What does a gastric bypass patient do when they feel food stuck - trapped - balled up - in their gastric pouch or stomach, or even further down in the intestine?
Sometimes we walk it out, sometimes change positions rapidly hoping the food shifts, oftentimes we lay on a certain side and get all fetal-curled and try to work the food down... we do countless things to relieve the pressure of a stucked.
However, many times it is just easier to break up a stuck, and many of us know this because we have been doing it for years intuitively because STUCKS!! HURT!!
Before you ask -- "What Does A Stuck Feel Like?" You'll know it when it happens. You will also know it if it has happened to you.
You may have another word to describe it -- too. I often describe it as oncoming death. I may or may not have sent myself to the ER once with a stuck because it felt like a heart attack, panic attack because the squeezing in my chest made me anxious -- bad combination. Too much of the wrong, sticky, fibrous food, trapped in the gut PLUS anxiety over the malcontent = OMG I AM DYING. I am dying right now. Am I really? OMG.
I know better now. I avoid it.
DISCLAIMER -- THIS POST IS NOT INTENDED NOR CONSTRUED AS MEDICAL ADVICE. I AM A 10.6 year post GASTRIC BYPASS PATIENT WITH ZERO PROFESSIONAL CREDS. DO NOT LISTEN TO ME. This is JUST my personal experience, mmmkay? YES I AM YELLING CAUSE Y'ALL DO NOT LISTEN.
Some of us whom grew up as baby bariatric patients not following our rules -- learned something early on.
Carbonated liquids fix stucks, because it forces the food through. This relieves the pain, and clears the gut. You might notice something about those of us willing to tell the truth about our (bad) habits. We tend to drink a LOT of Diet Coke, Diet Pepsi, and have for years since our weight-loss surgeries, some of us more than we did before WLS.
"Diet Coke and Coke Zero worked just as well as the sugared versions because they contain the same basic ingredients."
BECAUSE IT FEELS GOOD.
Bubbles fix the stucks.
Stucks are technically called bezoars or phytobezoars which means FOOD BALL - a gastric concretion formed of vegetable fibers, with the seeds and skins of fruits, and sometimes starch granules and fat globules. It's basically a GREASE TRAP of things that we might not have been able to digest due to our WLS arrangement - and the diet soda goes down and acts as Liquid Plumbr.
Hey, it's not my study, but it is my pre-treatment -- and has been for at least ten years -
Drinking Coca-Cola appears to be an effective treatment for gastric phytobezoar in 50% of cases, and combining the soda with additional endoscopic methods may lead to resolution of as many as 91.3% of phytobezoars, according to a newly published review.
Spiros D. Ladas, MD, from the Gastroenterology Division, First Department of Medicine–Propaedeutic, Medical School, Athens University, Laikon Hospital, Greece, and colleagues presented the results of their systematic literature review in an article published online December 17, 2012, and in the January 2013 issue ofAlimentary Pharmacology and Therapeutics.
The authors searched the literature for the combined keywords "phytobezoars treatment" and "Coca-Cola lysis" and reviewed 24 articles published during a 10-year period between 2002 and 2012. The articles included 46 patients. The authors note that the majority of the articles included in the review did not have patient follow-up, and therefore the review cannot speak to patient relapse.
Although most of the articles were case reports, one was a retrospective study of 17 patients. In their review, Dr. Ladas and colleagues found that only 4 patients (8.7%) who received Coca-Cola treatment went on to develop small bowel obstruction that required surgical treatment. Despite the need for surgery, 3 of the 4 patients still had partial dissolution of their phytobezoars from the Coca-Cola treatment.
The researchers also report that the soda was able to completely dissolve gastric phytobezoars in half of the patients. Although they were unable to state the mechanism of action with certainty, they posit that the soda's pH of 2.6 played an important role in fiber digestion.
Diospyrobezoars (persimmon bezoars) are one of the more difficult types of bezoars to dissolve. They are formed after persimmon ingestion and are characterized by a hard consistency. The authors found that diospyrobezoars were less likely to be completely dissolved by the soda than were phytobezoars (60.6% vs 23%; P = .022).
Physicians seek conservative treatment options, such as dissolution therapies and endoscopic fragmentation techniques, for bezoars, to avoid surgery. The reviewers suggest that Coca-Cola ingestion should be the treatment of choice for gastric phytobezoars because it allows for reduced patient stay in the hospital and may not require endoscopies or equipment. "Moreover," they conclude, "availability, low cost, rapid way of action, simplicity in administration and safety renders Coca-Cola a cost-effective therapy for gastric phytobezoars."
Low-cost effective therapy for stucks. Um, yeah? Considering the alternative, I'll avoid the pain --
A recent Yale study has found that while bariatric surgery — a medical procedure to reduce obesity — improves the moods of the majority of obese patients, it could potentially worsen depression for some.
The study, published in September in the journal Obesity Surgery, examined the possible causes and frequency of depression in patients after bariatric surgery. Though the study concluded that most of the patients’ emotional well-being improved in the months following surgery, the researchers also discovered that a subgroup of the 107 study participants experienced a relative increase in depression six months after the procedure.
“The majority of patients with discernible worsening in mood experienced these mood changes between six and 12 months post-surgery,” said Valentina Ivezaj, associate Yale scientist in psychiatry and the study’s lead author. “We suggest that this may be a key period to assess for depression and associated symptoms following gastric bypass surgery.”
The participants suffering from extreme obesity completed emotional evaluations before the surgery. Six months and then a year after, they completed the same evaluations. The self-reported questionnaires assessed depression, eating disorder behavior, self-esteem and social functioning. The study used these data to produce a numerical BDI — Beck Depression Inventory — rating.
Studies suggest there is ubiquitous stigmatization of obesity in society, which can decrease obese individuals’ overall quality of life, said Yale psychiatry professor John Krystal.
The patients evaluated in the study were mildly depressed prior to surgery on average. But after a year post-surgery, 87 percent of the study participants no longer identified themselves as depressed.
According to Ivezaj, while it is generally true that bariatric surgery minimizes depression in obese patients, it is not always that simple.
The data revealed that 13 percent of patients actually experienced an increase in BDI, while another 13 percent experienced a BDI decrease. Seventy-four percent reported no psychological differences six to 12 months post-surgery. Four percent of patients reported increased depression a year after surgery. Increases in symptoms of depression correlated with higher body mass index and increased incidence of emotional difficulties like low self-esteem and poor social functioning.
Obesity does not just affect the body physically, said Gerard Sanacora, professor of psychiatry at the Yale School of Medicine and director of the Yale Depression Research Program. According to Krystal and Sanacora, obesity has biological underpinnings, which influence an individual’s health, brain function and behavior.
Ivezaj said that she conducted the research in order to dispel the common misconception that bariatric surgery is an easy way out.
“I am inspired by my work with patients who have undergone bariatric surgery,” she said. “In order to be successful following bariatric surgery, patients transform their lives and it takes hard work, determination and dedication to make the required lifestyle changes.”
She said she hoped that the research will help identify individuals with a predilection for depression after bariatric surgery, so that future prevention and intervention implementation might ameliorate the quality of patient life.
Ivezaj said that POWER — the Program for Obesity, Weight and Eating Research — led by Yale School of Medicine professor of psychology and psychiatry and the study’s senior author Carlos Grilo, intends to collaborate with the Yale Bariatric Surgery Program to organize a longitudinal study that will comprehensively assess patients’ eating behaviors, mood, weight and psychological functioning post-bariatric surgery.
When Mood Worsens after Gastric Bypass Surgery: Characterization of Bariatric Patients with Increases in Depressive Symptoms Following Surgery
Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels following surgery and explored their correlates.
Participants were 107 patients with extreme obesity who underwent gastric bypass surgery and were followed up at 6 and 12 months postsurgery. Participants completed self-report questionnaires about depression (BDI), eating disorder psychopathology (EDE-Q), self-esteem (RSES), and social functioning (SF-36) at baseline and again at 6 and 12 months postsurgery.
Fourteen (13.1 %) participants reported discernible increases (BDI-Increase), 14 (13.1 %) reported discernible decreases (BDI-Decrease), and 79 (73.8 %) did not report discernible changes (no change) in BDI scores from 6 to 12 months postsurgery. Presurgically, there were no differences between the three groups. By 12 months postsurgery, the BDI-Increase group had significantly higher depression scores and significantly lower self-esteem and SF-36 mental component scores than did the other groups. For the BDI-Increase group, BDI Change was significantly associated with body mass index, self-esteem, and SF-36 physical component scores.
Findings highlight that a subgroup of individuals report discernible increases in depressive scores postsurgery and may differ in potentially clinically meaningful ways from those who do not report discernible increases in depressive symptoms. Future research is needed to better understand the long-term trajectory of patients with discernible worsening mood following gastric bypass surgery.
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The OAC is proud to announce that we are debuting a NEW pilot Your Weight Matters Local Events program with YWMLocal - Boston 2014! In less than a month, we will bring the Your Weight Matters message to Boston and the local surrounding community.
We invite you to join us in Boston for this groundbreaking FREE educational event at the Westin Boston Waterfront on November 2, 2014, from 11:30 am – 4:00 pm.
The OAC welcomes our members and their family members, friends and colleagues from all throughout the northeast to this opportunity to experience a local OAC Event! We have secured an amazing line-up of topics and presenters who are ready to arm attendees with knowledge to get you started or back on your journey to improved weight and health. To view the educational topics presented, along with the speakers, please CLICK HERE.
As part of our commitment to bringing our OAC members the best education and right tools for improving your weight and health, we are proudly producing this first YWMLocal Event, and hope to continue spreading the Your Weight Matters message with YWMLocal Events in other communities across the Nation. This is your chance as a valued OAC Member to connect with the OAC and your fellow OAC members in-person!
Any individual who wishes to benefit from this evidence-based education is welcome to attend, so pleaseshare the news with any family or friends you know in the Boston area! For all OAC members and ANYONE wishing to attend this great FREE event in Boston on November 2, please register now by CLICKING HERE!