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What You Should Know About Gastric Bypass Surgery

By Lisa Green


Weight loss operations are also known as bariatric operations. They work by limiting the amount of food one can consume hence are also referred to as restrictive surgeries. The main types that are offered in New York include sleeve gastrectomy, gastric bypass surgery and gastric banding. While there are some differences in the way in which each of them is done the end result is more or less the same. In this article we look at the important aspects of the bypass surgery.

It is important that the client and the surgeon have a detailed discussion on the need for the operation first before a decision is made. Other options of losing weight should be offered and tried out with surgery coming in as a last resort. Lifestyle changes are among the most effective and are also affordable by a majority of the population.

Candidates that are most likely to benefit from the surgery are those with a body mass index of 40 or more. If one is suffering from a condition that is aggravated by excess weight then a lower value may be accepted. Examples include sleep apnea, high blood pressure and diabetes among others. In these cases, surgery will help not only relieve the symptoms but will also help slow the progression.

The steps that are involved in preparing for this operation are more or less the same as those involved in other surgeries. One needs to be subjected to a number of tests to determine whether they are fit enough to have the surgery. Some of the important tests conducted routinely include renal function tests and a full blood count. Some drugs such as aspirin and anticoagulants increase the risk of bleeding and should be stopped before the operation.

The surgeon can choose one of two techniques to do this operation. The first type is known as Roux-en-Y. In the technique, a small incision is first made on the abdominal wall so as to access the stomach. A portion of the stomach is stapled or compressed with a band to reduce its size. A Y-shaped intestinal section is then attached onto the stomach so that a part of the original route is bypassed (hence the name).

One of the reasons as to why weight loss occurs following the Roux-en-Y procedure is the small stomach size. Faster filling means that you will eat less than before. Consequently less food is available for conversion to fat for storage as most of it is used for the provision of energy. The other major contributor to weight loss is the reduced surface area that is necessary for absorption of nutrients.

The second technique that is employed is known as extensive gastric bypass. It is a more radical procedure that is mainly considered in case of biliary obstruction caused by liver disease. This is why it is alternatively known as biliopancreatic diversion. To perform the operation, the lower stomach portion is removed and the upper portion is then stitched to the last section of the intestines skipping the first and the second in the process.

Even as you plan to have the bypass, there are a number of potential risks that you should be aware of. Reduced absorption of useful nutrients is the most commonly encountered. It is especially severe in the case of extensive gastric bypass. Dumping syndrome is a collection of symptoms associated with rapid movement of food through the gut once the procedure has been performed. They include diarrhea, nausea, vomiting, sweating and weakness among others.




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