It is a surgical procedure that has been used in the surgical treatment of morbid obesity for more than 20 years. It is a surgery performed to "reduce the absorption of food from the intestines". With this surgery in the morbidly obese patient; 90% of the stomach is disabled. The remaining 10% of the stomach is approximately the size of a "cup" and this section is approximately 80-150 parts of the small intestine. It is connected cm forward. As a result, an early feeling of fullness occurs as the food consumed passes into the stomach part left as small as a "cup", and by transferring the food to the middle part of the small intestine, it ensures that especially starch (carbohydrate-sugar) and fats are eliminated from the body without being absorbed from the small intestine - without mixing with the blood.
As a result, when a morbidly obese person consumes small amounts of food, the first response in the body is; It is the process of stretching the stomach wall, which is left at the size of a "cup" - even with a very small amount of food - to convey to the brain the "satiety signal" that the stomach is full. Less eating and less absorption ultimately leads to weight loss in the morbidly obese patient. In order for this surgery to be successful, the morbidly obese patient must eat "only in main meals" and avoid snacking between meals.
Following gastric bypass surgery, patients feel "early satiety-satiety" with small amounts of food intake, that is, loss of appetite due to the surgery. is one of the expected results. Due to the dramatic decrease in food intake during the day, protein deficiencies, impaired fat absorption, deficiencies of fat and fat-soluble vitamins (vitamin A, vitamin D, vitamin E, vitamin K) and mineral deficiencies such as calcium and iron can be observed. For this reason, close follow-up of patients is necessary starting from the period after surgery. It is possible to replace the vitamins and minerals of these deficient foods with supportive treatments.
Proteins are important building blocks of the body. Preventing deficiency is possible with simple measures or with external liquid or powder protein supplements. Daily protein requirement is approximately 60-100 grams. In the postoperative period, patients can prevent this deficiency by starting with proteins in their food choices. Use water-soluble forms to compensate for deficiencies in fat-soluble vitamins. is given. Likewise, for vitamin B12 deficiency after surgery, it can be used in its mouth-soluble form or its depot form by injection.
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