Dr. Sutker is a Plano, Texas native who graduated from the University of Texas at Austin and earned his medical doctorate at the University of Texas Southwestern Medical School in Dallas. He went on to also complete his general surgical internship and residency at UT Southwestern. He received additional fellowship training in minimal invasive and bariatric surgery at University of California San Francisco.Dr. Sutker has been in practice at Medical City Dallas since 2014. He is boardcertified in general surgery. Dr. Sutker manages a wide range of surgical disease. He specializes in treating conditions with minimally invasive techinques utilizing both standard laparoscopy and robotic-assisted laparoscopy. Dr. Sutker has specialty training in the surgical treatment of obesity, acid reflux, esophageal motility disorders, and paraesophageal hernias. He is skilled in the repair of abdominal wall defects, including inguinal, umbilical, ventral, and incisional hernias. Dr. Sutker also enjoys managing emergency surgical situations including gallbladder disease, appendicitis, and diverticulitis.
Education and Training
MD at the University of Texas Southwestern Medical Center
American Board of Surgery
Dr. Michael Sutker, MD's Expert Contributions
Dr. Michael Sutker is the Medical Director of Robotic Surgery and the Chair of the Advanced Clinical Advisory Board at Medical City Dallas Hospital, where he’s been practicing since 2014. There, he is also a member of the General Surgery Performance Improvement and Intensive Care Unit...
Dr. Michael Sutker is the Medical Director of Robotic Surgery and the Chair of the Advanced Clinical Advisory Board at Medical City Dallas Hospital, where he’s been practicing since 2014. There, he is also a member of the General Surgery Performance Improvement and Intensive Care Unit...
Hernias are extremely common, especially in the abdominal area, and could also be present and undetected at birth. They occur when tissue pushes through a muscle’s weak spot.For qualifying patients, minimally invasive hernia repair is a great alternative to more invasive, open hernia repair. The...
The decision to undergo bariatric surgery is not an easy one.Thinking about undergoing bariatric surgery or know someone who is? Here are some FAQs that might help.When is someone eligible for bariatric surgery?Since there are no two overweight people that are exactly the same, there is no general...
In general it is safe to wait on hernia repairs as long as you are not having symptoms. Studies have been performed regarding the course with small hernias. In one group, the patients had surgery immediately. In the other group, the patients waited two years. The chance of a complication was the same in both groups (very low). In the group who waited, the majority of those patients developed symptoms over the two years and went on to have their hernias repaired. Symptoms related to a hernia include the presence of a bulge, pain, discomfort, constipation, and nausea. If this symptoms develop and persist, it is probably time to get your hernia fixed. READ MORE
It's not a common complaint that I have heard after thyroid surgery. If you are in your first week after your operation, it may be related to the positioning of your head during surgery. Even though you had high thyroid function prior to surgery, you now have no thyroid function. You should be on thyroid hormone replacement. If your levels are not appropriate, that may cause some vertigo symptoms. I would check back with your surgeon about your symptoms. READ MORE
Pancreatic transplants are possible. You can go this website: https://www.srtr.org/transplant-centers/?&organ=pancreas&recipientType=adult&sort=transplantRate to check out what programs around the country perform them. They will be able to guide you and your friend with a lot more information regarding the transplant. READ MORE
It all depends on what you are having done. Open surgery is much more invasive than laparoscopic (minimally invasive surgery). If you are having a hernia fixed, some are small, and some are large. Unfortunately without more information, I cannot point you in a better direction. READ MORE
I perform a lot of appendectomies as outpatient procedures, where patients go home the same day. I typically quote patients about a 2-week recovery for non-complicated appendicitis. Usually sore for about 5-7 days and about 80% recovered at 2 weeks. It may take a full 4-6 weeks to feel normal (i.e., appetite normalizes, energy levels improve, vague aches and pains resolve). People who work desk jobs can typically return in 3-5 days. People who work manual labor can return in about 2-4 weeks depending on the amount of activity. READ MORE
A hiatal hernia is where the stomach migrates from the abdomen into the chest. Surgery is the only way to fix this. There is no medicine or activity that will improve it. Symptoms can include chest pain, chest tightness, difficulty swallowing (dysphagia), heartburn or acid reflux, and belching/bloating. READ MORE
You should hold off on sex, or any other strenuous activity, until you feel comfortable. For most people, that is about 2 weeks. You can resume activities when your symptoms are limited to soreness or discomfort. Pain at your incisions during an activity is a reason not to do that activity. READ MORE
What you are describing sounds like a hematoma, or an old collection of blood within the surgical wound. Fresh blood is bright red. Old blood (hematoma) looks more maroon/black. If you are having drainage from your wound, you should contact your surgeon immediately. READ MORE
Diverticulitis is a form on inflammation of the colon. The colon is supposed to be a tube, but it can get pouches (diverticula) on the sides due to chronic increased pressure. This is the disease of diverticulosis which is present in about 60% of people over the age of 60. When the pouches get blocked by stool, they get inflamed and infected (diverticulitis). Simple cases of diverticulitis can be managed with oral antibiotics alone. More severe cases require hospitalization and IV antibiotics. Complications of diverticulitis include an abscess (an infected fluid collection outside the colon) or a perforation. Small perforations may be managed conservatively with antibiotics and require elective surgery in 6-8 weeks. Perforations with sepsis and peritonitis (severe infections) require emergency surgery with removal of a portion of the colon and a temporary colostomy. READ MORE
A gastric bypass is both a weight loss operation and a metabolic surgery. First, estimated weight loss with a gastric bypass are up to 75% of your excess body weight. If you are 100 lbs overweight, you could expect to lose about 75 lbs over the course of the first 12-18 months after surgery. Some patients do better than this; some do not. That is a pretty good average. Second, a gastric bypass can improve all of the medical problems associated with the disease of obesity. Those include high blood pressure, high cholesterol, diabetes, sleep apnea, and reflux. It can also decrease your risk of developing heart disease and cancer. The results are stunning! If your doctor offered patients a single pill to cure all of these diseases, everyone would be signing up. Instead, because it has "surgery" associated with it, unfortunately there is a negative stigma. There shouldn't be. A weight loss operation is life changing for more than 90% of patients who have it done. READ MORE
Typical weight loss after a gastric bypass is about 75% of excess body weight. Excess body weight is the difference between your current weight and your ideal body weight. Your ideal body weight is not your preference; it is a value calculated by a formula based on your height. For instance, if you weigh 250 lbs and your ideal weight is 150 lbs, your excess body weight is 100 lbs. You could be expected to lose about 75 lbs after a gastric bypass. The success rate with achieving goal weight is about 80% after surgery. Patients typically keep the weight off, even up to 20 years after surgery. You may regain 10-20 lbs over the years, but you will be far better off in the long run by having surgery then by avoiding it. READ MORE
What are the risks of the procedure? What are the side effects or long-term consequences (both positive and negative) of the procedure? How long is surgery? How long will I be in the hospital? How long is the recovery process? How long will I need to be off work? Do I have any dietary restrictions after surgery? Do I have any activity restrictions after surgery? What medications, specifically for pain, will I receive after surgery? Will I have any wound care? Those are a good start! Don't be afraid to ask questions. You can never have too much information. READ MORE
The biggest reason that patients get constipated after surgery is narcotic or pain medicine use. Narcotics such as Codeine, Hydrocodone, and Oxycodone do several things very well. First, they help with the immediate pain of surgery. Second, they cause constipation. Even if you are not taking many pills at home, you would have received narcotics through your IV during the procedure, and even that small amount can have a profound effect. Very rarely could the constipation be caused by a complication from your hernia procedure such as a bowel obstruction. I recommend all patients drink plenty of fluids and start with a mild stool softener such as Docusate. You can add Miralax powder as needed. If the constipation persists, you can add a stronger laxative such as Milk of Magnesia or Magnesium citrate. All of these are available over-the-counter at your local pharmacy or grocery store. If your constipation does not improve, contact your surgeon. READ MORE
Weight loss is not easy by any means. Even if you diet and exercise appropriately, your body has built-in mechanisms to deter weight loss. Surgery is a fantastic option for weight loss. The surgeon can be performed very safely with controlled risks and few, if any, side effects. Your surgeon and surgical team will put you through comprehensive medical testing prior to surgery to ensure that you are safe to undergo a major operation. The risk profile for a weight loss operation is very similar to that of a gallbladder removal. Most people think of a cholecystectomy as a relatively routine procedure, and weight loss surgery should be thought of the same way. READ MORE
Your blood pressure will be constantly monitored during surgery by the anesthesiologist. They will give medications through your IV as necessary to maintain it in an appropriate range. If your blood pressure is too high prior to surgery (greater than 180/100), it is possible that your surgery will be cancelled. There are no greater risks of high blood pressure during surgery than there are outside of surgery. READ MORE
With the advent of PPIs (proton-pump inhibitors), also known as acid blocking medications such as Omeprazole (Nexium) or Pantoprazole (Protonix), surgery for peptic ulcer disease is rarely warranted. If you have persistent pain, you need to make sure that you had an upper endoscopy (EGD) to evaluate for ulcers and to obtain a biopsy to rule out a cancer or other pathology. You should also be test for an infection called H. pylori that can cause ulcers. H. pylori treatment includes antibiotics. Surgery for peptic ulcers is typically reserved for perforations, bleeding, or pain that lasts longer than 6 months. READ MORE
The best test for gallbladder disease is an ultrasound. This will evaluate for the presence of gallstones. Right upper quadrant pain and gallstones is enough for me to recommend to most patients that a cholecystectomy (removal of the gallbladder) is warranted. An ultrasound may also examine for thickening of the wall of the gallbladder that indicates inflammation. If the ultrasound is normal, the next test to get is a HIDA scan. A HIDA scan tests the function of the gallbladder. Dye will be injected into your veins and will then be taken up inside your gallbladder. The HIDA scan tests for how rapidly the dye empties from the gallbladder. If it empties too slow, this is called biliary dyskinesia, and is a pathologic problem of the gallbladder that warrants surgery. If you have gallbladder disease, whether it is from stones or a functional problem, surgery is the treatment. There is no medicine and no diet changes that will ward off symptoms for the long run. I almost always recommend surgery to patients who are medically fit for surgery. READ MORE
Typically small polyps are removed at the time of colonoscopy. Larger polyps may be biopsied, and surgical removal may depend on the pathology on the biopsy. Some times larger polyps will be monitored over time with serial colonoscopies. READ MORE
I typically quote patients about 2 weeks for about 95% of wound healing. That can vary depending on nutritional levels, medications (especially steroids), and the presence of an infection. READ MORE
Traditional teaching is that appendicitis is a surgical emergency and patients would typically be taken to the operating room within 4-6 hours for an appendectomy. There is newer research stating that appendicitis may be treated with antibiotics alone, sparing people the risk of surgery. The recurrence rate with this may be up to 30% at 2 years, and even higher thereafter. I personally do not recommend non-operative management for my patients unless they are too sick to tolerate a surgery, but understand the reasoning of surgeons who are attempting a non-surgical option. READ MORE
The simple answer is no. Surgeons should be performing surgeries, especially in an emergency situation when the likelihood of a complication is much higher. An internist may be trained to do simple "bedside" procedures such as an incision and drainage, removal of a small skin lesion, or placement of a central venous catheter. Invasive procedures should be done by someone with appropriate training and board certification. Some older internists in rural areas may have received some procedural training. READ MORE
Depending on whether they are internal or external hemorrhoids, they can sometimes be managed with banding in the office setting without needing to go to the operating room. If he continues to have difficulties after conservative management (medications, dietary changes, etc), surgery will likely be necessary. READ MORE
About 1 in 3 patients will get diarrhea after having the gallbladder removed. This happens most frequently with fatty, greasy, or oily foods. I have also occasionally heard patients state that dairy will cause problems as well. I typically do not give any strict dietary precautions to my patients. If you eat a food and immediately feel bloated, nauseous, or have diarrhea, I would avoid that food for a week or two before trying to re-introduce it into your diet. Studies say that the symptoms (post-gallbladder removal diarrhea) resolve in up to 99% of people within 3 months. I have found it rare that I have to recommend permanent dietary changes or prescribe medications. READ MORE
If anything, your surgery should improve your diabetes! That is one of the great benefits of a weight loss operation. Up to 60% of patients who have a gastric bypass and about 50% of patient who have a sleeve gastrectomy will see resolution of their diabetes. Your glucose control will be much better. Your medication requirements may drop by half even before you leave the hospital. READ MORE
In general, I tell my patients to avoid activities after hernia surgery that cause pain. Given the sensations you are describing, I would strongly recommend calling your surgeon for evaluation to ensure that you did not disrupt your repair. The pain may just be from the procedure, but ultimately, you want to make sure you do not have a recurrence. READ MORE
All surgery has risks including pain, bleeding, wound infections, and scars. Having an appendectomy is a relatively safe and well-tolerated procedure. Most are done laparoscopically and patients, especially those that are young and healthy, recovery well without any significant side effects. Your son will not miss having his appendix. There are no long-term drawbacks from having it removed. READ MORE
I have to undergo an abdominal surgery to remove blockages from my large intestine. What will recovery be like?
For major abdominal surgery, such as a partial colectomy as you are describing, is about 2-4 weeks to recover about 80% and potentially 8-12 weeks to get back to baseline. Pain and wound healing depends on whether your surgery is being done via an open approach with a single large incision or a minimally invasive approach with several small incisions. The hardest part for most patients to recover from is gaining energy and appetite. READ MORE
The simple answer is yes. The type of blood thinner you are on will mean a different amount of time you need to stop taking it. Either your surgeon, anesthesiologist, or pre-operative nursing team will guide you in managing your blood thinners. READ MORE
Surgery itself, in addition to whatever pathology led to your surgery, is a huge physiologic insult to your body. It takes time to recover. I tell my patients that energy is the hardest thing to recover after surgery. Even a routine operation like removing a gallbladder or appendix may take 4-6 weeks before your energy level returns to normal. People who have never taken naps in their life will find they need to rest in the afternoon to make it through the day. This is fairly typical. READ MORE
Recovery varies depending on which factor you are looking at. This is what I quote my patients (at least for someone who is young and healthy). 1 night in the hospital (occasionally home the same day) Walking the day of surgery In and out of bed, in and out of a car, up and down stairs- immediately. 3-10 business days off work. People who work desk jobs can return earlier than those doing manual labor 5-7 days of no driving. He can return to driving when he does not need to take prescription pain medication during the day, and when he feels comfortable turning from side to side. Strenuous activity (sports, weight lifting, sexual activity) about 2 weeks, but ultimately whenever comfortable About 80% recovered at 2 weeks. Full recovery, meaning appetite and energy return to normal and vague aches and pains of surgery go away, may take about 4-6 weeks. READ MORE
Itching is typically a sign of wound healing. When an incision is made, nerves in the skin get cut. Itching is the feeling you get when the nerves heal. Redness may be worrisome. Sometimes it is just a reaction to the sutures, staples, or glue that is used to close the incision. Other times, it is a sign of infection. If the area of redness is growing, if your wound starts draining, if your pain gets worse, or if you start to have fevers, you should contact your surgeon immediately for evaluation. READ MORE
People who do desk jobs and work on a computer all day can do that whenever they feel like it, generally about 3-10 business day. People who are active or do manual labor may need to wait 2-4 weeks. READ MORE
I tell my patients to wait at least 1 year prior to trying to get pregnant. Ensure that your vitamin and nutrient levels are within normal limits prior to getting pregnant. Your surgeon or primary care doctor should check these levels. If those values look good, there should be no risk of having a baby. READ MORE
General anesthesia induces vasodilation in peripheral blood vessels. This means that the small arteries and veins get larger and more blood pools in these vessels instead of the larger blood vessels that maintain your blood pressure. This is a known effect and is usually transient and short-lived. There are generally no long-term ill effects from this. READ MORE
General anesthesia reduces your respiratory (breathing) rate. During most surgeries, a breathing tube will be placed, and a ventilator will breathe for you. You would not have control of your own breathing in this situation. READ MORE
It is not uncommon for elderly patients to have some confusion or delirium after surgery. It is not necessary a direct result of anesthesia. Some of it depends on the reason why he had surgery in the first place. Some of it depends what sorts of medications he received before, during, and after surgery. Some of it depends on his sleep-wake cycle after surgery. READ MORE
I tell my patients to get up and walk as soon as possible after surgery. Walking on a treadmill, using a bicycle or an elliptical machine are all acceptable forms of activity. I recommend avoiding strenuous activity such as heavy lifting (defined as >20 lbs) for 2 weeks. This will allow your incisions to heal and help avoid getting a hernia. READ MORE
The most serious risk of a partial removal of the colon is to get a leak where it is sewn or stapled back together. This is called an anastomotic leak. It can lead to sepsis and require a return to the operating room with a probable colostomy. Other things that can occur include injury to the ureter, the tube that drains urine from the kidney into the bladder. Wound infections at your incisions are also common occurrences. READ MORE
Post-operative nausea and vomiting is a relatively common occurrence. If one of your family members has suffered from this, you are more likely to have it. Be sure to speak to your anesthesiologist as there are many strategies that can be used to help prevent it. READ MORE
A lumpectomy is typically an outpatient procedure where you come to the hospital in the morning and leave in the afternoon. It is a well-tolerated operation. Women are generally sore for about 5-7 days after surgery. You will likely be sent home with some pain medication. Your incision will be sewn shut with absorbable sutures that do not need to be removed and will be covered with a dressing. You should be able to shower within 24 hours. It is encouraged that you get up and move around rather than lying in bed all day. Talk to your surgeon about any specific recommendations. READ MORE
The stomach is a very pliable organ and removing portions of it have relatively minor consequences. In fact, we remove parts of the stomach all the time as part of standard weight loss operations. I presume your friend will not need that much of her stomach removed. It is very common after these operations for patient's to lose their appetite and feel full quickly after eating small amounts, especially initially after surgery. Most patients may lose 10-15 lbs. That being said, as the body adapts, eating habits and appetites return to normal and the weight is regained. READ MORE
Constipation is a common complaint after a gastric bypass. 1. Patients have relative dehydration after surgery. Dehydration will dry out your stool and make it harder to have a bowel movement. You should be drinking at least 60 oz of water every day. 2. If you have been taking prescription pain medication (narcotics), these will make you constipated. Two weeks after surgery, you are hopefully taking no pain medication, but if you have to, I would recommend taking Tylenol. READ MORE
If it is safe for you, I would recommend taking anti-inflammatories such as ibuprofen or naproxen. One of the other issues that causes discomfort after surgery is constipation. Ensure that you are having one soft bowel movement daily. If not, start a bowel regimen using colace, miralax, or something else over the counter. I quote my patients that it takes 2 weeks to feel about 80% recovered, but it may take 4-6 weeks to feel normal. READ MORE
Some of the retraction is likely due to scarring and inflammation from surgery. This will shorten the tether on the testicle (the spermatic cord). I’ve only had one patient note this same complaint after surgery, so it’s not very common. I would suspect this should improve as time goes on. If it is bothersome, I recommend talking to your surgeon. READ MORE
You should see a general surgeon or a colorectal surgeon. Orthopedic surgeons deal with bones and joints. READ MORE
I suspect what you are describing is a Nissen fundoplication, the standard anti-reflux operation. This is typically done laparoscopically using a camera with small incisions. The incisions will be covered with surgical glue or tape. He should be able to shower and get the incisions wet as soon as he likes. The dressings will come off on their own in 10-14 days. I typically keep my patients on liquids for about 1 week, and then soft foods for another 1-2 weeks. The stomach can swell where the surgery is done, leading to reflux, regurgitation, nausea, vomiting, and difficulty swallowing. As the swelling decreases, swallowing should improve, and he can progress his diet. It is quite normal to have a decreased energy level and appetite for 4-6 weeks after surgery. Patients lose about 10-15 pounds immediately after surgery, but everyone tends to put it back on. READ MORE
It is normal to have vague aches and pains in an incision for up to 2-3 months after surgery. Itching and burning are common; they are a sign of skin nerve regeneration. Stitches in general can also cause discomfort. If the pain is worsening, make sure to talk to your surgeon. READ MORE
I would recommend avoiding getting into a pool until your incisions have healed completely, generally about 14 days. I would avoid strenuous activity (like racing) for about 2-4 weeks after surgery. As you resume activity, let pain be your guide. Soreness is typical, but pain is your body telling you to avoid an activity until you are better. The biggest risk is disrupting the repair of the muscle and developing a hernia by being too aggressive with activity early on. READ MORE
Scars can heal over a period of 6-9 months. Facial scars tend to heal a little better due to better blood supply on the face. There is no way to make scars go away completely. If you are unhappy with your appearance, you may choose to see a plastic surgeon about other reconstructive options once all the wounds have healed completely. READ MORE
I would tell her that she can walk up stairs whenever she feels comfortable. That is what I tell patients after any abdominal surgery. I wouldn't recommend strenuous activity or heavy lifting (>20 lbs), but things like walking upstairs, getting in and out of a car, and getting in and out of bed are fine. READ MORE
What kind of procedure did you have? If it was a urologic procedure (kidney, ureter, bladder) it is quite likely that hematuria (blood in the urine) is expected. I would check with urologist If that’s what you had done. The next question to ask is did you have a catheter in your bladder during or after surgery? If you did, the urethra can be irritated and hematuria is not uncommon for several days after removal. If the answer to both of those questions is no, I would contact your surgeon directly. Hematuria is not expected after most other abdominal operations. READ MORE
Typically the anesthesiologist will check glucose levels prior to surgery and administer insulin as necessary. For a longer procedure, it will typically be monitored every hour. After the procedure, your blood glucose will be checked every 4-6 hours as appropriate. READ MORE
Itching is a normal sign of wound healing. It may take 3-4 weeks for the wound to seal completely. Worrisome signs including redness, heat, or drainage from the wound. If you have concerns, I would contact your surgeon immediately for an evaluation. If you have staples or external sutures, it is probably time for them to come out. READ MORE
In the short-term after the procedure, there is a risk that the tracheostomy can pop out before the tract has time to develop. Many times, it requires a return to the operating room to replace. In the long-term, there is a small risk of erosion into the major blood vessels in the neck and upper chest, although I have never seen this happen in my experience. A tracheostomy makes it difficult to swallow, and many times a feeding tube is also required to allow for adequate nutrition. READ MORE
The amount and size of gallstones is not a trigger for me to operate or not operate. Your symptoms related to your gallstones are the trigger to operate sooner or later. Typical symptoms include right upper quadrant pain that occurs after meals (especially fatty, greasy, and oily foods), nausea, vomiting, and bloating. If these symptoms come and go, surgery can typically be done in an elective planned fashion. If these symptoms are persistent and last longer than 6 hours at a time, surgery needs to be performed more urgently, and frequently on an emergency basis. Once you have gallstones, they do not go away. There is a medication called cholestyramine that can dissolve gallstones. This medication causes bloating, nausea, and constipation, which for many patients, is worse than their gallbladder symptoms. Furthermore, once you stop the cholestyramine, the stones will typically recur. Surgery is the only definitive treatment. It is typically done via a minimally invasive (laparoscopic) fashion as an outpatient. Patients are sore for about 1-2 weeks and return to full activities and diet within 4-6 weeks. Patients who are working can usually return to work in 3-10 business days. READ MORE
Ensure that you are surgeon is board-certified in their specialty. Ensure that the hospital is accredited by JCAHO. That should be a minimum criteria for choosing a physician and a facility. Also ensure that both the surgeon and the hospital are in your insurance network unless you are willing to pay cash or out-of-network fees. READ MORE
It depends on the kind of surgery you are having. A good rule is when you feel up to performing any kind of strenuous activity, whether that be sex, jogging, or weight lifting, you should be able to return to that activity. If you don't feel up to it, then don't do it. Talk to your surgeon about any limitations specifically related to your procedure. READ MORE
It is recommended that you stop smoking at least 4-6 weeks before any surgery. In addition to the chronic problems that smoking causes (lung disease, heart disease, etc), smoking severely impairs wound healing and puts you at risk for complications like wound breakdown or wound infections. The longer you stop before surgery, the better for you. READ MORE
That's a very broad question based on several factors. 1. Is your surgery being performed via an open approach with a large incision or via a laparoscopic (minimally invasive approach) with smaller incisions? 2. Where is the mass located? Depending on if it involves your GI tract, your urinary tract, or the soft tissue can certainly affect the risks. In general, the risks of any surgery including pain, bleeding, infections (wound, urinary tract infections, pneumonia), and scarring. Scarring inside of the abdominal cavity can put you at risk of intestinal adhesions and obstructions in the future. Other risks include hernias at the site of the incision or injuries to intra-abdominal organs such as the colon or the small intestine. Rare complications include things such as blood clots in the legs or lungs (deep vein thrombosis [DVT] or pulmonary embolus [PE]), kidney failure, a heart attack, stroke, or death. The risks for these sort of complications depend on any underlying medical conditions that you may have, but typically range about 1-3 in 1000. READ MORE
This is pretty typical. It may take 4-6 weeks for your appetite to return. Most patients will lose 5-10 lbs after surgery, but almost all gain it back. READ MORE
Sexual function should not be affected by hernia surgery. Your activity should be limited by pain. If an activity, whether it be sexual intercourse or jogging or lifting, hurts, then you should avoid it until your pain goes away. Difficulties with ejaculation is not a side effect or complication of hernia surgery. Numbness around the incision and sometimes around the inner thigh or scrotum is typical. That loss of sensation improves in most, but not all, people. READ MORE
Symptoms from gallbladder disease tend to occur more frequently and more severely as time goes on. The classic symptoms are related to fatty, greasy, and oily foods, but over time, may occur with any kind of food or drink. I recommend that once you have symptoms related to gallstones that you have your gallbladder removed. Pain in the back may be related to your gallbladder disease. Sometimes the pain radiates from the gallbladder itself. It can also be sign that gallstones have migrated out of the gallbladder and into the ducts (or tubes) that drain the liver and pancreas. If your liver tests are abnormal and you continue to have back pain, talk to your surgeon about performing a cholangiogram, an X-ray of the ducts, to ensure no stones have left the gallbladder. I routinely perform cholangiograms on all my patients, but most surgeons only perform them on a selective basis. READ MORE
If you are having laparoscopic surgery, your incisions will all be about 1 cm or less in length (about the length of a fingernail). They tend to fade away over time and it many patients, are barely, if at all, noticeable. There are lots of over the counter skin care and scar products available, but to the best of my knowledge, none have been proven to be overly successful. That being said, none of them should hurt your scar and feel free to try any of them. READ MORE
Surgeons perform surgeries routinely, but patients should never feel like surgery is routine. All surgery, even procedures considered minor, should be considered a big deal. Know that your team of care providers have all received years of education and training. Make sure the physicians and hospital have all the appropriate credentialing to be able to provide care to you safely. Anesthesia these days is extremely safe. I would not be concerned about anesthesia. if I had to be put to sleep or if any of my family members would be put to sleep. Know that surgery is never pain-free. The key is to identify an appropriate pain level that you will be able to tolerate. If your pain level is 0 and you are taking a lot of narcotics, you are probably taking too many and are at risk for an overdose. Pain is only temporary and it gets better over time. READ MORE
A hernia is a hole in the tissue layers of the abdominal wall. Depending on the location, size, and complexity of the hernia, it may be repaired via an open approach with a long incision or a minimally invasive approach via multiple small incisions. The repair involves reducing the hernia sac and its contents back in the abdomen and reinforcing the hole with a piece of mesh to prevent the hernia from recurring. Typical recovery from a minimally invasive approach is about 2-4 weeks, and an open approach is about 4-8 weeks. A lot of the recovery time depends on how many symptoms you have prior to surgery and the size of the hernia itself. The location of the hernia has a bearing as well- groin hernias tend to heal faster than hernias around the belly button. READ MORE
Bariatric surgery is performed via a minimally invasive approach. While not pain-free, patients generally tolerate it very well. I typically will prescribe only 5-7 days of prescription pain medication after surgery; after that, most patients take tylenol alone for the pain. READ MORE
I typically recommend no strenuous activity (sex, lifting more than 20 lbs, aggressive exercising) for about 2 weeks after surgery. Let pain be you and your husband's guide. If an activity causes pain or discomfort, you should avoid that activity until the symptoms go away. READ MORE
There is always a small chance of a wound infection after bariatric surgery. The medical literature suggests that the rate is a little <1% for a sleeve gastrectomy and about 1.5% for a gastric bypass. Treatment typically includes removing sutures and allowing the wound to drain as well as oral antibiotics. READ MORE
Every patient tends to gain a little weight back after surgery. The typical time period for weight loss is around 12-18 months. You may gain up to 30% of your weight back over time, but studies have shown that even out to 20 years, weight loss can be sustained after a gastric bypass. Your GI hormone regulation will change as time goes on. You will start to feel hungry again. You will not feel full as quickly. I recommend that all patients start by keeping a food journal. Make sure to track your calories and your protein intake. I recommend to all my patients that even after surgery when they have reached their goal weight, that they only consume 1000-1200 calories per day to maintain their weight. You should also be consuming at least 60 grams of protein per day. You may find that you are not adhering to these recommendations by eating too many calories by substituting carbohydrates for protein. The other simple way to start looking at your weight loss or weight regain is to see how much activity you are doing. People who exercise more tend to lose more weight and keep more weight off. I recommend at least 30 minutes per day of some activity. Some patients with weight regain may benefit from weight loss medications such as Phentermine, Belviq, or Qsymia. I would speak to your surgeon about this as an option. READ MORE
There are different complications depending on the type of surgery that you are having done. Most operations are restrictive, meaning they decrease the size of your stomach and restrict the amount of food you can eat at any given time. Your ability to eat a normal-sized meal will forever be altered. The operations are essentially irreversible. Other side effects, at least for the first 9-18 months, include a decreased appetite and early satiety (feeling full quickly). If you do not maintain a low-fat, low-sugar diet, you will be at risk for dumping syndrome, which is characterized by nausea, bloating, and diarrhea. Many people develop acid reflux after a sleeve gastrectomy, but this may improve over time. Nausea, vomiting, and bloating are all common effects, especially in the early phases after surgery. There are also specific risks of surgery related to each procedure that are not necessarily long-term side effects. READ MORE
It depends on what his symptoms are. One of the most frequent problems after a cholecystectomy (gallbladder removal) is called post-cholecystectomy dumping. This typically occurs after eating a fatty and greasy meal. It leads to nausea, bloating, and diarrhea. It can be managed with dietary changes. Occasionally, a medication called cholestyramine may be prescribed to help bind the bile. READ MORE
It is not uncommon to have some bile reflux after surgery. I have also seen patients whose symptoms of acid reflux were masked by the severity of the gallbladder disease. Once their gallbladder was removed and they were no longer having pain, their reflux symptoms were much more noticeable. It could also be a completely separate problem. I would speak with your doctor about it. READ MORE
Recovery from surgery largely depends on what the type of surgery it is, not necessarily that it is laparoscopic or not. Even though laparoscopic surgery is done through small incisions, a significant amount of work can be done inside of the abdomen. The incisions themselves are typically sore for about 2-4 weeks. In general recovery is much faster and easier than a traditional open operation. I would say that recovery can be anywhere from 10 days to 2 months depending on what is done. READ MORE
With the information provided, it has to say if a foot amputation (or a below knee amputation) is what is being recommended. Gangrene typically does not respond to conservative measures alone such as antibiotics and wound care, and does require an amputation. The amount of infection in the toe and how far it extends up the foot are two factors that are considered when offering an amputation. If the blood supply to the foot is poor, no amount of care in the foot will be sufficient to heal a wound or a toe amputation, leading to a higher amputation in the future. No surgeon offers an amputation lightly or as an easy fix, so I would heed the advice of the surgeon. READ MORE
Robotic surgery is also known as robotic-assisted laparoscopic surgery. The Da Vinci robot made by Intuitive is a special machine that is controlled completely by the surgeon who is sitting at a console. It is a special way to do minimally invasive surgery. Studies have not yet been conclusive as to the full range of benefits, but the thought is that it can decrease post-operative pain and allow the patient to return to work faster. In my extensive use of the technology, I believe that allows me to perform more operations with a minimally invasive technique, rather than performing an open operation with a large incision. Any procedure that can be done with a traditional laparoscopic approach can also be performed using robotic-assistance. At no time does the robot work autonomously; the four arms are always under the control of the surgeon. READ MORE
It is ideal to wait until after the pregnancy to operate. If surgery is necessary, the second trimester (months 4-6) is the best time to operate as it is safest for the baby. Surgery can still likely be done via a minimally invasive approach (laparoscopically). READ MORE
Is the hernia in your groin or around your belly button? Was mesh placed the first time or was the hernia repaired only with sutures? I would typically recommend a different approach to fixing a hernia the second time. Do you have any risk factors for forming hernias- factors that increase pressure inside your abdomen, such as obesity, a chronic cough from smoking, chronic constipation, or difficulty urinating due to prostate problems? READ MORE
Post-cholecystectomy dumping can occur in about 1/3 of patients after having their gallbladder removed. The function of the gallbladder is to store bile; bile helps us digest fatty foods in our diet. Without a gallbladder to store the bile, there is a larger amount of bile within the intestinal tract. This leads to irritation of the colon and thus diarrhea. Over time, your body will produce less bile and will become more efficient at absorbing extra bile. The dumping typically resolves within 3 months in 99% of patients. Very rarely, a medication called cholestyramine (Questran) can be prescribed to absorb bile and decrease the diarrhea. READ MORE
A stone in your appendix is also known as an appendicolith. These can serve as a cause of appendicitis. Do you have right lower quadrant pain? Was this the reason why you had the CT scan? If so, you may need to consider having an appendectomy. READ MORE
There is a medication called cholestyramine that may cause gallstones to dissolve. The medication is not very effective and can cause as many side effects and symptoms as the gallstones. I typically do not recommend medication as a treatment method. Surgery to remove the entire gallbladder (not just the stones) is the recommend course of treatment for symptoms related to gallstones. READ MORE
Surgery can typically be performed safely, provided that your asthma is optimized. I would visit with your primary care provider, lung doctor, or allergist who manages your asthma prior to your surgery to ensure there are no tests that need to be performed or changes to your medications that need to be made. READ MORE
I tell my patients to let pain be your guide. If it hurts, do not do that activity, regardless of whether it is sex, jogging, biking, etc. Do not try to "power through" any activity if it causes discomfort. The hernia is about 90% healed at 2 weeks and 97% healed at 4 weeks. Unless you are trying to injure yourself, it would be hard to disrupt your repair. I would recommend discussing this with your surgeon directly in case there are subtleties to your operation that would require further rest. READ MORE
There are several reasons to develop pain at the site of a previous inguinal hernia repair. Do you have a bulge? A recurrence of your hernia can cause pain. Nerve entrapment due to the mesh placed at the time of your repair can also cause persistent pain. That may respond to oral medications, injections by a pain specialist, and rarely, surgery to remove the nerve that provides sensation to the skin along where your incision is. Persistent pain occurs in a small percentage of patients. It is most common in patients who had significant pain prior to their surgery. I would discuss your symptoms with the surgeon who performed your operation. READ MORE
Quitting smoking is good prior to any surgery for a variety of reasons. If you are going to have general anesthesia with a breathing tube, smoking puts you at risk of having respiratory complications. Smoking also puts you at risk for having heart disease, which can manifest unexpectedly during surgery. Lastly, smoking can put you at risk of having wound healing problems. READ MORE
You should not need to restrict your diet significantly after surgery. About 1/3 of patients will get diarrhea after surgery, especially when eating fatty, greasy, or oily foods. If this does occur, it resolves in 99% of people within 3 months. I have had 1 of my last 200 patients that have had their gallbladder removed require medication for this problem. What was a healthy diet for you before surgery should remain a healthy diet for you after surgery. READ MORE
It's uncommon to get chronic symptoms related to your appendix. Typically, patients get sudden onset of pain that does not resolve without treatments (usually surgery). I have seen a few patients get recurrent episodes. A CT scan may be warranted to better evaluate your pain. READ MORE
That question would be better served by asking an orthopedist or a spine surgeon; unfortunately that is not my area of expertise. READ MORE
You should definitely have a discussion with your surgeon and anesthesiologist about your post-operative nausea and vomiting (PONV). A scopolamine patch can be placed 1-3 days prior to surgery. Emend, an anti-emetic, can be prescribed and taken by mouthy on the night before surgery. Steroids can be given during surgery. Narcotics (also known as opiates or pain medications such as hydrocodone, morphine, and hydromorphone) can cause lots of nausea as well. There may be other pain medications that work in conjunction with narcotics to lower the overall dosing of such medications. READ MORE
It depends on the reason the colostomy was performed, but most (not all) are typically reversible. Surgeons will wait at least 3-6 months prior to considering a reversal of a colostomy. A lot does depend on the type of colostomy and the indication for performing it in the first place. READ MORE
Areas of expertise and specialization
Faculty Titles & Positions
- Medical Director of Robotic Surgery Medical City Dallas Hospital 2016 - 2016
- Chair of the Advanced Clinical Advisory Board Medical City Dallas Hospital - 2016
- Section Chief for General Surgery Medical City Dallas Hospital 2019 - 2019
- Top10MD 2019 Top10MD
- Top10MD 2018 Top10MD
- Top10MD 2017 Top10MD
- Texas Association for Bariatric Surgery
- American Society for Metabolic and Bariatric Surgery
- Society of American Gastrointestinal and Endoscopic Surgeons
- American College of Surgeons
- Dallas County Medical Society
- Texas Medical Association
- American Medical Association
- Minimally Invasive and Bariatric Surgery, University of Texas Southwestern Medical Center
Professional Society Memberships
- Society of American Gastrointestinal and Endoscopic Surgeons, American College of Surgeons, Texas Medical Association, Dallas County Medical Society
What do you attribute your success to?
Good training and availability
Hobbies / Sports
- Spending Time With Family
- Medical City Dallas Hospital
- Medical City McKinney
- Medical City Plano
- Medical City Frisco
Dr. Michael Sutker, MD's Practice location
Dallas, TX 75230Get Direction
McKinney, TX 75069Get Direction
Dallas, TX 75235Get Direction
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Patient Experience with Dr. Sutker
Doctor Sutker was great and explained everything really well.
- Ernest bore n
I came in through the Er so had no prior experience with the Dr. He has been very attentive, caring and helpful with all of my questions and concerns.
Dr. Sutker is so attentive. He provides exceptional support!
Amazing doctor and staff!
Excellent bedside manners. Excellent care
Great Doctor very professional
He saved my life! What's a better review than that.?
Excellent care. Excellent bedside manners
He did good Job
Excellent doctor . Kind and understanding. Gave great advice to help my problem.
He was fantastic.
Dr. Sutker was very knowledgeable, kind, professional and considerate. He made me feel relaxed and that he cared for me and my anxiety and that I was a person not a number.
I found dr sutker to be very professional but still personable. He answered all of my questions truthfully.
A bit of a wait but worth it. I felt the doctor really listened and addressed my concerns. Also knowledgeble.
Good care. Talked me and answered all my questions.
Easy to talk to and doesnt Rush
I was very satisfied with the Doctor.
Dr. Sutker is a wonderful surgeon. I feel so much better since my surgery. He is a great Dr.
10 greatest Doctor
Very thorough explanation and treatment plan.
Everything is good
Excellent bedside manner. Made me feel very comfortable and at ease.
Great experience great staff. Would definitely recommend!
Thank you dr sutker for doing my surgery everything came out great
Great doctor and staff
The experience seeing the doctor has been good.
A good review great dr
I received excellent care from Dr Sutker. He is very competent and cares for his patients. Medical City is very lucky to have a doctor with his abilities and compassion at their facility. Thanks to Dr Sutker and his staff for taking care of me.
Great and quick, not a long wait, very nice
Good orientation and very personable. Very informative and polite.
From having a bad experience at another hospital. I came to Medical City and went under emergency surgery. Dr. Sutker was such a blessing. He was very nice and friendly and informative. His staff has also been very nice and attentive as well. I'm so glad I chose to come here.
Beautiful office and great care. Doctor understands my medical needs.
Very knowledgeable and informational set up appointment in a timely manner.
Very knowledgeable and informational set up appointment in a timely manner.
Good orientation and very personable. Very informative and polite.
From having a bad experience at another hospital. I came to Medical City and went under emergency surgery. Dr. Sutker was such a blessing. He was very nice and friendly and informative. His staff has also been very nice and attentive as well. Im so glad I chose to come here.
Answered all questions. Great bed side manner and smile.
The doctor did an excellent job for me. Very pleased.
Answered all questions. Great bed side manner and smile.
Need magazines in the waiting and Doctor rooms.
This visit was one of the best I've ever had, everyone was friendly and made me feel welcomed.
Very pleasant, and knowledgeable
Worthwhile and informative bariatric surgery consultation
Excellent experience. Dr. Sutker is personable, professional, spends time explaining and answering questions. I would refer patients to him without question.
Very knowledgable and great bedside manners. Ability to answer all questions and make you feel comfortable trusting him for your medical needs.
Professional and caring doctor and office staff.
My surgery went well...so glad. Now I can wake up every morning without any stomach ache ï£¿Ã¼Ã²Ã¤ï£¿Ã¼Ã²Ã¤ï£¿Ã¼Ã²Ã¤
Very personable and part of the new generation of physicians.
This place is awesome. Thanks for all y'all have done for me.+ Show More
Get to know General & Bariatric Surgeon Dr. Michael J. Sutker, who serves the population of North Texas, including Dallas and McKinney. Dr. Sutker completed his undergraduate degree with the University of Texas. Furthering his education he graduated with a Medical Degree from the University of Texas Southwestern Medical Center in 2008, giving him over a decade of experience in his field. After obtaining his Medical Degree he completed his general surgical internship and residency at the University of Texas Southwestern. Furthering his training he completed his minimal invasive and bariatric surgery fellowship with the University of California San Francisco. Dr. Sutker is certified by the American Board of Surgery. To stay up to date in his field he remains a professional member of the Dallas County Medical Society, Texas Medical Association, American Medical Association, and the Society of American Gastrointestinal and Endoscopic Surgeons and a Fellow of the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. Dr. Sutker currently practices as the Medical Director of the Robotic Surgery Program at Medical City Dallas. He serves as the Section Chief of General Surgery at Medical City Dallas, as well. Dr. Sutker has received specialty training in the surgical treatment of obesity, gastro-esophageal reflux disease, esophageal motility disorders, paraesophageal hernias, and inguinal and ventral hernias. He also has an extensive practice in emergency general surgery, managing problems such as appendicitis, cholecystitis, diverticulitis, and small bowel obstructions. Metabolic and bariatric surgery includes a variety of procedures performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach through removal of a portion of the stomach known as sleeve gastrectomy or biliopancreatic diversion or by resecting and re-routing the small intestine to a small stomach pouch, known as gastric bypass surgery. Long-term studies show the procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a mortality reduction from 40% to 23%. When not working, Dr. Sutker enjoys spending time with his family.
- Alternative Treatments for Gallstones
Alternative Treatments For GallstonesA huge percentage of gallstones never show symptoms, but the moment a stone stops moving on its way to the small intestines from the gallbladder, trouble begins. That’s when signs start occurring, among them severe pain on the ride side of the abdomen that...
- Does My Diet Raise My Risk for Appendicitis?
Many people pay little to no attention to the appendix. In fact, the appendix is probably the least studied organ in the body. The case can be confirmed by the fact that even in today’s highly advanced doctors and scientists, they still do not know the exact role of the appendix.The Role and...
- What are the Surgeries Used in Treating Gallstones?
Right below the liver is a small sac known as the gallbladder. Its function is to hold bile until it is required. The bile helps in the digestion/breakdown of fats. When fats are noticed by the gallbladder, it pushes the bile concentrate towards the small intestine through contractions.Bile pigment,...
- What to Expect After a Hydrocelectomy
Hydrocelectomy is a type of surgery that aims to correct the swelling that occurs in the scrotum. This procedure is done to repair a hydrocele.What is a hydrocele?A hydrocele is a fluid-filled sac that is located around the testicles. The accumulation of fluid in the testicles is common, especially...
- What Is Hematochezia?
Introduction Discovering blood after a bowel movement can be a frightening experience. If you notice a bright red to black-colored blood in your stool, in the toilet bowl, or on the toilet paper, you may be experiencing rectal bleeding. Having blood in your stool does not always signal a serious...
- Are There Long Term Complications For A Cholecystectomy?
Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of complications associated as is with all procedures. Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed. Long term...
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