Weight loss plateaus may occur in certain patients who have undergone a sleeve gastrectomy as a primary bariatric procedure. What are the causes? What is the next step? What is the prognosis for these patients? This article discusses these issues. Please buckle your seat belts! First things first, who doesn’t know what a sleeve (as [...]
Hair loss is one of the commonest laments in female patients after gastric bypass surgery (whether for weight loss or surgical cure of Type II Diabetes Mellitus), and is at once one of the least heralded topics in the subject. This is but natural: after all, surgeons are more bothered by complications that are life-threatening [...]
In Part One, we came to the reluctant conclusion that the sleeve, safe procedure though it is, has a near 3 percent leak rate. Incidentally, the two of us at BMI have not yet had a leak in nearly five years of practice. For whatever reason though it may be (luck?), we would like to [...]
Our patients are counseled in details about the pros and cons of various bariatric procedures, especially the one they are going in for. In today’s practice, most of our patients tend to favor the Sleeve Gastrectomy for its safety, ease of maintenance and less restrictive lifestyle. It also may be cheaper than the bypass to [...]
In Part One, we outlined the nature of the beast. In Part Two, we dealt with ways of cooking it. Now, in this part, we will clean up the remains. Sorry to our Gujju (and other vegan) friends for this analogy! If you have had bariatric surgery and are now having reflux, what now? (Are [...]
In Part One, we outlined the nature of gastroesophageal reflux and how it occurs, as well as how we detect it clinically. So let us now assume that you are awaiting bariatric surgery and have reflux symptoms. So how does your reflux have an implication on your surgery? Will bariatric surgery (after all, we are [...]
Some of the commonest things I get asked by patients after bariatric surgery is, “So what can I eat now? When can I eat sweets? When can I drink Coke?” Or words to that effect. Each time, I sigh. It means another ten minute lecture is due on my part. I have to teach an [...]
So you have had a gastric bypass and are now on the way to normal life. You have a party you need to go to. Fine. Till you realise that you can’t eat most things there, and people are staring at you — someone who is saying ‘No’ to every dish being offered. It’s not [...]
From General Surgery News (free registration required for login): Babies born to mothers who have had bariatric surgery are strikingly healthier at birth and throughout childhood than siblings who were born before their mother’s surgery, according to results from a large new study from Quebec. Even as they grow, children mirror their mother’s metabolic health [...]
The sleeve gastrectomy operation converts the stomach into a long tube with a capacity of around 120 ml (or whereabouts). Obviously, you cannot exceed the newly reduced capacity, and your meals are going to be small, though much bigger than after a gastric bypass. To make matters better (and more interesting) you do not feel [...]