Can I starve to death after gastric bypass surgery?
A significant number of patients have what we call a stricture, and in the literature what happens is the opening we make becomes too small, and that can happen anywhere from a half percent to five percent of the patients. Those patients start vomiting, they can't eat well, and they can lose too much weight. It's relatively simple to solve - for the doctor - the patient has to go through a procedure, but it's called an endoscopy, where they put the tube down the patient's mouth, find the opening, and dilate it. I've had one, maybe two patients who have actually developed anorexia nervosa after surgery, and all of the tests showed that the patient had no physiological problem - no stricture, no reason for losing weight. Most of the other problems with "starving to death" and being malnourished is either the stricture or, as I mentioned before, the patients are not able to tolerate the procedure and become malnourished. They can't tolerate protein, they don't absorb any iron, and then we have to reverse it.