pouch 30 ml. Part of small intestine is bypassed.
Greater weight loss. Hospital stay 5-7 days Vitamin
mineral supplementation required. In this procedure
a small stomach pouch is created by stapling the stomach.
This causes restriction of the food intake.
Next a "Y" shaped section
of the small intestine is attached to the pouch to
allow food to by-pass the first part of small intestine.
This causes reduced calorie and nutrient absorption.
Advantages of Laparoscopic Gastric
- After gastric bypass surgery, weight loss is more
predictable and usually maintained. Average excess
weight loss is usually higher than with purely restrictive
- One year after surgery, weight loss can average
65% to 70% of excess body weight. After 10 to 14
years, some patients have maintained 50-60% of excess
body weight loss.
- 96% of certain associated health conditions (back
pain, sleep apnea, high blood pressure, diabetes
and depression) were improved or resolved according
to a 2000 study of 500 patients. It also helps in
leg swelling, high cholesterol, urinary incontinence
Frequently Asked Questions for GASTRIC
How do I know if I qualify for weight
You qualify if:
- You weigh twice your ideal body weight or You
are overweight by 100 lbs or more
- You have a BMI (body mass index) more than 40
- You have a BMI more than 35 with co-morbidities
(illnesses related to being overweight).
- You are overweight for 5 years or more
- You have failed to lose weight or sustain weight
loss under supervision
- You are willing to comply with lifestyle and
Will I have to stop smoking?
Patients are encouraged to stop
smoking at least one month before surgery. Smoking
increases the risk of lung problems and can reduce
the rate of healing. It increases the rate of incisional
hernia and leaks by interfering with the blood supply
of healing tissues.
How long will I stay in the hospital?
As long as it takes to be self-sufficient.
Although it can vary, hospital stay (excluding the
day of surgery) can be 3 to 4 days for a laparoscopic
gastric bypass, and 5-7 days for an open gastric bypass.
After leaving the hospital, you may be able to care
for all your personal needs, but will need help with
shopping, lifting and with transportation.
How soon can I drive?
For your own safety, you should
not drive until you are no longer taking narcotic
medication for pain and can respond quickly to traffic.
Usually this takes 7-14 days after surgery.
What will I eat after surgery?
You will be on intravenous fluids
on the day of surgery. The day after we may do a swallow
study to be sure there is no leak in the staple line.
If there is no leak, you will be started on liquid
diet 24 to 48 hours after surgery. Intake is limited
to 1 or 2 ounces per meal so that the stomach can
heal properly. If this is well tolerated, next day
you will be advanced to blanderised soup. You will
be discharged on liquid diet. We begin patients with
liquid diets, moving next to semi-solid foods and
about 4 to 6 weeks later, back to solid foods. This
transition is necessary to allow time for your newly
created stomach pouch to heal properly. Drink 2 liters
or more of water each day. Water must be consumed
slowly, 1-2 mouthfuls at a time, due to the restrictive
effect of the operation.
What happens to the lower part of the
stomach that is bypassed?
The stomach is left in place with
intact blood supply. In some cases it may shrink a
bit and its lining (the mucosa) may atrophy, but for
the most part it remains unchanged. The lower stomach
still contributes to the function of the intestines
even though it does not receive or process food. It
still produces the secretion necessary to absorb Vitamin
B12 and contributes to endocrine hormonal balance
and motility of the intestines in ways that are not
What if I am really hungry?
This is usually caused by the types
of food you may be consuming, especially starches
(rice, pasta and potatoes). Increasing protein intake
is helpful. There may also be a psychological problem
with lack of food in your life "head hunger".
Be absolutely sure not to drink liquid with food since
liquid washes food out of the pouch.
Is sexual activity restricted?
Patients can return to normal sexual
intimacy when wound healing and discomfort permit.
I am thinking about getting pregnant.
Will I be able to have children after weight loss
Many women have had successful pregnancies
after weight loss surgery. There is nothing per se
that would prevent pregnancy. Infact, bariatric surgery
enhances fertility in those who have had difficulty
in conceiving. We recommend, however, that you wait
until your weight loss is complete before becoming
pregnant. This may take a year or more. The effect
of rapid and prolonged weight loss on the developing
fetus is unknown but it could have dire consequences
and pregnancy is not recommended until a stable weight
has been attained.
What can I do to prevent excess hanging
The amount of excess skin depends
on the age, skin elasticity, total weight loss and
how much the skin was stretched. Many people, heavy
enough to meet the surgical criteria for weight loss
surgery have stretched their skin beyond the point
from which it can "snap back". Some patients
will choose to have plastic surgery to remove loose
or excess skin after they have lost their excess weight.
Will exercise help with excess hanging
Exercise is good in so many other
ways that a regular exercise program is recommended.
Unfortunately, most patients may still be left with
flaps of loose skin.
What will my long term diet be like?
- Eat three small meals a day.
- Keep a record of your dietary intake. Include
everything you eat and drink: the date, time and
amount of each meal. Start keeping this record (food
diary) from one week after the surgery so if you
begin having problems with vomiting, diarrhea or
malabsorption. we can review your food record and
- Not only is there an adjustment to make about
the quantity but also quality of food you should
eat. When you are able to eat solid foods again,
eat food high in protein. Protein foods are very
important for the healing of staple line of your
pouch. Protein in the form of lean meats (chicken,
turkey, fish) and other low-fat sources should be
eaten first. These should comprise at least half
the volume of the meal eaten. Foods should be cooked
without fat and seasoned to taste. Avoid sauces,
gravies, butter, margarine, mayonnaise and junk
foods. Hair loss is one effect of not eating enough
- You will also have to learn to eat slowly and
chew your food thoroughly. Food not chewed properly
will not pass through the narrow stoma and may cause
- Stop eating as soon as you feel full. If you
do not stop, you may have vomiting and it will put
strain on the staple line.
- Do not eat sweets! This includes sweetened chewing
gum, candy and regular sodas. Beware of hidden sweets
(cereals with honey or sugar coatings).
- You may be unable to tolerate certain foods,
especially those containing fat and sugar. A balanced
diet of 1000 - 1200 calories a day is recommended.
- Drink 2 liters or more of water each day. Water
must be consumed slowly, 1-2 mouthfuls at a time,
due to the restrictive effect of the operation.
- Never drink water or any fluid with the meal.
Drink fluids thirty minute to an hour after meals.
Taking fluids before or at meal time may cause bloating,
low food intake, vomiting, or dumping syndrome.
It will also flush the food through the stoma and
you will feel hungry again.
- Do not drink flavored beverages, even diet soda,
Will I be allowed to drink alcohol?
You will find that even small amounts
of alcohol will affect you quickly. Alcohol is high
in calories and will significantly alter your calorie
balance. It is suggested that you drink no alcohol
for the first year. Thereafter, you may have a glass
of wine or a small cocktail for social purpose not
more than once a fortnight.
Will I need supplemental vitamins?
Most surgeons recommend a daily
multivitamin for the rest of your life. Vitamin B12
injections are sometimes suggested once a month for
the first year and every six months thereafter. It
may also be taken orally or sublingually (under the
tongue) by many patients.
Amazon will work with you and our India
Affiliates to create a package where all your Cardiac
concerns/problems can be addressed. If you have any
questions, please do not hesitate to contact us by
phone or email.