Gastric bypass is one of the most popular and effective weight loss surgeries that involve alterations to the patient's digestive system. Gastric bypass surgery is a procedure that helps lose weight by altering the way in which the stomach and small intestine process food. Doctors may use this technique on individuals who have a high BMI or who have obesity-related health problems.
Roux-en-Y gastric bypass technique and bariatric bypass surgery are other names of the procedure.
How Does It Work?
The redesigned stomach stores less food and liquid, allowing you to eat less (and burn fewer calories). The procedure affects the metabolism by bypassing a part of intestine leading to It reduces hunger, enhances fullness, and helps the body achieve and maintain a healthy weight while also controlling blood sugar.
Gastric Bypass Surgery's Importance
Gastric bypass surgery is an option for people who are significantly overweight and can't reduce weight with diet and exercise. It also lowers the chances of developing potentially decrease in absorption of foodfatal weight-related health conditions, such as:
- Gastroesophageal reflux disease
- High blood pressure
- Heart disease
- Type 2 diabetes
- Severe sleep apnea
- OSA, infertility and high cholestrol
Criteria for Performing Gastric Bypass Surgery
The gastric bypass procedure is not appropriate for everyone who is excessively overweight. You may need to meet specific medical standards to be considered for weight-loss surgery.
- You're overweight if your BMI is 40 or higher (extreme obesity).
- You have a serious weight-related health concern, such as type 2 diabetes, hypertension, or severe sleep apnea, and your BMI is 35 to 39.9 (obesity) (in which breathing repeatedly stops and starts while sleeping).
- You may be expected to take part in long-term follow-up plans that include tracking your nutrition, lifestyle and behavior, and medical concerns.
Procedures for Various Types of Bariatric Surgery
The physician makes a small puch stomach in the Roux-en-Y Gastric Bypass procedure. Because the little pouch is approximately the same size as a lemon, it can only store 30-50 ml of food. The stomach can typically contain 1-1.5 liters of food.
In this treatment, the patient's stomach is transformed into a tube-like structure that absorbs a lower-calorie diet. Unlike gastric bypass, there is no bypass or re-routing of the intestine in this treatment, and food still goes through the regular intestinal tract.
Biliopancreatic Diversion with Duodenal Switch
This is a difficult surgical technique that involves the removal of over 60% of the stomach. This surgery connects the patient's stomach to the small end section of the small intestine to the duodenum, bypassing the major portion of the small intestine.
Advantages of Gastric Bypass Surgery
- Prolonged weight loss
- Diabetes, high blood pressure and sleep apnea are just a few of the obesity-related ailments that can be reduced or cured.
- Enhanced self-esteem, sexual function, and social relationships, as well as improved quality of life and mood.
Follow-up Care After Gastric Bypass
- The patient is given a specific diet to follow for at least 12 weeks by the doctor.
- Patients are admitted to the hospital for 2 days and are discharged when their oral fluid intake exceeds 1.5 to 2 liters per day.
- During the first follow-up appointment, which is scheduled for the 7th to 10th day after surgery, the dressing should be removed.
- Patient can resume their normal activities within a week.
- Pay close attention to your nutritionist's diet recommendations.
- This diet begins with liquids, then gradually progresses to soft foods, and finally, conventional food.
- For the first few months, the patient will be required to attend numerous follow-up appointments in order to assess their health and lifestyle.
Risks Associated with Gastric Bypass Surgery
Excessive bleeding, a stomach infection, respiratory problems, GI system leaks, and other risks are related to the surgical procedure. Long-term risks and complications of this procedure include bowel blockage, hernia, low blood sugar, ulcers, and dumping syndrome, which causes nausea and vomiting, among other things.
After gastric bypass surgery, you will need to follow up with your bariatric surgeon weekly, monthly, quarterly, and annually. You must adopt strict eating and exercise habits in order to sustain your weight loss.
Follow the instructions provided by the doctor
- Take a multivitamin every day
- Meet your daily walk goals
- Drink 1.5-2 lt water daily
- Follow the diet given by the surgical team and dietician
- Avoid heavy exercise for 5-7 weeks post-surgery