Gastric bypass operation is one of the operations performed to reduce stomach volume in obesity surgery. With gastric bypass surgery, patients with obesity problems are enabled to lose weight and health problems resulting from obesity are tried to be improved. During the operation, the way the patient absorbs and consumes nutrients is changed, and in order to achieve this goal, the small intestine and stomach area are studied. By reducing the stomach volume and reducing absorption in the small intestine, the person is satisfied with less food intake and the feeling of fullness lasts longer. The stomach and intestines are not removed from the body during the operation.
Gastric Bypass Surgery?
Gastric Bypass surgery is the age range. In order for the operation to be performed, the patient must be between the ages of 18 and 65. In addition, the evaluation of suitability in obesity surgeries is basically made by taking into account the body mass index. In this context, eligible patients can be listed as follows:
- Those with a body mass index over 40
- with a body mass index between 35 and 40 and problems such as obesity- related hypertension and sleep apnea
- Patients requiring revision surgery after sleeve gastrectomy surgery
- Patients requiring revision surgery after gastric banding or gastric folding surgery
gastric bypass surgery to be performed, patients must have a suitable general health condition. Especially heart, diabetes, high blood pressure, lung failure and high cholesterol diseases may hinder the operation. Whether the patient is suitable for gastric bypass operation will be determined after detailed examinations. Therefore, it is important for you to be examined at a specialist clinic to find out whether you are suitable for the operation.
Gastric Bypass Surgery?
gastric bypass surgery can be listed as follows:
- It can be said that it is a more comfortable surgery than gastric sleeve surgery in terms of nutritional comfort.
- Gastric bypass surgery not only reduces stomach size but also compensates for reflux .
- It offers a more permanent solution for type 2 diabetes than other stomach reduction surgeries.
- Gastric bypass surgery is lower than other stomach reduction surgeries.
Gastric Bypass Surgery?
Gastric bypass surgery are important for patients to be aware of the operation and prepare for the process. In this context, the disadvantages of gastric bypass surgery can be listed as follows:
- It has a more difficult operating technique than other stomach reduction surgeries.
- There is a higher risk of stomach ulcer formation after gastric bypass surgery. It should be said that this risk is especially higher in patients who smoke.
- There is a higher risk of dumping syndrome.
Gastric Bypass Types?
Gastric bypass types can be listed as follows:
- Roux en Y Gastric Bypass: It is the most commonly used technique. The low incidence of nutritional problems, especially after the operation, increases the frequency of the operation. During the operation, a gastric pouch is created at the entrance of the stomach. By disabling the stomach, nutrients are allowed to reach the created part. In addition, a stoma is created between the stomach pouch and the small intestine and thus a connection is established. In this way, food bypasses a large part of the stomach and the first part of the small intestine.
- Loop Gastric Bypass: In this method, also known as mini gastric bypass, the intestine is directly connected to the stomach without being divided into two. During the operation, a stomach pouch is created and a connection is made to the small intestine from a distance of approximately 200 cm. It is an easier method.
Gastric Bypass Surgery Performed?
Gastric bypass surgery is usually performed by the closed, that is, laparoscopic method. Things to know about gastric bypass surgery can be listed as follows:
- It is an operation performed with general anesthesia.
- It is estimated that the operation will take approximately 1 – 2 hours.
- In the first stage, holes are opened in the patient’s abdominal area and a small-volume stomach adjacent to the esophagus is created by entering through these holes with the help of special surgical instruments.
- The stomach remaining outside the created stomach pouch is disabled.
- In the second stage, the small intestine is shortened to 50 to 75 cm and connected to the stomach. The cut part is reconnected with the intestine from the future and the operation is completed.
Gastric Bypass Surgery Recovery Process?
gastric bypass surgery is one of the points that must be emphasized in order to prepare the patient psychologically for the process. In this context, things to know about the gastric bypass surgery recovery process can be listed as follows:
- After the operation, the patient must be kept under observation in the hospital for the first 3 days. During this process, the patient is followed regularly.
- Gastric bypass surgery, a special diet is required for 1 month. Diet planning will be made by the dietitian before discharge.
- After the operation, the patient’s physical activities are also restricted. It is recommended not to drive for the first two weeks. Heavy lifting should be avoided for the first six weeks.
- After the operation, the patient is expected to return to work within 3 weeks. However, patients who work in jobs that require intense physical load are recommended to wait for 6 weeks.
- The patient is followed regularly by a specialist team after the operation.
Gastric Bypass Surgery?
The weight loss process after gastric bypass surgery varies from person to person. The parameters that are effective in the weight loss process can be listed as follows:
- The person’s weight status before the operation
- Person’s height
- A person’s nutrition and exercise routine
In addition, the statistically predicted weight loss is as follows:
- 10% for the first 6 weeks
- 15% in 3 months
- 20% in 6 months
- 35% in 12 months
How Should Nutrition Be After Gastric Bypass?
Things to consider about the diet after gastric bypass will be explained in detail by the specialist physician. Determinations regarding the diet are made individually with the support of a dietician. However, things to consider in the diet after gastric bypass surgery can be listed as follows:
- 3 main meals a day should be eaten without skipping meals.
- Gastric bypass surgery, it is important for the patient to eat a diet rich in protein and fruits and vegetables. It is recommended to reduce carbohydrate consumption.
- A liquid diet is followed for the first two weeks after the operation. For the next two weeks, soft foods with puree consistency should be consumed.
- The patient should consume 1.5 – 2 liters of liquid per day. Water consumption is very important to prevent dehydration .
- Simple sugar should not be consumed.
- It is necessary to avoid consuming solid and liquid foods at the same time as it may cause overeating.
- Meals should be consumed in at least half an hour. Generally, the ideal time is determined as 45 minutes for two plates.
- It is necessary to get support from a nutritionist.
- If the patient complains of persistent vomiting after meals, he/she must receive support.
Foods that should and should not be consumed after the operation will be determined week by week . It is important to comply with this determination.
Gastric Bypass Surgery?
Possible complications of Gastric Bypass surgery can be listed as follows:
- Bleeding, infection, and hernia problems may occur after the operation, as in all other abdominal surgeries.
- General anesthesia complications are evaluated within the scope of complications, as in all operations using general anesthesia.
- The risk of escaping after the operation is the most serious risk that may arise. If there is a leak in the connection between the small intestine and the stomach, a second surgery may be required.
General complications after the operation occur in only 10% of patients. Serious complications are considered rare risks for gastric bypass surgery.