Gastric Bypass

What is Gastric Bypass Surgery?

Gastric bypass surgery, also known as Roux-en-Y (roo-en-wy) gastrectomy, is a type of weight loss surgery that involves creating a small pouch from the stomach and connecting it. Direct new pouches are created with the small intestine. After gastric bypass surgery, swallowed food enters this small stomach pouch and then directly into the small intestine, bypassing most of the stomach and the first part of the small intestine.

Gastric bypass surgery is one of the most commonly performed types of bariatric surgery. Gastric bypass surgery is done when diet and exercise don’t work or when you have serious health problems due to your weight.

Types of Gastric Bypass Operation

There are several types of this operation

Roux-en-Y Gastric Bypass

This is the most common gastrectomy performed in Turkey. Surgeons can do this through a small cut, which has a faster recovery time than with more complicated surgery.

First, the surgeon creates a small stomach pouch by pinning part of the stomach together or with vertical bands. This limits the amount of food you can eat.

Next, the surgeon attaches a Y-shaped portion of the small intestine to the pouch. This creates a bypass for food, so it bypasses part of your digestive system. As a result, you absorb fewer calories and nutrients.

Extensive gastric bypass (biliopancreatic diversion)

This is a more complicated gastric bypass. The surgeon removes the lower part of the stomach. They then connected the remaining small pouch directly to the last part of the small intestine, bypassing the first two parts entirely. It works for weight loss, but it’s not widely used because it has a high complication rate and can leave you nutrient deficient.

Before Gastric Bypass

Losing weight before surgery helps reduce the amount of fat in and around your liver and abdomen. This may allow you to have laparoscopic surgery instead of open surgery. Laparoscopic surgery is less invasive, requires less recovery time, and is easier on your body.

Losing weight before surgery will not only keep you safe during surgery, but it will also help you practice a new way of eating.

Your exact diet and preoperative weight loss goals will be determined by your healthcare provider and possibly with the help of a registered dietitian.

How to prepare for this surgery:

  • Start and maintain an exercise routine to achieve and maintain your weight loss goals.
  • Reduce your daily calorie intake to between 1,200 and 1,500 calories (or within the range discussed with your doctor).
  • Avoid drinking caffeinated beverages about a month before surgery.

After Gastric Bypass Operation

Patients are usually hospitalized for one to two days after minimally invasive bariatric surgery.

During the first days and weeks after surgery, fatigue, nausea and vomiting, trouble sleeping, pain after surgery, weakness, dizziness, loss of appetite, bloating and gas, loose stools, and emotional ups and downs are common. normal thing. Patients experience them to varying degrees, so discuss any specific concerns you have with the bariatric surgery team.

Pain Control

You may feel pain at the incision site or from the position of your body during surgery. Some patients also experience neck and shoulder pain, which occurs when the body reabsorbs gases used during surgery. Tell your health care team if your pain prevents you from moving.

The pain is treated with oral medications, which work best when used regularly. Do not wait until your pain becomes unbearable to ask for another dose; Maintaining a constant level of medication in the blood helps control pain

Exercises to Speed Recovery

The most effective way to shorten recovery time is to get active right away. The simple act of walking short distances and even changing positions in bed promotes circulation. Good blood circulation improves wound healing and prevents blood clots from forming

Leaving the Hospital

Your surgeon will decide when you are ready to go home, depending on your progress. Before you leave the hospital, you will receive specific instructions about diet and activity, as well as precautions, and information about any problems to contact your surgeon. If you have any concerns about going home, talk to your nurse or discharge coordinator.

When you get home, rest for a while. Your body is recovering from major surgery and weight loss occurs during the initial recovery phase

Follow-up Appointments

We care about your progress. Stay in touch with your bariatric surgery team so we can do our best to make sure your recovery goes smoothly.

We schedule an initial follow-up video visit two to three weeks after surgery. Your exit guide will contain information about this visit. You’ll then see your health care team regularly – usually three, six, nine and 12 months after surgery. Then you will have an annual appointment.

It is important to keep your primary care provider updated on your progress.

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