About Roux-En-Y Gastric Bypass Surgery

November 12, 2012

About Roux-En-Y Gastric Bypass Surgery

Gastric bypass surgery is a radical category of surgeries to help people lose weight who cannot lose weight through diet and exercise alone. It does remove fat from the body but shortens the digestive tract. The Roux-En-Y gastric bypass surgery is a specific kind of weight loss surgery that patients with chronic obesity may consider with their doctor. In a Roux-En-Y surgery, the stomach is altered to become as small as a chicken egg. This smaller stomach is connected to the middle of the small intestine. Sometimes, the gallbladder is removed. In this way, food goes into the smaller stomach and skips over (or bypasses) the duodenum (the part of the small intestine that usually connects to the stomach). Food is mostly digested in the small intestine rather than the stomach, but digestion is not as thorough as it would be for a normal person. Because of the smaller stomach, people get full fast. Post Surgical Procedures A Roux-En-Y gastric bypass surgery is not a magic procedure to make you eat anything you want. You still have to eat sensibly. But for the first 30 days after surgery, you will only be able to eat liquid foods. After a month, you can gradually introduce solid foods. Only eat a small portion and be sure to chew food thoroughly before swallowing. This should prevent vomiting. Because food cannot be digested as efficiently as before, your doctor should put you on a multivitamin or other nutritional supplement to make up for lack of these important nutrients in your diet. Exercise or activities like lifting a heavy box are discouraged until the incision heals. This takes up to six weeks. Avoid forcing out bowel movements because this could pull the stitches. But on a liquid diet, you will most likely get lots of diarrhea. Keep drinking water all day in order to prevent painful dehydration symptoms such as uncontrollable shaking, extreme confusion and nausea. Best Surgical Candidates Gastric bypass surgery is not for every obese person. If a person is morbidly obese, then any type of surgery could prove lethal. It is useless to perform this surgery on patients that have bad eating habits and do not exercise because they will quickly become obese again. Successful surgical candidates may have to diet for months before surgery in order to make the surgical procedure go smoothly and prove that they are committed to dieting for the rest of their lives. Patients with a body mass index of 40 or more are good candidates for surgery, but can be done on people with a body mass index of 35 that also suffers from an illness like Type 2 diabetes. Patients with a body mass index below 35 should not get this surgery, as it could cause terrible complications, such as malnutrition.

Things to Consider Roux-En-Y surgery has a good record for helping people keep weight off. On average, people only gain back 20 to 25% of the weight initially lost in the first month after surgery. Gastric bypass surgery does predispose people so some health problems, such as:

  • Kidney stones

  • Gallstones if the gallbladder needs to be removed

  • Osteoporosis

  • Hernia in the abdomen

  • Stitches becoming lose in the stomach, requiring another surgery to fix

  • Chronic vomiting due to the small size of the stomach.

But remaining obese also puts you at risk of developing potentially lethal problems such as heart disease, Type 2 diabetes and some types of cancers.

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