Gastric Bypass

Duodenal Switch

Weight loss surgery would be an option for you. If you have tried other programs with no long term weight loss, weight loss surgery could be another tool to help you with your journey.

I have arthritis in back and doctor told me to lose weight.. I tried working out but the back pain is sometimes unbearable I'm tired of pain meds.

I am 5'6 and 227lbs. Would I be recommended for weightloss surgery? (photo)

We usually wait until the mom is done with breast feeding. There is no need to wait any longer as the baby no longer needs that energy and any weight loss that you are going to see from breast feeding has already happened.

(C-section and vaginal).&nbsp;I just delivered my baby two months ago (vaginally) and I have been considering getting bariatric surgery for a long time (even before the baby) since I struggle to lose weight a lot. I've tried to lose weight naturally by changing up my diet and exercising 5 times a week and still didn't see any results after trying for so long, which is why bariatric surgery is something I'm very interested in. I just wanted to know how long after delivering a baby does it become possible to get the bariatric surgery?

How long should someone wait to get the gastric sleeve surgery after delivering a baby?

You would be a great candidate for weight loss surgery. However, you should chose a program with a great ongoing nutritional support team. Weight loss surgery helps with most of the contributors to weight gain but not all and the most important is having a great understanding of the science behind losing fat (using fat for energy). Most weight loss surgeons focus mainly on portion size but decreasing portion size alone will not get you to where you want to be. I would avoid a gastric bypass and focus more on gastric sleeve or duodenal switch as your options.

Hey there. I'm Alexa and I'm 20 years old in 7 days. I'm 350+ lbs and 5'7. Most of my weight gain was when I was 15 and had suffered a stroke due to Systemic Lupus. When I was 15, I was 240 lbs and almost lost ALL of my weight. But ever since they started me on chemotherapy (just got off in August 2018) and Prednisone, as well as other hardcore steroids like intravenous Solu Medrol, it's been nothing but weight gain and I've been up in the higher 300s ever since. My appetite is not what it was because I now don't feel hungry at all and eating maybe once or twice a day with a snack in between. I'm very considerate with what I have allowed myself to eat (I eat on smaller plates and drink water regularly) and I'm lightly active due to always being in a flare up. I was told by my rheumy that it's majority water weight and it happens when someone takes long term steroids. Would I be a candidate for the gastric bypass procedure? Willing to do whatever it takes. I'm tired of consistently gaining weight when I don't eat much at all to begin with.

Would I qualify for the gastric bypass procedure at 5'7 and 350+ pounds? (Photo)

Popularity of the duodenal switch has been suppressed on many fronts.&nbsp; The ASMBS (the society of weight loss surgeons) is staffed and governed by surgeons that have spent their whole careers doing bypasses and willingness to change what they do is low, despite the tract record of gastric bypasses.&nbsp; The surgery also involves dissecting anatomy that has important structure close by and many surgeons do not want to take the risk of being in this area.
In the right hands (a surgeon that focuses on duodenal switch) the complication rate is lower than gastric bypasses and the long term complication rate is drastically lower.

my bariatric surgeon doesn&#39;t perform the duodenal switch and said that only 2-3% of patients get it. but when i read online it said it had fewer complications than bypass. is this true and if so, why do so few patients opt for it?

Why Isn't the Duodenal Switch More Popular?

Yes -- many surgeons do the duodenal switch -- if you are thinking about doing this procedure (which is the most definitive and successful weight loss procedure), find a surgeon that is passionate about this procedure.&nbsp; In the right hands, this procedure is safer that a gastric bypass.&nbsp; You also need to pick your surgeon (or your surgeons clinic) based off of long term follow-up and availability.&nbsp;&nbsp;&nbsp;

I have heard positive reviews of the duodenal switch but my surgeon doesn't do them. Is this still offered or are there better techniques now?

Do Surgeons Still Offer Duodenal Switch?

The best surgery for you is a duodenal Switch (if possible with your VBG anatomy). &nbsp;You need portion control AND&nbsp;manipulation of absorption. &nbsp;Depending on how your VBG was done (some&nbsp;have mesh) and the adhesions, your only option may be a&nbsp;gastric bypass -- however, I would search for a doctor that is versed in duodenal switches

I'm 6'1" tall and weigh 500 pound and 47 years old. In the early 90's I weighed 600 pounds. I had the VBG surgery and lost 200. I've gained 100 back over the years. I want to have another surgery because I'm almost wheelchair bound because my knees and back are in bad shape. I need to know if I can have another surgery. If so, which is the best type for me? I have a hernia in my belly button. Will it interfere with any procedure?

47 year old man and weigh 500 pounds and stand 6'1" tall. What is the best surgery for me?

I&nbsp;am not sure why a doctor in Mexico would tell you to gain weight! &nbsp;They charge cash so they do not have to follow rules put out by insurance companies. &nbsp;There many places within the USA&nbsp;that have cash options for patients that do not qualify via conventional insurance (or their insurance may not cover weight loss procedures). &nbsp;
In regards to gastrectomies -- I&nbsp;assume that you are referring to a sleeve gastrectomy? &nbsp;I&nbsp;would not encourage a gastric bypass (an antrectomy) in your situation. &nbsp;Sleeve gastrectomies are usually done to a standard size to allow for similar portion control (in other words, I would not worry about what percent of your stomach is removed, rather think about the portion that would be allowed). &nbsp;Weight loss is usually discussed in percentages (average weight loss with a sleeve is 60-75% depending on how active you get after surgery).

I am 5'6 and after two kids, and my BMI is right under the cutoff for a gastrectomy. But the doctor in Mexico will do it if I gain five more pounds. I don't want 85 percent of my stomach taken out if that results in health complications. Both doctors said they can only take out 85 percent of the stomach because that is supposedly how they are trained. I was researching partial gastrectomies and discovered that you can take out less. And they have cause weight loss. Can I get that done instead?

Can I get an antrectomy for weight loss?

I agree with all of the answers above. &nbsp;Beware of a surgeon that tells you that you need a gastric bypass after your sleeve.

Is ok to have the ds 4 years later after the gastric sleeve?

There are many balloons on the market. &nbsp;The two major companies are Orbera and&nbsp;and ReShape. &nbsp;The premise behind balloon therapy is portion control and calorie reduction by occupying space in the stomach. &nbsp;The Orbera is one larger balloon and the ReShape is two smaller balloons. &nbsp;Each is approved for 6 months with removal at the end of that time period. &nbsp;I tell my patient to view this 6 months as a time to really evaluate your nutrition and activity plan as patients that make no changes or do not participate in a program while the balloon is in do not experience long term weight loss. &nbsp;
I offer the balloon to 2 types of patients 1-Patient that are against surgery 2-Patients that have only struggled with weight for a short period of time.
All that to say, there is no difference in outcomes with either balloon. &nbsp;There is less nausea and less chance of having to have the balloon removed early with ReShape. &nbsp;

Im 5'4, currently 225 pounds, 36 yrs old with 2 kids. I am 100% sure the i want to have this procedure done. But i am so confused with the amount of names/types or sizes. i dont know which balloon would be best. Please help me find the right balloon with real results. Thank you

Which balloon is best?

Many patients experience food intolerances, especially to red meat, milk and high fiber foods. It is a good idea to keep a food journal with a list of foods that are and are not well tolerated. Often time food intolerances are temporary, so you may try a food again in a couple of months that was not well tolerated the first time.

I read a blog where a post-WLS patient couldn't eat meat after her surgery. Is this common? Why does this happen and what are the chances it will happen to me?

Intolerance to Certain Foods After Gastric Bypass

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Bariatric surgeons have advanced training in surgical procedures of the gastrointestinal system that treat obesity by restricting the amount of food the stomach can hold and the nutrients it can absorb.

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