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Laparoscopic Roux en Y Gastric Bypass

 
     
  You are now reading one of the four surgery methods we have to offer. So check out these other three methods as well:  
  Gastric band
Intra Gastic Balloon

Mc Lean
   
 
     
  The Lapararoscopic Roux en Y Gastric Bypass is performed in these hospitals:  
  St Jan, Bruges

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Laparoscopic surgery means minimal invasive surgery.

Small incisions are made to allow surgical instruments and a slender illuminated optical or fibre optic camera into the body cavity.

Carbon dioxide gas is then infiltrated into the abdomen so the surgeon has clear visibility to perform the procedure.

Five or six little incisions will be made

Most wounds are closed with dissolvable stitches and will not require stitch removal. Some surgeons glue the skin together, it is purely down to surgeon’s preference.

Weight loss surgery is performed to control weight either with restrictive changes in the configuration of the stomach or malabsorptive techniques by modifying the intestinal tract.

Laparoscopic surgery carries some risks and complications but on the whole is regarded as a much safer procedure with a quicker recovery rate and reduced pain, infection risk and anaesthetic time than that of open surgery.

There are several variations of a bypass, the most common procedure in the UK is the Roux en y.

A small pouch is created by stapling off a small section of the upper part of the stomach.

Below the staple line the stomach will remain but no food will enter here.

Gastric Bypass

The stomach will still make gastric juices and enzymes essential for digestion and absorption of nutrients.

The bypass part of the operation is the reconstruction of the small intestine limiting the absorption of calories from food.

The attraction to this surgery is that it is considered to be a one off procedure, weight loss is experienced from surgical day, there are no adjustments to plan for, however, it is higher risk.

The surgery is slightly longer around 2 hours, with up to 3 nights stay in hospital, and is irreversible.

Weight loss is dramatic at first and then stabilises to 2-3 lbs per week.

You must comply to Vitamin and supplements daily for the rest of your life. Vitamin B12 injections are also advised every 3 months to prevent pernicious anaemia in later life.

Your GP will be advised of this requirement and co-operation.

Always inform any specialist when having any medical investigations, especially endoscopy, that you have had a bypass.

You can still jeopardise your success with overeating and with poor eating habits. You are at risk of experiencing dumping syndrome if you consume foods high in sugar or fat - some surgeons prefer this procedure for sweet eaters as it is an excellent method of control.

Risks and complications

Haemorrhage
Infection
Bowel perforation
Anaesthetic reactions
PE/DVT
Anastomotic leak
Death
Wind
Constipation
Dumping syndrome
Nausea and vomiting




 
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