Mini Gastric Bypass
Mini gastric bypass, also known as single anastomosis gastric bypass, is the easiest and fastest operation in bariatric surgery. Hospitalization period for patient is shorter than the other bariatric surgeries. And it’s also provides weight losing for the patients as like the standard bypass surgeries. Mini gastric bypass gives positive results especially in patients with type 2 diabetes and hypertension.
How is Mini Gastric Bypass Done?
This surgery is performed with a completely closed laparoscopic method. Therefore, small incisions are made on the abdominal wall. With these incisions, a mini pocket is made in the stomach. This pocket is also connected to the intestines. As a result of the surgery, while the stomach volume is reduced, the absorption of sugar and sugary foods is prevented.
Who Can Have the Surgery?
Those between the ages of 18-65 can have this surgery. Under the age of 18 and over the age of 65 can also benefit from this surgery, with special circumstances and the decision of the doctors. The patient must be able to handle the surgery and anesthesia. Those with a Body Mass Index over 35 and those with a body mass index between 30-35 and having helath problems related exceeding weight are also suitable for this surgery. Some of the co-morbidities; hypertension, cholesterol, diabetes, sleep apnea, heart failure and metabolic syndrome.
Advantages of Mini Gastric Bypass
Mini gastric bypass provides some advantages over both non-operational and other surgical operations. These:
Since it is performed with the laparoscopic method, the recovery process of the patients is faster and they are discharged earlier.
The operation time is short. Since the duration of anesthesia will be short, complications related to anesthesia are also less.
Quickly reduces food intake.
It is an effective method to reach the desired weight.
A rapid improvement is observed in type 2 diabetes and hypertension.
Are There Any Disadvantages, If So What Are They?
Vitamins are mandatory for life.
It should not be preferred in patients with reflux.
There is a possibility of bile reflux.
Gastric ulcer and esophageal irritation (esophagitis) may be observed due to reflux.
Dumping Syndrome may occur. Dumping Syndrome also occurs with wrong food choices. Cramps, nausea, dizziness, weakness and fatigue are also symptoms.
Things to Do Before and After Surgery
Things to Do Before Surgery
Since there will be vitamin and mineral deficiency in patients who will undergo this surgery; Vitamin B1, B12 and D,
Calcium
Helicobacter Pylori (hp) eradication
Endoscopy
What to Do After the Surgery
Monitoring and, if necessary, supplementation of vitamins B1, B12 and D
Full biochemistry examination every 3 months in the first year,
1 examination every 6 months in the 2nd year, and then annual examination
Early ultrasound at 6 and 9 months as a precaution for cholecystitis. This ultrasound is also taken in the 1st and 3rd years.
Liver function tests, monitoring of protein and albumin levels
Losing Weight with Mini Gastric Bypass
You can lose weight in different ways with mini gastric bypass. These:
Reduction of Stomach Volume: With the shrinking of the stomach after the surgery, the food capacity of your stomach will decrease and it will be filled earlier in this way. Losing weight with mini gastric bypass surgery will be a clear result even at the beginning.
Decreased Absorption: The first 200 cm of the small intestine carries bile and other fluids that provide digestion and absorption. With this operation, the foods consumed are transferred from the stomach to the middle of the small intestine. Thus, excess calories are excreted without being absorbed.
Hormonal Regulation: In this surgery, a large part of the stomach is inactive. In this way it is not stimulated by food. It has been observed that the hunger hormone (ghrelin) in this region is partially decreased.
Post-Surgery Process
Postoperative Nutrition
You should plan your nutrition program together with your doctor and professional diet. Even though you plan well, you will feel the effect of the surgery more.
Post-Surgery Recovery
Since it is an operation performed with the laparoscopic method, the healing process will take place faster. This time is usually up to you. You can consult your surgeon for this.
Post-Surgery Sports
You can get rid of your excess weight faster with the sports you will do after the surgery. Of course, the most important point in this regard is which sports and which program you will do. For this, you should get the necessary information from your surgeon.
