Clinically obese patients have made reasonable efforts to control weight through first-line treatment of obesity, including low -calorie diet therapy, physical activity, behavior modification plan , and medical treatment may consider weight loss surgery as a last resort .
Today commonly performed bariatric ( weight loss) techniques are gastric bypass , the adjustable gastric surgery gastric sleeve , vertical banded gastroplasty ( VBG ) , silicone banding ( ASGB ) and biliopancreatic diversion (BPD) .
These interventions, gastric bypass is considered the procedure of gold standard for weight loss . This is a restrictive surgery that involves creating a small stomach pouch - about the size of a walnut - the existing stomach, dividing the small intestine and connects the stomach to the newly created pouch. Like most of the stomach is closed , limit your daily intake to less than 1000 calories and food intake to about 1 ounce.
Like all the other four procedures, gastric bypass procedure can be performed by standard laparoscopic or open surgery.
General description of the laparoscopic procedure
The gastric bypass surgery laparoscopic or minimally invasive means 4-6 very small incisions in the abdomen instead of a large incision required for open surgery. Prior to surgery, the patient is given a general anesthesia . Once the patient is asleep , the carbon dioxide gas is introduced into the abdominal cavity to inflate the stomach so that the surgeon can operate effectively in the space and significantly increase the internal organs . A laparoscope ( a small camera ) is introduced into the abdomen through a trocar ( a narrow hollow tube ) . Other long narrow surgical instruments are inserted through small incisions remaining . The surgeon and the team can see pictures of the entire procedure on a video screen .
Who is an ideal candidate for this surgery ?
Someone between the ages of 18 and 50, or under 18 years, but about 75 pounds overweight and have a serious health problem linked to obesity such as diabetes or heart disease is an ideal candidate for surgery laparoscopic gastric bypass surgery. A person with a BMI greater than 40 , without other complications may also undergo this type of surgery .
Who is not ?
People over 60 years, those who smoke or use nicotine in any form and those who have already undergone surgery for weight loss is not ideal for weight loss surgery candidate .
Advantages of the laparoscopic approach
Today most bariatric surgeons worldwide use for laparoscopic gastric bypass approach , because of the many benefits . Small holes instead of a deep cut , short hospital stay , faster recovery of rare or no complications and a lower of getting a hernia or infection risk are the advantages of this minimally invasive form of surgery . Patients also report less pain and resume their normal activities within 3-5 weeks.
After surgery
You are invited to sit on the edge of the bed and walk a few steps the same day as the surgery was done . You may have a catheter (tube) is passed through the mouth into the stomach for 1 or 2 days to help drain the fluid from his belly . A catheter can be inserted into the bladder to remove urine . Surgeon can give you to wear special stockings on your legs to prevent blood clots develop. You get medicine shots to prevent blood clots.
Post- surgery diet plan
You will be asked to consume high protein food supplements for the first 2 weeks after surgery. After that, you can have liquids, and then pureed or soft foods like mashed potatoes , sweet potatoes , yogurt and soft cheeses for a week. Once your stomach starts to digest , you can take a moderate amount of soft food. Gradually , you will feel strong enough to resume their routine activities such as walking , shopping , going to work and drive.
Do you need surgery weight loss , but you can not afford the surgery in their home country , then get low cost Gastric Bypass in Costa Rica could be a very interesting option for you. People of the United States who seek minimally invasive technique for weight loss may consider laparoscopic gastric bypass in Tijuana, Mexico.
