Gastric By-pass
This method, also known as laparoscopic gastric bypass, is a frequently performed bariatric surgery. It is possible to manage the successful obesity treatment process with gastric bypass. While the volume is reduced with the said surgery, the absorption of nutrients passes through the small intestines. This causes the path to be shortened.
A large part of the stomach is removed, leaving approximately 30 to 50 cc at the beginning of the stomach. In addition, some of the small intestines are connected to the stomach. In this direction, it becomes possible for patients to be satiated with much smaller portions. In addition, the absorption of a significant part of high-calorie foods is prevented.
How is Gastric By-Pass Surgery Performed?
Gastric by-pass is performed by laparoscopic method. Recently, robotic surgery can also be preferred. This operation is performed through 4-6 holes with a diameter of 1 cm. Gastric by-pass surgery, which is known to be a similar operation to sleeve gastrectomy surgery, allows the stomach to be reduced. With this operation, approximately 95% of the stomach is bypassed.
With a professional surgical method, a part of the stomach, which is separated into two, is bypassed by the 12 finger intestines. It is not removed from the body. This ensures that the intestines continue to function. In this way, the consumed foods are prevented from passing through the 12 finger intestines. Thanks to the surgery, it is aimed to be satiated with less food and to ensure the absorption of some of the food taken.
To Whom Can Gastric By-Pass Be Applied?
Gastric by-pass surgery is primarily known as morbid obesity surgery. It is possible to apply this surgery in case of diseases accompanying obesity. This operation is of great importance, especially for the treatment of Type 2 diabetes.
After Gastric By-Pass Surgery
Patients are followed up for 5-6 days after surgery. After discharge, patients are controlled by dietitians. In this direction, a nutrition plan is carried out. During the first year after the operation, apart from bariatric surgery, psychiatry, endocrinology and dietitian specialists are followed up.
What are the Gastric By-Pass Types?
Gastric by-pass types are generally as follows.
Roux en Y Gastric By-Pass: During the operation, the stomach is divided into two, with a volume of 25-30 cc. While the small stomach remains in the body, the larger part is removed.
Mini Gastric By-Pass: This operation allows the stomach to take the shape of a tube with the use of special stapler tools. Then, the small intestine segment is formed from a distance of 200 cm and its connection with the stomach pouch is provided.
Frequently Asked Questions
Is It Possible to Stay in the Hospital After Gastric By-Pass Operation?
After the operation, patients usually need to stay in the hospital for 3-4 days. Problems that may occur during the pre-operative evaluation and post-operative recovery period may cause this period to be extended.
Is it dangerous for the patient to lift heavy after the operation?
After leaving the hospital, patients should restrict all strenuous activities. Especially during the first 6 weeks, heavy loads should not be lifted.
When can a car be used after the operation?
After the operation, patients should not drive for 2 weeks. However, patients can walk, take a shower or climb stairs.
How long after the operation can you return to work?
It is possible for patients who have a calm business life and work in the office to return to work after 2-3 weeks. However, patients who work in jobs with intense physical activities should take a break from work for 6-8 weeks after the operation.
How Long After Surgery Is Weight Loss?
Weight loss is expected to occur gradually. The fastest weight loss in the first 2 months. 1.5-2 years should be waited for maximum weight loss. Patients are expected to lose 70 to 80% of their excess weight.