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Intestinal Bypass And Anastomosis Status

At GastroDoxs in Houston, Dr. Rishi Chadha specializes in post-surgical care for patients who have undergone intestinal bypass and anastomosis. Combining advanced diagnostics like CT scans and endoscopy with personalized nutrition plans and invasive treatments, he ensures optimal digestive health.

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Texas Medical Board
Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Intestinal Bypass and Anastomosis Status?

This condition refers to changes in your small intestine after surgery. During an intestinal bypass, part of the intestine is removed or skipped. Doctors then connect the remaining segments with a new link called an anastomosis. It's often done to treat disease or aid in weight loss. (ICD-10 code: Z98.84)

Common Causes

  • Weight-loss surgery (e.g., gastric bypass)
  • Crohn's disease or ulcerative colitis
  • Bowel obstruction or injury
  • Tumor removal in the intestines
  • Radiation therapy to the abdomen

Symptoms You Might Notice

  • Belly cramps or ongoing discomfort
  • Frequent diarrhea or loose stools
  • Bloating, gas or abdominal distension
  • Unplanned weight loss or gain
  • Low vitamin/mineral levels (iron, B12, etc.)

How Dr. Rishi Diagnoses Intestinal Bypass And Anastomosis Status?

Dr. Chadha uses a systematic, step-by-step evaluation:

1. Medical History & Physical Exam

He reviews your surgical records, current symptoms (pain, diarrhea, weight changes) and examines your abdomen for tenderness or distension.

2. Blood Tests

Panels check for anemia, vitamin D, B12 and iron deficiencies, protein levels and electrolyte imbalances that often accompany malabsorption.

3. Stool Studies

Analysis for infection, inflammation markers, and fecal fat helps rule out bacterial overgrowth and quantify malabsorption.

4. Cross-Sectional Imaging

  • CT scan or MRI enterography to detect obstructions, internal hernias or leaks at the anastomosis.
  • Contrast small-bowel follow-through to visualize flow through the bypass and check for strictures.

5. Endoscopic Assessment

An upper endoscopy or balloon-assisted enteroscopy allows direct visualization of the anastomosis site, helping identify ulcers, strictures or marginal leaks.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Diet and Lifestyle Support

  • Small meals several times a day
  • High-protein, low-sugar foods
  • Vitamins (iron, calcium, B12)
  • Plenty of water with added electrolytes
  • Avoid greasy or processed foods

2. Medications

  • Loperamide for diarrhea
  • Acid blockers such as proton-pump inhibitors (PPIs)
  • Vitamin and mineral supplements

3. Minimally Invasive Procedures

  • Balloon dilation to gently open a narrowed bowel anastomosis
  • Laparoscopic surgery to adjust the bypass or relieve a blockage
  • Stenting to keep narrowed areas open
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is an intestinal bypass and anastomosis?

It's when your intestine is rerouted and reconnected after surgery.

Is it only for weight loss?

No. It's also done for bowel disease, blockages, or injury.

What does Z98.84 mean?

It's the medical code for a past intestinal bypass.

How long does recovery take?

Most people feel better in 4-6 weeks, but full healing can take months.

Do I need vitamins forever?

Yes, in many cases. Your body may not absorb enough nutrients on its own.

How can I manage diarrhea?

Changes in diet and medications can help control it.

When should I see a doctor?

Call us if you have bad belly pain, dehydration, or fast weight loss.

Is balloon dilation safe?

Yes. It's a simple, low-risk procedure done under sedation.

Is this care covered by insurance?

Most insurance plans cover visits, tests, and follow-up care.

How do I get ready for an endoscopy?

Fast for 6-8 hours and follow the clear-liquid instructions we provide.

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