Doctor insights on:
Why Do I Burp All The Time After Having Bariatric Gastric Sleeve Surgery
Swallowed air.: Most belching is due to swallowed air. People with acid reflux and heartburn swallow much more often to clear the acid in esophagus. With a sleeve, you might still have reflux. Should be on acid suppressing med (prilosec) and give it time. Usually gets better after few months. ...Read more
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
38 yo two years after successful bariatric gastric sleeve surgery experiencing rapid hair loss. What do I do?
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?
Tight at beginning: The ideal gastric sleeve should be fairly tight at the beginning (usually a 34 fr bougie), should begin about 1 inch from the pylorus (the end of stomach), and go directly to the angle of his right next to the esophagus. Experience shows that the sleeve will not stretch more than about 5% if kept tight from the beginning. ...Read more
I'm hoping a bariatric surgeon or even any surgeon can answer this: can drinking too fast cause a leak 1-2 weeks after gastric sleeve surgery? Thanks
Can rapid weight loss cause a hormone change. Recently had a period with the mirena IUD in place. No previous periods. The rapid weight loss was related to gastric sleeve surgery 6 weeks ago. This is the second mirena IUD and this would be the first time
Can I crush my amoxicillin /c 875-125mg antibiotic pills. I had gastric sleeve surgery april 6 2015. iwas told to crush or chew my pills.
Pharmacist: Best to call the pharmacy and ask the pharmacist. They'll let you know. Hope this helps! ...Read more
Depends on you: Sleeve gastrectomy is a physiologic restrictive operation. The average weight loss is about 70% of the excess weight. However, it depends on the patient and his/her initial weight before surgery. Nothing say that you cant lose all your excess weight if you follow the instruction of the diet and exercise. I have several patients who lost more than 100 lbs. In the first 6 month after the surgery. ...Read more
Sleeve surgery: Is safe and effective. It works through several hormonal pathways and not just restriction (e.g. Ghrelin, glp-1, pyy, etc). These honors take hunger away. Lifestyle changes are required for all bariatric surgeries. When all goes away, patients lose 60-75 lbs, for every 100 lbs they are over weight. ...Read more
Unclear: I am not sure what you're asking. Please clarify your question. ...Read more
About 1% leak rate: Leaks have steadily decreased with experience. Now less than 1%. For our practice, we have learned to stay on liquids 2 weeks and puréed foods for two additional weeks. That lowers gut pressure until fully healed. ...Read more
Gas: Certain eating behaviors early after bariatric surgery can result in more bloating and discomfort. Typically we instruct patients to avoid chewing gum, sipping through straws, gulping food and liquids, and absolutely avoiding any carbonated drinks. The GI tract tends to be a little slower after surgery. This along with tissue swelling can result in gas accumulation and discomfort. ...Read more
I just started back smoking and I smoke marijuana sparatically. How will this affect gastric sleeve surgery?
Hi there my wife had gastric sleeve surgery about a month ago & she's been having issues She'll vomit often& feels like food gets stuck in esophagus?
I had gastric sleeve surgery 2 1/2 months ago. More and more I'm experiencing a very tight cheat and back after eating. Lasts about 1/2 hour to 1 hour?
Several things: Laparoscopic sleeve gastrectomy a surgical weight-loss procedure in which the stomach is reduced to about 25% of its original size. LSG has been reported to increase the risk of new onset gastroesophageal reflux disease (GERD) by altering the normal position of the sphincter at the gastroesophageal junction or in some cases, having the sleeve migrate into the chest. It is still safer than bypass ...Read more
What are the chances of gastric sleeve surgery failing in the FIRST couple weeks/months? & how common does it happen?
Sleeve and diet: If by "failing, " you mean that your weight did not go down, it is possible. The procedure should be combined with a change in diet. Supervision by a knowledgeable nutritionist helps. The sleeve makes dieting to lose weight easier, but it doesn't make the weight go down by itself. Some people require a second procedure. Should discuss with your doctor. ...Read more
Yes: No physiological reason not to.Get a more detailed answer ›
Different type: Gastric band is reversible, where the adjustable (removable) device at upper stomach with very small pouch constricts like dumbbell. In gastric sleeve, a tube of stomach is left, rest of stomach is removed ...Read more
2 points: Check with:
Your surgeon about how much you will likely lose.
2ndly you meant how much would you lose (not how much did I lose)? ...Read more
Possible: But not very common. If there is preexisting liver disease, or reaction to medication may be the cause, lft (liver function tests) may get elevated temporarily, discuss with your doctor, will give more information. ...Read more
Sleeve: You should stay away from alcohol at least 6 months after weight loss surgery for several reasons. Alcohol irritates the stomach whih may be detrimental in a recent gastric surgery. It promotes reflux which is more common after a sleeve. It has significant ammount of calories which will interfere with your weight loss. You can not predict how tou will react to alcohol after surgery. Recs may vary. ...Read more
Simethicone: Try liquid anti-gas preparations with simethicone to break up the gas bubbles in to smaller ones. It may relieve your symptoms. If not, call your surgeon for a more detailed evaluation and advice. ...Read more
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
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