Bariatric Surgeries

Gastric Bypass

DESCRIPTION:

Gastric bypass surgery is generally used to lose weight. Through this procedure doctors examine as how much your small intestine and stomach handle the food one eats. After the gastric bypass procedure the size of the stomach reduce and the food will not go to all parts of the stomach that one eats, same for the small intestine, it absorbs the same amount of food.

Two things which are generally carried out during this procedure are as follows:

Patients stomach is divided in to two parts, a small upper stomach pouch (approx. 30 milliliters in volume) from the rest of the stomach.

Similarly small intestine is divided into two parts and the lower part is brought up and connected to the small stomach pouch. Now the top portion of the small intestine is connected to the small intestine further down so that the digestive enzymes and stomach acids will finally mix with the food.

After the procedure now the newly created stomach will consume fewer calories as it facilitates smaller meals and as a result of this naturally a person loses weight.

Benefits

Metabolism may increased

Long term weight loss

Produces favorable changes in hormones that reduce appetite

Restricts the amount of food that can be consumed

Disadvantages

  • Can lead to long-term vitamin/mineral deficiencies particularly deficits in vitamin B12, iron, calcium, and folat.
  • Requires strict adherence to dietary recommendations, life-long vitamin/mineral supplementation, and follow-up compliance.

Bowel obstruction : The procedure can put the patient at risk for later bowel blockage and can leave behind scar tissue.

Loss of bodily function: Problem related to operation and anesthesia, heart attack, stroke, limb loss.

Risk of Transfusion:  Risks from the administration of blood components are Hepatitis, AIDS (Acquired Immune Deficiency Syndrome).

Post Operative care:

After one year of procedure regular lab tests will be advised by doctors like Lipid Profile ,25-hydroxy vitamin D ,Liver Function ,Vitamin B12 , Iron studies, Glucose, Electrolytes, CBC, Platelets .

Regular exercising, Daily vitamins supplements, strict diet plan as advised by nutritionist and doctor.

Risks and Complications 

Hair Loss, Allergic Reaction, Vitamin and Mineral Deficiencies, Anesthetic, Bleeding, Blood clots, Infection, Hernia, Side effects of drugs, Depression

Laparoscopic Surgery Risks: Laparoscopic surgery can lead to injury, bleeding and death. 

Leak Narrowing of the connection between the stomach and the small bowel.

Dumping Syndrome: Symptoms of the dumping syndrome include cardiovascular problems with weakness, sweating, nausea, diarrhea and dizziness.