Gastric Bypass
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Gastric Bypass

Gastric bypass surgery refers to a surgery, when the stomach is divided into a small upper pouch and a larger lower part. The lower chamber of a stomach is “bypassed” and does not receive food. The small intestine is divided in a way that one end is connected to the new pouch. The second connection is made between the bypassed part of the stomach and duodenum to the small bowel.

 This connection enables the digestive fluids to meet the ingested food to enable nutrient absorption. The small pouch limitates the amount of food that the patient eats. Since the food does not go through the bypassed portion of the stomach and duodenum, there are metabolic and hormonal changes that lead to the reduction of hunger pangs  and an increased feeling of fullness, which allows patients to get cured to some point from type II diabetes, hypertension, and sleep apnoea.

PATIENT ELIGIBILITY FOR GASTRIC BYPASS SURGERY

  • Adults 18 – 65 years old
  • BMI ? 35
  • General good health condition, which does not prevent  surgical intervention.

It is still possible for patients under 18 years old to be operated, though it requires approval from parents or legal representatives.

If a patient is addicted to alcohol or have some psychiatric disorders, first he/she will be examined by physicians and get anaesthesia and hospital admission form.

POSSIBLE RISKS AND COMPLICATIONS

As with any type of surgery, a gastrectomy carries a risk of complications. Possible risks and complications after sleeve gastrectomy surgery are not higher or more serious than those happen after any abdominal surgery. After operation, infiltration in abdominal cavity can occur, that is why even in postop period high professionalism and expertise of a doctor is still of pivotal importance.

DIET AFTER GASTRIC BYPASS SURGERY

After the operation it is quite important for the patient to stick to the individual diet programme, created by a nutritionist, for one year. Patients should avoid eating fast, fried, sweetened food and beverages, because that can refrain them from sustaining weight loss.  

The patient should consume high-protein and low-carb food.

In the immediate postoperative period, high consumption of liquid and nutrient-rich food should prevail over solid meals. Later, the stages of the diet will be changed and edited.

The patient is advised to chew all food properly for better metabolism and digestion. Adequate amounts of water intake recommended by your doctor remains very important.  

Since the overall amount of food intake decreases, a complete blood count test’s findings can be below the normal ranges. Therefore, the physician prescribes vitamin and mineral supplements.  

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