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Essential Principles On 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.

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.

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.

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.

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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