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Jul 26, 2006
Gastric Bypass Surgery: The Best Slimming method
by SirGan
 Almost every day new slimming methods are being invented and one of the newest is gastric bypass surgery! Gastric Bypass operation refers to a group of similar operative procedures used to treat morbid obesity. Morbid obesity is a condition which arises from severe accumulation of excess weight as fatty tissue, and the resultant health problems which occur. Every patient should know that gastric bypass operations that cause malabsorption and restrict food intake produce more weight loss than restriction operations, which only decrease food intake. Gastric bypass surgery creates dramatic changes in the size and shape of the stomach. Good thing is that people who have bypass operations generally lose two-thirds of their excess weight within 2 years.Introduction to gastric bypassIt is simple- gastric bypass surgery makes the stomach smaller and allows food to bypass part of the small intestine. It has several advantages:
Every patient should know that a gastric bypass consists of a division of the stomach into a small upper pouch and a much larger, lower pouch. All this is accompanied by re-arrangement of the small intestines to permit both pouches to remain connected. Reasonably- the operation leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and psychological response to food.
Indications for the operation: Who’s the best candidate?The most important thing to know about these operations is that in generally, gastric bypass surgery is reserved for people who:
To be more precise - gastric bypass may be considered if:
People shouldn’t undergo these operations easily. They should note that gastric bypass surgery shouldn’t replace the need for following a healthy diet and regular physical activity program. In fact, the success of the surgery depends in part on your commitment to following the guidelines given to you about diet and exercise.
Preparation for the operationPreparation for the operation isn't easy at all! It is important to know that candidates for the operation go through an extensive screening process and not everyone who meets the criteria for gastric bypass. A whole team of professionals evaluate whether the surgery is appropriate for you including a:
This involves identifying which aspects of your health would be expected to improve after surgery and what aspects of your health may increase the risks of surgery. The operation may not be recommended if there's any sign that a patient isn't psychologically or medically ready for surgery. It's important to follow your doctor's directions in preparing for gastric bypass surgery. This includes restrictions on eating, drinking, starting a program of physical activity, and limiting or stopping the use nicotine products.
What Types of Gastric Bypass Operations Are There?
The fact is that this type of operation is the most common gastric bypass procedure performed in the U.S. How is it being done? Well, the main characteristics is that during this procedure- first, a small stomach pouch is created by stapling part of the stomach together or by vertical banding. It isn't hard to understand that this limits how much food a person can eat. Important part of an operation is that the next step is making a Y-shaped section of the small intestine which is being attached to the pouch to allow food to bypass the duodenum as well as the first portion of the jejunum. This part of operation causes reduced calorie and nutrient absorption.
Laparoscopic approach
If a patient is interested about other types of approaches, good thing is that this procedure can now be done with a laparoscope. Laparoscope is a thin telescope-like instrument for viewing inside the abdomen. What's so good about this type of approach- well-it involves using small incisions and generally has a more rapid recovery time. Laparoscopic surgery also protects the patient's immune function; because an open surgery can compromise the immune system and even promote the growth of any existing tumors.
Every patient should know that this is far more complicated gastric bypass operation because the complete lower portion of the stomach is removed. It is easy to understand- the small pouch that remains is connected directly to the final segment of the small intestine. This means that completely bypassing both the duodenum and jejunum is being done! Although a lots of people prefer this procedure because it successfully promotes weight loss- it is important to know that it is not as widely used because of the high risk for nutritional deficiencies.
Gastric bypass surgery is performed under a general anesthesia which means you inhale analgesics as a gas or receive them through an intravenous (IV) line so that you're asleep during the surgery.
During surgery, a tube is passed through your nose into the upper stomach pouch. You may have another tube in the bypassed stomach. This tube would come out of the side of your abdomen and is removed four to six weeks after surgery. Your hospital stay may last from three to five days.
How Well It WorksMost of the patients are interested what happens after the operation. Well, most studies on this field have shown that great majority of people who have gastric bypass surgery quickly begin to lose weight and continue to lose weight for up to 12 months. One study noted that people lost about one-third of their excess weight in 1 to 4 years. It is also important that some of the lost weight may be regained. The success ratio with laparoscopic approach can vary! The laparoscopic approach showed similar results, with 69% to 82% of excess weight lost over 12 to 54 months.
Operation risksRisks common to all surgeries for weight loss include:
That’s why- people who undergo this procedure are required to take nutritional supplements that usually prevent these deficiencies.
What to expect after surgeryEvery possible patient should know that this surgery usually involves a 4- to 6-day hospital stay. Beside this- some researches have shown that most people can return to their normal activities within 3 to 5 weeks. Not too many people have heard about dumping syndrome!
Gastric bypass surgeries may cause dumping syndrome. This occurs when food moves too quickly through the stomach and intestines. It causes nausea, weakness, sweating, faintness, and possibly diarrhea soon after eating. These symptoms are made worse by eating highly refined, high-calorie foods (like sweets). In some cases you may become so weak that you have to lie down until the symptoms pass.
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