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Q: Obesity and Gastric Bypass Surgery
asked by: DoctorQuestion on June 15th, 2007
my husband is healthy has no medical issues, is 27 and has been overweight his whole life, but both his parents have diabetes and obesity runs in his family. he is 5'10 and weighs 347lbs. he works for fedex and walks all the time but he has difficulty staying on diets cause he has to eat out all the time and is way to tired to exercise cause he works 12 hrs. we've tried dieting but it wont help. the most he's ever lost was 20lbs and he gained it and more back. it's ruining our relationship. since i got married i fell into the same rut as him and gained 60lbs so it's very difficult for me to help him now, cause i need help too. we have a son who is perfect and is only five months, we don't want him to be overweight and my husband is considering bypass surgery but were very afraid of it. what is your advice? please help.... if bypass surgery is not for us then what?


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Dr. Nikola Gjuzelov , MD
replied on June 26th, 2007
Fitness Answer A2961
Gastric Bypass is indicated for the surgical treatment of morbid obesity. Morbid obesity is a medical condition wherein a person is seriously obese, has been unable to achieve satisfactory and sustained weight loss by dietary efforts, and is suffering from co-morbid conditions which are either life-threatening or a serious impairment to the quality of life. Co-morbid conditions include: atherosclerotic cardiovascular disease, diabetes mellitus type 2, hypertension, obstructive sleep apnea, gastroesophageal reflux disease (GERD), gallbladder disease, liver disease, venous thromboembolic disease and osteoarthritis of the spine (spondylosis), knees and hips.


Indications for gastric bypass surgery are:


1. Having a Body mass index (BMI) greater than 40 or,


2. Having a BMI greater than 35 but accompanied by one or more of obesity’s co-morbid conditions.





Your husband’s BMI is 50 and he is much likely a candidate for gastric bypass surgery. But the final recommendation for gastric bypass surgery has to be given by a team of doctors that includes surgeons and internists. Gastric bypass surgery is one of the most efficient methods for treating morbid obesity.


Like in any abdominal surgical intervention there are always some risks for complications including death. The risks that a person develop a surgical complication from this surgery are around 10%. Complications include those that are present in any other abdominal operation... but there are also some complications specific only to this type of surgical intervention. The risk of death after this surgery is 0.2% but it is due not only to the surgical intervention itself but also to the pre-existing co-morbid conditions.













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kjshoney
replied on April 28th, 2009
New User
i am wating for aproval for gastric bypass surgery
i know i want to have the surgery i want to know how many peaple are able to keep off the weight
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whodini
replied on July 16th, 2009
New User
you should try obesityhelp.com

i had the surgery in 06 and only lost about 100 lbs.. I'm starting to gain it back and it is becoming very depressing.

the website will help a lot.. there are success stories and stories of surgery that has failed...

this is def. a decision that you and your husband should take time in considering.
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Courtie
replied on October 14th, 2009
Experienced User
My aunt just had that operation a few months ago and she has lost 79lbs and looks like a million bucks
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judylynch
replied on October 23rd, 2009
New User
Very good information. I will keep this in mind before going for a surgery.Though i have not yet decided which type of suregry will i go with, but i am sure Mexico will be my destination for bariatric suregry, for sure as i have decided my surgeon-Dr.Zapata.
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peterdan
replied on October 23rd, 2009
New User
A gastric bypass surgery is a weight-loss surgery in which the stomach is made smaller and part of the small intestine is bypassed, reducing the amount of food a person can eat as well as the amount of calories that can be absorbed.
But one must consult their surgeons properly before going for it as it meant for morbid-obese people.
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lopezjenni06
replied on October 23rd, 2009
New User
Hi,

My weight is 150 kgs and i want to reduce my weight.After reading through the discussions i feel that it is the best option for me but i m nervous and worried that will it have long term effect?
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lopezjenni06
replied on October 23rd, 2009
New User
Hi,

My weight is 150 kgs and i want to reduce my weight.After reading through the discussions i feel that it is the best option for me but i m nervous and worried that will it have long term effect?
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