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Roux-en-Y gastric bypass
Roux-en-Y offers the best balance between weight loss and risk of complications.
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About the procedure:
Roux-en-y-bypass (RYGB) is one of the many weight-loss surgeries available today. It is a process to reduce the size of the stomach, enabling you to intake of only small amounts of food. In this operation, a small part of the stomach is used for food storage, hence, reduces your weight. Being a surgically based remedy, you will require some information on this.
What is the procedure?
The RYGB is a series of small incisions done by the surgeon around the stomach area of the patient. The procedure is done in simple steps:
- To reduce the stomach to a small pouch, part of the stomach is stapled
- This pouch is then attached to the small intestine
- It reduces the amount of calories and fat you absorb from the intake of food.
For many, gaining weight is a major problem. The procedure of RYGB is helpful in reducing your weight. The benefits are:
- Controlling the excessive amounts of food intake, in fact you will be eating less than ¼ of what you used to eat
- It decreases the amount of calories you absorb from your food eaten, being the result of bypassing directly to the small intestine
- Liposuction is a procedure by which excess fat is removed from certain areas of the body. After your RYGB, you might be suggested to undergo liposuction, as well.
- People who cannot maintain their eating habit
- Lifestyle permits a healthy eating schedule
Before the surgery, you will be required to lose some weight. This weight loss is also known as ‘Shrink the liver' diet. The decreased size of the liver helps in making the surgery faster and less difficult plus reduces the possibilities of postoperative complications.
The recovery or healing period will vary from patient to patient. It also depends on the factors like health, weight and surgery done. In general, it will take approximately one to three weeks for recovery if you undergo a laparoscopic surgery and two to six weeks if it is an open gastric bypass surgery. As for getting back to your routine, your doctor will let you know.
After the surgery, you will be expected to stay at the hospital for two to four days. In the beginning, you will be on a liquid or puree diet. After six weeks, your doctor will put you on a solid diet. You will be treated for your wounds and prescribed pain-relieving medicines that are safe to use. At times, many notice a quick weight loss, so maintain your level of nutrition.
Two weeks post your surgery you will still be on a liquid diet, and then you will be put on the soft diet as beans, melted cheese or egg salad. If you follow the guidelines of your doctor and dietician, you will have no problem in your food. Six weeks to post surgery you the things will get easier. As for work as soon as your doctor feels you are normal, you would be able to commence your work.
Risk & complications
As with all surgery's risks are parts of the gain. So RYGB is no different. The risks you are liable to interact are internal bleeding, infection, life-threatening blood clots, respiratory problems and even death. While some long-term risks like malnutrition (if you forget or do not take the medication prescribed) or iron and calcium deficiencies.
You will notice weight loss right from the surgery day itself. You are expected to lose about 65 to 75 % of excess weight during the first two years. The average weight loss is more in bypass surgery compared to the banding surgery. Having the fastest and highest emission rate in type 2 diabetes, many patients have either seen improvement in their problem.
Though no surgery is a complete solution for weight loss and RYGB is no difference. Many patients have noticed weight gain after surgery. To enhance your transitional life and to avoid weight gain it is recommended that you follow the instructions of your doctor and dietician.