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

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Who should get a gastric bypass?

Typically surgery is: recommended for patients with morbid obesity (BMI>40), patients who are obese (BMI > 35) with other medical conditions like diabetes or heart disease, and now many people are also recommending surgery for those with BMI > 30 (overweight) with other high risk med problems. There are many options for weight loss surgery (bypass, sleeve, band); see a good bariatric surgeon to discuss. Good luck! ...Read more

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Do you agree with gastric bypass ?

Do you agree with gastric bypass ?

Absolutely: Bariatric surgery represents the single most effective therapy of losing weight and potentially resolving medical conditions such as diabetes, high blood pressure, sleep apnea, high cholesterol etc… surgery should not be taken lightly. It is work, but worth the effort. Find a reputable surgeon with a good dietitian and after-care program willing to follow you and help you be successful for life. ...Read more

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Could I reverse my gastric bypass?

Could I reverse my gastric bypass?

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

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Gastric (Definition)

This refers to something that is ...Read more