Gastric Bypass surgery is also known as Roux-en-Y Gastric Bypass and is a type of weight-loss surgery that reduces the size of stomach to a small pouch – about the size of an egg.
It does this by stapling off a section of the stomach. This reduces the amount of food that can be taken in at meals. The surgeon then attaches this pouch directly to the small intestine, bypassing most of the rest of the stomach and the upper part of the small intestine. This reduces the amount of fat and calories absorbed from the food taken for further weight loss.
Gastric Bypass can be performed as an open surgery, with a large cut / incision on abdomen or it can be performed as a laparoscopic surgery, using a lighted tube with a tiny camera, called a laparoscope. This tool is pushed into the abdomen through several small cuts. Your doctor may prefer to do a laparoscopic procedure instead of open surgery because it generally means a shorter stay in the hospital quicker recovery. You also may have less pain, smaller scars, and lower risk of getting a hernia or infection. Many people are able to have this procedure performed laparoscopically.
Obesity lowers quality of life, which can result in poor overall health and contribute to a higher risk of depression. Surgery may be indicated if there is a body mass index (BMI) of 40 or more or a BMI of 35 associated with serious obesity-related health problems such as diabetes, coronary heart disease, sleep apnea, high blood pressure or severe arthritis.
Doctors generally recommend weight-loss surgery only if the patient is severely obese. They also usually don’t recommend it unless you haven’t been able to lose a large amount of weight and keep it off through diet, exercise and changes in lifestyle.
Studies on Gastric Bypass have found that it can often reverse type 2 diabetes and lower the risk of high blood pressure, sleep apnea and certain heart problems.
Gastric bypass is a major surgery and it has many risks, some of which are very serious. You should discuss these with your surgeon.
Risks for any surgery or anesthesia include:
There are a number of risks for any weight-loss surgery. Long-term complications related to Gastric Bypass surgery may include:
Your surgeon will ask you to have tests and visits with other health care providers before you have this surgery.
If you are a smoker, you should stop smoking several weeks before surgery and should not start smoking again after surgery. Smoking slows recovery and increases the risk of problems. Tell your doctor or nurse if you need help quitting.
Always inform your doctor or nurse:
During the week before your surgery:
The surgery will be performed under general anesthesia. You will be asleep and pain-free.
There are two steps during gastric bypass surgery:
Gastric bypass can be executed in two ways. With open surgery, your surgeon will make a large surgical cut to open up your belly. Your surgeon will do the bypass by working on your stomach and small intestine.
Another way to perform this surgery is to use a tiny camera, called a laparoscope and the process is called laparoscopy.
In this surgery:
Gastric Bypass is the same whether you have open or laparoscopic surgery.
Advantages of laparoscopy over open surgery include:
This surgery takes about 2 to 4 hours.
AFTER THE PROCEDURE
Most people stay in the hospital for 3 to 5 days after their surgery.
In the hospital:
You will be able to go home when:
The following supplements are recommended to prevent nutritional deficiencies after recovery from the surgery. However they need to be taken as per your consultant’s advice:
Most people lose about 10 to 20 pounds/4.5-9 KGs a month in the first year after surgery. Weight loss will decrease over time. Sticking to your diet and exercise plan will help you lose more weight.
You may lose half or more of your extra weight in the first 2 years. You will lose weight quickly after surgery if you are still on a liquid diet.
Losing enough weight after surgery can improve many medical conditions, including:
Weighing less should also make it much easier for you to move around and do your everyday activities.
To lose weight and avoid complications from the procedure, you will need to follow the exercise and eating guidelines that your doctor and dietitian have given you.
Body mass index (BMI), which calculates excess fat in relation to height, is used as a criteria for surgery. Individuals are candidates for surgery if:
Before becoming eligible for surgery, you will meet with surgeons, dietitians, psychologists, and members of the nursing staff for a full evaluation.
The short answer is no. Surgery is not a solution for everyone. We only determine whether a patient is right for surgery after a complete evaluation and discussion with the patient. Because weight-loss surgery is a life-altering procedure, we want to make sure that patients are committed to making the lifestyle changes needed for a successful procedure and life-long health maintenance.
All major surgical procedures come with risks, and the risks are different for each patient. During your first appointment, your surgeon will explain your individual risk level.
Weight-loss surgery has actually been linked with producing a sudden positive change in fertility. Women with fertility problems linked to obesity may begin ovulating regularly for the first time in years, post-bariatric surgery. However, women should avoid pregnancy for at least 18 months after surgery. Please discuss any pregnancy plans with your surgeon during one of your clinic appointments.
Again, your time off of work will depend on the type of weight-loss surgery you have and the type of work you do. In general, plan to take about two to four weeks off of work. While you will not be incapacitated by any means, you will use this period to focus on healthy eating and drinking habits.
Yes. Because your medical condition will change following weight-loss surgery, it is essential that you are closely monitored by your primary care doctor.
As you start losing weight, you may notice excess skin. The amount of excess skin you experience is due to your weight loss, age, and smoking habits. Sometimes, patients choose to have plastic surgery to have this skin removed.
Yes, but the number depends on your weight loss procedure. All procedures require a lifetime of vitamin supplementation. Additional supplementation and stricter adherence is required with DS and RYGB. Dietitians will help individualize your vitamin regimen.
Regular exercise is extremely important for maintaining your weight loss. Your bariatric surgery team will help you with the types of exercise you should be doing, and how soon after surgery you should start.
I came from Baghdad to India with the help of the HTW office over there. I got a good driver and the accommodation in the hospital was also good. Doctors are excellent and experienced. Ms. Tahmina (of HTW) was very helpful. The translator (Ahmed) was good. I will call the HTW office for my friends or family if they have to go to India for their operation.Mr. Hussein Ali Al-Egabi
I came to India with a diagnosis of HSIL (High-grade Squamous Intraepithelial Lesion), doctor suggested surgery after my first biopsy results showed negative. Initially, I was afraid to undergo surgery but the doctors and nurses were extremely good and their approach made me feel like home. I would like to thank Health Travellers Worldwide (HTW) for their guidance and support throughout our stay in India.Ms. Ciyizire R Clementine, Rwanda
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