Gastric bypass surgery is often performed by laparoscope. Laparoscopic procedures consist of multiple small incisions. Five to six incisions are normally used in gastric bypass. An “open” procedure, which is used less often, uses a single, long cut to provide the surgeon access to the abdomen.
In a laparoscopic surgery, a camera is used to view the abdomen via the incisions. Small instruments are then used to perform the surgery through the multiple access points.
There are benefits to choosing laparoscopic surgery over an open procedure. Laparoscopic procedures lead to fewer wound complications such as risk of infection and patients usually experience less pain following surgery.
Laparoscopy patients are also able to leave the hospital sooner and get moving again more quickly than patients who’ve had an open procedure.
Not all patients are suitable for laparoscopy. Patients who are extremely obese, who have had previous abdominal surgery, or have complicating medical problems may require the open approach. Some surgeons still perform gastric bypass via open surgery based on preference and their experience level with the particular procedure.
You may wish to talk to multiple surgeons to discuss the pros and cons of each kind of procedure before making any final decisions about your surgery. While it is your personal option to choose between a surgeon who performs open or laparoscopic procedures, there are times when a laparoscopic procedure becomes an open procedure on the table due to complications or difficulties.
Who can go for Gastric Bypass?
Only the people satisfying all the features or majority of them are treated with a Gastric Bypass by the Doctors in India : –
- Ones having Body Mass Index above 40
- Those who are 100 pounds/45 kg or more over their estimated ideal
- Age between 18 and 55 years
- Failure of dietary or weight-loss drug therapy for more than one year
- History of obesity (generally 5 years or more)
- Comprehension of the risks and benefits of the procedure and willingness to comply with the substantial lifelong dietary restrictions required for long term success.
- Acceptable operative risk.
Who can’t go for the treatment?
- If the surgery or treatment represents an unreasonable risk to the patient.
- Untreated glandular diseases such as hypothyroidism.
- Inflammatory diseases of the gastrointestinal tract such as ulcers, esophagitis or Crohn’s disease.
- Severe cardiopulmonary diseases or other conditions which may make them poor surgical candidates in general.
- An allergic reaction to materials contained in the band or who have exhibited pain intolerance to implanted devices.
- Dependency on alcohol or drugs.
- Mentally retarded or emotionally unstable people.
Complications of Gastric Bypass in India
After the Gastric surgery like any other surgeries certain complications or any disease can arise out of it. They are as follows.
- Anastamotic Leakage
- Anastamotic Stricture
- Dumping Syndrome
- Ankylosing Spondylitis
After gastric bypass surgery in India : –
- The patient won’t be allowed to eat for one to two days after the surgery so that your stomach can heal.
- Then, they will have to follow a specific dietary progression for about 12 weeks. This begins with liquids only, proceeds to pureed and soft foods, and finally to regular foods.
- In the first six months after surgery, eating too much or too fast may cause vomiting or an intense pain under your breastbone.
Troubles after the surgery : –
- Body aches
- Feeling tired, as if you have the flu
- Feeling cold
- Dry skin