Top
30
Doctor insights on: What To Do If Your Pouch Stretches After Gastric Bypass

Share
1

1
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?

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. Don't 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

Dr. Gregg Nishi
474 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


2

2
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

3

3
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 significantly to postoperative patient care ...Read more

4

4
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

5

5
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

6

6
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

7

7
Who should get a gastric bypass?

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

8

8
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

9

9
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

12

12
What is the down side to gastric bypass?

What is the down side to gastric bypass?

Potential risks: Gastric bypass is a major surgery - never to be approached casually. As with any major surgery, there exist complications - even the possibility of dying! On the other hand, when a person has multiple "co-morbidities" of obesity (diabetes, high blood pressure, sleep apnea, etc.), the benefits may outweigh the risks. Talk to your doctor, your family, and yourself as you make this important choice. ...Read more

13

13
How safe is it to have a gastric bypass?

How safe is it to have a gastric bypass?

Very safe.: Bariatric surgery has come a long way in the last 20 years. The major complication rate is in the range of 1-2 % but varies considerably between surgical groups. Find a skilled group who focuses on bariatrics and are fellowship trained in it. The bottom line is that the risk of death from living with morbid obesity is higher than the risk from surgery, by far. ...Read more

14

14
What are the downsides to gastric bypass?

What are the downsides to gastric bypass?

Surgical risks: Every surgery carries risks and gastric bypass is no exception. There can be issues related to underlying medical conditions in surgery, anesthesia, postoperative infection or leak. Patients are also left with loose skin that often requires plastic surgery (not often covered by insurance) to remove the excess skin. Discuss all this with a bariatric surgeon. ...Read more

15

15
Can you eat a bagle after gastric bypass?

Bread is hard: To eat after any weight loss surgery unless it is toasted and crunchy. The doughy breads get stuck and do not go away quickly. Toasted breads with "melt" with saliva and, if it gets stuck, will eventually go away. Avoid raw bread, toast it. Really should limit bread intake though. Focus on hard, solid protein like fish and chicken. ...Read more

16

16
Does it hurt to get a gastric bypass done?

Does it hurt to get a gastric bypass done?

No one must.: It may be advised for difficult obesity situations, and of course, beneficial for some patients; but they should have appropriate treatment with conservative methods, ie eating management and exercise; also drug management; before they proceed with surgical intervention. I have had a few patients lose and maintain a weight a weight loss of of over 100 lbs without surgical intervention. ...Read more

17

17
Where do I go to get a gastric bypass done?

Where do I go to get a gastric bypass done?

Center of Excellence: Hi, please research the facility you wish to consult for bariatric surgery.One of the cedentials is "the center of excellence" although that is not absolute credential ask friends who have had the procedure donethe more the procedures reflects a level of experience. True that doing many procedures might produce more complications-but it can also mean that they are capable of handling complications. ...Read more

18

18
How rough is recovery from gastric bypass/?

How rough is recovery from gastric bypass/?

Not bad. 2 weeks: Most of our patients are up walking and sipping liquids right after surgery. With tiny catheters that drip numbing medicine into the skin, most patients use only oral pain meds on the first day after surgery. Most go home the day after surgery. Most go to work in two weeks. ...Read more

19

19
What is the recovery time for gastric bypass?

What is the recovery time for gastric bypass?

A few weeks: The answer depends on how it was done. Open bypass takes 3-4 weeks to recover, while laparoscopic 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. ...Read more

20

20
How are gastric bypass and the band different?

Totally different: In Banding a rubber strap with balloon applied around stomach. It narrows the stomach opening and forces patents to eat less.

In bypass stomach is divided and rerouted, this helps lose weight with food intake restriction as well as some malabsorption. Bypass is considered more effective than band but it needs a personal consult with surgeon to decide what will be best for someone. ...Read more

21

21
What will exercise be like after gastric bypass?

What will exercise be like after gastric bypass?

Depends: If you mean immediately, it will more than likely uncomfortable. If you mean in the long run, then you may have issues with stamina, and there could be some minor discomfort. You should discuss this with your bariatric surgeon. Your nutrition will be in question for certain amounts of exercise. Perhaps you need to consult additionally, a nutritionist, sports trainer or sports doctor. Be caref. ...Read more

22

22
What is causing my post gastric bypass problems?

Bypass problems: Hard to answer without knowing your problems. Constipation would be from not drinking enough. Abdominal cramps, smelly stools/gas may be from bacterial overgrowth. Upper abdominal pain may be from an ulcer in your pouch. Left upper abd pain may be from an internal hernia. You should see your surgeon. ...Read more

23

23
Can I have gastric bypass done without insurance?

Can I have gastric bypass done without insurance?

Gastric bypass: Yes, you can have any operation you want without having insurance as long as you can afford to pay for it yourself. ...Read more

24

24
What determines if gastric bypass was successful?

Ask Bariatric surgeo: I guess the success is the lost of weight and the improvement in the numbers of the glucose (a1c) and improvement in blood pressure and the lack of complications vomiting, dehydration, formation of ulcers etc. ...Read more

25

25
What should I expect to eat after gastric bypass?

Not much: Remember that a gastric bypass is effective because of two mechanisms: 1) restriction of untake and 2) malabsorption. With a smaller stomach, you will get fuller faster and be able to take in less. ...Read more

26

26
Is the mini gastric bypass safe or better than the?

Is the mini gastric bypass safe or better than the?

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

27

27
What are the chances of a successful gastric bypass?

What are the chances of a successful gastric bypass?

Very good: Bariatric surgery has a success rate of about 80-90% for significant weight loss and maintaining that weight loss. Diet and exercise has a success rate of more like 5-10%. Average weight loss with the gastric bypass is about 70-80% of your excess body weight. ...Read more

28

28
How common is it for someone to need a gastric bypass?

Very common: Less then 30% of the american population actually has a normal bmi. Obesity is a major epidemic in this country and is rapidly expanding, especially in the adolescent and preadolescent age groups.Surgery is performed in 1% or less of those individuals who are consider candidates for these procedures. Surgery for obesity, especially over the last ten years has become increasingly more popular. ...Read more

29

29
How much recovery time is needed after gastric bypass?

How much recovery time is needed after gastric bypass?

Varies: Each person is different and it depends on what you are considering the recovery to be. You will be able to do basic activities by the time you leave the hospital. No heavy lifting usually for at least 4-6 weeks (more than 10 pounds) to reduce the risk of hernia formation. Your diet will be highly specialized as to the type and amount after surgery. ...Read more

30

30
What should I eat the second week after gastric bypass?

Talk to your Surgeon: This is something that should be discussed with your surgeon. Some surgeons like to keep their patients on liquids for 2 to 3 weeks after their gastric bypass procedure whereas others will feed them small amount of solid foods a little sooner. It's important that you follow up with your surgeon and see what he recommends. ...Read more

Gastric (Definition)

This refers to something that is ...Read more