Gastric Bypass

Gastric Bypass is a technique used to treat extreme cases of obesity during which the stomach is divided into a small upper pouch and a much larger lower “remnant” pouch and then rearranging the small intestine to allow both pouches to stay connected to it.

Gastric bypasses lead to significant decrease in volume and capacity of the stomach thereby reducing physiological and psychological response to food.

Benefits of Gastric Bypass

GB is beneficial to people who suffer from serious and heightened obesity with a body mass index of 40 or higher or people with a BMI of 35 or higher with one or more related comorbid conditions.

Gastric Bypass Procedure

• A small thumb sized pouch is created from the upper stomach followed by a bypass of the remaining stomach. This restricts the volume of food that can be taken in. The stomach is partitioned using surgical staples and so the procedure is also known as Stomach Stapling.
• There are two methods of partitioning. It may be simply be partitioned or be totally divided into two parts. The total division is advocated as this reduces the possibility that the two parts will join back together with the help of a natural procedure called fistulize, thereby completely negating the operation.
• Finally the Gastro Intestinal tract has to be enabled to help in drainage of both segments of the stomach.

Types of Gastric Bypass

• Proximal Gastric Bypass, Roux en-Y This is the most commonly employed technique. The small bowel is rearranged into a Y configuration to enable the out flow of food from the small upper stomach pouch.The patient experiences absolute rapid onset of a sense of stomach-fullness followed by an increased or growing indifference to food shortly after a start of a meal.
• Distal Gastric Bypass, Roux en-Y
• Loop Gastric Bypass- Min Gastric Bypass This is used as an alternative to the Roux en Y procedure due to the simplicity of its construction.

Complications of Gastric Bypass

Any major surgery has its own set of complications and risks. Following are the most common complications that arise after a

• Gastric Bypass.
• Anastomic Leakage
• Anastomic Stricture
• Anastomic Ulcer
• Dumping Syndrome
• The Final Checklist

With the increasing demand and popularity for cosmetic treatments, its best to look out for the authorized list of surgeons. Also make sure you do a comprehensive research yourself, keeping factors like costs, risks involved and other key areas in mind.

Certain surgeries require no down time, while others are complicated and require much attention of yours and your surgeon's. Face lifts and dermabrasion require down time while others like Thermage are absolute hassle free. So chose the right doctor and ask him what suits you best, rather than just opting for a cosmetic therapy just for the sake of it. GBP is a major surgery and involves its own set of risks. And GBP is not a minor cosmetic procedure to look good and slim. It is often the last resort for obese patients whose basal metabolic rates are more than 35. Please consult your doctor and he would give you the best advice possible.



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