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Gastric Bypass Surgery

Gastric Bypass is a surgery that is done to treat morbid obesity and thus help you lose weight. After the surgery, you will not be able to eat as much as before and your body will not absorb all the calories from the food you eat. A gastric bypass first divides the stomach into a small upper pouch and a much larger, lower pouch and then re-arranges the small intestine to allow both pouches to stay connected to it. This leads to a reduction in the functional volume of the stomach, along with an altered physiological and psychological response to food. After the procedure your stomach volume will be reduced and you will feel full with less amount of food. The absorption of the food reduces as it does not pass through some parts of the stomach and intestine that helps breakdown the food. As a result lesser calories will be absorbed by the body.

BRIEF ABOUT THE PROCEDURE

Gastric bypass surgery is done under general anesthesia. It can be done with an open incision or laparoscopically. In the open incision method, the surgeon will do the bypass directly by handling the stomach and the associated organs. In a laparoscopic surgery, which is more commonly adopted these days due to Gastric Bypass Surgeryearly recovery time and less external scars, the surgeon will make 4 to 6 incisions at suitable points in your belly. A laparoscope is passed through any of these holes and the inside of the stomach is viewed through a video screen. Suitable surgical instruments are inserted through the other incisions to do the bypass.

There are two steps to a Gastric bypass surgery.

In the first step the stomach is divided into two sections, a small upper section and a larger bottom section. The top section of the stomach (pouch) is where the food you eat will go.

In the second step, a small hole is made on the pouch to which the jejunum, which is a part of your small intestine, is connected. The jejunum is normally further down on the small intestine which is connected to the stomach. The food now travels from the pouch to the small intestine, thus bypassing the lower potion of the stomach and a portion of the lower intestine. This reduces the absorption of calories in the food.

The surgery takes approximately about four hours.

Advantages

After the procedure one is able to limit the intake of food and helps you feel satisfied with a small portion. Most people who have gastric bypass surgery begin to lose weight quickly and continue to lose weight for almost up to 12 months. Some of the weight lost may be regained. It also helps eliminate High Blood Pressure, Diabetes, Sleep Apnea, Reflux, Joint pain, High Cholesterol levels, shortness of breath, Swelling and Ulcers in the legs, Menstrual irregularities etc.

Risks

Gastric Bypass being a major surgery is associated with many risks. The post surgery risks are more than the surgery itself.

  • Difficulty in walking long distances
  • Infection to the incisions in the abdomen
  • Chances of pneumonia, bladder or kidney infections and sepsis
  • Internal bleeding
  • Hernia form rearrangement of the bowel
  • Venous thromboembolism
  • Infection in the abdominal cavity due to Anastomotic leakage
  • Anastomotic stricture as the anastomotic heals
  • Nutritional deficiencies
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