Hi All
Here are the questions I asked, and the answers I was given, just in case they are of help to anyone else.
1. What effect does a hiatal hernia have on the procedure, if any ?
None. The hernias are not usually repaired. Once you lose weight, the stomach goes back into place itself.
2. Is it not possible to take vitamin B tablets, rather than in jections.
No, the tablets wouldn't be absorbed as the section of the small bowel that absorbs them has been disconnected. He said that a spray would possibly replace the injection at some point (now apparently being used in the US).
3. How is the bowel attacched back to the stomach ?
Through a mixture of staples and stitches. The stitches dissolve, the staples remain.
4. Why is the duodenum stitched back onto the bowel and not removed ?
The are still needed. He said soemthing about the gallbladder. Sorry conversation veered off so didnt get all of this.
5. If a bypass patient later developed stomach cancer, how would this be detected in the separated part of the stomach ?
Unlikely to happen. The likely causes of cancer have been removed.
6. Can / do you remove the gallbladder at the same time ?
No, this is easier to do once the patient has lost weight.
7. If at a later stage in your life you have to take medications, can they be properly absorbed now that part of the small bowel has been removed ?
This is something that would have to be looked at at the time. The effects may not last as long or be as efficient, However, some can be taken as pessaries.
8. Will you use a catheter during the operation ?
No.
Here are the questions I asked, and the answers I was given, just in case they are of help to anyone else.
1. What effect does a hiatal hernia have on the procedure, if any ?
None. The hernias are not usually repaired. Once you lose weight, the stomach goes back into place itself.
2. Is it not possible to take vitamin B tablets, rather than in jections.
No, the tablets wouldn't be absorbed as the section of the small bowel that absorbs them has been disconnected. He said that a spray would possibly replace the injection at some point (now apparently being used in the US).
3. How is the bowel attacched back to the stomach ?
Through a mixture of staples and stitches. The stitches dissolve, the staples remain.
4. Why is the duodenum stitched back onto the bowel and not removed ?
The are still needed. He said soemthing about the gallbladder. Sorry conversation veered off so didnt get all of this.
5. If a bypass patient later developed stomach cancer, how would this be detected in the separated part of the stomach ?
Unlikely to happen. The likely causes of cancer have been removed.
6. Can / do you remove the gallbladder at the same time ?
No, this is easier to do once the patient has lost weight.
7. If at a later stage in your life you have to take medications, can they be properly absorbed now that part of the small bowel has been removed ?
This is something that would have to be looked at at the time. The effects may not last as long or be as efficient, However, some can be taken as pessaries.
8. Will you use a catheter during the operation ?
No.
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