Our patient had a breast lift and implants arm lift surgeries. Let's listen to her…
Our patient, Monique Borst, lost 50 kilos with these operations. It’s been 3 years since your surgery, she. Now that she is very happy with her surgery and her life.
It was a super sleeve, a combination of bypass and sleeve because it was the best for her. She says: “FlyHealth 24 hrs available, it was good, I was nervous but they always help me…”
Gastric By-Pass Surgery
The most common type of combination surgery is a laparoscopic gastric bypass (R-YGB). With its good outcomes in bariatric surgery, gastric bypass is one of the treatments that attracts attention. Because the path travelled in the small intestine is shortened, while the stomach volume is lowered, the absorption of nutrients is diminished.
The beginning of the stomach is detached from the rest of the stomach, leaving roughly 30-50 cc behind. Another section of the small intestine is bypassed and connects to the newly developed small stomach. In this approach, patients can feel full rapidly while eating significantly lesser portions. At the same time, a large portion of the high-calorie foods consumed is not absorbed.
Laparoscopic Gastric By-Pass (R-YGB) surgery results in effective and long-term weight loss. Due to the reduced new stomach pouches, patients get a feeling of fullness rapidly with considerably smaller meals, similar to volume-restricting operations.
When gastric bypass surgery is no longer required, it can be recycled. The Roux-en-YGB (R-YGB) procedure is primarily used to treat morbid obesity. In the presence of several disorders associated with obesity, the Gastric By-Pass (R-YGB) procedure can be used. Type 2 diabetes is the most common of these. Gastric bypass surgery can provide positive results in the surgical treatment of Type 2 diabetes patients who are unable to regulate their condition.
Before Gastric By-Pass Surgery
Patients who are considering surgery are given a thorough examination. In addition to physical testing, each patient is thoroughly assessed by endocrinology and psychiatry specialists prior to surgery.
How is The Gastric By-Pass Surgery Done?
The gastric by-pass procedure is done laparoscopically. Robotic surgery has become more popular in recent years.
1 centimeter The surgery is carried out through 4-6 holes of varying sizes.
The stomach is reduced with gastric bypass surgery, exactly as it is in sleeve gastrectomy surgery. The stomach is bypassed in 95 percent of cases.
Bypassing the 12 finger intestines, a section of the stomach that has been surgically separated into two is linked to the middle of the intestine. In the other section, it keeps doing its job by refusing to leave the body. As a result, the food eaten is unable to travel through the 12 finger intestines.
The operation is designed to saturate the patients with less food while also ensuring that some of the food they consume is absorbed.
Patients must stay in the hospital for 4-6 days for follow-up. The dietician plans the food until the first control after discharge. Apart from the bariatric surgeon, an endocrinologist, psychiatrist, and dietitian provide thorough follow-up during the first year.
What are the Gastric Bypass Types?
Roux en Y Gastric Bypass
A stomach volume of approximately 25-30 cc is left between the two stomachs with a specific stapler device from the point where the stomach joins the esophagus in the procedure. As a result, a tiny stomach pouch and the remainder of the stomach remain. By constructing a stoma, a link is made between the small intestine and the small stomach pouch. The Roux en Y type is a new link between this pouch and the small intestine. As a result, food from the esophagus avoids the majority of the stomach as well as the first portion of the small intestine.
The stomach is fashioned into a tube using special stapler instruments in this technique. The stomach pouch that has just been constructed is larger than the Roux en Y type. The small intestine segment is then joined to the newly created stomach pouch over a 200-centimeter distance. The most significant difference between the Roux en Y and other types is that the Roux en Y is technically simpler and only one link has been discovered. In both gastric bypass procedures, the weight loss mechanism is the same.
What are the Risks of Gastric Bypass Surgery?
Complications such as hemorrhage, infection, postoperative ileus (intestinal blockage), hernia, and general anesthesia can occur during this operation, as they can in many other abdominal surgeries.
The most major risk is leakage (leakage) in the junction between the stomach and the small intestine, which could necessitate a second surgery.
Obesity raises the amount of additional surgical risks. In the feet and lungs, blood clots (embolism) and heart issues can ensue.
10-15% of individuals who have this operation encounter one or more of the problems listed above. More serious problems are uncommon, and the more common ones are manageable and treatable.
For Which Patients Is Gastric By-Pass Surgery Suitable?
Obesity surgery is assessed based on the patient’s BMI. Patients with a BMI of 40 or more, as well as those with a BMI of 35-40 with medical issues such as obesity-related type 2 diabetes, hypertension, or sleep apnea, are candidates for this operation.