Roux-en Y is the most common gastric bypass. In this procedure, a small and upper section of the stomach is separated by staples or bands to create a small pouch. This would limit the amount of food the patient could consume. It could hold about an ounce of food but can expand to about 4 to 8 ounces of food after a few months. A Y-shaped section of the small intestines is attached to the stomach. This would allow the food to bypass the upper portion of the intestines.

There are many benefits brought by gastric bypass surgery. Individuals who have undergone the procedure are said to reduce their weight with an average of 50 to 60%. Some would lose about 80% of their body weight two years after the sugery. Diabetes, hypertension, high cholesterol levels and even cancer risks can be reduced by the procedure. However, there are also downsides with this surgery.

Gastric bypass surgery is an effective way of losing weight an obesity related health risks. However, there are studies showing concern about nephrolithiasis or the formation of kidney stones among those who have undergone gastric bypass surgery. According to paper presented in the 39th Annual Meeting and Scientific Exposition of American Society of Nephrology, gastric bypass surgery increased the possibility of kidney stones.

Actually, this was not the first time that this kind of risk is identified with almost similar operations. In 1979, the Food and Drug administration had the jejunal ileal bypass under moratorium. This was because patients who had the procedure developed kidney stones five years after surgery.

Currently, there are studies showing that those who have undergone gastric bypass surgery would experience changes in the chemical composition of their urine. These changes eventually can lead into formation of kidney stones. After the gastric bypass surgery, the level of oxalate increased. This chemical when bound with calcium can cause the increase of kidney stones.

Another cause could be the production of low levels of citrate. Citrate dissolves crystals which can cause kidney stones. Low citrate levels and high levels, a combination that leads to an increase of calcium oxalate supersaturation. This increases or a strong factor or risk for having kidney stones. Other chemicals which also contribute to kidney stone formation like uric acid and potassium remains unchanged before and after the surgery.

A study conducted by Mayo Clinic showed that those who have underwent the procedure for the last six months have not developed this kind of chemical change. This condition could be avoided or the risk be reduced by undergoing some dietary changes. Doctors would recommend an increase on the intake of fluids, low-protein and low-salt diet, and normal calcium diet.

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The results of the surgery are immediate—a patient may lose 50 to 60 percent of his weight within two years following the surgery. With healthy lifestyle (including proper diet and regular exercise), one can expect weight loss in the long run after the surgery. Those who are overweight will experience easier mobility and better quality of life after undergoing weight loss surgery.

But there’s more to this surgery than just weight loss. Aside from slashing off some figures from the weighing scale, the surgery also helps improve certain conditions that are often linked to obesity. These health problems include high blood pressure, type 2 diabetes, sleep apnea, high blood cholesterol, and gastroesophageal reflux disease. Thus, people who have gone through weight loss surgery are less likely to develop cardiovascular problems than those who have not tried the procedure. Also, the surgery can lessen a patient’s possibility of death due to heart ailment, diabetes, or cancer.

Now for the not-so good news. Weight loss surgery is not for the faint of hearts. As with other kinds of surgeries, weight loss surgery leads to several complications. If you will go through this procedure, you need to know the risks before you head over the clinic or hospital. Being aware of what to expect after the surgery helps a lot in your recovery process. The most common complications of the surgery include infection, bleeding, and swelling. Other complications are ulcer, low blood sugar, kidney stones, gallstones, iron deficiency anemia, and vitamin D and B-12 deficiency. After the operation, a patient may also experience vomiting, diarrhea, nausea, and dizziness especially when eating foods rich in sugar and fat. These are caused by a condition called dumping syndrome in which the contents of the stomach pass through the small intestine very fast.

There are certain postoperative risks that occur in rare cases but are severe and need immediate medical attention. The following are some of the complications and tips on how to deal with them.

1. Leak in the stomach

This is found at one of the staple lines in the stomach. The leak heals over time in most cases, though it can be treated using antibiotics. But severe cases require immediate surgery.

2. Thinning of the opening between the small intestine and stomach

This condition needs either a corrective surgery or a simple outpatient procedure wherein a tube is inserted through the mouth to make the opening wider.

3. Incision hernia or weakness in the incision

This complication happens if the surgery is an open procedure that involves a large incision on the abdomen. Incision hernia needs to be repaired through surgery depending on the severity of the condition.

4. Death

For every 200 to 300 weight loss surgeries, one case results in death. Although the risk of death has been linked to gastric bypass surgery, it still depends on many factors such as age and health and medical conditions.

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In gastric bypass surgery, a small pouch is created in the stomach. This small pouch is stapled and the small intestine’s upper portion is also attached to this small pouch. The middle section of the small intestine is attached to the rest of the stomach. Food will bypass the rest of the stomach and the rest of the small intestine. Te stomach will be in smaller size which would make it full faster. Less calories will be absorbed.

This procedure would require diet change. Since the digestive system is altered or shortened, every food intake would be valuable. Some common side effects brought by the surgery is nutritional deficiency like anemia and osteoporosis. This is why it is important for patients to follow a different diet and take mineral and vitamin supplements.

The special gastric bypass diet would make sure that weight loss will be maintained over time. It would normally involve high protein food. Foods high in protein would ensure that new tissues are being built and the wounds are healing properly. Ideal high protein foods will be low in fat like red meat, chicken or turkey without skin, fish, eggs and cottage cheese.

Sugar and fat is among the foods that are avoided. Gastric bypass diet would involve food low in sugar and fat. Sugary foods are high in calories and fat. Fat is difficult to digest. Consuming too much sugar could also result to the Dumping syndrome that has nausea, dizziness, vomiting, sweating, and diarrhea as symptoms. The body could also react the same way to too much fat. Foods with too much fat and sugar, anyway, do not have sufficient nutrients that would be essential to the body.

Foods high in fiber are also limited in gastric bypass diet. Fibers could block the stomach, small intestine and would require more gastric acid to digest it. A doctor’s approval is needed before ingesting any laxative or fiber pills.

This change is not done immediately. There are stages in a gastric bypass diet. Clear liquids would be the first stage. For the first two days, clear liquids like water, sugar-free juice, clear broth and no fizz soda are consumed in small amounts. Within the first two weeks, low-fat, high protein liquids are ingested. It is important to also take chewable multivitamins during this stage.

Doctors would determine when would be the suitable time for the patient to progress to soft or puree diet. Some would be able to eat after two weeks, while others would have to wait longer than that. Some people who are in this stage would sometimes resort to eating strained baby foods. While others would prefer eating soft foods like scrambled eggs, low-fat cheese, blenderized lean meats, etc.

Two months after the surgery, the patient could now start eating regular diet, starting with high-protein food. Food consumed should be in small amounts. Remember that the stomach is reduced in size. After the gastric bypass, the stomach could accommodate about an ounce of food. Eventually, it could stretch and hold about 4 to 8 ounces or a cup to half a cup of food.

One thing that people should be conscious of would be overeating. Gastric bypass surgery can make the stomach smaller, however this does not affect the overall attitude to eating. People could result to overeating because of genetics or emotions. Lifestyle change is important. Overeating could cause regaining the lost weight, expansion of the pouch, and in worst cases rupture of the stomach.

There are many support groups, education, and counselling available to help deal patients with these difficulties.

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Actually, gastric bypass is just among the many similar operations to reduce obesity. To refer all of these procedures, bariatric surgery is the term. These operations intend to reduce accumulated fatty tissues by altering the physiological and psychological attitude of a patient towards food and eating.

How does it alter normal digestion?

What normally happens is that after eating, the food would go through the stomach and then proceed to the small intestine. The nutrients are absorbed in the small intestine before it goes to the large intestine where waste is eventually pushed out of the body. The most common gastric bypass procedure, the Roux-en Y gastric bypass, alters this process.

In the Roux-en gastric bypass, a small pouch is made on the top part of the stomach. The lower part of the stomach, which is much smaller now, is connected directly to the middle part of the small intestine. The stomach was made smaller and at the same time, the intestine was cut short, the upper portion of the small intestine was bypassed. Both the upper portion of the stomach and the small intestine no longer digest food.

Statistics showed that patients would lose 60%, on the average, of their weight after the gastric bypass surgery. There are even who would say that they have lost 80% of their weight. There are studies showing that about 90% of patient who have undergone gastric surgery were able to maintain their weight loss after ten years of having the surgery performed.

Having gastric surgery is not risk-free though. People who have undergone this procedure would report more cases of gallstones, in other studies, they would also report nutritional issues like anemia or osteoporosis.

Every year there are about 140,000 gastric procedure being performed in the United States alone. The results could really be successful, with people being able to get better weight-loss results, however, about 2% of patients would find it very fatal. In the 2%, one percent could be as a result of complications during surgery. The heart in unable to support the pumping it has to do to handle the excess weight or the complication brought by it.

The other one percent cause of fatality among people who gone through the procedure, would be about not following the dietary restrictions that should be followed after the surgery. After gastric surgery, the body could no longer handle too much intake of high-sugar and high-fat food. There is a special diet that those who have just undergone the surgery should follow. Bypass diet would usually include foods that are high in protein but low in fat, fiber, calories, and sugar. There are vitamins and mineral supplements that are required to be taken to avoid health and nutritional deficiencies.

With more and more people turning to gastric bypass surgery as a weight-loss option, it is important to understand not only the procedure and the benefits. It is also important to weigh the risks and if our lifestyle and our body would be able to handle the dramatic loss of weight.

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Have you gone through weight loss surgery? Because of the changes in your digestive system, you need to follow a diet after the surgery. You also need to consult a registered dietician to know the foods you must eat, how to eat them, and how much to eat. Your post-surgery diet must be planned carefully to avoid sudden weight gain and other complications such as vomiting. Also, the right diet helps shorten the recovery period, ease pain on the surgical areas, and adjust your body to the changes in eating habits.

For the first two days after your surgery, eating is not allowed. Then after several months, you are required to eat certain foods that vary in softness and texture. Weight loss surgery patients follow a diet progression that begins with liquids and proceeds to pureed foods and soft foods. The first phase is the liquid diet consisting of water, milk, juice, broth, and soup. It is followed by three to four weeks of puree diet that includes foods with a texture of a thick liquid or a smooth paste.

Examples are yogurt (low fat or sugar free), oatmeal, pureed meat, and pureed fruits, among others. The third phase is an eight-week soft diet that consists of foods that are easy to chew such as fresh fruits, ground meats, and cooked vegetables. Afterwards, you can move on to the last phase, which is the solid diet. Just be sure to avoid overeating and skipping meals.

Usually, every meal should include foods rich in protein such as cheese, lean meat, and eggs. You need protein because it helps in repairing and maintaining the tissues in your body after the surgery.

After the surgery, it is recommended that you start with six small meals everyday. After a few weeks, move on to four meals a day and then reduce it to three meals a day once you have started following a regular solid diet.

The rate at which your body adjusts to the new diet and eating habits determines how fast you must proceed from one diet phase to another. Most patients begin eating solid foods three months after the surgery, but for some, it can happen sooner.

When complemented with regular exercise, following the right diet leads to a 50 to 60 percent weight loss two years after the surgery. What’s more, you enjoy the weight loss benefits of the surgery for good of you consistently maintain the right diet.

Of course, there’s a price to pay for not following the doctor’s or dietician’s recommendations on diet and exercise. Weight gain is the usual result of bad health practices such as lack of exercise, overeating, and high-calorie food and beverage intake. If it happens to you, visit your doctor to discuss the possible solutions. That way, you will be able to get the most out of gastric bypass surgery.

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First of all, let’s talk about what exactly is a gastric bypass. Have you ever heard of a heart bypass? This is when surgeons stitch up you arteries to avoid the clogged vessels of the circulatory system around your heart. This is also what happens in a gastric bypass, although the operation involves your digestive system rather than your blood vessels. What the surgeons do is make your stomach smaller by making a pouch at the top of the stomach. This neatly halves your stomach capacity. Then, the surgeons would connect your small intestine to this pouch, skipping a part of it. These two changes contribute to increased weight loss by lower food capacity and lesser calorie absorption over all. Weight loss would accelerate over a three to six-month period, until your body manages to adapt to the lower energy intake.

The question that most doctors ask before they have someone undergo all of this is very simple: do you really need it? Most doctors advise patients seeking a gastric bypass to exhaust all other forms of weight-loss options before doing this operation. It may be the safest option but it is still major surgery on a sensitive part of your body. These is still a chance for complications to set in both during and after the operation. Doctors also screen any patient wanting to have a gastric bypass – you may not have a gastric bypass if you have not been obese for more than five years, are alcoholic, experiencing a psychiatric disorder and you have to be between 18 to 65 years of age.

If the patient has exhausted all other options and is eligible for a bypass then the doctor outlines exactly what happens after the bypass is done. After the surgery, the patient will stay in observation for the next three days to check for complications. He won’t be eating anything solid for awhile to let the pouch in his stomach heal. After discharge, he will also be under a rigid, progressive diet that would take him from liquid foods to solid foods in twelve weeks. The patient will also be experiencing the effects of lower energy intake: headaches and bodyaches, along with lower energy levels.

He will also have to take vitamin supplements since the part of the small intestine that is being skipped by the bypass is predominantly in charge of getting the appropriate vitamins and minerals from the food – not all, of course, but a significant portion of the recommended daily allowance. The long-term effects are also there. A lower stomach capacity means you may vomit or feel abdominal pains if you eat too much or too fast.

It sounds extreme, but still, a lot of gastric bypasses are done each year – it’s up to you to decide whether it is worth the risk.

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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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There are a lot of ways to shed all of those unwanted pounds: dieting and exercise are probably two of the simplest and easisest ways to do so. Those two choices only require an investment of some time and discipline to get you to a fighting trim. Unfortunately, sometimes people don’t have the time to do so, or are suffering from conditions that make exercise or dieting a bit of a no-no or, at worst, make these approaches totally ineffectual. So, if you’ve been failed by these options, what are the choices that you have left? Well, there’s surgery.

When we think of weight-loss surgery, we usually think of liposuctions. That would be a complete misrepresentation of the process. Weight-loss surgery is a lot different from weight-reduction surgery, which is what liposuction is – liposuction is actually not even actual surgery. Operations or procedures that reduce weight do only a temporary reduction of your body weight – while weight-loss surgery aims to make changes in your body that would make weight loss a possibility and something that can be maintained. A gastric bypass can do this, as long as it is combined with behavioral changes.

What exactly happens during a gastric bypass? Well, in simple terms, a doctor finds a way for your stomach to be made smaller. The complicated explanation is that a doctor creates a small pouch for you near the opening of your stomach and connects that pouch directly to your small intestine – essentially making your food skip over a large part of your stomach and small intestine. This makes it so that you don’t absorb that much calories from your food, and it also makes your stomach hold a lot less food. Less calories and smaller intakes are what essentially drives you to lose weight after a gastric bypass. After the procedure, you’ll be in the hospital for three to five days, though there are some variations of the procedure that make that already short stay, even shorter.

Sounds all right doesn’t it? However, like all surgeries, it is still a major surgical operation that can affect the way you live. It should not be understaken unless it has been fully considered. You won’t be eating anything for three days after the surgery and you’ll be on a strict diet afterwards – eating too much will literally hurt you. Your body adjusting to the lower energy intake also takes its toll.

A gastric bypass is not a miracle cure-all but it can help a lot. So think long and hard before you do it.

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Also called the Roux-en-Y surgery, the procedure primarily entails making a walnut-sized pouch at the upper stomach and putting a bypass around a portion of the small intestine and the stomach. Consequently, the food you eat bypasses most of the stomach and restricts the ability of your digestive system to take in calories. Hence, the term “bypass” surgery. Surgeons perform this operation using a small tube called a laparoscope that creates small incisions in the abdomen.

A small video camera is attached on the instrument, and this device enables the surgeon to see the inside of the abdomen. The laparoscopic technique is generally preferred over the traditional open bypass surgery that makes large incisions in the abdomen. Compared to the open bypass surgery, the laparoscopic technique is less risky and less painful because of the small incisions. Also, it results in shorter recovery period.

The procedure starts with the stapling of the patient’s stomach at the top to seal this area off from the rest of the stomach. As a result, the sealed portion or the pouch will be able to contain only an ounce of food. Separated from the entire stomach, the pouch is then connected to a small part of the small intestine. To be able to achieve that, the surgeon cuts a small part of the small intestine and sews it onto the pouch.

The surgery is not for everyone, though. There are certain risks involved; and a prospective patient must understand them before undergoing the surgery. If you plan to undergo the weight loss surgery, consult a surgeon and ask all your concerns regarding the procedure. Usually, the surgeon explains the things you should expect during and after the surgery.

Before the surgery, you will be given anesthetics to keep you asleep during the operation. The anesthesia is usually in the form of an intravenous (IV) line or analgesics. During the procedure, the surgeon inserts a tube into your nose down to the top of the stomach. To heal the staple line on the stomach, the tube is joined to a suction machine that empties the stomach pouch after the surgery. The surgery lasts for about two to four hours, but you will need to stay in the hospital for around three to five days for recovery.

Expect some diet and lifestyle changes after the weight loss surgery. One to three days after the procedure, you will not eat anything to allow your stomach to heal. Then, for about three months, you will follow a diet that starts with liquids, progresses to soft and pureed foods, and lastly to regular foods. You will have to be cautious with your food intake because eating huge meals can cause extreme pain under the breastbone and vomiting.

Also, you will notice some changes in your body and behavior three to six months after the gastric bypass surgery. These include dry skin, hair thinning, fatigue, body pains, and mood swings. These will be your body’s reactions to the quick weight loss resulting from the surgery.

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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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