WHAT IS GASTRIC BY PASS?
In gastric bypass surgeries, a large part of the stomach is bypassed and a small volume (approximately 30-50 cc) stomach section is prepared and sewn to the small intestines. In this surgery, the aim is to both reduce the stomach volume, as in other obesity surgery operations, and to disable a part of the intestines, thus eliminating some of the consumed food without being absorbed. Thus, patients are satisfied with less food and some of the food they consume is absorbed.
Will I gain weight again?
Gastric bypass pouch is usually the least flexible part of the stomach. It is created in the upper part. Thus, the problem of stomach expansion in sleeve gastrectomy surgery is prevented in the long term. As the body gets used to the procedure, the person's food intake increases over time. In this way, after weight loss is achieved, the low weight is maintained.
When the patient consumes a small amount of food, the wall of the stomach pouch stretches and satiety signals are sent to the brain. If the patient continues to eat, discomfort and even vomiting will occur. Thus, they learn very quickly that they need to eat their next bite very slowly and carefully.
Research has shown that almost all of the cases that regain weight have an eating disorder. It has been observed that these patients, in addition to their normal meals, consume very high-calorie foods (hot chocolate, carbonated drinks, etc.) between meals at frequent intervals throughout the day.
WHICH SURGERY SHOULD I HAVE?
Therefore, choosing the type of surgery is the most important point of your treatment. In addition to obesity, many factors such as your additional diseases, the severity of obesity, your nutritional habits, etc. are taken into consideration in the selection. In our center, gastric bypass and its derivatives, sleeve gastrectomy, transit bipartition, gastric pilication (stomach folding) and revision surgeries are performed in order of frequency. The type of surgery that is most suitable for you is presented with alternatives after a patient-physician discussion.
WHAT IS DUMPING SYNDROME?
Gastric bypass patients are overloaded. When they eat sugary foods, the sugar quickly passes into the intestines and causes a physiological condition called dumping syndrome. causes the situation. The patient feels that his heart beats faster and stronger, he breaks into a cold sweat, feels like butterflies are flying in his stomach, and experiences a feeling of stress that feels like the world is about to collapse. Usually lies down, very uncomfortable for about 30-45 minutes. This is usually followed by diarrhea. Dumping syndrome is not a life-threatening condition. In fact, it is an indication that the patient is cheating and going out of his nutrition program, and it supports the patient in turning to healthy foods.
WILL I HAVE VITAMIN AND MINERAL DEFICIENCY?
In our country, calcium, iron and vitamin D deficiency, especially in women, is already an important public health problem, and contrary to popular belief, most people do not even know that they are deficient in these elements. According to reports made in recent years, certain levels of vitamin and mineral deficiency can be observed in all obesity surgeries, including gastric sleeve surgery. It is rarely life-threatening and supplementary food and vitamin support may be required.
WILL I HAVE A LOT OF PAIN?
Pain is a very subjective concept and varies from person to person.
HOW LONG WILL I STAY IN THE HOSPITAL?
Although it varies from person to person, you should spend an average of 3 to 5 days in a problem-free process.
HOW WILL I FEED?
Your nutrition program will be planned according to the person and conditions during hospitalization. You will be given training on alternative menus, and under the control of our nutritionist, you will be transitioned to puree on the 15th day and solid food on the 30th day.
HOW WILL THE FOLLOW-UP PROCESS BE LIKE AFTER THE SURGERY?
As in all obesity surgeries, the close relationship between the patient and the obesity team directly affects the success. It is a very important criterion in choosing the center where you will have the surgery. The first interview will be held approximately 7-10 days after your surgery. In this meeting, possible complications related to the surgery will be investigated and it will be checked whether the nutritional functions are normal. Under the supervision of our nutritionist, you will be transitioned from liquid to puree on the 15th day and to solid food on the 30th day. r. Again 1-3-6-12-18-24. Your routine checks will be carried out every month. During these checks, blood count, blood sugar, liver and kidney functions, and vitamin and mineral levels are checked. Special support treatments will be planned if necessary. At the same time, our nutritionist will ensure minimum muscle loss and your body composition will be monitored.
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