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Overview

Gastric Bypass Surgery: Procedure, Recovery, Cost, Risk & Complication

What is Gastric Bypass surgery?

Gastric bypass surgery is a type of weight loss procedure, where certain modifications are made to the digestive system so that the amount is food you can consume is restricted. At times, it can also reduce the amount of nutrients your body can absorb. This surgery is only preferred when other alternative methods like diet and exercise has failed to have the necessary impact. These surgeries are collectively known as bariatric surgery.

Indication

Gastric bypass surgery is recommended if your body mass index is over 40. A high body mass index can lead to a wide range of health problems such as high blood pressure, sleep apnea and type 2 diabetes. If your body does not respond to treatments like diet and exercise only then is a gastric bypass performed.

What Procedure is followed :

Pre Procedure

In case you qualify for a gastric bypass surgery, you will be given instructions on how to prepare for the surgery. You need to undergo a set of diagnostic tests before the surgery. There will be limitations on what you can eat or drink, and what medication you can take. The doctor may also instruct you to start a physical exercise regimen and stay away from smoking.

During Procedure

The first step is the administration of anesthesia. This will be put you to sleep before the surgeon begins the surgery. The doctor will make use of staples to segregate your stomach into two halves – a large bottom section and a small upper section. Then the bypass is performed where the small intestine is connected to the smaller upper section. This surgery can be done by making a cut in the belly or by using laparoscope.

Post Procedure

You may be required to stay in the hospital for a couple of days after the surgery. The fluids from your intestine will be drained using a catheter for the first two days. Initially you will not be able to consume food or drink water. You may be required to wear special feet stockings to prevent blood clots. The doctor will also prescribe antibiotics and other medications to help you recover faster.Once you go home after the surgery, you will have to eat pureed food and avoid solid food altogether till the recovery process is complete.

Risk & Complication

Like all surgeries, gastric bypass surgery also carries certain risks. One of them is the stomach returning to its original size due to stretching. The staples can come off. Due to the bypass, the body’s ability to absorb nutrients from food decreases. The connection between the stomach and the small intestine can narrow down resulting in vomiting, reflux and nausea. Dumping syndrome may also occur when food moves very rapidly from stomach to small intestine.

Losing weight too quickly may also result in gallstones.

More Info

The price of undergoing a gastric bypass surgery in India can range from 3 lakhs to 5 lakhs. You have to keep in mind that this surgery is only carried out only if other methods like diet and exercise have failed to come up with the necessary results.

type diabetes

Popular Health Tips

Alcohol & Gastric Bypass - Can They Be Mixed?

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Alcohol & Gastric Bypass - Can They Be Mixed?

Gastric bypass, one of the weight loss surgeries bring about many changes and alterations (physiological, metabolic, hormonal) in your body. The gastric bypass surgery rearranges the stomach into an upper pouch (the smaller part) and a relatively larger lower part. It is the small pouch that is connected to the small intestine, where the absorption of nutrients and minerals from the ingested food takes place. The surgery plays a significant role in limiting the intake of food. Thus, post-surgery, a person's body reacts differently than it used to before the surgery. Many, if not all, people experience difficulties in coping up with the changes.

Patients are often advised to refrain from alcohol consumption after the gastric bypass surgery. Surprisingly, and quite alarming, cases of alcohol abuse increases post the surgery. According to a survey by the American Society for Metabolic and Bariatric Surgery, few people, who had no prior history of alcohol abuse developed one after the weight loss surgery. What triggers the alcohol abuse in some patients is still a debatable issue.

Many patients experience an emotional breakdown, stress, anxiety, and depression after the surgery. People who needed no reason to binge on food are suddenly expected and made to consume a limited quantity of food. Unable to do what they loved doing the most, people look for an alternate solution. As expected, in most cases, alcohol becomes the much-needed solution. What started as a means of distraction gradually becomes an integral part of life. Hormonal changes associated with the surgery can also result in panic attacks, stress, and anxiety.

Incidences of alcohol abuse may also be high in patients who had a history of drinking (regular or occasional) and smoking before the gastric bypass. Under normal circumstances (before the weight loss surgery), there is a partial enzymatic breakdown of the consumed alcohol in the stomach before it passes into the small intestine. However, post-surgery, the small size of the stomach does not facilitate such enzymatic breakdowns. Thus, the alcohol passes into the intestine, where it gets rapidly absorbed. As a result, a person gets into an inebriated state at a faster rate.

It is because of this reason that doctors advise the patients to keep away from alcohol as much as possible after the surgery. To keep away from or reduce the instances of alcohol abuse after the gastric bypass surgery,

  • Look for healthier and low-calorie food options when you get an urge to eat.
  • Meditate, go for morning and evening walks. These physical activities act as great stress busters.
  • If you are feeling low or going through an emotionally low phase, share it with your loved ones. Do not suppress your emotions.

Consult an expert & get answers to your questions!

1872 people found this helpful

Bariatric Surgery - A Boon For Diabetic Patients!

MON-SAT 10 AM - 07 PM
General Surgeon, Delhi
Bariatric Surgery - A Boon For Diabetic Patients!

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take. If you wish to discuss about any specific problem, you can consult a general surgeon.

3036 people found this helpful

Bariatric Surgery - A Boon For Patients Suffering From Diabetes!

MS - General Surgery, MBBS
General Surgeon, Delhi
Bariatric Surgery - A Boon For Patients Suffering From Diabetes!

Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.

What is a Bariatric surgery?

Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.

How does Bariatric surgery help reduce Diabetes?

Diabetes can be of three basic kinds;

Type 1 diabetes in which the body produces no amount of insulin.

Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.

Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:

1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.

2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.

3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.

4. It successfully takes care of ailments resulting from diabetes.

5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take.   

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

              

Type diabetes

2684 people found this helpful

Gastric Bypass Procedure - Precautions and Associated Risks!

MBBS, MS - General Surgery, M.Mas, Diploma In Minimal Access Surgery, Fellowship In Minimal Access Surgery, Fellowship In Robotic Surgery, FICS, F.I.A.G.E.S, FAMASI
Surgical Gastroenterologist, Chennai
Gastric Bypass Procedure - Precautions and Associated Risks!

The risk of developing heart problems has increased to a great extent and this is mainly due to obesity, which leads to other diseases. A gastric bypass surgery is a medical procedure, which is commonly known as Roux en-Y surgery. It aids in reducing the size of the stomach. The reduction in the size of the stomach makes an individual feel full even when they have eaten very little.

Gastric Bypass Procedure
The stomach bypass surgery is generally known as a bariatric surgery and it guarantees weight loss of about 30-40% within a year. For this procedure, the patient has to be in the hospital for 4-5 days and it takes about 2-3 hours for the medical procedure. It is through this procedure that the size of the stomach is reduced permanently and is performed laparoscopically.

Five small holes are made in the stomach under general anaesthesia. The procedure is conducted only after tests like ECG, blood and urine tests, chest X-Ray chest, abdominal scan and echocardiogram are carried out.

The patient can be discharged from the medical centre on the fourth day. However, it is necessary that calcium, vitamins and supplements are included in the diet plan, mainly to prevent malnourishment and tiredness. In the medical procedure, the surgeon divides the stomach into two sections using surgical staples. The sections are divided into a small upper pouch and a large remnant. The medical procedure makes use of surgical staples, which is why the procedure is sometimes referred to as stomach stapling.

The small intestine is re-arranged in a manner that the stomach pouches are connected to the intestine. The intake of food is reduced by the reduction in the functional capacity of the stomach and by the re-arrangement of the small intestine that causes food to go through the first portion of the small intestine. The procedure is mainly targeted for people with body mass index of 50 and above. It is important that the individual should not drink water for next 24 hours of surgery.

Benefits of Gastric Bypass Procedure
Results in reduced calorie absorption and helps in weight loss. It is generally advised for people who are unable to accomplish weight loss through diet and exercise.

Risks involved in gastric bypass procedure

  1. Inflammation of the stomach lining
  2. Nausea and vomiting
  3. Bleeding
  4. Nutritional deficiency
  5. Development of gallstones. This occurs mainly due to loss of significant weight within a short span of time.

The procedure is a little expensive, but it is a reliable medical procedure for weight loss. It is always better to know about the risks involved in this surgery before opting for a weight loss program. 

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

3394 people found this helpful

Bariatric Surgery - Types And Complications

Fellowship in Minimal Access Surgery, Fellowship in Bariatric Surgery, M.S.
Bariatrician, Lucknow
Bariatric Surgery - Types And Complications

Bariatric surgery is a procedure that involves modifications to the digestive system so that the food intake can be restricted or the nutrients absorbed by the body is reduced. This surgery is recommended when exercise and diet may not cause the desired results with weight loss. Bariatric surgery is a group of surgeries that are the procedure to reduce weight in the body. The various types of surgeries that come under this category are: 

  1. Gastric bypass: The most common bariatric surgery, gastric bypass is a procedure used to reduce the size of the stomach pouch in the body. Once the size is reduced, it leads to reduced consumption of calories. This procedure also causes alterations in the behavior of the gut hormones resulting in appetite reduction. 
  2. Adjustable gastric band: This procedure involves placing an inflatable band around the upper stomach to make a small stomach area above the band. This causes one to feel full just after eating a small amount of food. 
  3. Sleeve gastrectomy: In this procedure, almost 80% of the stomach area is removed surgically, resulting in a small stomach pouch being left. It reduces the stomach size, which cause an overall reduction in the number of calories. Modifications also occur in the behavior of the gut bacteria linked with reduced appetite. 
  4. Biliopancreatic diversion with duodenal switch: This procedure involves surgical removal of a large area of the stomach along with bypassing a major portion of the smaller intestine. This procedure may reduce fat absorption of up to 70%. The behavior of the gut hormones change resulting in a decrease in appetite and improved satiety. Other procedures like Mini gastric bypass and Intragastric ballooning 

Complications 

Various complications may result from this surgery such as - May cause 

  1. Postoperative bleeding
  2. Postoperative anastomosis leak
  3. Postoperative infections
  4. Deep vein thrombosis (Clots may form in the blood vessel)
  5. It can result in bowel stricture
  6. Ulcers can form in the stomach
  7. Internal intestinal herniation
  8. Malnutrition

    If you wish to discuss about any specific problem, you can consult a bariatrician.

1933 people found this helpful

Popular Questions & Answers

My weight is 99.3 and I am diabetic. High blood pressure. I want to know is there a ring surgery possible in my case without any risk. Or any other help for me.

MBBS
General Physician, Fatehabad
Hi Lybrate User, You don't need surgery to lose weight. Just few steps and you can live a healthy life. The two essentials to maintaining a healthy weight are: Eating well & Moving often. Increasing activity in order to lose weight If your doctor recommends that you lose weight, there’s a simple rule to follow: move more, eat less and make smarter food choices. Gradually increase your level of physical activity beyond 150 minutes of moderate-intensity aerobic activity, lower the number of calories you take in and eat a healthy diet. Once you’re at your goal weight, you can then determine which dietary and fitness choices work best for maintaining your weight.

Table of Content

What is Gastric Bypass surgery?

Indication

What Procedure is followed :

Risk & Complication

More Info

Play video
Weight Loss Surgery or Bariatric Surgery
Here are cause, type and method of Weight Loss Surgery (Bariatric Surgery)

Hi, I am doctor Aloy Mukherjee. I am a senior consultant in advanced laparoscopic surgical gastroenterology and Pediatrics surgery. I'm associated with Indraprastha Apollo Hospital for the last 15 years as a senior consultant. We at Apollo hospital have a dedicated team of doctors who address our patients. Our team encompasses three consultants, a nutritionist, resident doctors, physicians and medical gastroenterologist. Today I'm going to speak to about weight loss surgery, our Pediatric surgery.

As we know that basically is a common problem which is plagued the world over the last several decades. In India, this is a common problem going to the entry of several food chains from the West, but there by increasing our junk food intake. What is Pediatric surgery? Pediatric surgery aims to tackle the problem of obesity, by medical or surgical means, mostly surgical. There are 3 or 4 different types of procedures which are commonly performed in this. The commonest of which is a Laparoscopic gastric band. The other procedures include a gastric bypass, sleeve gastrectomy or VSG and sleeve gastrectomy and in many bypass. Who are the candidates would be enrolled into our program? Patients who are obese or morbidly obese, with comorbidities like diabetes, hypertension, heart disease, obstructive sleep apnea, disc problems, mostly arthritis in the knees, gastro phological reflux, secondary to obesity or any other life style disorders, secondary to obesity are enrolled in our program.

How do we calculate the body mass index? It s a very simple calculation which is available in the most then all over the internet. It is the weight in the kilogram divided by the height and meters square a BMI of a 25 is considered normal. 25-30 is overweight. 30 to 35 is Class-I obesity or mild obesity. 35-40 is severe obesity and more than 40 is morbid obesity. Our patients are mostly in the category of 32 and above. It is not a cosmetic surgery. There by we are not attempting to make the patients lose weight for cosmetic reasons. They come here to be physically fit and mentally fit. They gain about 8-10 years of life after this surgery, which is a very important parameter. All the ancillary problems, the metabolic problems like diabetes, hypertension, requirement for antihypertensive drugs, requirements for oral hypoglycemic insulins are reversed almost completely after the surgery. Now that s the significant gain.

Now to talk in detail about three or four forms of surgery. The commonest like I said is a gastric band in which a band is placed on the stomach. It is about very easy, very easy to perform and the filling port is usually done, is usually filled without patient s department but it does not give us expected weight loss as we would have achieved in the other forms. Thereby it is not performed routinely across the world. The three other main procedures which are performed including, includes the laparoscopic gastric bypass which attains, which helps us attains a significant weight loss. Thereby we make a small out about the size of half a cup in that part of abdomen and bring up in the intestine to join it with this cup. We are bypassing a large segment of the stomach and the smaller. That is what's called a gastric bypass.

The weight loss primary due to a small gastric pouch and secondary to the man's option of this. The third procedure is a vertical sleeve gastrectomy in which the stomach is divided and meet into the 50 ml small pouch the rest of the stomach is taken out of the communicating body. This decreases the hormone ghrelin, which is required for the appetite and also makes it in our pouch. So these two procedures help us to attain significant weight loss. Other procedure is a mini gastric bypass which is also equally effective. How would a patient choose one procedure over the other? The patients talk to us come to us and decides one procedure to other after they have understood the advantages and disadvantages of a particular procedures and talk to a patient. And which is the right center of such a surgery is the right center is the center of excellence whereby which has a dedicated team of surgeons, medical gastroenterologist, physicians, clinical nutritionists and dietitians and a team of doctors and physicians who can actually explain them the procedure.

I would advise that you should meet your local surgeon, local physician for this procedure if you are interested for it. You can contact us at Indraprastha Apollo hospital if you wish to do for your condition of obesity or you can contact us at Lybrate.com in the form of texts, in the form of questions, in the form of telephone queries and we would be happy to address you. Thank you.
Play video
Fear of Cardiac Surgery
Hello everyone. I am Dr Ashok Gupta, cardiologist. I would like to bring awareness about the Phobia of Cardiac surgery.

Cardiac surgery is a big think. But because of the advancement in the technique and expertisation, it is becoming 100% safe. Because of the expertisation, the world wide results of surgery are appreciable.

Once the Bypass surgery is done, it works for 15-20 years. So, we should not worry or have fear for the Cardiac surgery.

If you have any querry reagrding Cardiac surgery, you are most welcome.

Thank you.
Play video
Hand Surgery
Here are tips related to Hand Surgery

Hi, I am Dr. Vipul Sud working in the field of plastic surgery for the last 25 years. I have been trained from PGI Chandigarh following which I took further training in US and UK and was a consultant there. Before and I did my fellowship in hand surgery, microsurgery and complex wound care. Following which I came back to India and have been practicing in Batra Hospital for the last 14 years. My specialty apart from doing routine plastic surgery things which we are all aware of like cleft palate, cleft lips and congenital surgeries and reconstructive surgeries related to plastic surgery.

I have been dealing with cosmetic surgery, operations regarding the same, and abdominoplasties, breast reduction, face lifts, brow lifts and so on and so forth. But my forte is hand surgery where I deal with any complex problems in hand surgery. They may be the congenital nature, or maybe related to trauma or maybe related to metabolic problems. They can be as simple as a tendon injury which has been ignored for long or a joint problem in the hand or it may be as complex as Brachial Plexus problem which may be congenital or traumatic. The hand is an important part of the body and although we don t realize but often it is important as far as function is concerned and we need to take care of it and make sure that it is functional and my job is to keep that hand functional as long as possible and in the best possible way.

If you have any problem related to hand you can always contact me through Lybrate and meet me at Batra Hospital or see me at my clinic in Greater Kailash-II, South City Clinic S77. Thank you.
Play video
Cataract Surgery
Here are types, procedures, and benefits of cataract surgery

Hi! I am Dr. S. Bharti, founder and chairman of Bhartiya Foundation and Hospital, which is having two centers, one in East Patel Nagar and the other one is in Greater Kailash and both our centers are NABH accredited. So we are maintaining a very high standard of eye care services in all the super specialty branches of ophthalmology. I am more of an entire segment surgeon and doing more of Cataract surgery including the Laser Cataract Surgery and the Lasik, more of the bladeless. The advantage of Bladeless Cataract Surgery over a normal Phacoemulsification or Phaco Cataract Surgery is that it gives you very precise results along with very quick healing and very early recovery.

The accuracy of the results is much superior as compared to the Phaco Cataract surgery as also the other associated complication and especially it is better in all those cases where Phaco Cataract surgery can create complications like very hard cataracts and very highly mature cataracts or all those kinds of complicated cataracts like subluxated cabinets where Phaco sometimes is not possible.

Similarly, Lasik is a technology to remove glasses for young people and I have been doing Lasik for last 30 years. Over a period of time Lasik has evolved a lot and the new technology, the Bleed Blade free Lasik is the way to go now because it gives similarly it gives a very accurate results and also good quality or superior quality vision as compared to original early Lasik and now with the advent of the ablation profiles Lasik has become sometimes it gives you a superior quality vision as compared to contact lenses or glasses.

Thank you very much and you can get in touch with me on lybrate.com
Play video
Breast Surgeries
Here are methods of increasing and reducing the size of the breast.

Good evening I am Dr. Sandeep Bhasin from Care well medical center we had in CR Park. So now I am going talk about some common breast surgeries.

In Females, there are two kinds of breast surgeries that are very common one is we may want to increase the size of the breast the other is we want to reduce the size of the breast and lift the breast up if the breast is sagging.

The first kind of surgery in which we want to increase the size of the breast is called Breast Augmentation.There are two methods of doing breast augmentation. We can do breast augmentation by using silicone implants or we can also use the fat grafting. So we are doing both these methods. There are advantages of using implants and there are some advantages of using fat grafting.

The advantages of using silicone implants-

It s a very quick procedure within one and half an hour we can do the whole surgery.
The recovery is very fast with the implants.
The post-operative the breast shape is really very good.
There are some disadvantages of the implants-

It is very expensive
In the long run, we have to remove and change the implant after 10-15 years.
It s a form Bowery it is not natural in the body.
There are some Fat grafting's advantages-

It is much cheaper to the silicone implants.
It is natural we are not using something artificial.
The results are very much natural in this because nothing artificial has been used and it also improves the skin texture.
The disadvantages of fat grafting-

It takes much longer time about 4-5 hours.
The surgeon has to be very experienced.
Very few doctors are doing fat grafting because it is a difficult procedure as compared to breast implant and there has to be complete asepsis so that infection does not occur.
These are the few differences between the two procedures.

Coming to Breast reduction and breast lifting there are different methods that are available and what we are doing nowadays is vertical mastopexy or Hall Findlay s Mastopexy. In this there is a vertical scar, minimal scar and the results are really very good. Not only can we reduce the size of the breast if this breast has become too big. We can also lift the breast up and that is called mastopexy. So this is one method that we are doing and the results are really very good in this. Sometimes we do liposuction also in the breast if we want to reduce the size of the breast. So for reduction, we have got mastopexy, Hall Findlay s mastopexy or some other mestopexy or we can do liposuction of the breast. These are the common procedures we do for the breast reduction and lifting the breast.

Thank you I am Dr. Sandeep Bhasin from Care Well medical center. For any inquiry you can connect me online on lybrate or you can come to my clinic which is Care Well medical center in Chitranjan Park near NRI complex, House No.1, NRI complex. Thanking you. Seeing to meet you again.
Having issues? Consult a doctor for medical advice