Gastric Bypass surgery and Gallstones

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If you're considering - or if you've already undergone - gastric bypass surgery then you need to be aware of the possibility of gallstones. Studies show that up to one third of gastric bypass patients will make gallstones following surgery. And they're most likely to occur in the first year.

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It seems that very low-calorie diets (like you have after gastric bypass) don't comprise sufficient fat to cause the gall bladder to ageement and empty it's bile. If the gallbladder doesn't ageement sufficient to empty it's bile, gallstones can form.

While some patients may make so-called "silent" gallstones that cause no symptoms (and therefore can be ignored), symptomatic gallstones make their proximity painfully known.

It often starts with a horrible pain at the top of your stomach, sometimes off to the right, that can radiate all the way around to your back. This pain happens when you eat and it is intense! You can also palpate a burning, acidic feeling in your stomach.

Sometimes there is nausea and vomiting. But these don't all the time seem to make the pain go away. In fact, pain medication may not even make the pain go away. Nor does changing your position.

Once you've had a serious gall bladder attack, you will not want to palpate someone else one. So often, the only thing to do is to have the gall bladder removed.

In the past, gall bladder surgery was a major ordeal that required a hospital stay. Today, it can be performed laparoscopically and is often an patient procedure.

If your gastric bypass was also performed laparoscopically, chances are your physician can use 1-2 of the same incisions when removing your gall bladder. My own surgery had 5 small incisions, 2 from my old surgery and 3 new ones.

Recovery is nothing like your gastric bypass surgery. But you will want to give yourself some days to take it easy.

After your gallbladder is removed, you may observation changes in what you can eat. Many gastric bypass patients palpate dumping more often and on more foods than they did before the second surgery. And you can often palpate a burning sensation when your pouch is empty. This is due to increased acid production in glands that are now closer to your stomach (since the gall bladder is no longer between them).

You may also observation that you can no longer tolerate some foods that were fine before having your gallbladder removed. It can be a lot like the days when you were first put on solid food as you gingerly try new things to see how your body will react.

The good news is that you can live without your gall bladder. Once you get used to the foods you can tolerate after having it removed, you can continue on with your efforts to meet your gastric bypass surgery goals.

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