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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.

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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