Blog Archives


Minimizing Excess Skin after Bariatric Surgery

Excess skin is a common, almost unavoidable, part of the post-bariatric surgery lifestyle. Sagging or excess skin is caused by one of any number of issues including genetics, the amount of weight lost, age, and the specific procedure being performed. […]

Heartburn is Not the Only Symptom of GERD

It’s GERD awareness week and as part of our dedication to both prevention and proper treatment for gastroesophageal reflux disease, we are dedicating this blog post to the symptoms of GERD and how they can vary, beyond just heartburn. Before […]

Can All Sodas, Even Diet Ones, Decrease Your Life Expectancy?

Very interesting research has emerged about sodas and how they affect our bodies. A recent study set out to determine if soda consumption reduced a person’s life expectancy, and if so, was diet soda any better? The surprising conclusion was […]

Understanding Dumping Syndrome

Dumping syndrome is a somewhat common problem that primarily affects bariatric patients that have undergone gastric bypass surgery. Dumping occurs when food and water pass through the stomach and into the small intestine too quickly, causing nausea, dizziness, vomiting and […]

Comparing Robotic vs Traditional Laparoscopy – Dr. Tsuda’s Perspective

I began performing robotic-assisted surgical procedures about six years ago. I was initially very skeptical of the robot. Since I was fellowship-trained in minimally invasive surgery, which at that time was primarily laparoscopic surgery, I was very confident in my […]

Athletic Pubalgia – When a “Hernia” Is Not Really a Hernia

Most men have been admonished their entire lives…don’t lift too much, don’t push too hard – you’ll get a hernia. While this may be true, and upwards of 25% of all men will develop an inguinal hernia, the diagnosis is […]

When Fast Food Is OK After Bariatric Surgery

You might think that, as a weight loss surgeon and advocate for healthy eating, I’ve lost my mind saying that fast food is OK after weight loss surgery. It goes counter to everything we’ve learned since we decided to have […]

When Does Reflux Become GERD?

Acid reflux is a very common and usually transient condition that affects virtually everybody once in a while. Also known as gastroesophageal reflux or GER, occasional reflexes nothing to be concerned about and if anything tells us what to avoid […]

What Can Cause Weight Gain After Gastric Bypass? 

Weight loss surgery has proven an effective for weight reduction, but it is important to realize that bariatric surgery is not magic, requires many lifestyle changes and there can be complications. About half of all bariatric patients will have some […]

What Happens If You Ignore A Hernia?

There are several materials in the body that make up important, protective layers. In the abdomen we have muscle, connective tissue, and fat that overlay our internal organs. Each element has its designated place and job. In the abdomen, these […]

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