Gastric Bypass Surgery

What is Gastric Bypass

Gastric bypass surgery is a method that both restricts food intake and reduces the absorption of food taken at the same time. It is still the most common type of combined surgeries.

In this operation, the upper part of the stomach is reduced by approximately 30-50 cc. In the second stage, this small stomach pouch is combined in such a way that some of the small intestines are bypassed. With this method, the patients quickly get a feeling of fullness with much smaller portions. At the same time, the absorption of the nutrients taken is decreased.

Patients that have gastric Bypass both eat less food and take less calories due to the reduction of the stomach, and the direct transition from the remaining small stomach to the small intestine provides a decrease in the absorption of high-calorie food intake. Thus, weight loss happens.

Since the food we eat after this surgery passes directly to the ileum, which is the second part of our small intestines, various hormones are secreted more, and these hormones cause more insulin hormones from our pancreatic gland. Therefore, Gastric Bypass surgery is preferred for people with obesity and Type-2 Diabetes.

Gastric Bypass surgery is also performed under laparoscopic technic method. The operation takes about two hours, and the patient will be able to stand up in the 4th hour after the operation and manage to do his/her own needs. After this operation, the patient is kept under observation in the hospital for 3 days. Finally, before they discharge, the medication and the dietician support will be provided to the patient.

Who is a Good Candidate for Gastric Bypass Surgery?

Gastric sleeve surgery is suitable for anyone who has tried to lose weight before, failed, and whose body mass is 35kg / m2 and above, especially those who have type-2 diabetes. The decision for those who have a body mass index between 30kg / m2 and 35kg / m2 is made according to whether they have weight-related diseases (diabetes, high blood pressure, sleep apnea, asthma, etc.). The final decision regarding the operation is made after the doctor’s consultation.

What are the Advantages of Gastric Bypass Surgery?

Gastric Bypass surgery is an excellent procedure to provide individuals with long-term weight control in small portions without the old strong sense of appetite. For most patients, long-term weight loss and weight maintenance are successful. Weight loss creates a permanent solution for type-2 diabetes, also side diseases caused by excess weight. Patients experience physical and psychological satisfaction after surgery.

Gastric bypass surgeries are performed laparoscopically with up-to-date technologies. In this way, the absence of large incisions speeds up the healing process. If you prefer an experienced surgeon in gastric bypass surgeries, you will have a comfortable surgical process.

What are the risks and complications of gastric sleeve surgery?

Choosing a surgeon who specializes in bariatric surgery minimizes the risks of this procedure.
Risks of gastric bypass surgery are: bleeding, embolism and leakage problems. Bleeding and embolism are risks that can occur after any surgery.

It is possible to almost completely eliminate the risk of embolism by taking all precautionary measures. Use of blood thinners, starting the day before surgery and continuing 8 days after surgery, and wearing anti-embolic stockings nearly eliminates this risk.

Bleeding is also one of the common risks of many operations, such as embolism, and is very easy to detect thanks to the drainage after the operation. Most of the time it can be noticed with small measures or blood supply.

The risk of leakage is very low today with the development of technology and the increase of experience. Leakage is the escape of gastric fluid from the severed stomach line into the abdomen. If detected early, a leak can be treated using many methods.

What should the diet look like after gastric sleeve surgery?

After gastric bypass surgery, your stomach volume decreases significantly. For this reason, a nutrition plan is created as follows to allow your shrinking stomach to adjust to its new shape.
From the 2nd day after the operation until the 15th day, only liquid foods should be consumed. Grain-free soups, fruit juices and protein-supported drinks are consumed.
The 15 days after the liquid period is the puree (soft) period. During this time, you can consume many foods that are not solid or that have been mixed.
In the 1st month after the operation, the solid period will start and you can start eating whatever you want.

In our clinic, the postoperative nutritional processes of our patients who have undergone gastric bypass surgery are accompanied by our nutritionists. In addition, our patients receive books free of charge that explain which points to pay attention to when it comes to nutrition in the postoperative phase.