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About Karla K.
(Top Expert on this page)

Expertise
I'm very familiar with the four main types of bariatric surgery: Lap-Band/Adjustable Gastric Band, Vertical Sleeve Gastrectomy, Roux-en-Y, and Duodenal Switch. I'm familiar with the Mini-Gastric Bypass and Revisions as well. I'm also beginning my seventh year post-op as a successful bariatric patient--so I can answer questions regarding pre-op, post-op honeymoon, and maintenance phases. I'm less familiar with the nuances of plastic surgery following bariatric surgery--but I do know a bit.

Experience
Have been an avid researcher of the science of obesity and bariatric surgery for over ten years now. My professional career used to involve medical device research.

Education/Credentials
Master's in Business Administration.

   

You are here:  Experts > Health/Fitness > Obesity > Bariatric Surgery

Questions Answered By Expert  Karla K. 
In Category  Bariatric Surgery

SubjectDate Asked

lap band info11/17/2009
  Q: I was banded in 8-07, had some problems but thought they it was worth the sacrifice. Lost 136lbs. I ...
  A: It does sound like your problems could be Band related... perhaps a slip or prolapse. Please call ...
sleeve procedure and gerd11/3/2009
  Q: I will try to make my question short. I am 21 years old and weight 280 /5.9 tall. I have gerd ...
  A: Well, your BMI definitely qualifies you for bariatric surgery. As for your GERD, there's no way to ...
I'm considering Gastric Bypass...10/16/2009
  Q: I'm 22 years old, 5'5", 230lbs with a BMI of 38. I have done a lot of research on this surgery, my ...
  A: I wasn't sure if you were saying you actually have diabetes and high blood pressure, or just a ...
constipation after gbs roux en y10/5/2009
  Q: i am just about six months post op and i have lost 107lbs and ia ma having a problem with ...
  A: Constipation is a common side-effect of bariatric surgery. While "lean and greens" is great for ...
acid reflux9/21/2009
  Q: Can people who have had a gastric bypass develope acid stomach 8 years after surgery? I talk ...
  A: In general, anybody can develop GERD/acid reflux. While a Roux-en-Y often helps people who have ...
GOING FOR THE GASTRIC SLEEVE8/7/2009
  Q: WOULD IT TAKE ME TO GO BACK TO WORK. ALSO HOW PAINFUL WILL IT BE AFTER THE SURGERY JUST CURIOUS ...
  A: It will all depend on your surgeon as to whether or not you need to go on a liquid diet before ...
medication absorbtion/ rny patient7/27/2009
  Q: i injured my back in 10/08 and am on several medications, percocet, flexeril,and tramadol, i have to ...
  A: I don't think there have been any studies done to see how malabsorption of medication may change ...
my doc wants to make scar tisue around my streched out6/21/2009
  Q: does it make sense for my doc to make scar tissue around my stretched out portal from a eight year ...
  A: It sounds like your doctor is doing a procedure like Stompaphyx to try and help fix your Roux-en-Y. ...
DS rectal problems6/11/2009
  Q: I have discussed this here before but am adding an update...saw dr...no fissures, etc....convinced ...
  A: I'm so sorry. I don't know if there are specific symptoms that have to do with a DS vs. a RNY leak, ...
How soon after pregnancy can I have a Lap-Band inserted?6/9/2009
  Q: I was looking into the Lap-Band procedure when I found out I was pregnant. I still want the surgery ...
  A: This is something you'd need to discuss with your OB or Nurse Midwife as well as your surgeon. In ...
5 y Results sleeve gastrectomy5/31/2009
  Q: i've read that you were looking for copies of 5 year results of sleeve gastrectomy. I'm also very ...
  A: I definitely will. So far, the closest data is the 5 year Magenstrasse & Mill info (60% EWL ...
22 years post-op want a reversal5/23/2009
  Q: I have had a bad time with vomiting their are times I cannot swallow water.I have had two hernia ...
  A: Wow, I'm sorry you're having such trouble. Please be careful regarding the not being able to ...
Vsg surgery4/30/2009
  Q: I am interested in vertical sleeve gastrectomy. It sounds like a good thing but I do not know ...
  A: There are a lot of success stories out there. Try the VSG board on Obesity Help ...
VSG 5 year results4/25/2009
  Q: I saw your previous answer to a question about VSG and I was incredibly impressed with your ...
  A: :) I haven't seen those articles, but I'll try and get copies over the next week. If I can get ...
lap band surgery4/2/2009
  Q: if a guy about 6"2' weighs about 375..how long would it take him to loose 100 pounds? i know u cant ...
  A: Asssuming that he works with his surgeon to get an optimal fill level, I'd expect him to lose 100 ...
14 years old and 14st , help!3/28/2009
  Q: I'm 14 years old, I turned 14 alsmost 2 weeks ago. I am only 5ft and weight 14'6st. I was wndering ...
  A: I'm sorry but I'm an American. From what I can tell, it's tough to say if the NHS would cover your ...
Burning in Throat3/19/2009
  Q: I am 4 year post Roux-en-y, about 18 mos ago, following extensive antibidoic / steriod treatment for ...
  A: I'm so sorry you're going through this. Long-term steroid use can have a vast array of ...
post op problem with duodenal switch3/10/2009
  Q: I had the DS procedure about 4 years ago and since then there are periods where I have severe rectal ...
  A: I know you've had yourself checked out, I'm going to assume this was through your PCP. If it was, ...
can't lose2/22/2009
  Q: I had bariatric surgery 41/2 weeks ago. I lost 30 lbs in 28 days and for the last week or so, i ...
  A: Relax! You're completely normal. Actually, losing 30 pounds in 28 days is far above average... so ...
lapband2/19/2009
  Q: My question, does medicaid cover the lapband surgry on a 15 yr old? He has full medicaid coverage. ...
  A: It might. I know that's not the exact answer you want, but it's the best I can do. If the 15 year ...
? about weight stabilization vs regaining2/1/2009
  Q: myhow do you know 3.5 years post op if you are settling into your weight or gaining weight back. ...
  A: Congratulations on your success. I think in many ways, weight is a personal preference. You need ...
Fill1/20/2009
  Q: I had only lost 5 lbs in 6 months with my lap band (50lbs the first 6 months). So last week I went ...
  A: I think what you're saying from your post is that you lost 50 pounds in your first 6 months with the ...
post-op anxiety1/1/2009
  Q: I am a 56 year old man and I am 3 days post-op for the vertical sleeve gastrectomy. I had my ...
  A: If it at all helps, what you're going through is completely normal! A lot of people find themselves ...
protein deficiency/hair loss12/27/2008
  Q: I had lap band surgery June of 2008. I have lost 50 pounds so far. But now I am having trouble ...
  A: Lots of people lose hair with rapid weight loss... regardless of protein intake. It normally ...
4.5 years post op Gastric Bypass Surgery11/14/2008
  Q: I have gained about 35lbs over the last 2 years and I am trying very hard to get it off, however, up ...
  A: I know a few people who have suddenly been able to eat more near around one year post-op, but I ...
Pancreatitus after mini gastric bypass11/11/2008
  Q: My daughter is 5 weeks post op (mini gastric bypass)and has been diagnosed with pancreatitis. She ...
  A: Sorry it took me a few days to get back to you. You must be so worried. First off, there is an ...
reversalof gastris bypass10/29/2008
  Q: ia had a rny gastric bypass on 08/08 this year i need to know how soon can i have it reversed i have ...
  A: Most surgeons would want to work with you to see if they could resolve your problems before putting ...
gastric sleeve10/27/2008
  Q: i have had a gastric sleeve done 7 weeks ago, on saturday morning after breakfast i got sick and now ...
  A: As this seems to be a sudden thing... and I'm assuming you haven't changed anything (stopped taking ...
pancreatitis10/22/2008
  Q: I had Gastric bypass surgery back in 1999. I did very well for 4 years then developed the dumping ...
  A: I'm so sorry you've had so many complications. Short answer, yes... your Roux-en-Y can definitely ...
2-3 years after surgery10/18/2008
  Q: I had the R/Y surgery two years ago. I have done extremely well. I lost 115lbs or more. I weigh 165 ...
  A: Congratulations on your success. Regarding the craving for sweets, usually having a little will ...
Gastric sleeve scar tissue10/17/2008
  Q: I had a Gastric sleeve 1-10-08. I was told by my surgeon that he put a mesh around my stomach so it ...
  A: Only one surgeon comes to mind who uses mesh around the stomach (a surgeon in Virginia)--and I have ...
gastric sleeve10/7/2008
  Q: I'm having pain near my incision,and a lump. It's been 4weeks since my surgery. Thank you Todd
  A: You need to see either your surgeon or your primary care physician to accurately diagnose this. It ...
VSG and RA10/3/2008
  Q: I am in my HMO's bariatric surgery program, but am concerned that I might not be able to tolerate an ...
  A: You're right in that some surgeons do OK NSAIDs for use with the Sleeve Gastrectomy and Duodenal ...
weight gain after 4 years9/28/2008
  Q: what can i do to get back on track? I am gaining my weight TRYING TO STOP IT. DO NOT HAVE INSURANCE ...
  A: You must be so frustrated. Sadly, some weight gain after 2-3 years is not uncommon. I'm going to ...
bariatric sleeve9/23/2008
  Q: I am booked for the sleeve in the next few weeks and am trying to research as much as possible, pros ...
  A: I think that with only 40 kg to lose, you could be very successful with the sleeve. In general, ...
Gastric Sleeve9/6/2008
  Q: I have had my surgery on 08/26/08. I know that it has only been 10 days but I suffer w/ horrible ...
  A: A couple of thoughts... first, I'm worried that you may be dehydrated. How is your urine output and ...
Post Incisional Hernia Surgery7/24/2008
  Q: I had an Incisional Hernia repair 5 days ago and there is a know under the incision the Dr made to ...
  A: You need to have a surgeon or at least your primary care physician examine the knot to figure out ...
BYPASS SURGERY !!!!7/8/2008
  Q: I HAVE TRIED EVERYTHING TO LOSS WEIGHT AND HAVE NOT HAD ANY RESULT. THIS HAS BEEN FOR A LONG TIME, ...
  A: You can appeal your insurance's decision, as long as they don't have an exclusion for bariatric ...
fullness in esophagus6/20/2008
  Q: I am 2 1/2 weeks post op from gatric sleeve surgery. I stop all liquids 30 min. before/after eating ...
  A: Usually, that fullness in your esophagus feeling means that you've eating a little bit too much. ...
Possible revision6/12/2008
  Q: I had gasric by-pass abou 6 years ago. I was 488 and got down to 200, but I'm back up to 300. I have ...
  A: Are you interested in having your RNY made more distal (bypass more intestines) or are you ...
SLEEVE BARIATRIC5/27/2008
  Q: 4 weeks made me THAT THIS CIRUJIA but almost can not eat everything is ME returns and I am nauseated ...
  A: So, you had your sleeve four weeks ago and are having a lot of nausea? Are you also feeling ...
revision5/7/2008
  Q: I am a 41 year old female who had the roux-en-y gastric bypass in 1999. I did loose 180 lbs, but I ...
  A: I agree that part of the problem is that you saw a doctor with very little revision experience. It ...
Gastric Bypass4/19/2008
  Q: I had a Gastric Bypass operation 4 years ago. I did loose only 4 stone in that time and have put ...
  A: Yes, you could definitely have an Adjustable Gastric Band placed over your pouch. That has been ...
FOOD BLOCKAGE4/12/2008
  Q: I have been having pain under my left ribs the past 2 days after I eat I'm eating semi solds, ...
  A: I'm not sure which type of surgery you had, as you don't mention it. A lot of people do get pain in ...
eating post VSG4/4/2008
  Q: I just attended my pre-op seminar(I'm scheduled for April 15th,08), and am aware that post-operative ...
  A: I haven't heard of any VSGers having trouble with spicy foods. As for a taco or enchilada...the ...
gastric bypass3/30/2008
  Q: i had gastric bypass jan6,05 i weighed 353,i now weigh 235 i had a baby a year ago,i eat everything ...
  A: First off, congratulations on your new baby, as well as keeping off 100 pounds through a pregnancy. ...
VERTICAL SLEEVE GASTRECTOMY3/20/2008
  Q: I’m a 20 year old female, 4 foot 11 inches and my BMI fluctuates between 39 and 42. I have ...
  A: I think the website you found was confusing the Vertical Banded Gastroplasty with the Vertical ...
GASTRIC BYPASS/ LAP BAND3/3/2008
  Q: I WOULD LIKE TO FIND A DOCTOR THAT ACCEPTS MEDICAID WITH A HMO FOR THE GASTRIC BYPASS OR THE LAP ...
  A: Many bariatric surgeons accept medicaid--for the Roux-en-Y (Gastric Bypass), Lap-Band, and Duodenal ...
insurance coverage2/26/2008
  Q: I can't find an insurance company that covers gastric bypass when medically necessary. Do you know ...
  A: Lots of insurance companies are covering bariatric surgery these days--even the Duodenal Switch. ...
gastric bypass1/17/2008
  Q: I am trying to do some research about the mini gastric bypass vs. the Roux-en-Y gastric bypass ...
  A: As long as your hypothyroidism is being well managed by your primary care physician, surgeon, or ...
gastric bypass1/14/2008
  Q: I am trying to do some research about the mini gastric bypass vs. the Roux-en-Y gastric bypass ...
  A: I think in many ways you should be happy with your decision either way. I first learned about the ...
sleeve gastric bypass12/15/2007
  Q: I had a sleave bypass 3 mounths ago.i have been haveing probleums keeping food down. I can eat ...
  A: I'm going to assume you had a sleeve gastrectomy... although if you had a sleeve bypass, which is ...
Dumping Syndrome12/9/2007
  Q: On Nov 7th I had gastric bypass surgery and my surgeon bypassed 150 cm of my intestines. Over the ...
  A: Not everybody who has a gastric bypass dumps (best data I can find says about 75 percent do). Even ...
Lap band surgery12/1/2007
  Q: I am considering lap band surgery. I am 5'2" and about 215 pounds. My insurance is a ppom. I would ...
  A: Your BMI is 39.3. With your blood sugar issues, some insurance companies may consider you because of ...
Revsion ... MBG vs. RNY9/6/2007
  Q: I am a failed lap band patient just a year out and I'm looking at a revision to a more effecting ...
  A: Sorry it took me so long to answer, but I was away with no access to email. One thing to consider ...
Revision8/8/2007
  Q: I has y enroute gastric bypass in 2005. My starting weight was 331, I got down to 249 pounds and am ...
  A: In general, a gastric bypass revision usually means that the surgeon will bypass more of the ...

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