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Overview

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

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.

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.

Popular Health Tips

Gastric Bypass Procedure - Precautions and Associated Risks!

Dr. Premkumar Balachandran 86% (12 ratings)
MBBS, MS - General Surgery, M.Mas, Diploma In Minimal Access Surgery, Fellowship in Minimal Access Surgery, FRS, FICS, F.I.A.G.E.S, FAMASI
Bariatrician, 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 Inflammation of the stomach lining Nausea and vomiting Bleeding Nutritional deficiency 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. Consulting a practitioner is very important to know whether you are fit for the medical procedure.
2348 people found this helpful

Alcohol & Gastric Bypass - Can They Be Mixed?

Dr. B N Shukla 86% (21 ratings)
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 your attending physician in case of any physical discomfort
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.
3036 people found this helpful

Bariatric Surgery - Types And Complications

Dr. B N Shukla 86% (21 ratings)
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: 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. 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. 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. 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 Postoperative bleeding Postoperative anastomosis leak Postoperative infections Deep vein thrombosis (Clots may form in the blood vessel) It can result in bowel stricture Ulcers can form in the stomach Internal intestinal herniation Malnutrition
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.

Dr. Garima Sharma 92% (276 ratings)
MBBS
General Physician, Delhi
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.

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