Some Essential Facts About Gastric Bypass Surgery

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By Pamela Graham


There are many surgical options that are available to help with weight problems. Gastric bypass surgery is one of the operations offered in New York City. As the name suggests, this is a procedure in which the small intestine is used to separate the stomach into two parts, a smaller upper portion and a larger lower portion. The procedure is not only carried out on people suffering from extreme obesity but also benefits those with related to it such as diabetes, hypertension, and sleep apnea.

Creating a smaller proximal portion of the stomach helps restrict the quantity of food intake. Gastric bypass procedures (GBP) can employ variable techniques to achieve the desired goal. Laparoscopy is the most common technique employed today. However, open surgery can be done in select cases. Laparoscopy involves making a number of incisions or channels to access given areas of the alimentary canal using a telescope and operating instruments.

Just like any other major surgery, this operation comes with its own complications. Some of the complications are related to abdominal operation while others are specific to gastric bypass procedures (GBP). These potential adverse effects are used to assess the risk of operation and mortality. The overall rate of complications is higher with open incisions than when laparoscopy is used.

Peritonitis or abscesses are complications that are likely to occur as a result of making surgical incisions in the abdomen. Observing sterile measures and diligent wound care are some of the practices that keep infections at bay. Nosocomial infections such as sepsis and pneumonia can be treated through use of antibiotics as a short term form of management.

Blood tends to clot more during an operation to counter the bleeding that occurs as result of incisions made. The clots frequently form in leg veins and sometimes the pelvis for the very obese patient. Unfortunately, the blood clots may get dislodged and travel to the lungs posing a serious threat to the health of the individual. Anticoagulants are usually given preoperatively to minimise chance of venous thromboembolism.

Abdominal surgeries may also be associated with bleeding, bowel obstruction and hernias. Hemorrhage can be attributed to blood vessel rupture during the procedure. Arrangements should therefore be made preoperatively to make blood available for transfusion if needed. The types of hernias that occur in such cases are known as incisional hernias and are likely to occur when the surgical wound fails to heal as expected. These are not only painful but can also cause kinking of the bowel.

If done successfully, the operation yields remarkable results. Research shows that at least sixty five percent of excess body weight is lost which is far more than can be achieved by any other method. Additionally, the effects of related medical conditions are markedly reduced. For instance, snoring significantly reduces in patients with obstructive sleep apnoea and medication requirements in people with essential hypertension are significantly reduced.

Both emotional and physiological changes can be seen in patients who have undergone gastric bypass. This is attributed to the need to adjust their eating habits. The reduced amount of food portions lowers their energy levels. As a result, they end up with muscle weakness (also due to reduce protein intake). They tend to have difficulty in doing things such as climbing stairs or carrying heavy objects. However, with time, they become normal again as food intake increases.




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