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Gastric Bypass: Is It Really Necessary?

Sometimes when we look at ourselves in the mirror, we don’t like what we see. Our modern lifestyle does not exactly engender healthy living for normal people. The convenience of fast food combined with a sedentary lifestyle is not exactly conducive to a healthy life. Obesity is quickly becoming an epidemic in in terms of how it has spread. A lot of people are trying to be more fit, of course, with diet and exercise. However, sometimes, that’s not enough. This is where a gastric bypass comes in.

Having weight-loss surgery is quickly becoming an increasing trend among people who find that they just can’t seem to lose weight. This might have come about because of a combination of lifestyle choices, genetic predispositions and physical problems, but the results are still the same: stubborn flab that doesn’t seem to go away or even in some cases, incredibly overweight individuals. For people like these, a gastric bypasss is often their only hope.

What exactly is a gastric bypass? This is a simple process in which stomach capacity is lessened and a large part of the intestinal tract is skipped in the digestive process. It may sound complicated but it is actually the simplest weight-loss surgery that is possible. There are actually several variations of gastric bypasses but the most common type is the Roux-en-Y gastric bypass. In this type of gastric bypass, a pouch is create at the top of the stomach using surgical staples sometimes this pouch is as small as a walnut. Then the stomach pouch is connected to the middle part of the small intestine, the jejunum.

All of this can be done by either an open procedure, where in the whole abdomen is sliced open, or by making a small incision in the side of the abdomen and using small tools and a camera to do the procedure, a process that is sometimes called the laparoscopic approach. An open procedure can be actually very dangerous and is also subject to longer recovery times; this is why the laparoscopic approach is often advised.

Of course, this is all a major surgical procedure and you can’t just have your digestive tract messed with. You can only be qualified for this procedure if you have been obese for five years, in which you have tried everything to lose weight, are not alcoholic, and not suffering from any psychiatric disorder. An age limit is also set for procedure only individuals from 18 to 65 may have a gastric bypass.

It may all seem like a done deal: just hop onto the operating table and you’ll be well on your way to svelteness. Unfortunately, it’s not that easy. A gastric bypass is a four hour operation followed by a five day recovery period, in which the patient is observed. Liquids will be the only source of nourishment for him during the observation period. Afterwards, there will be a twelve week regimented diet that will take him from liquids to solids so that the patient’s new stomach may handle it. There will also be side-effects: a smaller stomach means less food which means less energy overall you’ll be lethargic until your body learns to cope. Also, you may experience pain and vomiting after eating too much or too fast.

A gastric bypass looks like a great shortcut to slimness but it’s a lot more difficult than it may seem.


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Slimming Down Shortcut: Getting A Gastric Bypass

It’s been quite noticeable in some celebrities: the sudden weight loss and return to a svelte figure is often touted to the result of liposuction or a lot of dedication in the gym. But there are some celebrities that have gone that extra mile and had a gastric bypass. That may sound like some sort of heavy surgical procedure but it’s actually one of the more easy to handle weight-loss surgeries.

Getting a gastric bypass is a pretty simple process you just have to go to your local hospital and consult with a surgeon. They obviously won’t just let you have one willy-nilly, of course, there are several guidelines that limit the administering of a gastric bypass procedure to someone. The main things that restrict any prospective recepient of the procedure are the following: the patient must have been obese for more than five years, the patient must also not have a history of alcoholism and psychological disorders.

Finally, the person should not be younger than eighteen years old and no older than sixty-five years old. If you fit all of these categories, you’ll also be judged if you have exhausted all other weight-loss measures for yourself. This is because it may be one of the safer surgeries that can be done, a gastric bypass is still a major operation and cannot be taken lightly.

If you do pass all of these tests, then you’ll be up for the procedure. Here’s a simple explanation of it: it is essentially, having your stomach capacity lessened and making your digestive tract skip a part of your small intestine. To go into the nitty-gritty of it, the procedure creates a small pouch in the upper part of your stomach, usually via surgical staples or a plastic band. This stomach pouch is usually small it can get to the size a walnut for some procedures. After this pouch is created, the middle of your small intestine, the jejunum, is connected to it. This means your food will skip the main part of your stomach and your duodenum, the upper portion of your small intestine. The result is lower stomach capacity and a lower calorie intake. You will be able to satisfy your appetite more quickly and have less calories inside your system, creating a consistent and quick weight loss for you until your body has adapted to it.

It may sound easy but still it’s a long road after a gastric bypass. After the four-hour operation you will be under observation for the next few days, while being limited to liquids only so that your stomach can heal. After five days you can be released from the hospital but your ordeal won’t end there. For the next twelve weeks, you will be following a diet that will slowly progress you from liquids to solids, getting you new stomach used to the strain.

Even then, you will have to deal with some of the side-effects your whole life lower energy intake can be detrimental to your health, while over-eating can cause you to vomit or feel great pain, so a gastric bypass should be a last resort for anyone who’s suffering from obesity.


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How Gastric Bypass Works

Gastric bypass surgeries and other weight loss medical procedures being performed in the United States are increasing for the last few years. This may be in response for the increase in the number of people suffering from obesity. According to the American Society of Bariatric Surgery, there are about 140,000 gastric bypass being performed every year.

Those who have undergone weight loss surgeries, lose about 50 to 60% of their body weight, a year after the surgery. Along with the weight loss, they would also be losing ailments associated with obesity like high blood pressure, diabetes, stroke, heart diseases and even cancer.

The Procedure

The most common gastric bypass performed is called the Roux-en Y gastric bypass. In this procedure, a small pouch is created on the top of the stomach. It is stapled, to seal it off from the rest of the stomach. This small pouch will no longer digest any food. The upper part of the small intestine, the duodenum, is attached to this small pouch.

When eating, the food would bypass the small pouch in the stomach and the upper portion of the small intestine. The food would go directly to the middle section of the intestine called the jejunum. Since it is the small intestine that does the absorption of minerals, vitamins and calories, the body will absorb limited calories only. A Y formation is formed just below the stomach.

Incisions are made in the abdomen to perform the procedure. Surgeons will be using the laparoscope or a small, tubular instrument with a camera. This will enable the surgeon to see the abdomen and perform the surgery. The laparoscopic gastric bypass actually makes the stay in the hospital and the recovery period shorter and quicker.

There are still open gastric bypass performed, however, there could be wound-related problems with this kind of procedure. The laparoscopic gastric bypass surgery is performed under general anaesthesia. The procedure lasts for about four hours. Patients who have undergone the procedure stay in the hospital for about two to six days to be monitored for any complications.

After the Surgery

Having a smaller stomach has effects on how much food the patient can eat. There are special diets that a patient recovering from gastric bypass surgery follows. Every food that the patient would eat will be important for his nutrition. There are times that they are also recommended nutritional supplements to avoid deficiencies like anemia or vitamin deficiency.

There are patients reporting weight loss of as much as 50 to 60 percent a year after the surgery. There are even some who would report an astounding 80% weight loss. However, it is still possible for patients to stretch their stomachs and have that large size again. There is still a possibility of getting back those lost pounds. That is why doctors would recommend dietary restrictions and exercise plant that would keep the pounds away.

There are also tendencies that gastric bypass patients would develop gallstones, stomach ulcers, hernia or nutritional deficiencies. The part of the stomach which was bypassed can get enlarged, it could cause bloating and hiccups. There is also the Dumping syndrome which happens when the food moves quickly to the small intestine. This can happen after eating foods high in sugar or fat.


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