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Gastroesophageal reflux disease, Dallas (GERD)

Overview

Gastroesophageal reflux disease, Dallas (GERD) occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.

Many people experience acid reflux from time to time. GERD is mild acid reflux that occurs at least twice a week, or moderate to severe acid reflux that occurs at least once a week.

Symptoms

Common signs and symptoms of GERD include:

A burning sensation in your chest (heartburn), usually after eating, which might be worse at night
Chest pain
Difficulty swallowing
Regurgitation of food or sour liquid
Sensation of a lump in your throat

If you have nighttime acid reflux, you might also experience:

Chronic cough
Laryngitis
New or worsening asthma
Disrupted sleep

Endoscopic sleeve gastroplasty, Dallas

Overview

Endoscopic sleeve gastroplasty, Dallas is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty, Dallas reduces the size of your stomach using an endoscopic suturing device without the need for surgery.

Endoscopic sleeve gastroplasty, Dallas leads to significant weight loss. It helps you lose weight by limiting how much you can eat. And the procedure is minimally invasive, reducing the risk of operative complications.

Why it’s done

Endoscopic sleeve gastroplasty, Dallas is performed to help you lose weight and potentially lower your risk of serious weight-related health problems, including:

Gastroesophageal reflux disease
Heart disease and stroke
High blood pressure
Sleep apnea
Type 2 diabetes

Endoscopic sleeve gastroplasty, Dallas and other weight-loss procedures or surgeries are typically done only after you’ve tried to lose weight by improving your diet and exercise habits. Endoscopic sleeve gastroplasty, Dallas is less invasive and cheaper than other forms of bariatric surgery.

Bariatric Surgery

Schulman offered a rundown of the innovative outpatient procedures available at Michigan Medicine:

Intragastric balloon therapy

This procedure involves either fluid- or gas-filled balloons and is approved for patients with a body mass index of 30 to 40.

This procedure is also reversible. The balloons are only intended to be left in place for six months before their removal.

Endoscopic sleeve gastroplasty

Similar to a traditional surgical sleeve gastrectomy procedure, in which a physician sutures a patient’s stomach to make it smaller, an endoscopic sleeve gastroplasty is performed via an upper endoscopy without an incision.

Endoscopic sleeve gastroplasties are intended for patients with a BMI greater than 30. Michigan Medicine’s program was the first in the state to perform the procedure.

AspireAssist

The AspireAssist procedure involves a tube device inserted into a patient’s stomach to drain (or aspirate) a portion of its contents after meals.

The process, which takes five to 10 minutes, removes about 30 percent of each meal and is an outpatient procedure intended for adults with a BMI of 35 to 55.

With consistent medical monitoring by a physician and team of experts, aspiration therapy offers a long-term option for weight loss.

Bariatric Surgery Dallas Risks, Complications and Side Effects

All surgical procedures carry risks. Your surgeon will explain all potential Bariatric Surgery Dallas complications, both short and long term, and answer any questions.

What Are the Most Common Post-Op Risks and Side Effects Associated with Bariatric Surgery?

Some Bariatric Surgery Dallas risks include:

Acid reflux
Anesthesia-related risks
Chronic nausea and vomiting
Dilation of esophagus
Inability to eat certain foods
Infection
Obstruction of stomach
Weight gain or failure to lose weight

Bariatric Surgery Dallas Long-Term Risks

Bariatric Surgery Dallas carries some long-term risks for patients, including:

Dumping syndrome, a condition that can lead to symptoms like nausea and dizziness
Low blood sugar
Malnutrition
Vomiting
Ulcers
Bowel obstruction
Hernias

Overview of Bariatric Surgery Dallas Risks and Complications by Procedure

Risks and side effects vary by bariatric procedure. The following list is not all-inclusive, but briefly outlines risks of gastric bypass and gastric sleeve.

Your bariatric surgeon will make sure you understand the risks and complications of your specific procedure.

Risks of Gastric Bypass:

Breakage
Dumping syndrome
Gallstones (risk increases with rapid or substantial weight loss)
Hernia
Internal bleeding or profuse bleeding of the surgical wound
Leakage
Perforation of stomach or intestines
Pouch/anastomotic obstruction or bowel obstruction
Protein or calorie malnutrition
Pulmonary and/or cardiac problems
Skin separation
Spleen or other organ injury
Stomach or intestine ulceration
Stricture
Vitamin or iron deficiency

Risks of Gastric Sleeve:

Blood clots
Gallstones (risk increases with rapid or
substantial weight loss)
Hernia
Internal bleeding or profuse bleeding of the
surgical wound
Leakage
Perforation of stomach or intestines
Skin separation
Stricture
Vitamin or iron deficiency

Reducing Your Bariatric Surgery Dallas Risks

You can help lower some of the risks and possible side effects by:

Decreasing your Body Mass Index (BMI)
Increasing your amount of exercise
Stopping smoking

Preparing for Bariatric Surgery Dallas

When you’re preparing for Bariatric Surgery Dallas, we’re here to help reduce your stress, minimize your risk of complications, and support you throughout your weight loss journey.

Pre-Operative Testing

Whether you are having a gastric bypass, sleeve gastrectomy, duodenal switch, a revision or other type of weight loss procedure, you’ll complete several pre-operative tests, such as:

Blood work
x-ray
gastro-intestinal tests
electrocardiogram (EKG)

Pre-Operative Consultations

You’ll meet with our surgical weight loss care team for consultation and evaluation, including:

Registered Dietitian
Psychologist
Physical Therapist

Pre-Surgical Lifestyle Changes

Preparing for Bariatric Surgery Dallas involves several lifestyle changes designed to help reduce risks during your weight loss procedure and make your recovery period easier. You may be introduced to our Alter G anti-gravity treadmill.

Stop Smoking

If you smoke and you’d like help quitting, Northern Westchester Hospital offers a free smoking cessation clinic where you’ll learn tips and techniques to help you become a non-smoker.

You will reduce your risk of complications during the surgery if you quit smoking. Stopping smoking also helps to prevent blood clots, anesthetic risks, and infections after the procedure.

Modify Your Diet

Your surgeon will likely order specially-designed meal plan for you that includes high-protein, low-fat meal replacement shakes to help reduce the amount of fat around your liver and spleen. This helps to increase the chance of a successful surgery.

Gradually Reduce or Stop Certain Medications

If you are taking prescription or over-the-counter medications like blood thinners, anti-inflammatory drugs (NSAIDs), steroids, and birth control pills, be sure to discuss this with your weight loss surgery team before your surgery date.

You may need to either gradually reduce or completely stop certain medications one to two weeks before your procedure.

Plan for Success!

Stock up on healthy foods before your weight loss surgery and remove unhealthy food from your house. Plan to take time off work. Find help with child care, household chores, and your pets, especially during the first week you are home when you need around-the-clock care.

Gastric Bypass Revision Dallas

At UCLA Bariatric Surgery in Los Angeles, California, we are nationally known for the expertise and comprehensive care we offer for patients dealing with obesity.

Our surgeons have among the lowest complication rates in the U.S. for even the most complex bariatric procedures, including revisions of previous bypass surgeries that have not produced the desired results. Learn more about gastric bypass surgery at UCLA.

Should I Get Gastric Bypass Revision Dallas Surgery?

Reasons to get Gastric Bypass Revision Dallas surgery may include:

Failure to lose enough weight
Weight regain
Medical complications

Weight regain (or inadequate weight loss) after gastric bypass surgery:

The roux-en-Y gastric bypass surgery is the gold standard of bariatric surgery. On average, patients lose about 60-80% of their excess weight after surgery. However, not everyone loses the same weight after gastric bypass surgery.

Studies have shown that up to 15-35% of patients regain significant amount of weight back or fail to achieve adequate weight loss after surgery, which is traditionally defined by excess weight loss <50% or a BMI >35.

This rate might be even higher in super obese patients (BMI >50). For these patients, medical management and lifestyle changes are the mainstay of treatment. If they fail the medical management and suffer from obesity, distal gastric bypass surgery might be an option for them to lose more weight and control comorbidity.

Gastric Bypass Revision Dallas Surgery at UCLA

Laparoscopic distal Roux-en-Y gastric bypass:
This minimally invasive procedure is designed to treat weight regain after gastric bypass surgery. This procedure can help you to lose more weight after weight regain by reducing your ability to absorb food and calories.

Advantage of distal gastric bypass surgery?

Compared with endoscopic gastric pouch suturing, distal gastric bypass offers more durable and significant weight loss.
Compared with surgical pouch revision, distal gastric bypass surgery has much lower risks. Most surgeries are done laparoscopically and most patients can go home after 1-2 night stay in the hospital.

Steps of treatment of gastric balloon

The Orbera and ReShape gastric balloon, Dallas procedures usually takes no more than a half hour to perform (compared to about 2 hours for gastric sleeve), and most patients are out of the hospital on the same day.

Once you are set up in the treatment room, following are the steps:

Your throat will be numbed with a special spray. The numbing sensation may feel strange, but it will help your throat tolerate the instruments used in the procedure. If you wish, you can also ask for an injection to make you feel sleepy, but these options will be discussed with you beforehand.
After you are comfortable, the nurse will insert a plastic mouth guard between your teeth to keep your mouth open for the scope.
The scope will be passed through your mouth and into your stomach. This will not be painful, and you will be able to breath without worry. The doctor may also need to pass some air down the scope to have a clear view. This too can be a strange feeling, and it may make you want to belch.
The scope will be removed.
The deflated balloon will be passed into your stomach and inflated with either air or saline solution.
The scope will be passed into your stomach one final time to double check that the balloon is in the right position and properly inflated.

Different Ways To Create Passive income, Dallas In Real Estate

Single-family units:

Those wondering how to create Passive income, Dallas in real estate can start off with the most common of examples. Perhaps the simplest type of property to understand, a single home or condo can be purchased and rented out to just one tenant.

However, when vacant, a single unit will bring in no income at all.

Duplexes, triplexes and more:

Properties with two to four units offer similar benefits to single-family units while offering a lower requirement for intensive management when compared to apartment complexes.

The risk of a potential vacancy is spread across multiple units instead of just one.

Apartment buildings:

This building classification is often applied to properties with five or more units. Investors are able to take out a commercial loan, instead of a residential loan, and enjoy economies of scale.

Commercial buildings:

Commercial properties can be leased to retail tenants with long-term leases, thus promising a more stable stream of income. Investors should plan for longer vacancies, as well as having to consumer the cost of remodeling spaces between tenants.

Mixed use developments:

Demand for mixed use development projects has increased steadily, and can provide a home for residential, office, retail, industrial and institutional tenants. Investors can enjoy a variety of income streams and lease lengths within one property.

Industrial complexes:

Although residential properties tend to come to mind with the mention of Passive income, Dallas, properties geared toward the commercial sector need not be ignored. Commercial warehouse, storage or manufacturing facilities can provide steady performance while requiring minimal management.

Different Ways To Create Passive income, Dallas In Real Estate

Self-storage facilities:

Self-storage facilities continue to be very much in demand and can be found almost anywhere in the U.S. All facility costs and vacancies can be spread across many units, equating to a relatively low per-unit cost.

Mobile home parks:

Mobile homes offer an attractive housing option for residents under economic stress, or in markets where housing prices have skyrocketed. Investors who own a mobile home park typically own the land, while collecting rents from residents who choose to locate their mobile home on the property.

Land lots:

Investing in land in it can be a unique niche, and can be used to improve or split up to be sold as smaller lots. This strategy can be effective if the invest finds a plot of land in an area that is up-and-coming or will soon be developed, and sells it for a profit.

Vacation rentals:

A property might pose as a good short-term or vacation rental candidate, especially in markets with a significant transient population, as well as tourist attractions. Investors who own a vacation rental can often charge more on a per-night basis, than they would with a long-term tenant.

Tax liens & deeds:

The government reserves the right to seize a property when taxes go unpaid. Investors have the opportunity to buy up tax lien properties at a significant discount, but should only take action if they have a solid strategy in place.

Note investments:

Homebuyers have the option of taking out a home loan in the form of a private note, instead of a conventional loan. There is a large market surrounding the buying and selling of these notes, some of which are delinquent.

Investors can purchase performing and non-performing notes from other owners at a discount.

Hard money lending:

Investors who have sufficient liquidity can consider privately lending money to help other individuals purchase property, who promise to pay back the principal at a high interest rate.

Property rehabs:

Fixing and flipping properties requires a more active role in real estate investing, but can be quite lucrative.

Passive income, Dallas Investor Mistakes To Avoid

Passive income, Dallas real estate is a strategy through which an investor can create earnings without having to be actively involved. The term “Passive income, Dallas” is used loosely, as the level of required activity and involvement varies based on the investment type. Some common examples include rental properties, or earnings made from investment portfolios.

Not having enough cash flow:

You may have heard the phrase “cash is king,” and any Passive income, Dallas real estate professional would tell you the same. When owning a rental property, your main goal is to gain appreciation while earning a steady cash flow.

Failing to thoroughly screen tenants:

One of the best ways to maximize your Passive income, Dallas from real estate is by leasing only to the best possible tenants. A bad tenant can turn out to be much more expensive than any vacancy, such as through property damage or even a lengthy, expensive eviction process.

Not being ready to become a landlord:

Newbie investors might choose the approach of a Passive income, Dallas real estate investment vehicle without realizing that being a landlord is tough business that should not be taken lightly.

Not collecting rent in a timely manner:

It is important for new landlords to be very clear about rules, and hold tenants accountable for following these rules, from the very beginning. Waiting too long to collect rent will not only hurt your cash flow, it can lead to a delayed eviction process that can lead to hostile emotions on either end.

Not keeping an active role in management:

Even when going through a property management company, an owner should actively manage their property by means of keeping in regular contact with tenants and providing regular care and maintenance of the property.