Dr. Michael Sarr on Bariatric Surgery

This Medical Edge Weekend program features Mayo Clinic physician Dr. Michael Sarr on bariatric surgery.

Medical Edge Weekend 7-17-10


  1. jules
    Posted July 10, 2010 at 2:29 pm | Permalink

    Is there a safe method for readjusting /reducing the stomach pouch again,years after the initial by-pass surgery. I did well, loosing 103lbs. and keeping it off for nine years, but since the death of my teenage niece last june, i have been stressed,sad and feeling so hollow inside that i managed to gain 65lbs. I have realized my emotional binge behavior and i am trying to get back in control, however, the dreaded HUNGER is back,and I hate it.From the very moment i woke up, after gastric surgery,I was soooo grateful to not have the HUNGER feeling that seemed to have plagued my life constantly,for as long as i could recall,even as a child. It was gone! No pain,or change of behavior was too much to go thru,I was the happiest hospitalized person in the WORLD,because i was FREE of the hunger!Now; however, it’s back, a little stronger everyday. I am absolutely fearful. I have read a small amount of info on redo surgery,but nothing clear or reliable enough for me to feel”informed”. I believe it is a patient’s responsibility to educate themselves,and I would value your input. Thank-you.

    • jstreed
      Posted July 15, 2010 at 7:19 pm | Permalink

      Here is a reply from Dr. Sarr:

      Concerning the concept of “readjusting” the gastric pouch size- this is usually not the problem unless there has developed a communication between the gastric pouch and the bypassed stomach. Many patients who regain weight do so in spite of a very small pouch. The real problem is that the body “adapts” and tries to compensate for any changes in anatomy that occur. Those 65 pounds this last year are going to be very hard to shed. The way to do it is easy (to say) but hard (to do). There are no magic pills or medications that “burn fat at night when you sleep”. The only way is two-fold. First to decrease the amount that you eat. Remember you CANNOT gain weight if you don’t eat AND second markedly ramp up your energy expenditure which does not mean water aerobics 3 or 4 times a week for 20 minutes BUT rather 2 to 3 hours a day 5X per week of water walking, rowing, bicycling, swimming etc. That”ain’t” easy to do but you got out of synch last year and after the first 10 pounds that would have been the time to get help

  2. Melida Arriaga
    Posted July 10, 2010 at 4:42 pm | Permalink

    Hi, I underwent bariatric surgery (sleeve) one year ago. So far I’ve lost 17 Kgs. And I haven’t been able to lost any more. I had my thiroid remove ten years ago and these are my latest lab results:
    T4 free. Ng/dl. 1,48
    TSH ultrasensible uU/ml. 0,09
    T3 free pg/ml. 3,11
    I’ve taken levotiroxina 150mg dayly since 2000, rigth after having my thiroid removed.
    Does it has to do with the lack of lost weight?
    Looking forward to hear from you,
    With my best regards.


    • jstreed
      Posted July 15, 2010 at 7:20 pm | Permalink

      Here is a reply from Dr. Sarr:

      Concerning the lack of further weight loss after the sleeve. This can be a problem. Again If you injest more calories than your body needs then you won’t lose weight therefore further weight loss will require less food and more exercise. Your thyroid has little if anything to do with this sorry.

  3. robin
    Posted October 25, 2010 at 11:32 am | Permalink

    my daughter 36 years old had gastric bypass 2 and a half years ago since then she has lost200 pounds and has had alot of medical problems like dehydration time 5 1 heart attack from low potassiam and sodium.she cant keep much down as she vomits it up. she has been anemic the whole time . my question is i think she should have the surgury reversedand i would like her to come to mayo clinic to do that.can it be done and will insurance pay for it ? i am afraid she is going to die at a young age if she doesnt get it reversed. please please help me she is my only child and i will so anything to help her. thank you 269-471-4909

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