Monday, April 15, 2024

Gastric Bypass Surgery Pros And Cons

Understanding The Benefits And Risks

Should I get Gastric bypass surgery? – pros, cons, reality.

The long-term success of bariatric surgery depends on your ability to make permanent changes in your diet, behavior, and exercise. When those changes take place, studies show that people who undergo bariatric surgery experience many benefits. Having an experienced weight loss surgeon perform your surgery minimizes many of the risks that are associated with surgery in general, and with specific weight loss procedures.

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You Live LongerA 2018 JAMA study reported that people who underwent bariatric surgery lived longer when compared to people of similar age, sex, and BMI who had not undergone bariatric surgery.

Your Risk for Cardiovascular Disease Is ReducedData presented at the 2018 American Society for Metabolic Surgery meeting provided further evidence that people who undergo weight loss surgery experience a significant decrease in their risk for coronary artery disease. The study participants also saw significant decrease in their risk for diabetes, high blood pressure, and stroke.

You Experience Less Sleep Apnea and Joint-Related ProblemsWeight loss, by any method, is a well-documented treatment for sleep apnea. Experience a reduction in sleep apnea and joint-related problems.

Duke Regional Hospital is accredited by the American Society for Metabolic and Bariatric Surgery for its high standards of care in weight loss surgery.

Whats The Difference Between These Two Surgeries

In a way, both types of weight loss surgery are similar in that they rely on the same basic idea: reduce the size of the stomach in order to automatically reduce the number of calories that can be consumed in a single sitting. Such a reduction in stomach volumeand the resultant caloric deficitis designed to promote weight loss over the long term by essentially retraining the body to expect fewer calories. The decreased stomach capacity means feeling full sooner, and the net effect of feeling full is that it becomes very difficult to overeat.

Though they both work by decreasing stomach capacity, one of the main differences between the two surgeries is the primary means of achieving a caloric deficit. In gastric sleeve surgery, the smaller stomach size simply means youll generally be less hungry this essentially forces you to eat less because the new stomach simply cant hold the same amount of food. With gastric bypass, the nature of the procedure makes it so that fewer nutrients are actually absorbed by the body because the stomach and part of the intestinal tract are bypassed.

What Are The Risks And Complications

Bariatric surgery is a relatively safe procedure.

According to the American Society for Metabolic and Bariatric Surgery , the risk of a major complication is about 4%. This is much lower than the risk of developing serious obesity-related health issues.

Some factors that can complicate any surgery, including bariatric surgery, include:

  • staying hydrated by drinking enough water
  • sipping fluids rather than drinking quickly
  • avoiding food thats difficult to digest, such as tough meat and bread
  • avoiding carbonated beverages

The main postoperative difference is the size of your stomach pouch, which affects how much you can eat.

With gastric bypass, your pouch holds about 1 ounce of food, which is slightly smaller than a golf ball. Gastric sleeve surgery creates a pouch that holds 2 to 5 oz. of food.

Your pouch will stretch over time. Its important not to overeat after bariatric surgery because your pouch can stretch enough for you to regain the weight you lost.

According to the AMBS, around 90% of people who undergo bariatric surgery lose 50% of their excess body weight. They can maintain much of their weight loss in the long term.

Success rates vary depending on the type of surgery.

One of the biggest advantages of gastric sleeve and gastric bypass surgery is that they significantly reduce your risk of obesity-related conditions, such as:

  • knee or hip pain

Bariatric surgery could also reduce your risk of premature death.

Gastric sleeve surgery

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Mini Gastric Bypass Pros

Generally speaking, mini gastric bypass is less invasive, faster, and has shorter recovery times than RNY. With mini gastric bypass surgery, there is also less rerouting of the small intestine. There are many pros to having mini gastric bypass surgery that you should be aware of and take into consideration. For example:

  • The mini gastric bypass decreases the risk of comorbidities. These are conditions resulting from morbid obesity. It relieves obesity symptoms like sleep apnea, diabetes, edema, and arthritis.
  • Mini bypass is less invasive, and therefore safer. Mini bypass has reduced chances of complications because it has fewer intestine connections or anastomosis.
  • Mini bypass is a lot shorter in terms of operating and recovery. The mini bypass takes around an hour and the patients are allowed to leave the hospital in 24 hours.
  • Mini bypass involves less rerouting of the intestines. This means that mini gastric bypass is technically easier for surgeons to perform and that this bariatricsurgery tends to have higher success rates.
  • Mini bypass is less expensive compared to traditional gastric bypass.
  • Patients are able to get back to normal activities within a week the mini bypass healing process is relatively quick because the procedure is less invasive.

Gastric Bypass Surgery In Iran

Pin on bariatric surgery

Gastric bypass surgery is a well-known surgery that is performed in many countries around the world. Iran is one of the countries that has been very successful in gastric bypass surgery. There are committed and specialized doctors in Iran who can perform gastric bypass surgery in Iran well.

The advice and guidance of specialist physicians can shorten the recovery period for individuals. Specialist physicians can prepare the ground for gastric bypass surgery by studying the tests and examining the physical condition of each person.

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How Will My Diet Change

Bariatric surgery will alter how your body processes nutrients. You will also notice that your tolerance to certain foods change as well.

Immediately following surgery, you will be placed on a clear liquids diet and gradually advanced to soft and solid foods.

After the initial healing period has passed there are a few key areas in your diet that will require more attention than before. They are:

  • Protein intake. With both gastric bypass and gastric sleeve procedures the stomach is significantly smaller than it was previously. For this reason, it is important to choose wisely which foods you will gain the most benefit from. Protein should be the top priority to maintain lean muscle mass, help feel satisfied after eating, and encourage weight loss.

BariLife offers a complete line of products to suit all your post bariatric surgery needs.

So Which Bariatric Surgery Method Is Better

Now that weve delved deep into the pros and cons of bariatric surgery, its clear to see that each procedure has its advantages and disadvantages. The procedure you choose will depend on your qualifications, your needs, and the recommendation your surgeon provides. At Colorado Bariatric, we focus on Robotic Bariatric Surgery, including both Robotic Gastric Bypass and Robotic Sleeve Gastrectomy procedures, both of which are undergone through a state-of-the-art Da Vinci robot. To find out whether bariatric surgery is right for you or learn the exact questions you need to ask your surgeon when considering weight loss surgery. If you want to check if your insurance will cover bariatric surgery, you can get in touch with us here.

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And Finally Lets Look At The Important Things You Can Do To Reduce Your Risk Of Developing Complications

Gastric Bypass is an intensive surgery that requires diet and lifestyle modifications before and after surgery. Immediately following surgery you will not be able to have solid foods as your stomach and intestines are trying to heal.

You will then need to follow a special diet plan to progress to solid foods. The need for vitamin and mineral supplements will likely be necessary following surgery.

It is important to work with a team of strong professionals including Physicians and Registered Dietitian to reduce risk of malnutrition/nutrient deficiencies and optimize the effects of the procedure.

Overall, Gastric Bypass surgery can be a challenging but extremely rewarding process. If you are considering Gastric Bypass Surgery, make sure to educate yourself and surround yourself with a smart team of professionals.

In doing so, you will be setting yourself up for a successful weight loss journey.

Gastric Bypass Surgery Procedure

Would I Do Gastric Bypass Again? (Part 1) | Weight Loss Surgery Pros and Cons

You should take the necessary precautions before and after gastric bypass surgery. Your doctor will provide you with a special diet to prepare you for surgery day. Before gastric bypass surgery, you will be anesthetized and the surgery will be painless. In the next step, the surgeon cuts the abdomen and uses the staples to divide the abdomen into upper and lower areas so that he can have more access to the upper part of the stomach.

The upper part of the stomach is the part where food enters and is broken down by acid. Because the specialist doctor deals more with this area, he should have better access to this area. This part of the stomach is very small and holds about 30 grams of food. During gastric bypass surgery, the doctor shrinks this area to reduce the amount of food that is placed in it.

In the next step, the specialist doctor makes an incision in a part of the small intestine and connects this part to the stomach sac through a small hole. In this way, after you taste the food, the food enters the gastric sac from the esophagus and connects directly to the small intestine and is not placed in any other space of the stomach or the space between the intestine and the stomach, thus reducing food absorption.Gastric bypass surgery can be performed open or closed.

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Biliopancreatic Diversion With Duodenal Switch

Biliopancreatic Diversion with Duodenal Switch is a type of bariatric bypass that requires two steps. In fact, its a mixture of both a gastric bypass and a sleeve gastrectomy. First, a piece of the stomach is removed , and second, a large portion of the intestine is bypassed . It aids in weight loss by reducing the amount of food that can be ingested , as well as the amount of calories that can be absorbed .

Lets discuss BPD/DSs pros and cons.

Biliopancreatic Diversion with Duodenal Switch Pros

  • You can expect to lose up to 70% of excess body weight
  • Its the fastest weight loss surgical procedure
  • Most effective treatment for diabetes

Biliopancreatic Diversion with Duodenal Switch Cons

  • Its the most invasive out of all bariatric surgical procedures
  • Longer hospital stay and recovery times
  • Requires long-term vitamin and nutrient supplement intake
  • Can cause frequent and smelly diarrhea
  • Has the most aggressive follow-up procedure

The combination of both a gastric bypass and a sleeve gastrectomy means that this procedure yields the most effective weight loss results, with patients being able to lose 60-70% of excess body weight during the first year. But its the most invasive out of all the procedures, which implies a longer hospital stay and recovery times, as well as requiring an aggressive follow-up with the surgeon due to the calorie and nutrient malabsorption.

Lap Band Vs Gastric Sleeve: Who Is Eligible

To be eligible for lap band surgery, a patient must have a body mass index of 40 or higher, or a BMI of 30 or higher and suffer from comorbidities such as heart disease, diabetes, or high blood pressure.

To be eligible for gastric sleeve surgery, you must have a body mass index of 40 or higher, or if you have a BMI of 30 or higher and have a serious weight-related health issue such as high blood pressure, severe sleep apnea, or type 2 diabetes.

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How Do You Decide Between A Gastric Bypass Vs A Gastric Sleeve Surgery

There are multiple options to consider once youve decided to embark on bariatric or weight loss surgery. Each type of surgery has its own benefits and risks.

Dr. Mullangi will explain the pros and cons of gastric sleeve vs gastric bypass surgeries during your consultation. There are a number of factors to consider in making the decision.

First, we want to share the similarities.

Both gastric bypass and a gastric sleeve are very similar procedures. Both are irreversible, both involve a hospital stay of about 2-3 days, and both operations reduce the amount of food you can eat before feeling full . Both the gastric bypass and gastric sleeve are done laparoscopically.

Now the differences:

A gastric bypass or a Roux-en-Y procedure involves the attachment of a small pouch to the intestine in order to bypass the stomach. The recovery time is about 2-4 weeks. Patients can expect to lose 6080% of excess weight within the 1 1.5 years!

There is a risk of dumping syndrome , which is when food moves from your stomach into your small bowel too quickly. We will discuss dumping syndrome in greater detail in a different dedicated post.

A gastric sleeve involves removing a portion of the stomach to produce a sleeve or banana-shaped stomach. The recovery time is similar, also about 2-4 weeks. Patients tend to lose weight more gradually with a sleeve, but they can still lose around 60-70% of excess weight lost by 1.5 years. There is generally a lower risk of dumping syndrome.

Gastric Bypass Pros And Cons: Disadvantages

Gastric Bypass Surgery Vs Sleeve : Pin On Vsg / When you are evaluating ...

However, there are not only advantages associated with gastric bypass. The surgery is technically a more complex operation than the adjustable gastric band or laparoscopic sleeve gastrectomy, which can possibly result in greater complication rates. Patients submitted to Roux-en-Y gastric bypass have an approximate mortality rate of 2.5% 90 days after the procedure. Despite the fact that comorbidities like diabetes and high blood pressure may be minimized or cured, the worse they are prior to the surgery, more likely it is for the patient to suffer further complications.

Unlike the gastric band, but similarly to the other procedures, it is an irreversible surgery. Other disadvantage shared with biliopancreatic division with duodenal switch is that it is highly likely to cause long-term vitamin or mineral deficiencies particularly in vitamin B12, iron, calcium, and folate. In addition, it generally has a longer hospital stay than the AGB and it requires adherence to dietary recommendations, life-long vitamin/mineral supplementation, and follow-up compliance, as explained by the ASMBS.

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Mini Gastric Bypass Surgery

If youre looking for a simple and short inexpensive technique when it comes to choosing a weight loss surgery option then you may be considering mini gastric bypass surgery. While you may have heard the term before or know a little about mini gastric bypass surgery, you might not know much about it in detail or the upsides and risks.

Take the time to understand more about the pros and cons of mini gastric bypass surgery so you can make the right decision for yourself and your body on your weight-loss journey. You may have always assumed that Roux-en-Y gastric bypass surgery was an ideal choice because its a well-established and known procedure. However, it may be comforting to know many people are still choosing to have mini gastric bypass surgery because of the numerous benefits it has to offer.

Weight Loss Surgery Complications

Weight loss surgeries are generally safe. However, all surgeries carry bleeding and infection risks, as well as risks associated with general anesthesia. We want you to be aware of all the possible risks.

Risks Associated with Medical ConditionsMedical conditions you may already have — such as blood clots, liver disease, heart disease, and kidney stones — can worsen after surgery.

Physical, Social and Psychological ConcernsIn the months following bariatric surgery, you may be at increased risk for the following conditions:

  • Depression, especially in people who experienced depression before surgery
  • Alcohol- and substance-abuse disorders

Increased Fertility in WomenWomen may become more fertile in the months following surgery. However, it is recommended that you not become pregnant for at least 12 to 18 months following surgery because of fetal and maternal health concerns.

Weighing Benefits vs. ComplicationsOur initial comprehensive evaluation of your overall health helps us decide whether the benefits of bariatric surgery outweigh the risks and side effects. It will also determine if you are psychologically and mentally ready to handle the changes in your life that will follow surgery.

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Gastric Sleeve Vs Bypass Surgery The Similarities

Both surgeries alter your stomach size by shrinking it to the size of a small pouch.

A smaller stomach area means you will feel full of much less food. Smaller stomachs also result in less ghrelin the hormone responsible for feelings of hunger.

The differences between the two surgeries lay in how they create a smaller stomach pouch.

The Difference Between Lap Band Surgery And Gastric Sleeve Surgery

Pros And Cons of Gastric Sleeve Surgery

What Is Lap Band Surgery?Lap band surgery is considered to be one of the least invasive weight-loss surgery options. During laparoscopic adjustable gastric band surgery, surgeons make small incisions in the upper abdomen before inserting a silicone ring with an expandable balloon around the upper section of the stomach.

When the band is fitted correctly, it will create a small stomach pouch, which will help lap band patients feel satiated sooner with a smaller amount of food. The band can be adjusted through inflation or deflation to allow patients to increase or decrease the amount of food they can eat at any given time. In addition, the procedure is reversible because the band can be removed through additional surgery.

What Is Gastric Sleeve Surgery?Like lap-band surgery, gastric sleeve surgery is performed laparoscopically. Unlike lap band surgery, however, the effects of gastric sleeve surgery are irreversible. This surgery will essentially remove a large portion of the stomach so it holds less food and limits the amount of food that can be eaten at one time.

During the operation, around 80% of the stomach is removed. The remaining part of the stomach is formed into a tube-like shape about the size and shape of a banana. With 80% of their stomach removed, gastric sleeve patients can only consume a limited amount of food at any given time.

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