An Overview of Gastric Bypass Surgery in India

India is one of the most popular destinations for destinations for bariatric surgeries around the globe. Thousands of international medical travelers visit top Indian hospitals for Gastric Bypass Surgery in India to lose weight.

Gastric Bypass Surgery

Gastric bypass surgery is a type of bariatric surgery that aids people in weight loss by surgically changing the way your stomach and small intestine processes food you eat. It is also known as weight loss or metabolic surgery.

It is done by creating a small pouch from the stomach and connecting the newly created pouch to the small intestine. After the procedure, your stomach will be smaller. You will feel full with less food. The surgery is suggested when diet or exercise don’t show the desired results or serious weight-related health conditions.

Why is Gastric Bypass Surgery Done?

The metabolic surgery is done to aid you in losing excess weight and reduce the risk of potentially life-threatening weight-related health problems, including:

 Gastroesophageal reflux disease

 Heart disease

 High blood pressure

 High cholesterol

 Obstructive sleep apnea

 Type 2 diabetes

 Stroke

 Cancer

 Infertility

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When Should I Consider Weight Loss Surgery?

You can consider gastric bypass surgery if dieting or exercising have no effect on your heath or suffering from a severe weight-related health condition. Other indications are:

 Have a BMI of 40 or higher: BMI is the estimation of body fat based on your height-toweight ratio. BMI or 40 or higher indicates towards higher obesity and is associated with a high risk of weight-related diseases.

 Have a BMI between 35-39.5: It indicates obesity and health-related conditions, such as Type 2 diabetes, severe sleep apnea or high blood pressure.

Youcan bequalified for gastricbypass surgeryif your BMI is between30-34and you haveserious weight-related health problems.

How do I Prepare for Gastric Bypass Surgery?

As weight loss surgery is a major one, it requires major preparations on the patient’s end. Your health practitioner will want to ensure that you are fit, physically and mentally, to undergo the procedure. There are a few things that you can do to prepare yourself before the surgery:

 Stop any tobacco and alcohol use

 Start physical activities like walking, exercises, etc.

 Follow a pre-bariatric surgery diet for a few weeks

 Avoid consuming caffeinated beverages approximately one month prior to surgery

 Undergo pre-surgery tests

You can also join Bariatric Surgery Presurgical Lifestyle Programs to better streamline your lifestyle before the surgery.

How is Gastric Bypass Surgery Performed?

Almost all gastric bypass surgeries are performed by laparoscopy. Sometimes, the surgeryis done withtheassistanceofarobotaswell.Butinsomecases,atraditionalopen-surgerymayberequired if the condition is severe.

The following steps are followed during the gastric bypass surgery:

 You will be administered anesthesia for the procedure to be pain-free for you.

 A keyhole incision will be made in your abdomen to inflate it with carbon dioxide. This process separates the abdomen wall from your organs and makes everything easier to see.

 A laparoscope will be placed inside the abdomen through the keyhole incision to visualize the organs.

 More incisions are made to reduce the size of your stomach. The surgeon will divide the stomach into two parts – the upper smaller section (pouch) and the lower larger section.

 Next comes the bypass. Your surgeon will connect the smaller part of your stomach to a section of your small intestine via a small hole in your pouch.

 The final step is to reattach the upper branch of your small intestine to the trunk further down. Now your small intestine has two branches attached to the trunk: one leading from your stomach pouch, and the other leading from the remainder of your stomach.

After the incisions are made, the surgeon cuts the supper smaller pouch of your stomach seals it from the rest of the stomach. The resulting pouch can now only hold an ounce of food. This small pouch is then connected to the middle section of your small intestine.

Your food will now go into this small pouch and then directly into the middle section of the small intestine. The food will bypass most of your stomach and the first section of the small intestine.

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What Can I Expect After the Procedure?

The surgery takes around 2-4 hours. Post surgery, you can only have liquids for your diet. After a few weeks, you can move to pureed food and finally to solids. Your dietitian will guide you on how you can change your eating habits post gastric bypass surgery to keep healthy while losing weight. This transition will take good amount of time as.

You will also need to take vitamin and mineral supplements for life as they are usually absorbed in the upper part of the small intestine, including a multivitamin with iron, calcium and vitamin B12.

You will also have to undergo frequent medical checkups to monitor your heath in the first several months post metabolic surgery. You may need laboratory testing, bloodwork and various exams.

Your body will go through some changes due to rapid weight loss within 3-6 months after gastric bypass surgery, such as:

 Body aches

 Feeling tired, as if you have the flu

 Feeling cold

 Dry skin

 Hair thinning and hair loss

 Mood changes

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What are the Advantages of Roux-en-Y Surgery?

Gastric Bypass surgery comes with its many benefits, such as:

 Has one of the best success rates over the long term (over 90%)

 Reliable as it’s one of the most thoroughly studied surgeries in modern medicine

 Consistent, significant weight loss decades later, post surgery

 Resolves secondary and tertiary health conditions

 One cam discontinue medications for these conditions post surgery

What are the Risks Associated With Gastric Bypass Surgery?

Just like any other surgery, metabolic surgery also comes with its own set of risks, such as:

 Excessive bleeding

 Infection

 Adverse reactions to anesthesia

 Blood clots

 Lung or breathing problems

 Leaks in your gastrointestinal system

Long-term risks include:

 Bowel obstruction

 Dumping syndrome, causing diarrhea, nausea or vomiting

 Gallstones

 Hernias

 Low blood sugar (hypoglycemia)

 Malnutrition

 Stomach perforation

 Ulcers

 Vomiting