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Your Online Guide » Common Illness » Gastric Bypass

[G59]Gastric Bypass Surgery Support
by Paul Maciver, Pau
Gastric bypass surgery is a very successful alternative to normal dieting for the obese and overweight, and is an operation that makes the stomach smaller and causes food to bypass part of the small intestine. As a result, a person feels fuller quicker when eating compared to before gastric bypass surgery. The amount of food consumed is less and therefore fewer calories are absorbed - the end result being weight loss.

There are several forms of gastric bypass surgery:

Roux-en-Y Bypass: This is probably the most common gastric bypass being done today. This procedure involves making a small gastric pouch high in the abdomen and just below the esophagus. A segment of small bowel is then divided and attached to this pouch, sometimes behind the colon and remainder of the stomach. The remainder of the small bowel is then attached to the bowel leading from the liver and pancreas in a shape that resembles a ?Y?. Despite its popularity, there are some risks associated, including a narrowing at the connection between the stomach pouch and the small intestine which may require stretching at the opening, and the risk of a slowing down of the emptying of the pouch and small bowel, causing nausea and vomiting.

Mini Gastric Bypass: This gastric bypass was developed by Dr. Robert Rutledge in 1997. The mini gastric bypass creates a small gastric pouch much lower in the abdomen than the previous technique and incorporates a loop connection with the small bowel that provides for a malabsorption effect similar to that used by the Roux-en-y bypass. A patient who has undergone a mini gastric bypass must be careful to avoid calcium and iron deficiencies. Risks from this operation include leaking, bowel obstruction, blood clots, and pneumonia.

Laparoscopic Gastric Bypass: A Roux en-Y gastric bypass performed laparoscopically. Even though this operation takes slightly longer than the standard Roux en- Y, the recovery time is shorter.

Gastric Banding: This gastric operation also limits food intake by placing a constricting ring completely around the upper end (fundus) of the stomach, creating a shape similar to that of an hour-glass.

Gastric bypass is not an operation for everyone who is obese, as it is a major procedure that poses significant risks and side effects that can require permanent alterations to one's lifestyle. However the contented customers are numerous ? including many figure-conscious celebrities.

Today about two thirds of the population of the US is overweight, with about thirty percent of these people being clinically obese. Additionally, a staggering nine million adults are more than 100 pounds overweight and are classed as morbidly obese.

For these people the traditional remedy of diet combined with exercise simply doesn't work and they are turning more and more towards gastric bypass surgery.

The commonest form of gastric bypass surgery today is a procedure known as Roux-en-Y which creates a stomach pouch, using a section of the stomach itself, that is then linked to the small intestine, bypassing a large part of both the stomach and the duodenum. the procedure to hold large quantities of food but, by bypassing the duodenum, fat absorption is also considerably reduced.

The increasing popularity of Roux-en-Y gastric bypass surgery, helped along by such things as its use by a variety of high-profile celebrities, expanding coverage for the procedure by Medicare and some creative marketing, has led to an increase in the number of medical facilities providing the procedure. Some of these facilities are better than others and just a few are perhaps a little too interested in the profit to be made from the provision of gastric bypass surgery. In turn, this presents an escalating danger for those contemplating surgery.

Results can be impressive, not only in terms of the weight loss attained but also in terms of the dramatic improvement that can be made to the patients overall quality of life. In spite of this, gastric bypass surgery is major surgery and is certainly not suited to everybody and is not without its risks.

So exactly what risks are involved?

The risks of gastric bypass surgery will obviously vary from individual to individual and anyone contemplating surgery should consult a doctor to discover the risks that surgery carries in their specific case. Here however, in very general terms, are some of risks more commonly associated with gastric bypass surgery:

Death. As is the case with any major operation there is a risk of death associated with gastric bypass surgery and estimates place the short-term risk at around one or two percent. The risk varies with other medical conditions, age and general health.

Pneumonia. Excessive weight puts additional stress on both the chest cavity and the lungs. This gives rise to an additional risk of contracting pneumonia following surgery.

A narrowing of the opening between the stomach and small intestine. Though seldom encountered, this complication may require outpatient treatment where a tube is passed through your mouth to widen the narrowed opening or surgical correction of the problem.

Leaking at one of the lines of staples in the stomach. Infection can result from leakage around the staples and this is typically cured with antibiotics. The majority of cases heal in time but, from time to time, this leakage can be sufficiently serious to need emergency surgery.

Blood clots forming in the legs. The risk of blood clots forming in the legs is most commonly seen in the case of patients who are carrying a lot of excess weight and, when blood clots do appear, the situation can quickly become dangerous. In some cases blood clots travel to the lungs where they lodge themselves in the arteries of the lung creating a pulmonary embolism - a serious and life-threatening condition which damages the lung tissue.

Gastric bypass surgery can also cause dumping syndrome, a condition in which the stomach contents move too rapidly through the small intestine causing dizziness, nausea, vomiting, sweating and diarrhoea.

Other frequently seen complications of gastric bypass surgery include dehydration, bleeding stomach ulcers, hernia, gallstones, intolerance to some foods and vitamin and mineral deficiency.

Advances in surgical techniques are rendering gastric bypass surgery safer by the day and the introduction of laparoscopic surgery and robots, now being evaluated at Stanford University Medical Center in California, are also helping with patient recovery and reducing post-operative complications.

Despite the risks for every problem case there are a thousand examples of thinner and happier people walking around. So, if you are considering gastric bypass surgery talk to your doctor and, while you should undoubtedly consider the risks, don't automatically dismiss the procedure simply because of them.

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Both Paul Maciver & Donald Saunders are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.

Paul Maciver has sinced written about articles on various topics from Credit Cards, Family and Computers and The Internet. Paul MacIver writes about a variety of health related topics. To read more about and. Paul Maciver's top article generates over 1000000 views. to your Favourites.

Donald Saunders has sinced written about articles on various topics from Health Insurance, Forex Training and Diabetes Treatment. . Donald Saunders's top article generates over 165000 views. to your Favourites.
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