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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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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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