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OBESITY SURGERY: GASTRIC BYPASS TECHNIQUE
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OBESITY SURGERY: GASTRIC BYPASS TECHNIQUE
What does it involve?
This procedure is based on two principles: reduction of the stomach's size of the stomach and a reduction in the body's ability to assimilate food due to a short-circuited short-circuiting part of the intestine.
How do you lose weight?
Gastric restriction reduces the amount of food ingested, and satiety satiety occurs more quickly. Malabsorption, on the other hand, reduces the amount of food quantity of food assimilated.
How does the procedure work?
It is performed under general anaesthetic using a minimally invasive with the assistance of a surgical robot or by laparoscopy.
A camera is inserted through a small hole in the abdominal wall, and working instruments are inserted through five other small holes. five other small holes.
The size of the stomach is reduced by section, and only a small gastric pouch with a volume of 20-30 ml is retained.
The intestine is then cut and connected to the gastric pouch. A 75 cm section of the intestine is bypassed.
At the end of the operation, the incisions are closed with absorbable (which disappears on its own).
The bandage is applied with glue, which also removes itself.
As food does not mix with bile and pancreatic enzymes in the first 150 cm of the small intestine, calorie absorption is reduced.
How much weight loss can you expect?
The gastric bypass technique makes it possible to lose approximately 65 to 75% of excess weight..
How long does the intervention last?
The operation lasts 1.5 to 2.5 hours and you will be hospitalized for three to four nights.
What are the potential complications?
They are generally rare and can occur early or late.
In the days following the surgery
Rupture of internal sutures (intestine or stomach): this occurs very rarely very rarely (less than 0.2% of cases), and is favored by smoking and diabetes.
Re-operation may be required, as well as antibiotic treatment or drain placement..
There's also a risk of around 1% for each of the following complications hemorrhage, intestinal obstruction, abscess, pulmonary embolism.
After 30 days
-Internal hernia, which occurs in up to 3% of cases requires urgent re-operation.
WARNING: If you suffer from intense sudden and continuous pain lasting more than an hour, consult an emergency service without delay. It could be an internal hernia, such as :
- Dumping syndrome” manifests itself as severe weakness and sweating.
This is most often hypoglycemia due to an excess of insulin secondary to weight loss. weight loss.
Frequent snacking and a low-sugar, high-protein diet can help prevent it..
- An ulcer or narrowing of the connection between the stomach and intestine, hence the importance of maintaining a lifelong smoking ban after surgery.
- Vitamin deficiencies that can be remedied by a more appropriate dosage prescribed supplements.
VERY IMPORTANT! It's the medical team at our partner clinics who will decide which medical procedures are best suited to each patient's situation! You are the only one, together with the doctors, to decide on the desired care.
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