Gastric Bypass

Gastric Bypass

Gastric Bypass Surgery in India - Symptoms, Causes and Cost

Gastric bypass surgery is one of the most common types of weight surgeries practised worldwide for weight loss. Gastric bypass surgery is also often referred to as Roux-en-Y gastric bypass.

The basic mechanism behind Gastric bypass surgery lies in shrinking your stomach than the actual size, which is achieved by bypassing parts of your intestine, mainly bowels, in order for you to consume and eventually absorb lesser calories. This surgery is mainly for people with obesity.

The Gastric Bypass surgery requirements are not very demanding. You can be considered for the surgery only when you meet a certain bar of requirements regarding the Body Mass Index. (BMI). However, it is also certain to realize that you should go ahead for the surgery if you have tried to lose weight via normal methods for at least 6 months, and still failed to achieve any weight loss. You will be fairly eligible for Gastric Bypass if you have a BMI of,

  • 40 or more
  • 35 to 40 but with medical problems like type 2 diabetes or hypertension, which could be at a good extent fixed by weight loss.
  • For BMI greater than 50, you may be offered a gastric bypass straight away

How the gastric bypass procedure work or what does is the rerouting process?

By reducing the quantity of food that may be stored in your stomach, gastric bypass surgery can assist you in achieving your weight loss goals, reduce the number of nutrients absorbed, and adjust your hormones that control the appetite to feel less hungry.

The procedure is called a gastric bypass:

During the operation, the surgeons will change the digestive system's path. They do this by creating a new pouch in the stomach about the size of an egg. After that, you will need to link the new bag to the center of the small intestine, which will allow you to avoid the beginning of the small intestine.

Bypass Surgery with Minimal Invasiveness of the Stomach:

Pain, blood loss, and the amount of time needed for recovery may all be reduced with the use of laparoscopic and robotic techniques. The procedure involves the doctors making several tiny incisions to place the cameras. They then employ very small devices to redirect the digestive system such that a portion of the small intestine is skipped through during the procedure.

Digestion Following the Bypass of the Stomach

It is well knowledge that little quantities of food slip through the new pouch and into your small intestine after a gastric bypass. You will:

  • You will experience satiety with less food intake due to the stomach's decreased capacity to hold food.
  • Because food is now going through a portion of the small intestine, you will absorb fewer calories and nutrients.

What happens in Gastric Bypass Surgery?

The gastric bypass surgery is commonly carried out by keyhole procedure. Instead of making a large cut, keyhole surgery is carried out by making small cuts in your abdomen (tummy). However, for some cases, like for a very overweight patient or a patient who has already had an abdomen surgery, an open operation will be needed. During the procedure, staples are used to create a small pouch in the top part of your stomach, as the image below shows. The pouch is attached by stitches to the lower part of your small intestine so food that you eat will bypass most of the stomach and the first part of the small intestine. This means your body will absorb lesser food as you would feel full after eating only a small meal portion. Gastric bypass surgery is performed under the influence of general anaesthesia after the surgery.

What exactly is a Laparoscopic mini-gastric bypass surgery

The mini-gastric bypass surgery is a type of metabolic surgery that is straightforward, risk-free, and reversible. It is designed to assist people who are obese and have difficulty losing weight while also coping with co-morbidities such as diabetes and hypertension. Compared to standard gastric bypass surgery, the laparoscopic mini-gastric bypass procedure is safer and less complicated. Additionally, micro gastric bypass surgery results in a speedier recovery and a shorter length of stay in the hospital.

A significant amount of weight may be lost due to mini-gastric bypass because it inhibits the digestion and absorption of food throughout the gastrointestinal system. If necessary, the mini gastric bypass procedure may be quickly undone. Micro gastric bypass surgery and weight loss have eliminated multiple co-morbid conditions, including diabetes and sleep apnea.

Gastric Bypass Recovery

After Gastric Bypass Surgery, a patient would ideally be recommended to stay 2-3 days in the hospital before the discharge. The Gastric Bypass recovery time is usually about our and six weeks before a patient can get back to normal activity. This gastric bypass recovery time may vary from person to person, so talk to your surgeon about what’s right for you.

Gastric Bypass sleeve surgery is very similar to Gastric bypass surgery. However, the procedure differs. Gastric Bypass Sleeve surgery is performed by removing the side part of the stomach while leaving a smaller tub for storing food. Another difference is that it doesn’t bypass the intestines, like the ordinary bypass. This surgery is also responsible for removing ghrelin, the hormone which is responsible for stimulating hunger.

After the operation, what should I anticipate happening?

After gastric bypass surgery, a nutritionist will guide you on how to make changes to your eating routine that will allow you to remain healthy as you shed excess pounds. In the beginning, after your gastric bypass surgery, you can consume liquid foods. After a few weeks, you'll transition to pureed foods, and then after that, solid foods.

For the rest of your life, you'll need to replenish the vitamins and minerals you typically receive in the first portion of your small intestine with supplements. To successfully shed some pounds, you have a significant part of performing. If you stick to your food recommendations and ramp up your exercise level, you will be able to shed more pounds than if you did either of those things alone. If you want to keep weight off, you will have to make those adjustments to your routine so that they become permanent.

Gastric Bypass Side Effects

Here's a list of Gastric Bypass side effects that may follow after a patient undergoes gastric bypass procedure:

  • Bruising, pain and swelling of the skin around the patient's wound area
  • Nausea after eating, since the amount of food the patient eats, is reduced
  • If the patient consumes food which is rich in sugar or fat, he/she can get an unpleasant sensation called dumping. It can make you feel sick or faint, or give you abdominal pain
  • Diarrhoea

Gastric Bypass Surgery Before and After

The Gastric Bypass before and after for a patient sees a significant drop in his/her excess body weight, of about 65%. This percentage of excess weight shed is constant regardless of the body type or body weight.

Let's take an example, Patient 1 is 6 foot and 400 lbs:

  • Patient 1’s ideal weight is 194.7 lbs.
  • Patient 1 has 205.3 lbs of excess weight.
  • He comes down to 133 lbs, which means he sheds 65% of his excess weight.
  • After 2 years of surgery, the patient's weight is 266 lbs 

Patient 2 is 5 foot 2 and 247 lbs:

  • Patient 2’s ideal weight is 143.4 lbs
  • Patient 2 has 102.3 lbs of excess weight
  • She comes down to 65.93 lbs, which means she sheds 65% of her excess weight
  • After 2 years of surgery, the patient's weight is 181 lbs

In both cases, it should be observed that both patients have different body types and weights, however, they lose a similar percentage of their same weight after the gastric bypass surgery.

In what situations is a small gastric bypass procedure recommended?

In the past, persons who needed to reduce weight often underwent mini gastric bypass surgery. Mini gastric surgery, on the other hand, has assisted patients in managing lifestyle-related diseases such as diabetes and bp. Some patients have been able to cure sleep apnea and arthritis with the small gastric bypass procedure. In certain cases, medical professionals have advocated for patients to undergo gastric surgery to have malignant cells extracted from the stomach.

Consider having a thorough discussion with your doctor before undergoing gastric bypass surgery if you are obese and contemplating this option. An individual's total health risks should be balanced against the long-term consequences of obesity. Keep in mind that the finest results from gastric bypass surgery come from a combination of the operation and a long-term, healthy lifestyle. These include a healthy diet and regular exercise routines.

Bariatric Surgery Cost in India

The Bariatric Surgery Cost in India is definitely an economical option with respect to the Bariatric Surgery Cost in other countries which are at par in terms of medical facilities. Cost of Bariatric Surgery in Delhi or any other metropolitan city in India would be more reasonable than what you would have to pay at Super Speciality hospitals abroad. Bariatric Surgery at Apollo Hospital has been largely lauded due to the intensive care and attention provided by the doctors and the staff. The Sleeve Gastrectomy Cost in India is also not as expensive as one would expect from Premium Hospitals abroad.

Is Bariatric Surgery Safe in India

To answer is Bariatric surgery safe in India or not, it is important to know that every surgery has some advantages and risks attached to it. However, if the number of positives outweighs the side effects, the surgery is considered safe. While we have already discussed in brief about the side effects, it is important to know the safety takeaways of Gastric bypass surgery which are:

  • The Bariatric surgery has a survival rate of 99.9% survival rate
  • The long-term risks of being obese are much greater than the risks of Bariatric weight loss surgery.
  • Complications ranging from minor to serious scale are experienced by 1 in 10 patients.

Gastric Bypass Surgery Frequently Asked Questions

How dangerous is a gastric bypass operation in terms of long-term outcomes?

Bypass surgery has certain hazards, just like any other procedure. Internal bleeding and infection are three of the most common surgical complication. An anastomosis is also a possibility. When you have a bypass procedure, a new connection is made between your stomach and intestines that isn't going to heal properly and will leak.

How long will I live after having a gastric bypass?

There was a 3.0-year (95 percent confidence interval [CI], 1.8% to 4.2%] difference between the adjusted median average lifespan in the surgical control condition but a 5.5-year difference between the general population. Following surgery, 0.2 percent of patients died, and 2.9 percent had to have surgery again within 90 days.

Is a gastric sleeve procedure uncomfortable?

My experience with Gastric Bypasshasled to discomfort due to the surgery. Because the body must reabsorb the gas utilized during surgery, certain patients even also feel discomfort in the neck and shoulders.

Weight loss surgery: which procedure is the most secure?

The vertical sleeve gastroplasty is the most often performed and most certain bariatric surgery. In the same way that each major surgical procedure has hazards, a gastric bypass and other weight-loss operations have their own.

How many gastric bypasses can you have?

If a patient has another procedure, there is a higher chance of problems, such as infection, bleeding, and leaks in the digestive system. For these reasons, gastric bypass surgery is seldom performed again if the patient gains weight due to bad diet and workout habits.

After gastric bypass, how much weight can you expect to shed?

Gastric bypass surgery may help you lose 30 to 40 percent of your extra weight. You should expect to lose anything from 25 to 50 pounds in the first six months after gastric banding surgery.

What is the ideal diet after gastric bypass surgery?

The ideal diet after a gastric bypass surgery includes fluids, liquid diet, pureed food, soft foods like flaked fish, eggs, ground meat, deseeded and skinned fruits, cooked rice, and solid food like breads, raw vegetables, nuts and seeds etc.

How long does gastric bypass surgery take?

A gastric bypass surgery can take up to 1.5 hours. The hospital stay may be for two to three days, and the recovery time is about a couple of weeks.

What does gastric bypass surgery mean?

Gastric bypass surgery refers to a weight-loss surgery. It helps you lose weight by changing the function of your stomach and small intestine towards the food you it.

What is the weight loss rate after bypass surgery?

The weight loss rate after a gastric bypass surgery is about 30% to 40% of your excess body weight. The results depend on an individual’s age, starting weight, and overall health. The average weight loss rate after a gastric bypass surgery is about five to fifteen pounds a week for the initial two to three months.

Is gastric bypass surgery for diabetics?

A gastric bypass is the most recommended for people with type 2 diabetes and a BMI of 40 or above. But the optimal result is not clear and depends on the severity of the patient's diabetes. Nevertheless, gastric bypass is considered the most effective weight-loss procedure for diabetics.

How much does gastric bypass surgery cost?

A normal gastric bypass surgery costs around $7,400 to $33,000 on an average excluding the insurance coverage.