جراحة الالتفافية المعدية

A: In a gastric bypass surgery, the surgeon cuts the stomach by dividing it into a small upper section and a large bottom section with the help of staples. After this division, the second and the last step is the bypass step in which the surgeon connects a small portion of the small intestine to a small hole in the patient’s pouch. In the open surgery method, the surgeon makes a large surgical incision to open the belly and then bypass is done to work on the patient’s stomach, small intestine and other related organs. In the minimally invasive procedure, i.e. laparoscopic a tiny camera is inserted and placed in his belly, which allows the surgeon to look inside his stomach. In this method, a few small incisions are made to insert a camera through one and surgical tools through others. Gastric bypass surgery cost in Delhi is not too high, as many hospitals provide these surgeries.

A: A gastric bypass or any other weight loss surgery poses some potential health risks, which are stated below-

• Excessive Bleeding
• Infection
• Adverse reactions to anesthesia
• Blood clots
• Lung or breathing problems
• Leaks in the patient’s gastrointestinal system
• Even death, but in very rare cases.

• Bowel obstruction
• Dumping syndrome, which causes diarrhea, nausea or vomitting
• Gallstones
• Hernias
• Low blood sugar levels (Hypoglycemia)
• Malnutrition
• Stomach perforation
• Ulcers
• Vomiting
• Death, but in very rare cases.

A: There are four types of bariatric surgery, and a patient is suggested one depending on his overall health, BMI and other weight-related health issues. Following are the common gastric surgeries performed -

1. Roux-en-Y: It’s the most common method of gastric bypass surgery which is not typically reversible. The surgeon cuts across the top of the patient’s stomach and seals it off from the rest of the stomach. After the surgery, the pouch is reduced to the size of a walnut, which is capable to hold only about an ounce of food. Then, the doctor operates on the small intestine, which is cut and sewed a part of it directly onto the pouch. After the surgery, the food enters directly into the middle portion of the small intestine.
2. Biliopancreatic diversion with duodenal switch: This type of gastric bypass is a complex procedure where about 80% of the stomach is removed. The parts which only remains are the valve that releases food to the small intestine (the pyloric valve) and a portion of the small intestine that generally connects to the stomach (duodenum). Maximum part of the small intestine is bypassed in this surgery and only the end portion of the intestine is connected to the duodenum near the stomach (duodenal switch and biliopancreatic diversion). This surgery is usually recommended to people whose BMI is greater than 50.
3. Laparoscopic adjustable gastric banding (LAGB): an inflatable band around the uppermost part of the stomach is positioned in this gastric bypass surgery. Acting like a belt, the band compresses the stomach when it is inflated. The surgery separates the stomach into two parts, where one part acts like a very small upper pouch that works with the rest of the stomach through a medium created by the band. The band is adjustable to restrict more or less intake of food.

A: Gastric bypass is a surgical procedure where a patient is made to lose body weight through bypass surgery. Through this surgery, changes are made in the digestive system by limiting how much the patient can eat or by reducing the absorption of nutrients, or both. In this surgery, changes are made in the stomach and small intestine by making it smaller, which makes a person feel full with even with less quantity of food. There are many types of gastric surgery or weight loss surgeries, which are collectively known as Bariatric surgery.

A: After the surgery is over, the patient is brought to a recovery room under the observation of the medical staff and nurses where the patient is made to stay until the anesthesia wears off completely. Post that, the patient is transferred to a normal room for about 1 to 4 days depending on their recovery. It should be noted that post the surgery, the patient is not allowed to eat for one to two days to let the stomach and digestive system heal completely. After one to two days, the patient will be given a specific diet which has to follow strictly for about 12 weeks. The diet initially starts with liquids only, then progresses to ground-up or soft foods and then lastly to regular foods. The patient will have restrictions on what and how much to eat or drink. The patient will be made to wear special stockings on legs to prevent the formation of blood clots. The patient will also be asked to take specific medicines to prevent blood clots. Through an IV i.e. a catheter that goes into the vein, the patient will be given pain killers to overcome the surgical pain. Many hospitals have state-of-the-art facilities and provide Gastric bypass surgery cost in Delhi with unmated treatment and ancillary services.

A: Before the surgery, the doctor will ask the patient to stop the intake of medicines that make it hard for the blood to clot, such as aspirin, ibuprofen, warfarin, and similar other medicines. The doctors will instruct to strictly stop the intake of any kind of food or drink a night before the surgery. Patients should keep in mind to keep at least 6 to 12 hours of gap between the last meal and the surgery. If the patient has to take any medicine, then it must be consumed only with a sip of water. On the day of the surgery, in the morning the nurses will monitor the patient's blood pressure, sugar level, and other checks up necessary like a few blood tests. Then, a sedative will be given to the patient to clear his stomach completely before the surgery. When the patient is ready for the surgery, he will be given general anesthesia so that he remains unconscious and unaware during the surgery.

A: Gastric surgery is suggested by doctors to a person if his body mass index (BMI) is 40 or higher i.e. an extreme case of obesity or when his BMI is between 35 to 39.9 but the patient faces serious weight-related health problem as stated above. In some cases, doctors can suggest gastric surgery even if the BMI ranges between 30 to 34 and the person has serious weight-related health problems.

A: A gastric bypass surgery can be performed only at an Operation Theatre of a multispecialty hospital, which is equipped with modern equipment and all the necessary surgical tools required performing any weight loss surgery.

A: A bariatric surgeon usually performs the gastric bypass or bariatric surgery and is specialized in performing weight loss surgeries. A surgeon who have knowledge and experience in stomach surgeries can also perform such surgeries.

A: Gastric surgery or any other weight loss surgery is done when diet and physical exercise stops showing its effects on the patient's body or a patient face serious health problems because of the weight. Gastric surgery is the last option left to surgically make a person lose his weight to save him from life-threatening weight-related health problems like gastroesophageal reflux disease, heart disease, high blood pressure, severe sleep apnea, type 2 diabetes, and heart stroke. Detail about gastric bypass surgery cost in Delhi is easily available over the internet along with other necessary information.

A: Gastric surgery is suggested by doctors to a person if-

• His body mass index (BMI) is 40 or higher i.e. an extreme case of obesity, or
• When his BMI is between 35 to 39.9 and he also has serious weight-related health problems, such as type 2 diabetes, high blood pressure, hyperlipidemia, obstructive sleep apnea, non-alcoholic fatty liver disease, and many other similar problems
• In some cases, patients with BMI range between 30 to 34, can also be suggested gastric surgery by doctors, as the patient might be suffering from serious weight-related health problems as stated above.