There are many methods used in bariatric surgery. Gastric Bypass surgery is one of the most preferred surgical methods in obesity surgery. “What is Gastric By-Pass (R-YGB) surgery?” , “How is Gastric By-Pass (R-YGB) Surgery Performed?” , “What are the Risks of Gastric Bypass Surgery? Such questions are among the most frequently asked questions about gastric bypass surgery.

What is Gastric By-Pass (R-YGB) Surgery?

Laparoscopic Gastric By-Pass (R-YGB) surgery is the most common type of combined surgery. Gastric Bypass is one of the methods that draws attention with its successful results in bariatric surgery. With this surgery, while the stomach volume is reduced, the absorption of nutrients decreases because the path traveled in the small intestine is shortened.

The part at the beginning of the stomach is separated from the rest, leaving about 30-50 cc. A part of the small intestines is also bypassed and connected to the newly formed small stomach. In this way, patients reach the feeling of fullness quickly with much smaller portions. At the same time, the absorption of a significant part of the high-calorie foods taken is prevented.

Effective and permanent weight loss is achieved with Laparoscopic Gastric By-Pass (R-YGB) surgery. Similar to volume-restricting surgeries, patients reach a feeling of fullness quickly with much smaller portions due to the reduced new stomach pouches.

Gastric By-Pass surgery may be recycled when necessary.

In which diseases is Gastric By-Pass (R-YGB) Surgery used?

Gastric By-Pass (R-YGB) treatment can be applied in the presence of many diseases accompanying obesity. Chief among these is Type 2 diabetes. Positive results can be obtained with gastric bypass surgery in the surgical treatment of Type 2 diabetes patients who cannot be controlled.

How is Gastric By-Pass (R-YGB) surgery performed?

Before Gastric By-Pass Surgery

Patients who are planned to have surgery undergo a detailed evaluation. In addition to physical examinations, each patient is evaluated in detail before surgery by endocrinology and psychiatry specialists.

How is the surgery performed?

Gastric By-Pass is performed by laparoscopic method. In recent years, robotic surgery can also be preferred.

Surgery is performed through 4-6 holes 1 cm diameter.

In gastric bypass surgery, the stomach is reduced, just like in sleeve gastrectomy surgery. Approximately 95% of the stomach is bypassed.

A part of the stomach, which is divided into two by surgical methods, is attached to the middle of the intestine via bypassing the deodenum. In the other part, it continues its task by not being removed from the body. Thus, the food consumed is prevented from passing through the 12 deodenum.

The aim of the surgery is to saturate the patients with less food and to ensure the absorption of some of the food they eat.

Postoperative

Patients need 4-6 days of follow-up in the hospital. At discharge, the diet until the first control is planned by the dietitian. During the first year, close follow-up is performed by an endocrinologist, psychiatrist and dietitian, apart from the bariatric surgeon.

FAQ

What are the risks of Gastric Bypass surgery?

In this procedure, bleeding, infection, postoperative ileus (intestinal obstruction), hernia (hernia) and general anesthesia complications can be seen, which can also be seen in many other abdominal surgeries.

The most serious risk is the leakage that may occur in the connection between the stomach and the small intestine and a second surgery that may occur as a result.

A number of additional surgical risks increase due to obesity. Blood clot formation (embolism) and cardiac problems may occur in the feet and lungs.

10-15% of patients who undergo this surgery experience some of the above complications. In general, more serious complications are rare and the common ones are acceptable and treatable.

How long will i stay in the hospital after Gastric By-Pass surgery?

You usually stay in the hospital for 3-4 days. Problems that may occur during the preoperative evaluation and postoperative recovery period may prolong this period.

Can i lift heavy after Gastric By-Pass surgery?

After leaving the hospital, heavy activities should be restricted. Should not lift heavy loads for 6 weeks.

When can i drive a car after Gastric By-Pass surgery?

You should not drive for 2 weeks after surgery. You can walk, climb stairs and take a shower.

When can I return to work after Gastric By-Pass surgery?

Patients with a quiet business life can return to work after 2-3 weeks. Patients with intense physical activity should wait 6-8 weeks after surgery.

When does weight loss start in Gastric By-Pass surgery?

Weight loss occurs gradually, the fastest in the first months. It may take 1.5-2 years for maximum weight loss. 70-80% of the excess weight is lost during this period.