Essential Principles On Gastric Bypass Surgery

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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.

Complications are bound to arise either in the course of the procedure or post operatively. The complications may be specific to bariatric surgeries or may be general to all other major abdominal procedures. It is important to know what complications to expect in order to weigh the risks and mortality of the same. Laparoscopic procedures are usually more preferred since it comes with less risk compared to open operations.

One of the complications that may occur is infection. This usually results either from either the incisions made during the operation or because of release of bacteria from the intestines. Infections may be as a result of exposure to bacteria while in the hospital. Common examples include pneumonia and sepsis. This can be managed through use of antibiotics and being diligent in respiratory therapy.

Coagulation of blood may occur due to long hours of surgery and reduced mobility. This may be dangerous to the patients as they face the risk of venous thromboembolism. Clots formed in leg veins and sometimes the pelvis may get dislodged to organs such as the lungs. To minimize this risk, anticoagulants are given before the operation is done.

Abdominal surgeries may also be associated with bleeding, bowel obstruction and hernias. Hemorrhage can be attributed to blood vessel rupture during the procedure. Arrangements should therefore be made preoperatively to make blood available for transfusion if needed. The types of hernias that occur in such cases are known as incisional hernias and are likely to occur when the surgical wound fails to heal as expected. These are not only painful but can also cause kinking of the bowel.

The complications notwithstanding, gastric bypass procedures come with a number of advantages. First, a weight loss of at least sixty percent is obtained. Secondly, as a result of losing the excess weight, related morbidities are reduced. In one research, it was shown that type two diabetes is relieved in over ninety percent of patients.

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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