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Gastric Bypass Downside

Gastric bypass surgeries are the most common bariatric surgical procedures performed, nowadays. Bariatric surgical procedures is the term used to refer to weight-loss surgeries. There are more and more people who are choosing to have the procedure to avoid the risks brought by morbid obesity.

There are numerous benefits by getting a gastric bypass surgery. Those who have undergone the surgery were expected to lose about 50 to 60% of their weight. Most of the patients would say that they reached the lowest point of their weight two years after their surgery.

In addition to weight loss, gastric bypass surgery could also resolve health issues associated to obesity. They could improve or lessen the risk of Type 2 diabetes, high blood pressure, high blood cholesterol, sleep apnea, asthma, arthritis, joint pain, and even heart disease and cancer.

Those who have undergone gastric bypass surgical procedures are also exposed to risks and complications just like in any other surgery. When considering getting this kind of weight-loss procedure, it is not only the benefits that you would have to know but also its risks and dangers.

Pulmonary Embolism is a condition where blood clots developing in the legs which can get carried off to the lungs. There are techniques which can be performed to prevent this kind of condition to happen like using surgical compression stockings.

Peritonitis is also another condition when stomach fluid leaks into the abdominal cavity or where the intestine is connected. There is a need to immediately seal the leak before it becomes a serious condition.

Ulcers can develop among patients, 5 to 15 percent of the time.

It could also result to hernia or incision hernia which is a weakness in the incision. It would often require surgical repair.

There are situations when the stomach moves too fast for the small intestine. This is often referred to as the dumping syndrome. It is often accompanied with nausea, vomiting, diarrhea, dizziness, and sweating.

Vitamin and mineral deficiency are also possible complications of the surgery like anemia and vitamin D deficiency.

It could also cause problems in the kidney like kidney stones.

Gallstones could also be a result of this operation.

Stomach ulcers could also develop but this could be managed by the usual treatments used for ulcers.

Women who went through the procedure are recommended to avoid pregnancy for at least two years after the surgery. Pregnant women are required to take nutritional supplements like vitamins and minerals to get the proper nutrients for her and the baby.

Gastric bypass surgeries are not recommended for everybody. It is often recommended to those who have a BMI of 40 or those who weigh more than a hundred pounds. Everybody who would be undergoing the procedure would have to take a mental exam, for those who eat due to emotional problems are likely to fail in losing weight.

Gastric bypass surgeries have 2% of fatalities, one percent due to complications and the other one percent would brought by the failure of the patients to follow the dietary restrictions following the surgery. Before undergoing the procedure, it is important to understand these consequences and be prepared to change our lifestyle.


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What You Gain and Lose from Gastric Bypass Surgery

Obesity is a serious health problem across the globe. That is why a number of methods, techniques, and technologies have been developed to help curb weight problems that usually lead to life-threatening diseases such as heart ailments and diabetes. One of the most popular weight loss strategies is gastric bypass surgery, a procedure that alters the digestive system (particularly the stomach) to restrain a persons food intake.

The results of the surgery are immediatea patient may lose 50 to 60 percent of his weight within two years following the surgery. With healthy lifestyle (including proper diet and regular exercise), one can expect weight loss in the long run after the surgery. Those who are overweight will experience easier mobility and better quality of life after undergoing weight loss surgery.

But theres more to this surgery than just weight loss. Aside from slashing off some figures from the weighing scale, the surgery also helps improve certain conditions that are often linked to obesity. These health problems include high blood pressure, type 2 diabetes, sleep apnea, high blood cholesterol, and gastroesophageal reflux disease. Thus, people who have gone through weight loss surgery are less likely to develop cardiovascular problems than those who have not tried the procedure. Also, the surgery can lessen a patients possibility of death due to heart ailment, diabetes, or cancer.

Now for the not-so good news. Weight loss surgery is not for the faint of hearts. As with other kinds of surgeries, weight loss surgery leads to several complications. If you will go through this procedure, you need to know the risks before you head over the clinic or hospital. Being aware of what to expect after the surgery helps a lot in your recovery process. The most common complications of the surgery include infection, bleeding, and swelling. Other complications are ulcer, low blood sugar, kidney stones, gallstones, iron deficiency anemia, and vitamin D and B-12 deficiency. After the operation, a patient may also experience vomiting, diarrhea, nausea, and dizziness especially when eating foods rich in sugar and fat. These are caused by a condition called dumping syndrome in which the contents of the stomach pass through the small intestine very fast.

There are certain postoperative risks that occur in rare cases but are severe and need immediate medical attention. The following are some of the complications and tips on how to deal with them.

1. Leak in the stomach

This is found at one of the staple lines in the stomach. The leak heals over time in most cases, though it can be treated using antibiotics. But severe cases require immediate surgery.

2. Thinning of the opening between the small intestine and stomach

This condition needs either a corrective surgery or a simple outpatient procedure wherein a tube is inserted through the mouth to make the opening wider.

3. Incision hernia or weakness in the incision

This complication happens if the surgery is an open procedure that involves a large incision on the abdomen. Incision hernia needs to be repaired through surgery depending on the severity of the condition.

4. Death

For every 200 to 300 weight loss surgeries, one case results in death. Although the risk of death has been linked to gastric bypass surgery, it still depends on many factors such as age and health and medical conditions.


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Understanding Gastric Bypass

Gastric bypass surgery is done to primarily solve or treat morbid or severe obesity and other health problems associated with it. With this procedure the stomach is made smaller. The food will bypass part of the small intestine. By doing so, the patient will consume less because he feels full immediately. Getting full easily would reduce the calories taken by the body and eventually lead to weight loss.

Actually, gastric bypass is just among the many similar operations to reduce obesity. To refer all of these procedures, bariatric surgery is the term. These operations intend to reduce accumulated fatty tissues by altering the physiological and psychological attitude of a patient towards food and eating.

How does it alter normal digestion?

What normally happens is that after eating, the food would go through the stomach and then proceed to the small intestine. The nutrients are absorbed in the small intestine before it goes to the large intestine where waste is eventually pushed out of the body. The most common gastric bypass procedure, the Roux-en Y gastric bypass, alters this process.

In the Roux-en gastric bypass, a small pouch is made on the top part of the stomach. The lower part of the stomach, which is much smaller now, is connected directly to the middle part of the small intestine. The stomach was made smaller and at the same time, the intestine was cut short, the upper portion of the small intestine was bypassed. Both the upper portion of the stomach and the small intestine no longer digest food.

Statistics showed that patients would lose 60%, on the average, of their weight after the gastric bypass surgery. There are even who would say that they have lost 80% of their weight. There are studies showing that about 90% of patient who have undergone gastric surgery were able to maintain their weight loss after ten years of having the surgery performed.

Having gastric surgery is not risk-free though. People who have undergone this procedure would report more cases of gallstones, in other studies, they would also report nutritional issues like anemia or osteoporosis.

Every year there are about 140,000 gastric procedure being performed in the United States alone. The results could really be successful, with people being able to get better weight-loss results, however, about 2% of patients would find it very fatal. In the 2%, one percent could be as a result of complications during surgery. The heart in unable to support the pumping it has to do to handle the excess weight or the complication brought by it.

The other one percent cause of fatality among people who gone through the procedure, would be about not following the dietary restrictions that should be followed after the surgery. After gastric surgery, the body could no longer handle too much intake of high-sugar and high-fat food. There is a special diet that those who have just undergone the surgery should follow. Bypass diet would usually include foods that are high in protein but low in fat, fiber, calories, and sugar. There are vitamins and mineral supplements that are required to be taken to avoid health and nutritional deficiencies.

With more and more people turning to gastric bypass surgery as a weight-loss option, it is important to understand not only the procedure and the benefits. It is also important to weigh the risks and if our lifestyle and our body would be able to handle the dramatic loss of weight.


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How Gastric Bypass Works

Gastric bypass surgeries and other weight loss medical procedures being performed in the United States are increasing for the last few years. This may be in response for the increase in the number of people suffering from obesity. According to the American Society of Bariatric Surgery, there are about 140,000 gastric bypass being performed every year.

Those who have undergone weight loss surgeries, lose about 50 to 60% of their body weight, a year after the surgery. Along with the weight loss, they would also be losing ailments associated with obesity like high blood pressure, diabetes, stroke, heart diseases and even cancer.

The Procedure

The most common gastric bypass performed is called the Roux-en Y gastric bypass. In this procedure, a small pouch is created on the top of the stomach. It is stapled, to seal it off from the rest of the stomach. This small pouch will no longer digest any food. The upper part of the small intestine, the duodenum, is attached to this small pouch.

When eating, the food would bypass the small pouch in the stomach and the upper portion of the small intestine. The food would go directly to the middle section of the intestine called the jejunum. Since it is the small intestine that does the absorption of minerals, vitamins and calories, the body will absorb limited calories only. A Y formation is formed just below the stomach.

Incisions are made in the abdomen to perform the procedure. Surgeons will be using the laparoscope or a small, tubular instrument with a camera. This will enable the surgeon to see the abdomen and perform the surgery. The laparoscopic gastric bypass actually makes the stay in the hospital and the recovery period shorter and quicker.

There are still open gastric bypass performed, however, there could be wound-related problems with this kind of procedure. The laparoscopic gastric bypass surgery is performed under general anaesthesia. The procedure lasts for about four hours. Patients who have undergone the procedure stay in the hospital for about two to six days to be monitored for any complications.

After the Surgery

Having a smaller stomach has effects on how much food the patient can eat. There are special diets that a patient recovering from gastric bypass surgery follows. Every food that the patient would eat will be important for his nutrition. There are times that they are also recommended nutritional supplements to avoid deficiencies like anemia or vitamin deficiency.

There are patients reporting weight loss of as much as 50 to 60 percent a year after the surgery. There are even some who would report an astounding 80% weight loss. However, it is still possible for patients to stretch their stomachs and have that large size again. There is still a possibility of getting back those lost pounds. That is why doctors would recommend dietary restrictions and exercise plant that would keep the pounds away.

There are also tendencies that gastric bypass patients would develop gallstones, stomach ulcers, hernia or nutritional deficiencies. The part of the stomach which was bypassed can get enlarged, it could cause bloating and hiccups. There is also the Dumping syndrome which happens when the food moves quickly to the small intestine. This can happen after eating foods high in sugar or fat.


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