In this article, you can find answers to frequently asked questions such as Why Gastric Bypass Surgery is Performed, To Whom Gastric Bypass Surgery is Performed, How Gastric Bypass Surgery is Performed, How Does the Procedure Develop after Gastric Bypass Surgery.
Gastric Bypass Surgeries, which are also known as Sleeve Bypass Surgery, is an obesity surgery in which the stomach volume is reduced and the stomach is connected to the small intestines from a forward point.
Why Gastric Bypass Surgery is Performed?
Gastric Bypass surgery is performed on the patients having obesity and obesity-related health problems. The general purpose of these surgeries is to reduce both the patient’s food intake and the absorption of food by the body.
Thus, the patients are satisfied with less food and some of the food they take is eliminated from the body without being absorbed. The desired result in gastric bypass surgery is to find a solution to obesity-related health problems by losing weight of the patient.
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To Whom Gastric Bypass Surgery is Performed?
As in other obesity surgery surgeries, gastric bypass surgery is evaluated according to the body mass index of the patient’s suitability for this surgery. It is a suitable surgical treatment method for people with a body mass index above 40, or those with a body mass index of 35-40 and who have health problems such as obesity-related type-2 diabetes, hypertension, and sleep apnea.
In summary, Gastric Bypass Surgery
- It is a type of obesity surgery.
- It is also known as sleeve bypass surgery
- It is suitable for those with a body mass index above 40 or between 35-40 and having health problems related to obesity.
- It is done by entering through small incisions with the closed method.
- The amount of food it takes is reduced by reducing the volume of the stomach.
- The amount of absorbed food is reduced by preventing some of the ingested food from passing through the duodenum.
- The surgery takes an average of 1.5 hours
- It requires at least 2 days of hospitalization
- It is checked whether there is any leakage during and after the surgery.
- The patients are called for control at the end of the 1st month, 3rd month, 6th month and 12th month. The purpose of these controls is to look for deficiencies in certain vitamins and blood values.
- Permanent deficiency rate in these values is below 1 percent.
How to Perform Gastric Bypass Surgery?
Gastric bypass surgery, like other obesity surgeries, is performed by laparoscopic, that is, closed method, by opening 4 to 6 small holes with a diameter of 1 cm in the abdomen and entering through these incisions. The surgery takes about 1.5 hours. As in gastric sleeve surgery, the stomach is reduced and the shrunken stomach is connected to the small intestine from a forward point.
Thus, by bypassing a part of the small intestine, the consumed foods are prevented from passing through the duodenum and the absorption of food is reduced.
How the Procedure Progress After Gastric Bypass Surgery?
After the surgery, the patients are required to stay in the hospital for at least two nights. The most important issue in this obesity surgery method is to determine whether there is a leakage or not. It is determined whether there is a leakage or not with the films taken both during and after the surgery. If a leakage is detected during or after the surgery, this situation is repaired and resolved.
Another important issue in this surgery is the regular follow-up of the patient after the surgery.
As in the gastric sleeve surgery, the patients are called for control in the first, third, sixth and twelfth months and some blood and vitamin values are measured.
Contrary to the general belief, permanent deficiencies in blood and vitamin values are not very common as a result of decreased food intake and absorption after bypass surgery. This rate is below 1%.
However, considering this possibility, the patients are requested to come for control at certain periods.
Frequently Asked Questions
You can find answers to your questions below …
Before the surgery, you cannot say with 100% certainty whether a patient will have a prolapse problem after losing weight. However, there is a high probability of prolapse after the surgery in the people who have too much excess weight to lose according to their ideal weight.
After the surgery, especially starting from the 3rd month, there is a hair loss problem that lasts for 2-3 months on average. This is especially true in patients with iron, biotin, zinc and selenium deficiencies. Therefore, it is important to use vitamins especially in the first 3 months after the surgery. Vitamins found to be deficient in controls should be supplemented. Hair loss is not permanent. Weakened hair strands break and there is no problem in the hair root.
If the patient does not have weight-related resistant diabetes, if there is no gastric hernia and severe reflux in the endoscopy, gastric sleeve is recommended. Bypass should be preferred more in patients with obesity disease due to excessive sugar consumption. For those who have a gastric sleeve and gain weight again, bypass is preferred as revision.
In order to check whether there is a leak, a blue dyed liquid is given during the surgery, one day after the surgery, the patient is filmed for control purposes, if no leakage is detected in this test and film, and then there will be no leakage.
Not making the stomach smaller than necessary during the surgery reduces the risk of leakage, and additionally suturing the stomach part that is cut during the surgery reduces the risk of leakage.
After you are discharged from the hospital, it takes an average of 1 week for you to get used to the new procedure after the surgery, for your stitches to go away and for your body to be completely discharged from anesthesia. Therefore, all our patients can return to work 1 week after the surgery, unless there is an unusual situation.
The probability of using vitamins for life after both gastric sleeve and bypass surgery is very, very low. If there is no vitamin deficiency after the 3rd month in the controls, the vitamin support given as a supplement is discontinued.
You can start walking about 1 week after the surgery. After 1 month you can swim and ride a bike. You can start heavy sports after 2-3 months.
You will lose weight quickly in the first 3-4 months of the surgery, but your weight loss can pause in between. This period lasts about 2-3 weeks, and in some patients up to 6 weeks. You should not worry and panic during this period, as this is a situation we have been waiting for. If you do not disrupt your diet after surgery, you will continue to lose weight.
You will have pain for the first 3 hours after the surgery. This pain will be minimized with strong painkillers. You can have nausea and vomiting on the day of surgery. You can bleed from your mouth during vomiting. This is what we expect. On the 2nd day, you will only feel occasional pain at the surgery site. Nausea and vomiting can rarely occur. On the 3rd day, you will return home very comfortably. In some patients, nausea can subside and continue up to the 1st week.
Drinking coffee after surgery does not harm the stitches in your stomach; drinking coffee can increase gastric reflux and increase fluid loss from the body, so we do not recommend coffee consumption for 2 months after surgery.
We do not recommend that our patients become pregnant for the first 12 months after surgery, for their own and their children’s health. We recommend the surgery to the people who plan to have surgery after pregnancy, when they finish the breastfeeding period, otherwise we do not perform obesity surgeries during breastfeeding.
You should come to the hospital at least 1 day before the surgery and have your endoscopy and other analyzes done. After the anesthesiologist and other units deemed necessary evaluate you, the surgery is performed when approval is given. On the 2nd day of the surgery, a control film is taken and liquid foods are started to the patient. On the 3rd day, the hospital is discharged. So you stay in the hospital for 2 nights.