Gastric bypass is a method that has been used in the treatment of obesity for more than 20 years. In particular, it reduces the absorption of fatty foods and carbohydrate foods by the intestine and their mixing into the blood.
It was first standardized at a meeting held in 2001. In this process, 90 percent of the stomach will be disabled in the first step, only 10 percent of the stomach remains, this portion has the approximate cup size, the second move is applied through the small intestines, the second intestines have an average length of 600 cm.
Most of the sugar and fat are absorbed from the area 120 meters ahead of the intestines. Here, this part is disabled, in this way, fat and sugar cannot be absorbed by the body. Gastric bypass is completed when these two stages are completed.
After gastric bypass surgery, the nutrients are taken by the patient only pass through the stomach part remaining as much as the cup.
Since this stomach wall is small, there is tension. Thanks to this stretching feeling, the patient feels full. Then the nutrients are transferred to the small intestine.
Especially carbohydrates and sugars are excreted from the body before they are absorbed by the intestines. The satiety signal goes to the body very quickly.
In this way, weight loss occurs in overweight patients. To achieve success in this surgery, the patient should only consume main meals and avoid eating snacks.
Gastric bypass has been a remedy for a condition called fatal obesity for many years. All operations performed for fatal obesity are called bariatric surgery. This method offers the most effective results of surgery.
It is applied all over the world. Its effectiveness has been proven. It has been accepted from everywhere. It can be applied with different techniques. It is known as the most applied method after sleeve gastrectomy.
It is referred to as the gold standard method for morbid obesity. Studies have shown that the results obtained from the surgery are 95 percent successful.
Thanks to gastric bypass, patients can lose as high as 85 percent of their weight. Patients regain their ideal weight within 2 years after the operation.
However, it should not be forgotten that this surgery is irreversible. For this reason, doctors offer gastric bypass surgery to patients as the last solution.
After this procedure, the patient will bid farewell to concomitant diseases due to weight. Dramatically, the comorbidities of the patient come to an end. If people with diabetes undergo a procedure, addiction to insulin and medication will be eliminated.
In the gastric bypass procedure, some problematic changes should occur in the patient’s lifestyle. After the surgery, the patient may experience symptoms such as muscle weakness and fatigue due to protein breakdown, as they will receive fewer calories.
There will also be a decrease in the effort capacity of the person, hair loss may be noticed in the following months. However, this hair does not shed permanently, so this should not be a concern.
Depression may occur in some patients due to mood changes. During this period, patients need to consume food and receive social support.
Gastric bypass is applied to people who have obesity but cannot lose weight and have various diseases, especially insulin resistance. It was the most preferred method until 5 years ago and nowadays, sleeve gastrectomy is mostly preferred.
Gastric bypass surgery can be performed for patients who regain weight after sleeve gastrectomy. If the patient has previously had gastric folding, vertical gastroplasty, gastric band, and sleeve surgeries, then it will be a suitable option for patients. The transaction is implemented closed.
To learn that the patient is ready for gastric bypass surgery, the following tests must be performed:
After these tests are performed for gastric bypass, doctors should examine the test results. It is determined whether different diseases may cause the patient to gain weight.
The process is only done if no situation causes such a problem. If necessary, it makes recommendations about the treatments to be applied before the surgery. In this way, possible problems that may occur during and after surgery are prevented.
During gastric bypass surgery, products from many different brands can be used. Generally, products produced by American companies are preferred. They are of higher quality than products made in China.
Since health is at stake here, safety should be prioritized, not cost. Barcode information with serial numbers is available for each product. The barcode is put in the patient file.
Whether or not to place stitches after gastric bypass surgery is still a controversial issue. While some doctors use stitches, some do not prefer it.
For doctors who deem it appropriate to place stitches, the preference is made because of the decrease in the possibility of bleeding.
Physicians who do not put stitches say that the problem of vascular injury, which is a more important problem than the risk of bleeding, may occur. If additional stitches are required, stitches can be placed according to the patient’s condition.
If there is a blood clot in the vein during the gastritis bypass procedure, there is a possibility of clogging of the vein. If there is a vessel that feeds vital organs such as the heart and brain, there may be life-threatening here.
Therefore, blood thinners are used in gastric bypass surgery. The heavier the patient, the greater the risk of embolism is. Blood thinners are used to reduce this risk, although the amount of bleeding risk increases, this risk can be ignored considering the health benefits.
The use of blood thinners should be done regularly 2 weeks before gastric bypass. If you have heart disease or have had an embolism problem before, then it may be necessary to use blood thinners for a longer period.
Gastric bypass is a closed procedure that is performed by entering through mm holes. Therefore, there is a much less pain sensation compared to open procedures. Pain medication is prescribed for each patient after the operation. In this way, the patient does not feel pain. The pain problem is completely prevented by the use of simple drugs.
Each patient’s pain threshold is different. Drug tolerance is also different. Therefore, pain treatment will not be the same for every patient. For this reason, doctors apply separate pain relief treatments to each patient.
Since the holes made are very small, there is no problem with leaving traces. It is a procedure with extremely good aesthetic results. After a short time like a month or two, the appearance of these holes will completely disappear.
It is recommended to use the cream while the wounds heal. If the cream is used regularly for 3 months, the scar will be zero.
The surgery has been applied in different parts of the world for years to lose weight. With gastric bypass, you can lose weight and be healthy.
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