Gastric bypass at Obesity & Aesthetic Surgery in Tunisia
The gastric bypass is a bariatric surgery operation that allows the reduction of the volume of the stomach and the modification of the food circuit for an effect of malabsorption. All in order to help the patient carry out his weight loss regime.
Principle and mechanism of action of Bypass
Gastric bypass surgery is a surgical procedure to reduce the size of the stomach and to change the connection between the stomach and the intestines. The small intestine is attached to a new opening in the stomach (above the double row of staples).
The two parts of the small intestine will be connected so that the secretions from the unused part of the stomach can help digestion with Bilio-pancreatic. secretions.
Benefits of Gastric Bypass
Gastric bypass surgery allows you to:
- Achieve significant long-term weight loss (70-80% excessive weight loss)
- Restrict the amount of food ingested
- Decrease intestinal absorption of food
- Drive to conditions that increase energy expenditure
- Produce favorable changes in intestinal hormones that reduce appetite and improve satiety
Operation and stay
- Like every surgical operation, the patient must be fasted for at least 6 hours before the intervention. The latter is performed under general anesthesia and lasts an average of two hours depending on the patient’s profile.
- To prevent thromboembolic complications, medical staff administer painkillers and a heparin injection to the patient.
- The stay after laparoscopic gastric bypass surgery varies from 3 to 5 days.
Your surgeon will visit you several times. He will make sure to supervise you well and give you the exit instructions as well as the prescriptions and / or the medications that you will need once you are at home.
Our doctors ensure that their patients do not leave until they understand everything and know the exact behavior to do once at home for the proper conduct of the post-operative phase.
Recommandations post-opératoires
Take your pain medication
Pain medication can cause constipation. Your discharge instructions should include guidelines for treating constipation during your first few weeks after surgery.
Drink water
Dehydration becomes a real risk after surgery. Food provides us with a good amount of our daily water. Without food, you will need to be very careful with you Fill a large bottle of water with all the water you will need for the day and start sipping. DO NOT use straw to drink your water. It is easy to drink too much too quickly and you risk swallowing air that puts pressure on your new stomach. Small sips, no straws, all day!
Sleep well ! drink water intake to avoid dehydration.
You will need to sleep. You will be tired. You will have time to clean up and organize and everything else, except for those first few weeks, plan to rest.
Physical activity
Always follow your exit instructions. Keep walking. Increase the distance slightly as you go. Test the stairs once you feel up to it. If a certain activity is too difficult or causes pain, don’t force it!
Possible complications for gastric bypass
Gastric bypass presents a 4% low risk of complications. Like gastric plication, there can be early complications as well as complications that arise after a month of surgery.
However, these complications do not lead to a complete failure of the Bypass operation. Failure to lose weight or have a small loss is often a consequence of an eating disorder that should be detected before making the decision to start surgery.
At “Obesity & Aesthetic Surgery”, our specialist and experienced doctors are able to detect this kind of disorder and refer the patient to a food re-education program. Affected patients are led to follow these kinds of programs for months before being operated on.
On the other hand, there are other reasons that can lead to the failure of the bypass and are generally the absence of medical follow-up, the incompetence of the medical team, unhealthy eating behavior, lack of physical activity. ,…
Fortunately, this kind of thing is avoidable with the presence of a good surgical and care team and with the necessary supervision and support guaranteed by our specialists.
You can download the list of exams to do before the intervention by clicking here.
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