Monday, January 11, 2016

Essential Principles On Gastric Bypass Surgery

By Pamela Graham


There are many surgical options that are available to help with weight problems. Gastric bypass surgery is one of the operations offered in New York City. As the name suggests, this is a procedure in which the small intestine is used to separate the stomach into two parts, a smaller upper portion and a larger lower portion. The procedure is not only carried out on people suffering from extreme obesity but also benefits those with related to it such as diabetes, hypertension, and sleep apnea.

The purpose of a small upper pouch is to limit the amount of food that can be consumed. It is important to partition the stomach completely so as to ensure the two separate portions do not reunite in the course of healing as this will render the surgery meaningless. Laparoscopy is the most common and current technique used in the operation mainly because of minimal invasion.

It is important to be aware of the complications that may arise so as to assess the risk of the procedure and mortality related to it. Compared to laparoscopy, open surgery is associated with a higher rate of complications. Some of these adverse effects may occur just like in any other major surgery while others may be related specifically to gastric bypass procedures (GBP).

One of the complications that may occur is infection. This usually results either from either the incisions made during the operation or because of release of bacteria from the intestines. Infections may be as a result of exposure to bacteria while in the hospital. Common examples include pneumonia and sepsis. This can be managed through use of antibiotics and being diligent in respiratory therapy.

Coagulation of blood may occur due to long hours of surgery and reduced mobility. This may be dangerous to the patients as they face the risk of venous thromboembolism. Clots formed in leg veins and sometimes the pelvis may get dislodged to organs such as the lungs. To minimize this risk, anticoagulants are given before the operation is done.

One of the most important preparations before surgery is availing blood for transfusion in case need arises. This is because uncontrollable bleeding may ensue as a result of a cut major vessel. Another complication, hernia formation, may be due to failure of surgical incisions to heal well. To minimize this, most operations are usually carried through laparoscopy. Hernias are also likely to compress and cause bowel obstruction.

The complications notwithstanding, gastric bypass procedures come with a number of advantages. First, a weight loss of at least sixty percent is obtained. Secondly, as a result of losing the excess weight, related morbidities are reduced. In one research, it was shown that type two diabetes is relieved in over ninety percent of patients.

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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