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Bypass Surgery Tips

Heart Bypass Surgery Brings Long-Term Benefits!

Dr. Vivek Baliga B 92% (40 ratings)
MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
Heart Bypass Surgery Brings Long-Term Benefits!

Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

  1. Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
  2. Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
  3. Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.

Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

  1. The survival rate is higher in total artery CABG as compared to the traditional CABG.
  2. It comes with long term benefits
  3. The procedure is safe as well as feasible


 

3 people found this helpful

Cardiologist in Gurgaon

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Cardiologist in Gurgaon

Heart problems can be very dangerous and can even lead to death in some cases. Best cardiologist in Gurgaon are someone who specialises in diagnosing, preventing and treating any kind of heart problems or disorders. Cardiologist are specialised in subspecialties and can be classified as clinical cardiologists or cardiac surgeons. Clinical cardiologists can perform minimally invasive surgeries like pacemaker implantation and few others for effective management of heart problems. Few of the best cardiologists in Gurgaon are mentioned below:

1. Dr. Naresh Trehan

Diplomate, Diplomate, M.B.B.S.

Consultation fees: ₹1000

Dr. Trehan is a world-renowned cardiovascular and cardiothoracic surgeon. He has been awarded Padma Bhushan and the Padma Shri the most prestigious awards by Government of India for his contribution in the field of cardiology. In 50 years of his practice he has to his record over 48,000 successful open heart surgeries. He is pioneer of many advanced technologies in India and is currently the Chairman and Managing Director of Medanta – The Medicity, Gurgaon. His areas of specialization are Cardiothoracic Surgery, Cardiovascular Surgery, Minimally Invasive Cardiac Surgery and Heart Transplant.

2. Dr. Umesh Gupta

MBBS, MD - General Medicine, DM - Cardiology

Consultation fees: ₹1000- 1500

Dr. Umesh Gupta is a reputed cardiologist with 48 years of experience, recipient of Bharat Gaurav award and founder of Umkal Hospital, Gurgaon. He is pioneer of cardiac surgeries and had introduced techniques like the Tilt Table Test and Late Potential Analysis. He in years of practice has treated several cases of chronic heart problems and is known for his ethical practice.

3. Dr. Balbir Singh

D.M. (Cardiology), M.B.B.S., M.D. (General Medicine)

Consultation fees: ₹1000

Dr. Balbir Singh is one of the best Cardiologists with 35 years of experience. He has many feathers to his hat like Medical Excellence Award, B D Kumar Oration, Recognition in the Limca Book of Records, Sujoy B Roy. Interventional Cardiology is his area of expertise and all the awards are for the same. He is known for the treatment like  Angiography Procedure, Pacemaker, Stent Surgery, Bypass Surgery, Mitral Valve Replacement Surgery and Coronary Bypass Surgery. He is also a professional membership of Cardiological Society of India (CSI) and currently practices at Medanta Hospital.

4. Dr. Anil Dhall

MBBS, MD - Medicine, DM - Cardiology

Consultation fees: ₹1000

Dr. Anil Dhall is  a senior cardiologist with more than 36 years of experience. He has keen interest in Complex Coronary Interventions, Peripheral Interventions, Carotid Angioplasty  and  Cardiac Resynchronisation Therapy. He has been pioneer of preventive cardiology techniques and developing improved processes for STEMI care. He is also an academic contributor, a postdoctoral teacher and examiner in Cardiology and has formulated guidelines on research activities.

5. Dr. Neeraj Kumar

DM (CARDIOLOGY), MD (MEDICINE), MBBS

Consultation fees: ₹1200

Dr. Neeraj has more than 15 years of experience in cardiology & interventional cardiology and currently practices at W Pratiksha Hospital, Gurgaon. He has performed more than 11,000 angiographies and 4000 angioplasties. He has done several fellowships in cardiology and is engaged in the academic training, CMEs and as principal clinical investigator with various national and international organisations.

6. Dr. Madhukar Shahi

DM (Cardiology), DNB (Cardiology), MBBS, MD ( Medicine)

Consultation fees: ₹1000

Dr. Madhukar Shahi is amongst reputed cardiologist , who has 29 years of experience and currently practices at Medanta - Gurgaon. He has a professional membership of CSI,  ESI and CISI. He is known for angiography procedure and valve replacement surgery. He has also performed various vascular surgeries and coronary bypass surgeries.

7. Dr. Manvinder Singh Sachdev

MBBS, Diploma in Paediatrics, MD - Pediatrics, National Board (Paediatric Cardiology)

Consultation fees: ₹800

Dr. Manvinder Singh Sachdev is a renowned pediatric cardiologist and interventionist with 18 years of experience. He has been associated with some of the best hospitals before joining Medanta. His area of specialisation are fetal Cardiology and is currently working in the field of device closure of Perimembranous Ventricular Septal Defect.

8. Dr. Bharat B. Kukreti

MBBS, MD - Medicine, DM - Cardiology

Consultation fees: ₹800-1000

Dr. Bharat B. Kukreti is an experienced cardiologist with 15 years of practice. He handles all kind of cardiac related  problems like heart blockage or increased levels of LDL cholesterol. In  his tenure he has performed over 20000 coronary angiographies, over 5000 angioplasties including peripheral and renal angioplasties, 250 valvuloplasties and 500 pacemakers and ICD implantations. He currently practices at Paras Hospital, Gurgaon.

2 people found this helpful

Coronary Artery Bypass Grafting (CABG) - The Many Benefits Of It!

Dr. Amar Nath Shaw 87% (10 ratings)
MCh (CTVS)
Cardiothoracic Vascular Surgery, Patna
Coronary Artery Bypass Grafting (CABG) - The Many Benefits Of It!

Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

  1. Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
  2. Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
  3. Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.

Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

  1. The survival rate is higher in total artery CABG as compared to the traditional CABG.
  2. It comes with long term benefits
  3. The procedure is safe as well as feasible


 

Roux-en-Y Gastric Bypass Surgery - Know More About The Procedure!

A V Hospital 85% (30 ratings)
Bariatrician, Bangalore
Roux-en-Y Gastric Bypass Surgery - Know More About The Procedure!

Roux-en-Y gastric bypass surgery is one of the most common bariatric surgeries, meant for weight loss and accounts for close to 47% of all the surgeries related to weight loss.

The surgery procedure of Roux-en-Y Gastric Bypass has two parts:

  1. Making a Small Pouch inside the Stomach
    • The surgeon divides the stomach of an individual into two portions, a large portion and a much smaller one.
    • After this, a process known as stomach stapling is carried out, where the smaller part of the stomach gets stapled together in order to make a pouch, which would be able to hold only a cup of food and that is obviously a very small amount.
    • Now, with such a small portion of the stomach, obviously people would feel as if it has become full really quickly and hence lead to less eating. This particular strategy is called restrictive as the new size of the stomach restricts the amount of food that it can hold.
  2. Bypass
    • The second part is where the bypass surgery actually takes place.
    • Here, the surgeon would disconnect the new, small pouch of stomach from the major portion of the stomach and the first half of the small intestine, which is known as the duodenum.
    • Then he connects that to a portion of the small intestine little farther down. This particular surgical technique is known as a “Roux-en-Y.”

After a Roux-en-Y gets conducted, food could directly pass on from the stomach and get into the jejunum, hence avoiding the duodenum. This helps to curb down a person’s ability to absorb calories as well as all other nutrients. This particular method of weight loss is known as malabsorptive.

Stapling of the stomach along with Roux-en-Y typically is done during the time of conducting the same surgery and altogether are called a Roux-en-Y gastric bypass. Normally surgeons conduct the process by way of laparoscopy but when laparoscopy is not possible, they may also conduct a laparotomy.

Recovery process and potential risks

  1. Once the gastric bypass surgery is conducted, people usually stay back in the hospital for a maximum of 3 days and then go back to their usual activities within 3 weeks.
  2. Around 10% of people come across complications but they are minor and include:
  3. Infections in the wound
  4. Problems related to digestion.
  5. Ulcers
  6. Bleeding
  7. Just about 5% of people tend to have serious complications that could turn out to be life threatening in nature. Those include:
  8. Blood clot
  9. Heart attack
  10. Serious infection

The risk of complications is minimal at centres that conduct more than 100 bariatric surgeries every year.

3232 people found this helpful

Coronary Artery Bypass Grafting (CABG) - Know Its Type And Benefits!

Dr. Chandan Modak 88% (10 ratings)
MBBS, MD, DM, AFESC, FACC
Cardiologist, Guwahati
Coronary Artery Bypass Grafting (CABG) - Know Its Type And Benefits!

Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

  1. Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
  2. Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
  3. Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.

Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

  1. The survival rate is higher in total artery CABG as compared to the traditional CABG.
  2. It comes with long term benefits
  3. The procedure is safe as well as feasible


 

1724 people found this helpful

Know The Difference Between Multivessel Stenting And Bypass Surgery!

Dr. Krish Vaidya 94% (3902 ratings)
MD-Physician, Fellow. Cardiology, Fellow. Diabetology
Cardiologist, Vadodara
Know The Difference Between Multivessel Stenting And Bypass Surgery!

The results of a study conducted by the Department of Medicine, University of Ulsan, Korea, show that multivessel coronary stenting can be performed with a high success rate along with an acceptable clinical outcome. Coronary stenting has proven itself to be an accepted means for treating of obstructed coronary arteries. The need for multivessel coronary stenting has been inflated because of the larger number of patients with unfavourable cardiac profiles. Conventionally, bypass surgery is regarded as a standard means for relieving angina in cardiac patients with multivessel coronary disease as it could lead to a downright revascularization. Further, it also allows a prolongation of lifespan in a specified subgroup of patients.



How are they performed: Despite the coming of modern generation of stents, patients with multiple stringent arteries in the heart receiving coronary after bypass have recovered better than those whose arteries were grafted with balloon angioplasty or stenting. This report is presented in the 64th Annual Scientific Session in the American College of Cardiology. This report echoes past studies which shows that patients afflicted with multiple narrowed arteries receive better results with coronary artery bypass grafting, which is also known as CABG or bypass heart surgery. In case of multivessel stenting, which is known as angioplasty or percutaneous coronary intervention or PCI, a stent is put within the arteries to hold it wide open and facilitate the flow of blood.

Which one is better: In a new study, it is reported that patients with new stents are susceptible to 47% higher risk of any of the outcomes like death or cardiac arrest as compared to patients who undergo bypass surgery. In CABG, a vein or artery from other parts of the body is grafted on the constricted coronary artery for allowing easy blood flow to and from heart. This study reinforces present regulations that recommend CABG to treat patients with substantial constrictions in various arteries, a condition often termed as multivessel coronary artery ailment.

Renowned cardiologist Seung Jung Park from Asan Medical Centre in Seoul, South Korea opines that CABG is still a much preferred option on the basis of their medical data. Another study known as Bypass Surgery Versus Everolimus - Eluting Stent Implantation for Multivessel Coronary Artery Disease or BEST trial deserves mention. It is one of the two randomly controlled trials for comparing bypass to angioplasty since the introduction of modernised stents that emits medication, which would prevent blood clot.

This study was implemented on 880 patients at 27 healthcare centres in four countries. Each patient had multivessel coronary artery disease and were determined to be equally eligible to go through either of the methods. Half of these patients were randomly chosen to be given angioplasty with everolimus-eluting stents, and the other half received bypass surgery.

All the patients were tracked for about five years and during this prolonged follow up, angioplasty was related to a considerable upsurge in the incidence of myocardial infarction, target vessel revascularization and often death. Because, it is a more invasive process, bypass surgery is normally recommended only for patients afflicted with higher-risk constrictions in more than one artery.

If you are one of these patients and this concern plagues you, it is recommended to talk to your cardiologist without much delay.

1848 people found this helpful

Know The Benefits Of Coronary Artery Bypass Grafting (CABG)!

Dr. Abhishek Singh 92% (19 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine, DNB - Cardiology
Cardiologist, Ghaziabad
Know The Benefits Of Coronary Artery Bypass Grafting (CABG)!

Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

  1. Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
  2. Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
  3. Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.

Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

  1. The survival rate is higher in total artery CABG as compared to the traditional CABG.
  2. It comes with long term benefits
  3. The procedure is safe as well as feasible


 

2334 people found this helpful

Coronary Artery Bypass Grafting (CABG) - The Many Benefits Of It!

Dr. Viveka Kumar 91% (112 ratings)
DM - Cardiology -, MD - General Medicine - , MBBS, FSCAI, MHRS, FACC, FESC , Fellowship in Interventional Cardiology & EP, Interventional Cardiology & EP and Devices, Senior Specialist( Interventional Cardiology), Fellow of southeast Asian Interventional Cardiology Society, International Award of Excellence in Cardiology
Cardiologist, Delhi
Coronary Artery Bypass Grafting (CABG) - The Many Benefits Of It!

Coronary Artery Bypass Grafting (CABG) is a traditional and well established surgical procedure for treating diseases in the coronary artery. The process is carried out by using blood vessels alternately (vein or artery). Initially, CABG was performed by using the left internal mammary artery and saphenous vein. It was observed that the chance of occlusion in the vein grafts was much higher than the arterial grafts. In the last decade, total arterial grafting, which uses all the arterial conduits, is being practiced as CABG for better results.

Types of Coronary Artery Bypass Grafting

  1. Traditional Coronary Artery Bypass Grafting: In this type of CABG, the surgeon will initially open up the chest bone to gain access to the heart. The heart is stopped using medications and the body is connected to a heart-lung bypass machine to circulate oxygen and blood throughout the body.
  2. Minimally invasive direct coronary artery bypass grafting: In this surgery, small incisions are made on the left portion of the chest to gain access to the heart. This surgery is used to bypass the blood vessels present in the front portion of the heart.
  3. Off-pump Coronary artery bypass grafting: In this procedure, the chest bone is opened up to access the heart. Here, however, the heart is not stopped during the surgery.

Patients, who have been suffering since a long time and have been operated on the vein grafts, have a chance of re-developing certain artery diseases such as a heart attack. To counter this possibility, surgeons have started using the method of Total Artery CABG. In this procedure, the left and right internal mammary arteries are used from the chest and the radial artery, from the fore arm for the surgery.

The main advantages of this procedure are:

  1. The survival rate is higher in total artery CABG as compared to the traditional CABG.
  2. It comes with long term benefits
  3. The procedure is safe as well as feasible


 

1 person found this helpful

Beating Heart Surgery - What All Should You Know

Dr. Gaurav Minocha 91% (627 ratings)
DM - Cardiology, MD, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Ghaziabad
Beating Heart Surgery - What All Should You Know

Beating heart surgery is known to help improve the lives of many individuals each year. The surgery is done on the heart while your heart continues to beat. It is usually recommended in the case of a coronary artery disease.

Beating Heart Surgery or Coronary Artery Bypass Graft Surgery (CABG) or Off-Pump Coronary Artery Bypass Surgery (OPCAB) is a bypass surgery performed on your heart while it is beating. When your arteries cannot supply adequate blood to your heart and other body parts, you are required to undergo a CABG surgery.

Your heart will not be stopped during the surgery and your lungs will continue to function during the surgery to ensure proper blood flow. A tissue stabilization system is used to immobilize the area of the heart on which the surgeon needs to work.

What happens before a beating heart surgery?
A complete health check with chest X-rays, blood work, an electrocardiogram (ECG), and a coronary angiogram is done. The ECG detects the source of the problem. An angiogram is like an X-ray which uses a dye to show all the arteries that supply blood to the heart. These tests help the surgeon decide whether the patient is fit for the surgery and where the blocks are in the arteries.

What happens during a beating heart surgery?
The surgeon cuts a section of healthy vein or artery from a part of your body and treats it. This is the graft that will be used to create a bypass in the blood circulation of the heart. One end of the graft is attached to an area above the artery blockage in your heart. The other end is fixed to the area below the blockage. Once the graft is perfectly attached, the bypass is created and the blood flow to your heart is restored.

The trickiest part in a CABG surgery is to suture or stitch the muscles of the beating heart. Hence, the stabilization system to keep the heart steady during the surgery is used. The stabilization system is made up of a heart positioner and a tissue stabilizer. The heart positioner guides and holds the heart in a fixed position, which provides easy access to the blocked arteries. The tissue stabilizer holds the area of the heart steadily while the surgeon can perform the surgery.

What happens after a beating heart surgery?
While your duration of stay in the hospital may vary depending on the outlook of your surgery, you will be in the Intensive Care Unit (ICU) so as to be monitored throughout the day. Once you are stable and alert, you will be transferred to the room, where you will be taken care of till you are stable to be discharged. Specific instructions on diet, incision care, medications, activity, and other routine will be given. In case you have a concern or query you can always consult an expert & get answers to your questions!

2579 people found this helpful

Gastric Bypass - Be It Bariatric Or Metabolic Surgery, Get Amazing Results!

Dr. Tulip Chamany 90% (80 ratings)
MBBS, Fellowship In Minimally Invasive Bariatric Surgery, Fellowship In Minimally invasive(Keyhole) Surgery
Bariatrician, Bangalore
Gastric Bypass - Be It Bariatric Or Metabolic Surgery, Get Amazing Results!

The “Roux en Y Gastric Bypass” surgery was first performed by Professor Mason in 1966. Being done in the conventional way (i.e by open surgery) earlier and later laparoscopically, the Gastric Bypass has stood the test of time over the last 52 years.

Over 50 years the Gastric bypass surgery is being performed across the globe. It has given excellent results in terms of significant and long-standing weight loss in the morbidly obese, as well as remission of Type 2 diabetes in properly selected patients. Selection of the patient to undergo this procedure is paramount. 50 years of successful results are enough to term this procedure as the GOLD Standard.

Obesity and Diabetes have been a menace over the last 2 decades world over. In India obesity is growing in such a rampant way that we can equate it to an epidemic.

As we all know, India is considered to be the Diabetic Capital of the world. Type 2 diabetes contributes to the major chunk of diabetes affected population. We Indians get affected by diabetes at very early ages and hence complications are seen at very early ages among us. Strikingly important to notice is that Diabetes is seen not only in the obese category of people but also in the normal weight people.

Diabetes is feared of only because of the complications it is capable of causing affecting the vital organs like the brain, heart, eyes, kidneys.

Intermittent or elevated surges in the blood sugars levels during the course of the day are responsible for causing microangiopathies ( damage to the small vessels supplying blood to the vital organs).

We have seen that diabetes is accompanied by high blood pressure and dyslipidemia in most of the cases. So, when a person has diabetes, high blood pressure and dyslipidemia, we label them as having the metabolic syndrome.

Oral hypoglycemic agents (OHA) and insulin form the mainstay of treatment in getting sugars under control. But these are not able to avoid these surges in high sugar levels. This does not mean that OHA’s and Insulin are not the right way to treat diabetes- they indeed are.

We are going a step higher, in an attempt to get control of diabetes without OHA and insulin. Not only this, we are trying to tackle not just diabetes, but the metabolic syndrome on the whole i.e one procedure that will take care of diabetes, dyslipidemia and hypertension. This procedure is popularly known and referred to as the “Gastric Bypass” or the “Roux en Y Gastric Bypass”. Thus, In short, the gastric bypass surgery offers ICE BURG treatment.

Now, the first question is that “Is this possible”. The answer is YES. The second question is that is this procedure applicable for all diabetics. The answer is NO. Only Type 2 diabetics are the beneficiaries of this procedure where insulin resistance has a major role to play. (This procedure does not benefit Type 1 diabetics) Reasons for this will be explained later. The third and important question is that, “Is the Gastric bypass going to give remission of diabetes in all type 2 diabetics?” The answer is NO.

There is strict selection criterion or eligibility criteria to select a patient for The Roux en Y Gastric Bypass surgery. Best results of the Gastric Bypass surgery are seen when it is confirmed that the person is suffering from Type 2 diabetes, duration of diabetes is less than 5 years, the pancreatic reserve is good and showing good levels of C -peptide in the blood, the person has a family history of diabetes, Insulin was not required to control sugar levels within the first 5 years of onset of diabetes and person should not be underweight( BMI > 27.5 preferred).

Losing weight is not easy and even if we lose weight, weight regain is very common. Most of us would have already experienced it. When we are tackling just the weight issue, we are talking into consideration only the morbidly obese people who have a BMI > 37.5. In the morbidly obese, at first, it is very difficult to lose significant weight by the normal method of diet and exercise. Even if weight loss does occur, weight regains or bouncing back is sure.

Here we bring in the trump card – The “Roux en Y Gastric Bypass” that helps the :

  1. “Morbidly Obese” (BMI >37.5) to lose significant weight and reach their ideal weight.
  2. “Obese” (BMI >32.5) who also have comorbidities (like diabetes, hypertension, dyslipidemia, sleep apnea, obesity-induced infertility) not only to lose significant weight and reach their ideal weight but also to get control of the associated comorbidities.
  3. “Type 2 Diabetics” (BMI > 27.5) to get Remission from type 2 Diabetes.
  4. “Metabolic Syndrome” (BMI > 27.5) to get remission from type 2 diabetes, dyslipidemia and Most cases hypertension.

Type 2 diabetics can be offered this procedure even if they are not morbidly obese, is what I would like to bring it to notice.

Exposure to Type 2 diabetes for long years can lead to potential complications like coronary heart disease, chronic kidney failure, brain stroke, gangrene of the lower limbs.

In some, in spite of talking OHA’s, Insulin, sugars are not under control. In these cases, the gastric bypass can be offered to those who fulfil the eligibility criteria.

Remission of diabetes after the gastric bypass procedure is very quick, ranging from a week to a month in most of the cases. However, in some, The sugar levels come to normal the very next day after the surgery in some without the OHA and /or insulin.

Gastric bypass is done through laparoscopy i.e through tiny holes over the tummy, requiring 3 days hospital stay. Supplements need to be taken following the procedure on a daily basis. Following the procedure, intake is reduced to a great extent which increases over few months as the gastric pouch stretches.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2923 people found this helpful
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