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Important Facts About Gastric Bypass Surgery

By Pamela Graham


There are a number of surgical interventions for weight loss for New York City residents. Gastric bypass surgery describes the process of dividing the stomach into two parts and then reconnecting the two using the small intestine. A typical patient who qualifies for this kind of surgery are those suffering from serious weight issues, particularly those whose body mass index is beyond 40. Diabetes, hypertension and sleep apnea are some of the co morbidities for which this procedure has been shown to be beneficial.

Laparoscopy is the commonly used technique though open surgery can also be employed. Sometimes, both techniques are utilized. In laparoscopy, a number of ports are made to access the stomach and the small bowel. A video camera place within a telescope is used to guide the surgeon during the operation. The essence of making an upper small pouch of the stomach is to ensure feeding is restricted.

It is important to be aware of the complications that may arise so as to assess the risk of the procedure and mortality related to it. Compared to laparoscopy, open surgery is associated with a higher rate of complications. Some of these adverse effects may occur just like in any other major surgery while others may be related specifically to gastric bypass procedures (GBP).

Bacteria present in the bowel may be released during the procedure, putting the patient at risk of infections. Additionally, the open incisions made expose one to infections, especially if sterility is not well observed. Hospital acquired infections such as pneumonia, sepsis, kidney and bladder infections may also occur. Short term use of antibiotics and focused respiratory therapy can help in 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.

Other complications are general to abdominal surgeries and include hemorrhage, hernias and bowel obstruction. Hemorrhage may occur as a result of accidental cutting of blood vessels. Blood for transfusion should therefore be availed prior to the procedure, in case it is needed. The chance of a hernia occurring is markedly reduced when operation is done laparoscopically. Bowel obstruction may occur either due to hernia or adhesion bands formed due to scarring.

The complications notwithstanding, gastric bypass procedures come with a number of advantages. First, a weight loss of at least sixty percent is obtained. Secondly, as a result of losing the excess weight, related morbidities are reduced. In one research, it was shown that type two diabetes is relieved in over ninety percent of patients.

People who have had this kind of operation tend to be challenged both emotionally and physiologically. These individuals may suffer from depression because of reduced amounts of food which they are not used to. Also, they tend to lose balance and get easily fatigued due to muscle weakness as a result of low protein and energy levels. The good news is that these problems fade with time when the individual eventually gets adjusted.




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