Gastric shunting surgery

Gastric Bypass is indicated to patients with morbid obesity, with 10-90 redundant kg.

Gastric shunting is complex and combined procedure which includes restrictive and shunting components in order to diminish stomach size and reconstruct small intestine.

To decrease the amount of food taken by patient gastric bypass first divides the stomach into a small (20-30 ml) upper pouch which is connected to the small intensine. The larger pouch is not cut off but it does not take part in food digesting. The food goes to the “little stomach” and after that goes through the small intensine where it connects to bile, gastric juice and gland juice.

After the surgery the food intake frequency decreases, the person gets indifferent to eating. Early getting of the food into the small intensine gives the stable feeling of satiety.

While performing gastric bypass it might be needed to cut off the gall-bladder in order to prevent cholecystitis and gallstone pancreatitis in further post-operational period.

The operation is performed under general anesthesia, via laparoscopy or traditional method for 2-4 hours.

The patient is discharged to ambulatory treatment in 4-5 days.

Gets back to work in 3-4 weeks.

The sutures are taken off in 10-12 days.

Driving is allowed in 1 month.

Heavy activity is limited for 2 months.

Anti-secretorial and iron medicines should be taken periodically.


Schematic image of gastric bypass surgery.

 

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