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lundi 4 janvier 2016

Important Facts About Gastric Bypass Surgery

By Pamela Graham


There are a number of surgical interventions for weight loss for New York City residents. Gastric bypass surgery describes the process of dividing the stomach into two parts and then reconnecting the two using the small intestine. A typical patient who qualifies for this kind of surgery are those suffering from serious weight issues, particularly those whose body mass index is beyond 40. Diabetes, hypertension and sleep apnea are some of the co morbidities for which this procedure has been shown to be beneficial.

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).

Bacteria present in the bowel may be released during the procedure, putting the patient at risk of infections. Additionally, the open incisions made expose one to infections, especially if sterility is not well observed. Hospital acquired infections such as pneumonia, sepsis, kidney and bladder infections may also occur. Short term use of antibiotics and focused respiratory therapy can help in management.

Blood tends to clot more during an operation to counter the bleeding that occurs as result of incisions made. The clots frequently form in leg veins and sometimes the pelvis for the very obese patient. Unfortunately, the blood clots may get dislodged and travel to the lungs posing a serious threat to the health of the individual. Anticoagulants are usually given preoperatively to minimise chance of venous thromboembolism.

Other complications are general to abdominal surgeries and include hemorrhage, hernias and bowel obstruction. Hemorrhage may occur as a result of accidental cutting of blood vessels. Blood for transfusion should therefore be availed prior to the procedure, in case it is needed. The chance of a hernia occurring is markedly reduced when operation is done laparoscopically. Bowel obstruction may occur either due to hernia or adhesion bands formed due to scarring.

This procedure has numerous benefits when done right. Not only does it result in desired weight loss, it also reduces the effects of co morbidities significantly. An example is essential hypertension which is remedied in over seventy percent of patients subjected to the operation. Requirement for drugs in the remaining thirty percent is markedly reduced. Hyperlipidemia is also corrected in up to seventy percent of individuals.

There are a number of downsides though. People who have undergone gastric bypass experience both emotional and physiologically changes. They may get depressed as a result of having to adjust their food intake. With low intake of food, they may end up with low energy levels and muscle weakness. Consequently, they are likely to face challenges in carrying out strenuous activities such as lifting heavy objects or even climbing stairs. Fortunately, these issues get resolved over time as food consumption gradually increases.




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