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Found 17,501 results

  1. jfk

    Other Montanans Out There

    Hi All, Wow, it does my little heart good to see this thread picking up. I just KNEW there were more of us out there! Sula, thanks so much for the input about your meals. It is so helpful just to see what someone else actually eats on a daily basis. And, congratulations on your new horse:clap2:! I think the walkers are absolutely magnificant. A family member, Grace Larson has a walker ranch over at Forsythe. Its called Hi-Plains Walkers. She also operates the 'Part-Walker' registry. We raise Paso fino horses and Paso Fino mules. The mules are really a hoot:p. I intend to start riding them myself as soon as Dr.K. clears me for riding, which I hope will be on the 12th. You'll have to post a photo of your new walker. Dreno, when you said Wolf Point, I knew you knew exactly what I am going through with the isolation. Are you in the west now? ANW, so nice to see you here too. I called Dr.Rohrer's office yesterday, and they said he will do fills for other surgeons (thank goodness....I've already been turned down by two others). They did tell me to get my request in early though, as he is almost booked solid... not only that, his receptionist told me that he has cut back his work schedule rather drastically... only two or maybe three days a week now. I have to be in Gt.Falls for the EMS conference from Oct 3-7, so, I am making an appointment with him for the 3rd. Can you tell me where his office would be? Is it very far from the Heritage Inn? Thats where the conference is being held, and I'm not familiar with Gt.Falls at all. I'm really looking forward to the trip. My PA here said she would learn the fill technique, but, I haven't had the nerve to let her try that yet (although she is a wonderful PA and I go to her for everything else). Dr. K. really read me the riot act about letting someone inexperienced touch me. He said, 'one wrong move, and they'll torpedo the whole project'. Put the fear of God in me I can tell you! Knowing how isolated I am though, he did send me home with two of the special Lap-Band fill needles from Inamed. I'm keeping them for any emergency, however, I'm going to bite the bullet and get myself back to Denver or Gt.Falls for the routine fills. Can you believe they let me through airport security with those big honkers, but, took away my Water which I really needed:omg: . The needles fell under the 'medical device' rules. ANW, I have read a lot of good things on this site about Dr.Rumbault. I considered Mexico for myself for a while, but, when I learned about Dr.K. in Denver, and his very reasonable pricing, I changed my mind. It is great that Dr.Rohrer will take the Mexican band patients. Most surgeons act like you've got the plague or something if you've been banded in Mexico, or, even by another surgeon in the states. One thing thats been helping me a lot with the Protein intake is the pre-digested liquid Protein from Bariatric Eating. I take two tablespoons one or two times a day. There are 30 grams of protein in two tblsps. Tastes like crap, but, it goes down quick, and then I'm not blowing my belly up with all those heavy Protein drinks. Its not for everyone, but, perhaps something to consider after banding. I absolutely could not get as many of those protein drinks down as I was supposed to. If you get the liquid, make sure its a good one. There is some good info about them on the main board. It tells you what to watch out for. I also am taking liquid Vitamins, and a special liquid Vitamin formulated for hair-loss prevention. (hope it helps...so far, so good;)) So good to hear from you all... lets keep in touch:ranger:. Joy
  2. SharronL

    Other Montanans Out There

    Hi everyone, Terri and Shawn, I'll be in town on Thursday 3/1 and would love to get together. I'll call you Terri when I get settled. As for exercise equipment, I used to have tredmills, sit up machines, weights etc..... but they turned into clothes racks so my husband made me get rid of them. Now I do have a Tony Little Gazell that I like to use. I really enjoy walking though but have to wait for the snow to melt. We are getting sub-divisions that are paved that we walk in. I live in the sticks so paved roads is a huge bonus. The Benefis Bariatric Clinic in Great Falls is haveing a support group if anyone else is interested on the 1st of March. I'm trying to decide about how much to get for my 3rd fill. My band is already 1/2 full at 2cc's. Living this far out I don't know about .5 or 1 cc more??? Any advice? Talk to you later. Sharon
  3. BigSue

    Is duodenal switch too drastic?

    I started with a BMI over 60, and nobody even brought up DS as an option for me. To be honest, I thought DS was an outdated surgery that's not really being done anymore because of all the risks. I didn't realize it's still popular for high-BMI patients. The surgeon who did my RNY doesn't do DS. He recommended RNY to me rather than sleeve because of my high BMI, since RNY patients statistically lose a bit more than sleeve patients. My understanding is that the sleeve is basically the first step in DS, and that's how the procedure was developed -- surgeons would do the DS in two separate surgeries for high-risk patients, and a lot of them didn't even need the second surgery because they lost enough weight with the sleeve alone. So, that is one option: get the sleeve first and have it revised to DS if necessary. You could also have a sleeve revised to RNY. I remember seeing a bariatric surgeon on YouTube say that he recommends the sleeve to all patients because you can always get it revised, but to me, that's crazy because I don't want to have more than one surgery!
  4. pendingmedic

    My Story

    A time to change. I guess the beginning of the story comes about three years ago. After a major change in my life, I returned to school and earned two Associates degrees. The first was in medical assisting and the second in a medical office administration. Following a series of jobs to hold while finishing school, employment was found with the sisters of St. Francis out of Michigan city, Indiana. The job was as a medical assistant with a company named Working Well. These clinics specialized in occupational medicine and I was hired as a floating medical assistant to work between the companies five clinics in Northwest Indiana. This was definitely a change of pace compared to what I had previously been used to working within the cable television industry. It was a cold fall morning in late October when driving to work, it became increasingly harder and harder to breath. A cold which had been caught was becoming increasingly worse and worse. Driving became a task that was more difficult than usual. A decision was made to go to the emergency department of St. Anthony hospital. The results from that trip was a diagnosis of bronchitis and I was sent on my way back to work. Within the next week. The symptoms became increasingly worse, leading to a visit to my new Dr. for the hospital health insurance. The doctor was booked but they got me in to see his nurse practitioner, Ms. Nicolette Alexander. During a visit with Alexander took some precautionary tests and a chest x-ray gave me some medicine and said she would follow up with me. Less than a day later I received a phone call at work from Ms. Alexander's office. Not tracking me down was no easy task because I have been bouncing around from office to office for the last few weeks. Needless to say the message from the doctor was. I need to see you now! Gary my whole life I have never had a doctor track me down and use that phrase. So I knew was urgent. You have come of that meeting has stayed with me to this day. She stated. My heart was enlarged and my symptoms were indicating a need to see a cardiac specialist. It was at that point I was introduced to Dr.Sammie Dali. He informed me of a diagnosis of congestive heart failure and a ejection factor of 24%. In layman's terms that meant my heart was operating at only 24% capacity. After that Dr. Dali began a regime of medications, cardiac rehab and lifestyle changes to correct this condition. Within a few months. My overall health improved, but not enough to make a satisfactory change. My weight, but still an issue and the doctor and I began discussing bariatric surgery as an option. After being referred to above Midwest Bariatric Institute, it was decided that I was a good candidate for bariatric surgery but there were conditions. It was necessary for me to demonstrate that I could live the program and walked the walk. So with that began a series of nutrition classes, medical appointments, support group meetings, evaluations and lifestyle changes. Physically I was beginning to improve. But emotionally it was a roller coaster. One day the motions would be highly because everything was going alright and others because a reverse to rock-bottom when things went wrong. Six months later, after various evaluations, another cardiac scare and various doctors discussing my situation, it was decided that surgery was a go. In my corner was Ms. Alexander and Dr. Dali in the opposing corner was Dr. Gerald Cahill and his team off specialist. Dr. Cahill was concerned of possible cardiac issues, but finally agreed after Dr. Dali went to bat and hit a home run. Going into the surgery was a scary proposition. I remember thinking please hurry up and get this over with so I can continue on with my life. Papers have been filed, a medical leave. Approved and most of all a long heart-to-heart talk with my wife. The date of the surgery, after a comforting visit from my pastor, and imposing on one of my good friends to stay with Kathy, my wife, it began. I remember being wheeled into the cold operating room being given medication to relax and almost choking as a breathing tube was placed then blackness came signaling the true beginning of my new life. It is now 2 years later, I have lost over 150 pounds and feel great. Now has come the time for me to get serious. Time to exercise and watch the diet. It will be a challenge.
  5. byebyebmi

    Mental evaluation

    I must have gotten it pretty easy. Mine was with an independent therapist who does bariatric psych evaluations for multiples surgeons in my area. Mine was entirely a conversation about how long I've struggled with being overweight, how I feel about myself, understanding the pros and cons of surgery, the potential to feel depressed afterwards, etc. There were only a few specific questions he had but the rest of it was him helping me understand the different emotions I could be going through before/during/after the surgery. He also told me from the beginning that the point of his evaluation was not to deny me from anything but to help understand where i'm at in terms of my emotions and relationship to food so that if I had any big issues my doctor would know how to address them with me.
  6. Healthy_life

    VSG Regain

    Your surgeon knows your medical history. They have read through your psych eval and blood work. The chioce is ultimately up to you. Since you asked about the sleeve I will give you my two cents. Each of us are more than the statistics. I lost 120 pounds in 6 months with the sleeve. My goal was 140. I am five years out and maintaining in the 130s. Nothing magic about the bariatric process. Follow your plan and behavior changes. Weight gain can happen to any type of surgery: Small or large amounts of weight. After a year you may see a ten to twenty pound bounce. It can be lost again. Maintaining is if you have a gain you go back to your bariatric plan and get the weight off. If you can't change your relationship with food and exercise you will not have long term success with any type of surgery. People with bariatrics have revisions due to different issues. (medical, not following their plan, mobility and eating disorders etc) Sleeve realities: Things to know. (1) less chance dumping syndrome if you eat sugar. (some will experience it) If sugar is an issue for you, you might want a different type of surgery. Lots of debate about stomach stretching. (yes it happens but it's rare) I am going to pass on reading any following angry posts about stomach stretching. (2a) Your restriction will be less as time passes. This is normal with the sleeve. Your stomach has not grown back or stretched. It's a new feeling of stomach capacity. It's rare to see revision due to stretching. Think of how much food you would have to binge and force down in one sitting to cause stretching to the point of revision. 2b) Many people confuse grazing with stomach stretching. Grazing is eating several meals throughout the day healthy or unhealthy foods. Your calories will seriously increase. It is as if you didn't have surgery at all. (google it) I also see some surgeons take advantage of gain due to grazing. It's a money maker to do another surgery. This is life long change with any type of surgery. It is still work after you get to gaol.
  7. Amelie2016

    Vitamins after surgery

    I also started mine as soon as I got home. I have the Bariatric Advantage (god what a long name) Innovations Advanced Multie EA. *whew* And I let it sort of dissolve in my mouth, it takes like one of those old fashioned candy bracelets to me, so I love them. I got a B injection last week. But I want my own B (Complex-Lipotropic) vial at home *angry face* I am not afraid to inject myself, when we used to use injectable B Complex Lipotropics, we lost weight more easily than when we did not use them. And we felt a tad more energetic.
  8. Sorry to get so morbid here and mention chemo. I DO NOT have cancer, but it does run in my family like wildfire, and I expect that one day I might get the dreaded diagnosis. I am 48 now, hopefully this won't be for at least 2 decades, fingers crossed. So my malabsorption/malnutrition questions have to do with how does the body of an RNY patient get enough nutrients if -- heaven forbid -- they one day face chemo? I have seem family members really ravaged by chemo (granted, not all of them were compliant with doctors orders and suggestions), and many of these folks were overweight to start, and none of them ever had RNY or any weight loss surgery. So any nutrients they were able to get into their body had a chance to stay there and get absorbed. If RNY is malabsorptive and creates a Vitamin deficiency in most patients who are tested for these deficiencies, then how is any real nutrition getting to the body of a sick person undergoing chemo and eating very little? Maybe there's a set protocol between oncologists and bariatric doctors already? Do you all have any thoughts/experience with this? Are you living with a nutritional deficit in everyday life with your RNY? Thanks, I know this topic is a bit of a downer. :-(
  9. ValerieDee1975

    Ladies! Menstruation

    Ladies, don't forget that since it does mess up our hormones we tend towards super fertility...so take EXTRA precautions for at least the 1st year after surgery...tons of women get pregnant in the 1st year after bariatric surgery
  10. I use OptiSource Post-Bariatric Surgery cheweables. They taste great and are generally gentle on the stomach. Take 4 per day.
  11. AnnaWallace

    Protein Shakes

    I love the Bariatric Fusion meal replacement shakes. They have some great flavors to choose from and they dont leave a funky after taste when you're done. My other favorite is the Nectar drinks, especially the Caribbean Cooler (tastes like a Pina Colada) and my favorite, Fuzzy Navel! They also have a BariatricPal Hot Chocolate protein drink with mini marshmallows that is the BOMB!!
  12. Bariatric surgery patients may see benefits to their sex lives If I can find anyone who wants to get that close to me with this dragon breath :ph34r: http://www.cbsnews.com/8301-204_162-57610955/bariatric-surgery-patients-may-see-benefits-to-their-sex-lives/
  13. Frustr8

    When did you guys? Starches

    We all recover at different rates, maybe you were built a Speed Buggy instead of a sluggish jalopy like me. I would follow my surgeon's rules, he knows your case, your body strengths much better than I can out in Virtual-Land on Bariatric Pal. Congratulations on all you have achieved so far, excellent start, now keep it up to Goal!
  14. Here is a pretty good article on what the Bariatric Center of Excellence means ... http://www.obesityaction.org/magazine/oacnews17/bscoe.php
  15. Ms.Beers11

    Vomiting old blood

    Hi. I'm just wondering if anyone has experienced vomiting old blood (dark, rust colored)? My other symptoms are: severe constipation, in ability to hold down food or water that only last a few days and then I can eat and drink normally again. When I can't hold anything down I have mild to moderate abdominal pain on the right side. Also, even sipping water causes bile to come up. I have only vomited the blood 4 times in 2 1/2 months. It feels nothing like the sensation of food becoming stuck and feels more like the flu without the other symptoms. None of this makes sense to the surgeon who did my lap band surgery but the general surgeon I've been seeing wants to blame the band. I really think I have a bleeding ulcer. Most recently I couldn't hold anything down for 3 days and the pain was becoming worse so I went to ER. The next day I ate fairly normally, although I took it easy and I was back to drinking my 8-10 glasses of water a day while just the day before water made me vomit? I have been unable to find anybody with my symptoms on here. If we ignore the presence of the band it all points to ulcer. I should also mention my band has been in for 1 year and 9 months, I have just over 5cc's. The nurse at the Bariatric surgeons took out 2 cc's tonight so we can rule that out. I'm not very happy about it because I was finally starting to make some progress. My surgeon will only allow very small fills each visit and it took more then a year of monthly fills to finally see some progress. I feel like I've gone back a year of this weight loss journey with the removal of fluid.
  16. BigViffer

    Mixing two proteins

    Genepro is crap. The company has been sued at least twice and just lost the most recent one. There is no such thing as "medical grade protein". It's whey. They came out and said it is just predigested whey that gets absorbed very quickly. It is not equivalent to 30g, it is at best 10g. The best thing to do with that crap is just chuck it in the trash. Yes it is on the bariatric store, but that is a store. It sole purpose is to sell things people will buy. And people buy Genepro because they want to believe it, not because it works. To your original question, mix your protein powders however you like. Whey, casein, pea, or soy... doesn't matter. It's no different than having a salad with chicken on top. There are some benefits to mixing proteins. BCAA content, absorption rate, bio-availability... experimentation in with this should be encouraged. And don't worry about taking in more than 30g-ish of protein at a time. RickM stated it well. You will absorb the protein eventually.
  17. dansacha

    Scared because I cheated

    i know i keep saying this but all of these comments and support really help!! i did great yesterday with all of the recommendations and i can't thank you all enough! my family is so supportive but sometimes you just have to hear the support and advice from people who can relate. i got in 40 g of Protein yesterday and stuck to my new way of life because i realized i am NOT a failure and yes this is a new way of life and not a diet. i need to change my relationship with food and thats something i need to work on. it doesn't mean i can't love it still, i just need to change the way i look at it. i got on pinterest and started looking at bariatric recipes, because i love to cook. I'm excited to continue on this journey knowing i can come here and get great advice and wonderful support by people that are real and have been through or are going through this journey. i found a couple protein shakes i like at GNC called lean shake that have 25g protein and only 2 sugars. banana,strawberry, vanilla, and a chocolate. i picked up some nectar brand unflavored powder as well. I'm going to get on my new elliptical and start a new exercise program today as well. guys THANK YOU so much and please keep the recommendations coming and the stories how we're all human and people veer off track but the important thing is to pick yourself up right away, figure out what caused it, and move on.
  18. DLCoggin

    Do You Ever Wish

    No offense taken law and I am sorry if I hit a nerve. I can see where it might seem ridiculous but there are many who would disagree. Quoting from the WebMD site that I linked in my previous post... "A sleeve gastrectomy is a simpler operation that allows them a lower-risk way to start losing weight. Afterwards, once they've lost weight and their health has improved -- usually after 12-18 months -- they can go on to have a second surgery, such as gastric bypass. In people with high BMIs, sleeve gastrectomies result in an average weight loss of 40% to 50% of excess weight after three years." From the National Institute of Health - http://win.niddk.nih.gov/publications/gastric.htm#whataresurg "VSG has been performed in the past mainly as the first stage of BPD-DS (discussed earlier) in patients who may be at high risk for problems from more extensive types of surgery. These patients' high risk levels are due to body weight or medical issues. However, more recent research indicates that some patients who have VSG can lose a lot of weight with VSG alone and avoid a second procedure. Researchers do not yet know how many patients who have VSG alone will need a second stage procedure." One more from the University of Maryland - http://www.umm.edu/weightloss/lap_sleeve_gastrectomy.htm "The laparoscopic sleeve gastrectomy is a bariatric procedure in which the surgeon removes approximately 85% of the stomach, shaping the remaining stomach into a tube or “sleeve”. It can be used as a first stage operation prior to a gastric bypass or as a definite procedure." The same idea is stated repeatedly, there are situations where the "staged" approach involves less risk to the patient. Certainly a valid concern and one that I'm sure your doctor would take into account for patients who fall into the high risk category.
  19. Panda

    Do You Ever Wish

    I think I saw on discovery health channel where there have been people that have weighed 600 lbs where they did a 3 step weight loss surgery process due to them being what they called super morbidly obese. These patients had to be moved out of their homes by the fire dept and walls taken down to get them out of their homes. So there is some validity to what is being said about the sleeve sometimes being done as a precursor to the bypass. I just praise the Lord that I didn't have to go that route. Also the program said that there are only a limited amount of bariatric surgeons that will do surgery on the super morbidly obese...food for thought. Sent from my Nexus S 4G using RNYTalk
  20. Made4More

    Do You Ever Wish

    gosh, I didn't mean to offend- I'm just trying to get all the info I need. I'm just going by what I read/hear at this point, you know? my sister is a nurse and she told me last night "the rny should be outlawed," and here I am still researching it. it's not her body. I am a little scared of that painful hernia thing that can happen later, but that's operable and doesnt' kill anyone, right? I really want fast weightloss, and I really think dumping can be wonderful for me because I am a slave to sugar. I HATE HATE HATE it. I see a lot of peopel ont eh sleeve boards that talk about how they are eating a lot of carbs and they just can't stop. I dont want that at all! Iw ant to be successful for life. my bmi is only (only?) 41, and I dont have any co-morbidities. when do i meet with my surgeon? :/ I'm starting the 6 month diet w/ my dr, and I need to get him to sign the referral paper and then i can make my appt w/ missouri bariatrics. will i see the surgeon then? I didn't go to a seminar because they had an online seminar. which i think was handy. gosh- it's a huge decision, isn't it?
  21. someone on another forum I'm on really liked John LoMonaco in Houston. I know he's sometimes featured on that show "Skin Tight". Most of the other really well-known surgeons (who specialize in WLS patients) that I've read a lot about are on the coasts, although I'm sure there are good surgeons in a lot of places - they just aren't as well-known among bariatric patients. Fisher is definitely well-known, though.
  22. samnic

    Coventry POS

    I am excited for you and I would love to be your buddy. I still havent heard anything yet. The way it was explained to me by a Coventry rep is that bariatric surgery is covered and that depends on your employer group whether they include it in your coverage. The bariatric coordinator had explained to me that I have a special situation, in which my insurance covers but the facility that I will have the surgery at has a contract with coventry at the delaware surgery center in dover but they may not include bariatric sx in that contract so she has to contact delaware sx center in dover and speak with the person who handles the insurance contracts and find out whether coventry covers procedures done there. Im biting my nails still. I need to do something about this weight. This is the largest I have ever been and its killing me. I am a RN so Im pretty much always on my feet, my feet and knee are killing me. Im just waiting (cant really say patiently) until I hear something back. I am glad you have gotten through this process. I cant wait to hear how everything goes for you.
  23. Tia Noel

    After Care Anyone?

    And their insurance paid for it. My insurance excludes all bariatric surgery, but covers things like blood work.
  24. I’m 5 months and 17 days from my gastric bypass surgery and I had my 6 month appointment. I am down 82 lbs!!!! I am now under 200lbs! I started at a size 22/2xl or 3xl; I can fit into a size 16 pants and a large shirt now! the last time I was under 200lbs, I felt like I was starving myself and it made me miserable. The last time I lost this much weight was when I had an eating disorder. This surgery is One of the greatest things to happen to me! For folks feeling discouraged or worried, these things pass. My 8yr old son is roughly 70 lbs and I cannot believe I was carrying that around on my bones, joints, feet, etc.,! I’m so grateful that my body is forgiving me for all the food abuse. Here are some thing you may be asking (o just things I felt may be helpful/encouraging): Do I go out to eat? Yes. Sometimes I have just a few bites and take the rest home. My leftover meals can last me 3 days sometimes. I plan ahead too; it’s trickier to spontaneously go out for a meal. I also try not to waste money. I know what I can or can’t eat and how much. I now find myself eying a plate of food I made and putting some back because I KNOW I can’t eat that much. I eat at home more, which is saving $ *yay* Do I go to social events? Yes. I make sure I have water in my hand at all times and chew, anything that I do eat, thoroughly! Do I feel out of place when I’m out with people who are eating and I say “no, thank you”? Nope. My friends and family know I’m trying to lose weight for my health. They don’t know that I had this surgery. My father, who has type 1 diabetes, has actually started to lose weight too (I’m not going to burst his bubble by telling him I have a tool to help me!). I have never had someone get upset or make me feel guilty about not participating in food. I think if I did, I would be more inclined to DEcline even harder because, no one is going to mess up my progress, no one! Do I feel guilty when people don’t know I had surgery and gush about my weight loss? Yeah, I do. I don’t like my weight being a focus, it doesn’t define me. People ask me “what have you been doing?!” But, I’m honest about what I’m doing. Protein, vitamins, water, low carbs, no sugars. I think I feel guilty because I see others struggle with weight and I know their pain, and I have a tool that has helped me tremendously. I have told some people who are in a similar situation that I was in, they can decide what to do with the information, just like I did. Buffets? Yup. I don’t get my $ worth, but I’m not going to have my life choices change my social habits. I exert self control, which is incredibly empowering now that I actually HAVE self control! clothing? I actually never threw out my “skinny” clothes because I wanted them to fit again. I’m almost there and filling in the gap with leggings. My bras don’t fit and are mostly air (my boobs are just nonexistent lol!) so I do need to get some new ones. I wasn’t large chested to start, so I have my down moments about that loss do you miss the foods you can’t eat? No, not really. I thought I would, but if it gave me dumping syndrome, I don’t desire it. My favorite snack was from Target; caramel cashew trail mix! Oh man! I went to target and got them, and felt so sick After eating them. My fiancé called me to say he picked some up (trying to be sweet) and I genuinely said “ya know? That’s ok, it’s better if it’s not in the house”. I don’t want to have a moment of weakness and feel sick, which is empowering the best part is that I know I am the one doing this. No one but me is exercising, no one but me is making me eat healthier, no one but me is track my food intake, no one but me is making sure I’m taking my vitamins. It was such a great feeling to see my doctors so happy with my successes so far. My PCP was thrilled (he is the one who helped me start this journey after my previous PCPs wouldn’t even discuss weight loss surgery) and my bariatric doctor asked me to share what I’ve been doing so others can follow or be encouraged. Share your successes! What are some of the things you do with success that someone may be struggling with? What keeps you on track? Where did you struggle, and how did you handle it?
  25. Born in Missouri

    gastric bypass reversal

    "Bariatric Surgery Reversibility: What You Need to Know" https://obesitynewstoday.com/bariatric-surgery-reversibility/ "Gastric Bypass surgery is considered a permanent operation but can be reversed for medical problems only. The risks of a reversal are extremely high." -- Shawn Garber, M.D. Can Bariatric Surgery Be Reversed? Yes—but should it be? "Yes, but it's dangerous and impractical to do so. Neither procedure ends with the removal of any parts from the body, so they can both be undone, at least in theory. But going back to reoperate on tissue that's already been subjected to surgery increases the risks of bleeding and damage to the structures being repaired. (That's over and above the dangers associated with any surgery—like blood clots, infection, and injury to adjacent organs.) Scar tissue from previous work makes it harder for surgeons to see and access the normal tissue. Getting suture lines or staple lines to heal properly after a repeat operation is a challenge as well. There are some more specific reasons why it's not a good idea to reverse a bariatric surgery. A patient who undergoes a gastric bypass may never be able to regain a fully functional digestive tract. In the original operation, doctors divide the stomach and cordon off most of its volume with staples or a plastic band; they also reroute the stomach, connecting it to the middle of the small intestine so that fewer calories can be absorbed. To reverse all this later, surgeons must divide the stomach and intestine where they had been sewn together and then rejoin them in the original spot with a surgical stapling device. But the restored configuration won't be exactly the same as it was before the bypass. For one thing, it's impossible to mend several nerves that help with normal gastric function. As a result of these permanent changes, a patient who chooses to undo his bypass may experience post-op gastroesophageal reflux disease." http://www.slate.com/articles/news_and_politics/explainer/2010/02/can_bariatric_surgery_be_reversed.html Is Gastric Bypass Surgery Reversible? http://gastricbypass.surgery/gastric-bypass-surgery-reversible/

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