Dr Heikal Mahmoud Clinic
Bariatric surgeon

Gastric Bypass Surgery

If you suffer from obesity and its related diseases, you have to think about undergoing one of the obesity surgeries. You can read here in this article what Gastric Bypass surgery is and the benefits and harms of this process. And how to benefit from Gastric Bypass surgery to treat obesity

We will also learn about the steps of Gastric Bypass surgery and the difference between this operation and other obesity surgeries.

What are obesity surgeries and their purpose? 
First of all, we have to talk about obesity, which is diagnosed by observing the accumulation of excess fat cells and the elevation of Body Mass Index (BMI) value exceeding 30.
Obesity is one of the most serious diseases and medical conditions prevalent in the world in recent periods.
The doctors unanimously agreed that obesity is a serious risk to human health that could lead to chronic and serious diseases and even death.

There are many ways to treat obesity by following a healthy diet and committing to exercise. Unfortunately, many obese people cannot follow exercise because of their weak will, joint and bone pain caused by overweight. Therefore, they resort to performing bariatric surgery to get rid of the accumulated fats quickly and entertaining a healthy life again.

Thanks to the efforts of the world's physicians and technology, we find many different techniques to suit many cases, including:
- Gastric Sleeve.
- Gastric Bypass.
- Sasi Bypass.
- Bikini line sleeve Gastrectomy.
- Laparoscopic Gastric Sleeve Surgery.
- Redo Bariatric Surgery.
What is Gastric Bypass Surgery?
Gastric Bypass Surgery is one of the obesity surgeries which is also called the Omega Lobe. Gastric Bypass Surgery is considered one of the most successful obesity operations to get rid of obesity and treat obesity-related diseases.

During this surgery, a pocket is made in the stomach without removing the rest of the stomach, and then this pocket is connected to the small intestine, about 1.5 meters away from the beginning of the intestine.

The size of the stomach is reduced, and the patient is satisfied with the least amount of food that can be eaten, also food bypasses the passage through the small intestine, and therefore the absorption rate of sugars, which is responsible for excess weight and accumulated fats, is reduced.

History of Gastric Bypass Surgery:
Some scientists have called this surgery the golden standard, and it's one of the oldest obesity surgeries that has proven its efficiency and effectiveness.

In 1997, the surgery was first performed by US inventor Robert Rutledge, an obesity expert. In 2011 he began teaching the surgery to other doctors all over the world.

Gastric Bypass Surgery steps:
1- Initially the patient is subjected to general anesthesia. 
2- The operation is performed using a laparoscope, through 5 very small surgical incisions, the length of which does not exceed 2 cm. 
Through these openings, the doctor inserts the surgical tools that have a camera that is connected to a monitor screen to see the interaction of body organs with the steps of surgery.
3-The surgery steps are performed by the surgeon and his medical team.
4-After the surgery is completed; a leak test is performed to ensure the patient's safety and the absence of any leakage from the staples line.
5-Surgical incisions are cosmetically closed to be invisible.
6- The patient is transferred to the recovery room, then to a regular room to stay in. The patient does not need to stay more than one day in the hospital after the surgery, due to the ease and the small size of the wound, which heals quickly.

Does Gastric Bypass Surgery have more than one type?
Yes, there are two types of Gastric Bypass Surgery:
-Classic Gastric Bypass.
-Micro Gastric Bypass.

The difference is that in the operation of Micro Gastric Bypass, the stomach is divided into two sections so that after cutting, the stomach becomes a fine tube shape. This is instead of the gastric pocket which is performed in the classic Gastric Bypass.

Doctors emphasize that this simple change makes it easier for the surgeon to perform his duties as it does not require many techniques.

Studies have shown that Micro Gastric Bypass is a safe and effective operation with much fewer complications than the Classic Gastric Bypass Surgery and it also requires less time in the operating room.

How are the candidates for Gastric Bypass?
Gastric Bypass is recommended for all those who suffer from obesity, as the accumulated fat affects organs functions and causes many serious health problems, including gastric reflux, heart problems, clots, arteriosclerosis, hypertension, severe breathing difficulty, high blood cholesterol levels, arthritis, bone pains resulting from overweight, and second type diabetes.

The difference between life before and after the Gastric Bypass: 
Life before Gastric Bypass Surgery:     
Before the Gastric Bypass surgery, the patient complained of obesity and accumulated fat. Also, he suffered from many diseases related to obesity, the most famous of which are diabetes and arthritis, as well as the inability to engage in daily activities and continue social life as a result of fatigue and exhaustion.

Life after Gastric Bypass surgery: 
- Life after Gastric Bypass surgery will resemble everything an obese patient has ever dreamed about. That is because the surgery is the end of his suffering from the extra weight and illness it causes.
- The patient will be able to practice his daily life and sports activities that he wishes with ease and fitness.
- The patient will reach the ideal weight with minimal effort and in the shortest possible time if he complies with the instructions of his physician.

What is the possibility of gaining weight again after surgery?
The success of obesity surgery depends on the skill of the physician and the patient’s commitment to the nutritional and health advice which may include:

1- Exercising lightly before surgery to get used to it, and continue exercise after Gastric Bypass Surgery.
2- Drinking sufficient amounts of water daily, this is not less than 3 liters of water.
3- Taking care to eat adequate amounts of protein for the body.
4- Avoiding caffeine, alcohol, and all types of smoking.

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