Doctor insights on:
Why Is It Important To Avoid Carbonated Drinks After Gastric Sleeve Surgery
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
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
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
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
Yes: Yes some advanced surgeons can do this but not that many. Generally even the surgeons that are capable only do the single incision procedure on specific patients. I do this procedure in my practice but the incision is not through the belly button. But a few centimeters higher instead. ...Read more
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
Yes: No physiological reason not to.Get a more detailed answer ›
My friend lost 150 lbs in 2 years after gastric sleeve surgery, now having hypoglycemia attacks, Drs not helpful, Anything to help? Medications?
After gastric sleeve surgery my uvula is elongated, irritated, and causes me to gag. How do I make it go back to normal?
Here are some...: How long ago did you undergo gastric sleeve surgery? If just few days, such change could result from temporary injury to it during intubation for anesthesia; if so, such will gradually go away with uncertain pace & ending point. More? Ask your surgeon and anesthesiologist. Of course, without detailed history and a direct look at, it is still hard to come up accurate answer to your concern. ...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
Starting to feel hungry again two years after gastric sleeve surgery. Do not want to gain weight back. Any tips?
Have a f/u: You need to see your surgeon for a follow-up. Also, see a nutritionist to reassess your dietary needs. You should be exercising regularly. ...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
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
What do you suggest if I am 230 pounds and I am scheduled for my gastric sleeve surgery, how much weight would I lose?
It depends on you...: Studies site b/w a 60-80% excess body weight loss with the sleeve (so if you are 100 pounds overweight, you could expect a 60-80 lb weight loss). However, surgery is no magic bullet. The best results are seen in patients who are motivated, follow the diet guidelines and exercise regularly. Attending support groups and making sure to follow up with your surgeon are also keys to success. Good luck! ...Read more
Life changing: Make sure you talk fully with your surgery team before surgery and that you have a full understanding of the surgery and consequences BEFORE you do it. It is lifechanging. First few days after surgery can entail some nausea, pain, etc. Long term, your stomach will hold less food; protein should be the focus. Each program is a little different; talk in depth with a skilled bariatric surgeon. ...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
Unclear: I am not sure what you're asking. Please clarify your question. ...Read more
I take B12 shot every month and had gastric sleeve surgery, will it hurt to take a sublingual B12 every day too?
B12 sublingual: It would be fine to take sublingual B12 in addition to the B12 shots if it helps you to feel better. ...Read more
Dr. I would like to know for what reason do you think am not losing weight, after having the gastric sleeve surgery for the past 16 days?
Weight loss: Is still based on the simple equation of calories eaten minus calories burned off in a day. If you have not lost much weight, you are managing to eat the same amount of calories each day as you use. If you eat more than you use, you will gain weight. If you use more than you eat you will lose. You need to see if you have been low on using calories (and can increase activity to help) or vice vers. ...Read more
I recently had gastric sleeve surgery and I'm doing really well but my skin health is really bothering me my face has these black scale like marks?
Malabsorption: Bariatric surgery works by making us feel full (reducing the size of the stomach) and make some calories pass through. While a gastric sleeve's primary mechanism is through reducing the size of the stomach, malabsorption can occur. Consult with your doctor or a nutritionist to see if this is the culprit, and to be certain there is not another process at work. ...Read more
2 days after my gastric sleeve surgery I gained 10lbs. The nurses said it was from all the IV fluids they pumped into me. Is this normal? Did it fail?
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
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
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
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
Considering gastric sleeve surgery after years of failed dieting. 34 yrs old, 5'4 290lbs. What's the success rate for keeping weight off?
Very good: Gastric sleeve is very successful and has good long term results with very little weight regain. ...Read more
Seeing the endocrinologist next week, before I have gastric sleeve surgery. What will they be looking for in my blood?
I had gastric sleeve surgery in may 2013, I've lost 90 lbs, my fasting blood sugar average is 90 since the surgery. I'm I doing ok?
Terrific: What you are reporting sounds very good! Congrats. ...Read more
How long can you go without emptying your bladder? When should I worry? Lots of vaginal pressure, had gastric sleeve surgery 9/16/13.
?????: If u are not urinating please call your doc asap. ...Read more
How often should I eat clear liquids one week out of gastric sleeve surgery? It feels as though I am hungry every hour. Is this normal?
Every 15 min 1st wk: After a sleeve, most patients drink something every 15 min (or even more often) since it is hard to drink very much each time. Most surgeons allow full liquids for the first two weeks. Then usually puréed for two more weeks. But, always check with your surgeon. ...Read more
Hi doctor I had a gastric sleeve surgery 2 weeks ago and I noticed few days ago that my sence of taste has gone and I'm freaking out is this normal?
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