About Gastric bypass
Gastric bypass is part of the weight loss surgery, and general anesthesia is given before this surgery. At this stage, surgery is required to create a small pouch in the upper abdomen and leave the rest of the stomach unused (bypass surgery).
The other end of the pouch connects to the small intestine, ignoring the rest of the stomach. This can reduce the capacity of the stomach to store food. Small stomachs will soon be full, even with fewer calories, relieve fatigue and pain.
This procedure uses a stapler to divide the stomach into smaller and smaller pieces, making the stomach smaller. There is little room at the top of the stomach for food to enter. This is the size of a walnut, equivalent to 1 ounce (ounce) or 28 grams.
Because it sits between the two parts of the stomach, the doctor has to go through the small intestine again. The second stage of the intervention is here. In the second stage of the stomach, a small portion of the small intestine (empty container) can be inserted by the surgeon into a small opening in the pocket.
The food you eat now passes through the opening of the new pouch (top top) and into the small intestine. As a result, your body can consume fewer calories.
This operation can be done in two ways: open surgery and laparoscopy. In open surgery, a large surgical incision is made to open the abdominal cavity. Solutions include surgery on the liver, small intestine, and other organs.
Laparoscopy is another surgical technique that uses a small camera on the buttocks and the surgeon performs the operation through the camera.
What are the Advantages of a Gastric bypass?
Abdominal weight loss surgery has always been the most common treatment for surgical obesity. Since 2011, gastrointestinal sleeve surgery has become more and more popular. It was currently the most common type of obesity surgery (weight loss surgery) in 2015. However, this does not detract from the benefits of the stomach.
Not everyone needs a stomach, and even obese people should not undergo such a weight loss surgery. However, here are some of the benefits of the stomach:
• The stomach allows for a long time to lose weight. On average, 70% of excess weight is lost in the first 18 months after surgery.
• Long-term relief from type 2 diabetes, according to research from the Cleveland Clinic. In addition, research shows that the stomach is very effective in obese patients with type 2 diabetes.
• These weight loss surgeries help improve cardiovascular health by reducing the risk of coronary artery disease, stroke, and peripheral heart disease. Get rid of high blood pressure and high cholesterol medications to bring blood pressure and cholesterol levels back to normal.
• Helps relieve gastrointestinal depression. People for whom weight loss surgery is the only alternative usually show symptoms of depression due to poor body image and social ailments.
• Possessed people testing their stomach usually have obstructive sleep apnea and need a CPAP machine before bed. The stomach helps these people get rid of the CPAP machine. They can go to bed without using the device.
• People who are obese always experience joint pain. Significant weight loss after gastrointestinal surgery can lead to relief of joint pain and stopping pain relievers.
• It also helps to reduce gastrointestinal infertility during pregnancy.
• Stomach improves other health conditions such as metabolic syndrome, pregnancy complications, and gallbladder disease.
After gastrointestinal surgery, as anecdote, you feel better, you have more time and more confidence. While these benefits are difficult to quantify, this study shows that 95% of patients improved their quality of life one year after surgery.
Who are the typical patients for gastric bypass surgery?
Bypass surgery and other weight loss surgeries are generally suitable for the following:
• If your body mass index (BMI) is 40 or more, it indicates extreme obesity.
• The body mass index (BMI) is 35-39.9 (obesity) and there are serious weight-related health problems such as type 2 diabetes, high blood pressure or severe sleep apnea.
• In any case, if your BMI is between 30 and 34 and you have serious weight-related health issues, you can choose any form of weight loss surgery.
However, the bypass surgery and Roux-en-Y surgery above are not suitable for patients with severe obesity. There will be an extensive review process to verify your eligibility. You may need to meet certain medical teams to undergo weight loss surgery, such as:
• Primary care specialist
•surgeon
• Nutritionist
• Anesthesiology
• Psychologists and psychiatrists
• A nurse specializing in weight.
• Other specialists, depending on your state of health
Be prepared to make constant changes to lead to a healthier lifestyle. Feeding should be part of long-term aftercare plans, such as lifestyle, behavior and health monitoring.
Contact your health care provider or your local Medicare or Medicaid office to find out if your insurance includes weight loss surgery.
Complications of gastric bypass surgery?
The list of risks and side effects associated with gastric bypass surgery is the same for all abdominal surgeries. For example:
• Increase puffiness (over time, the abdomen expands and returns to its original size).
• Strip erosion (breaking the strip that cuts part of the above).
• Violation of the staple line (tape and staple come off, reverse procedure).
• The contents of the stomach seep into the abdominal cavity (dangerous because it can corrode other organs of the mountain).
• Undernourishment causes health problems.
• Gastric bypass surgery also induces “dumping syndrome”, in which the above contents quickly enter the small intestine.
Symptoms include nausea, weakness, sweating, fainting, sometimes diarrhea after eating, and not being very weak and unable to eat sweets. Gallstones can form in response to rapid weight loss, which can be easily removed with post-surgical medication.
Due to low food intake, it can absorb limited amounts of vitamin B-12 and iron, which can lead to anemia. Likewise, poor absorption of calcium can cause osteoporosis and impaired bone metabolism. People having this surgery usually need to take dietary supplements to avoid these deficiencies.
The more complex the gastric bypass surgery, the greater the risk of complications and malnutrition. Due to the rapid weight loss, you may experience the following changes, especially during the first 3-6 months after the above bypass surgery:
• Tired
• Cold
• Mood changes
• Dry skin
• Slim and take off your hat.
• Tired (if you have the flu)
If you are preparing a surgery, please know these things
• If gastrointestinal qualifies, talk to your healthcare professional about how to plan your surgery. But before that, you must undergo various clinical trials and tests.
• Give your doctor and all other health care professionals a list of all medications, vitamins, minerals, herbs or nutritional supplements you are taking before surgery. There can be no restrictions on what you eat, drink and what medications you can take.
• If you are taking anticoagulants, consult your doctor before surgery. Because this drug affects clotting and bleeding, you may need to change your anticoagulant regimen.
• Start a physical activity program that strictly limits smoking.
• Sometimes you need to plan ahead and prepare for recovery after surgery. Ask for help at home before surgery.
• Gastric bypass surgery is being done in the hospital. It depends on the recovery situation, but the length of stay is 3 to 5 days. After that, prepare for the return home before surgery.
In the stomach
Your stomach details will depend on your severity and the stage of your doctor. First, have anesthesia before surgery for sleepiness during surgery.
Some surgeries are largely done in the abdomen using traditional (soft) incisions. Most are done laparoscopy. However, it is also possible to insert instruments here from a few small incisions above.
After making an incision using open surgery or laparoscopy, the surgeon cuts off the top of the stomach. It is cut off from the rest of your abdomen.
The resulting pouch is about the same size as a walnut and holds about 1 ounce of food. Your stomach usually holds about 3 liters of food.
Next the doctor has removed the small intestine, and that part is sewn directly into the pouch. Next, the nutrients go into this small pocket of the stomach and sewn right there into the small intestine. After that, it directly reaches the center of the small intestine.
Such a stomach takes a lot of time. After surgery, you are moved to a recovery room where medical staff monitor your complications.
After surgery
Immediately after surgery, you must survive on a liquid diet. Avoid eating solid foods after the stomach and intestines begin treatment.
But after that, it is best if you need to adopt special regulations that change slowly from liquid to mashed potatoes.
Immediately after surgery, the stomach cannot handle solid foods, so the next time you eat soft foods, switch slowly and steadily to hard ones.
There may be certain limitations or restrictions between the amount and amount you eat and drink. After surgery, your doctor will prescribe you to take vitamin and mineral supplements such as iron, calcium, and multivitamin B-12.
The first few months after weight loss surgery should be checked frequently to monitor your health. Clinical tests, blood tests, and various tests may be required.
Especially in the first 3-6 months, changes can occur when the body reacts to sudden weight loss, such as body pain, fatigue, flu, cold, dry skin, hair loss, and shaking.
What if the operation is not working well?
You may not lose enough weight or gain weight after these weight loss surgeries. Not following the prescribed lifestyle changes can lead to weight gain.
For example, you may eat high-calorie foods frequently, and weight loss may be inadequate. To avoid gaining weight, you need to significantly improve your diet and get enough physical activity and exercise.
It is essential to keep all of your scheduled follow-up appointments so your doctor can monitor your condition after gastrointestinal surgery. If you find that you have lost weight after surgery, or that complications occur or not, see a doctor immediately.
Conclusion
The amount of weight you lose depends on the type of surgery you have had and your lifestyle. You can lose over 60% of your weight in 2 years.
In addition to losing weight, the stomach can push or overcome problems often associated with being overweight, including:
- Gastroesophageal reflux
- Type 2 diabetes
- High cholesterol content
- vascular diseases
- Obstructive sleep apnea
- Infertility
- Hypertension