Bariatric or weight-loss surgery such as gastric bypass involves modifying your stomach and small intestine by a physician. Hence, they are able to absorb and digest food differently. Gastric bypass, or as it is also called Roux-en-Y (roo-en-wy) gastric bypass, is a weight-loss surgery in which a pouch is created from the stomach in a smaller dimension than the stomach itself and is connected directly to the small intestine. Bypassing most of your stomach and your first segment of your small intestine with gastric bypass, the food will be passed into a small pouch of the stomach. From there, it will move directly into the first part of the small intestine.
As a result of gastric bypass surgery, your stomach shrinks substantially. Thus, you are unable to eat as much as you used to. By bypassing or re-routing a portion of your digestive system, the surgeon will allow you to absorb fewer calories from foods.
A portion of your small intestine and stomach that are removed usually absorbs some nutrients and calories for you. As this part is bypassed and removed from your digestive system, it dramatically lessens the absorption of calories, which will lead to losing weight.
In bariatric surgery, a gastric bypass is one of the most common procedures. The procedure is considered when other forms of weight loss such as diets and exercise don’t work for you or if serious health issues are caused by being overweight.
Gastric bypass surgery is a reliable and long-lasting weight-loss method, considered a standardized and refined technique. You may benefit from having a gastric bypass if you want to lose weight and avoid the risk of life-threatening health problems relating to excessive weight, such as:
Note that this surgery is used when other methods such as diets and exercises fail to provide preferable results for weight loss.
In order to know whether you are an appropriate candidate for this surgery, you have to know about your body mass first.
The body mass index (BMI) method measures whether a person has a healthy weight based on the person’s weight compared to their height. Weights that do not fall within normal ranges may make an individual more prone to severe health conditions associated with obesity.
It is also crucial to determine whether a candidate is an ideal candidate for obesity surgery based on his BMI. At our practice, obese patients with a body mass index of 35 or above may be recommended for obesity surgery. The banding procedure may be appropriate for obese patients whose BMI is 30 or higher and who are also suffering from a severe health problem related to obesity. The following list contains more information regarding BMI ranges:
BMI < 20 underweight
BMI 20-24.9 healthy weight
BMI 25-29.9 overweight
BMI 30-34.9 obesity
BMI 35-39.9 severe obesity
BMI 40-49.9 morbid obesity
BMI > 50 super morbid obesity
Understanding that a person’s BMI is not always an accurate way to determine their body mass is very important. When BMI is measured, for example, for bodybuilders, older adults, and children, they may fail to fall within the same scale which is used to measure other individuals.
It may be a good option for you to undergo a gastric bypass or other weight-loss surgeries if you have the following criteria:
In some cases, you may qualify for particular methods of weight-loss surgery if your BMI is 30 to 34 and if you have significant weight-related health problems.
However, gastric bypass surgery isn’t suitable for everyone who is severely overweight. To be eligible for the surgery, you may need to meet specific medical criteria. To qualify for the program, you probably will need a thorough screening process.
Your surgeon may require you to start a physical activity program and stop smoking tobacco a few weeks before your surgery. Also, you may be restricted in what you can eat and drink and what medications you can take before your procedure. Make sure to check with your doctor and do any tests that may be required.
The gastric bypass procedure consists of two steps: Your stomach size is reduced in the first step. Stapling is used by your surgeon to divide your stomach into two sections, a smaller upper section, and a larger lower section. The pouch (or top section of your stomach) is where food will go after eating it. It is about the size of a walnut. This pouch only holds about one ounce (oz) or 28 grams (g) of food. This operation will result in you eating less and starting to lose weight.
Bypassing is the second step. The surgeon connects a small section of your small intestine (the jejunum) to your pouch through a small opening. As a result, food will now travel from the pouch into your small intestine through this new opening, which means fewer calories absorbed by your body.
There are two steps to perform a gastric bypass during open surgery; you will have a large surgical cut made to open your abdomen by your surgeon. Bypass surgery involves surgery on different organs such as your stomach, small intestine.
Alternatively, a tiny camera, called a laparoscope, can be used to do this surgical procedure. This camera is placed inside your belly. This procedure is known as laparoscopy, And the surgeon can view the inside of your belly through the scope.
In comparison to open surgery, laparoscopy offers the following advantages:
The amount and type of food and drink you can consume may be restricted. Vitamin and mineral supplements will be recommended by your doctor after surgery, as well as a multivitamin that contains iron, calcium, and vitamin B-12. The first three to six months after a gastric bypass may be characterized by changes as your body adjusts to rapid weight loss, such as:
We can help you get your visa authorization code if you need one to travel to Turkey or other countries; our assistant will help you with the arrival visa if you only need it at the airport.
* Your visa fee is determined by the country you are from, and it may vary.
To/from your hotel, we offer airport pick-up and drop-off services. Also, For your convenience, we arrange intercity transfers between your hotel and clinic or hospital. You can also rely on us if you want to visit the city before your operation.
Depending on your preference, you can stay in a nearby hotel for seven nights.
Gastric bypass surgery is the most important service in our package. Additionally, we cover the clinic, take all medical tests, and take the medical photos – post-surgery care in the hospital, your medications, your recovery, as well as follow-up assistance.
To become an ideal candidate for gastric bypass surgery, you must meet the requirements below: possessing a body mass index (BMI) of 40 or above, or have a BMI ranging between 35 and 40 and obesity-related problems, such as diabetes, heart disease, high blood pressure or severe sleep apnea.
Gastric bypass can provide long-term weight loss. Although there is no abundant research about the long-lasting effects of gastric bypass, the size of weight you lose is dependent on your type of surgery and the changes you make in your lifestyle habits. It might be likely to lose about 70%, or even more, of your extra weight within two years following the surgery.
There is not a simple answer to this question as there are different people with various characteristics and health conditions and it is the surgeon who determines the ideal option for patients but generally, gastric bypass is often advised for patients with BMI over 45 and those who are seeking to lose weight more than 150 pounds. Gastric bypass is a more complicated and riskier process compared to the gastric sleeve but achieves better results for extremely obese patients.
According to a report, almost 50% of people regain weight with the rate of 8% within 2 years following the surgery.
Although it is recommended to follow a specific diet following gastric bypass surgery, people normally can eat regular foods after three months.
Although gastric bypass surgery is aimed at reducing the size of the meal a person can eat in general it is still possible for a man or woman to overeat. After this surgery, overeating may lead to the following occurrences: vomiting, diarrhea, stomach pain, and abdominal cramping.
Since gastric bypass is major surgery it is normal for patients to experience discomforts (nausea, mild to moderate pain in the incision area, infection, vomiting, and fatigue) following the surgery though they are manageable with pain relievers under the supervision of the surgeon.
Obesity causes problems more than just weight gaining. Blood pressure, high cholesterol, heart disease, depression, diabetes, cancer, and breathing issues are likely conditions obese people may suffer. So, the advantages of gastric bypass surgery go beyond losing weight and increasing self-esteem and it can decrease the risk of death from any reason by over 40 percent.
Short-term complications include: Wound infections, Excessive bleeding, Obstruction of the stomach, Inability to take certain types of food, Breathing problems.
Long-term complications include: Nausea, vomiting, and diarrhea, Ulcers, Low blood sugar, Abdominal hernias, Malnutrition.
Gastric bypass is major and complicated surgery and should be done by a highly experienced and skillful surgeon and generally is advised for people owning a BMI over 40 and also for those who have tried all other alternative methods for losing weight and have not gained much success.
It should be taken into consideration that a second surgery has an enhanced risk of complications, including infection, bleeding, and leaks in the gastrointestinal tract. Duo to these risks, gastric bypass surgery usually isn’t repeated if you regain weight on account of poor diet or exercise habits.
It is recommended not to drive for 2-3 days after the operation to allow the effects of the anesthetic and any post-operative analgesia (painkillers) to subside. From there on you may find driving a little uncomfortable until the port sites have fully healed, which usually takes around 10 days.
Pain killers must be taken after the determination of the surgeon. Here are some of the most consumed one including:
Over the counter medications. …
Prescription NSAIDs, such as Relafen, Daypro , Lodine , Vimovo, Indocin, and Voltaren. …
Acetaminophen (or paracetamoloutside the US)
Opioid-based pain medications are also allowed to be taken.
Don’t take non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, Advil, Motrin, Aleeve, Naprosyn, Vioxx and Celebrex. These medications might increase the risk of developing ulcers.
In general, sleeping on the stomach after the operation is not advised. This position could put the health of your spine at risk and place too much pressure on your hips or other areas of the body.
Although the time of surgery is dependent on various factors, the gastric bypass is usually performed in 2-3 hours.