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Surgical Weight Loss

Adjustable Gastric Band, Intragastric Balloon Systems, Mini-Gastric By-Pass
For many, the choice to undergo surgery is a last hope. Is surgery really the best solution for you? When does health insurance pay?


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  What you really need to understand about Gastric Bypass surgery Post #1 (permalink)  
Old November 9th, 2008, 04:21 PM
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What you really need to understand about Gastric Bypass surgery

Hello everyone, I've been reading the information people have been writing in the surgical dieting section here and I have become a bit concerned about how much misunderstanding there is about gastric bypass.

I am a physician assistant who currently works for a general surgery practice that does many gastric bypass surgeries. First and foremost you need to understand that bypass surgery is a major deal. What we are doing is reducing the size of your stomach to about one eighth its original size. This is a pretty major change to your Gastrointestinal system and a very extensive surgery. After the surgery you will be on a strictly liquid diet for about two weeks, then you can switch to soft pureed foods and then finally very well chewed regular foods. Also once you can eat regular food, we highly recommend that you eat a low carb higher protein diet for the rest of your life. You will continue to be monitored by your doctor every few weeks and then every 6 months, where we check to see how your labs are doing. Usually checking cholesterol, vitamin levels, and blood glucose levels. Usually after the surgery you do have great improvement, many peoples diabetes goes away, peoples cholesterol and blood pressure go down. And you do lose a significant amount of weight at first. There is a slight chance of developing a B12 deficiency but that can be easily treated with supplements.

Their is also a significant amount of gas and bloating for several months after the surgery. That honestly there is no treatment for you just have to wait for it to pass. Honestly though I think the most difficult part of gastric bypass is the psychological effect. I mean if you get to the point of being extremely obese. Then food is one of the major focuses of your life. After bypass surgery its not anymore, you go out to dinner with your friends, you can't really eat anything, at thanksgiving dinner you can barely finish a quarter of the plate. I mean the giant part of your life of eating is just gone and its never coming back. I've seen patients sobbing in my office because they can no longer go out with their friends and family and have a good time together eating. Its a big change and you really need to ready yourself for it.

Now don't get me wrong I have seen amazing changes in people with gastric bypass people losing 200-300 lbs sometimes and completely changing their lives. I mean if you are obese or morbidly obese, this surgery could literally save your life and add 20-30 years to your life span. But don't expect to become a super model after you have this surgery, if you have 150-200 lbs to lose, you may lose 100lbs pretty easily but your going to have to work to get a great looking body. With lots of dieting, exercise, and many times cosmetic surgery to remove the extra skin. But I will tell you I have seen some patients come in a few years after their surgery and I have been like "wow, that lady is hot" and I have no idea who they are till they tell me they are so and so patient.

Well I hope I could clear some stuff up about this issue, honestly I really don't recommend you resort to gastric bypass surgery unless your are very obese, with significant health problems like diabetes and high blood pressure. Hopefully you will find a responsible doctor who will only operate on you if he things your really need it not just to make money. Gastric bypass is not an easy fix its much more difficult than just diet and exercise. Well I try to answer your questions if you have any. I hope my insight from a health professional working in gastric bypass surgery helped.
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  What you really need to understand about Gastric Bypass surgery Post #2 (permalink)  
Old November 9th, 2008, 05:21 PM
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Damn, I didn't even know we had a section devoted to this.

I'm retarded.
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  What you really need to understand about Gastric Bypass surgery Post #3 (permalink)  
Old January 29th, 2009, 05:42 AM
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Bypass or Banding?

What is the better way to go, gastic bypass which I think is irreversible or banding which has lower success rate?
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  What you really need to understand about Gastric Bypass surgery Post #4 (permalink)  
Old January 29th, 2009, 06:12 AM
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how much do you have to lose?

Either one is no magic formula to lose weight. You still need to adjust your lifestyle to maintain your progress. You need to learn how to eat healthy, balance your calories and exercise.

Matt
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  What you really need to understand about Gastric Bypass surgery Post #5 (permalink)  
Old February 2nd, 2009, 03:56 PM
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Honestly if you think you have no other choice than surgery, then my doctors I work for always advocate getting the full on gastric bypass. Like you said their is a lower success rate with lap banding and and if you reach that point where only surgery is going to make you change from being dangerously obese, then you need to use the permanent solution. Like I said gastric bypass does work, but it really isn't too much fun.
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  What you really need to understand about Gastric Bypass surgery Post #6 (permalink)  
Old February 12th, 2009, 01:35 PM
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I'm preparing to have surgery, although I have not yet chosen which surgery to have.
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