Gastric
bypass is the favored bariatric surgery in the United
States and many surgeons across the world.
Surgeons
prefer this surgery because it's safer and has fewer
complications than other available weight-loss surgeries.
It can provide long-term, consistent weight loss if
accompanied with ongoing behavior changes.
Gastric
bypass surgery isn't for everyone with obesity, however.
It's a major surgery and requires permanent changes
in your lifestyle. Before deciding to go forward with
the surgery, it's important to understand what's involved
and what lifestyle changes you must make.
Fill
in the obesity surgery eligibility form to know whether
this approach is appropriate for you.
What
is Gastric Bypass surgery?
In a Roux-en-Y gastric bypass, the stomach is made smaller
by creating a small pouch at the top of the stomach
using surgical staples or a plastic band. The smaller
stomach is connected directly to the middle portion
of the small intestine (jejunum), bypassing the rest
of the stomach and the upper portion of the small intestine
(duodenum).
This
connection redirects the food, bypassing most of your
stomach and the first section of your small intestine,
the duodenum. Food enters directly into the second section
of your small intestine, the jejunum (jay-JOO-num),
limiting your ability to absorb calories. Even though
food never enters the lower part of your stomach, the
stomach stays healthy and continues to secrete digestive
juices to mix with food in your small intestine.
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How
does the gastric bypass surgery promote weight loss?
Gastric
bypass surgery makes the stomach smaller and allows
food to bypass part of the small intestine. You will
feel full more quickly than when your stomach was its
original size, which reduces the amount of food you
eat and thus the calories consumed. Bypassing part of
the intestine also results in fewer calories being absorbed.
This leads to weight loss.
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What
are the advantages of Gastric Bypass Surgery?
- Right
after surgery, most patients lose weight quickly
and continue to lose for 18 to 24 months after the
procedure. Although most patients regain 5 to 10
percent of the weight they lost, many maintain a
long-term weight loss of about 100 pounds.
- Surgery
improves most obesity-related conditions. For example,
in one study blood sugar levels of 83 percent of
obese patients with diabetes returned to normal
after surgery. Nearly all patients whose blood sugar
levels did not return to normal were older or had
lived with diabetes for a long time.
Many individuals report having developed a newfound
sense of well being after weight loss surgery. People
who undergo weight loss surgery can usually expect:
- Improvement
in or elimination of conditions associated with
morbid obesity, including adult onset diabetes,
hypertension, sleep apnea and arthritis and joint
problems.
- Improved
ability to engage in physical activity
- A
loss of 50 to 70 percent of that weight above the
ideal body weight. This loss usually occurs during
the 18 months following surgery.
- Maintenance
of this weight loss.
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Am I a good candidate for Gastric Bypass Surgery?
- If
you are between 18 to 60 and have a BMI over 40
- If
you have a BMI between 35 and 40, and have obesity-related
medical complications, such as diabetes, heart disease,
or sleep apnea.
and
- If
you have failed to lose weight by non-surgical means
(weight loss programs, diets, etc).
- If
you are willing to commit to a lifelong change of
proper diet, exercise
You may be a good candidate for the surgery.
If
you are interested in weight loss surgery and want get
the expert opinion about your candidacy for the surgery,
fill up the obesity surgery eligibility form and send
it to us.
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How do I know what kind of surgery is the best for me?
Your
surgeon will work with you to determine what type of
surgery is best for you.
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How
long is the average recovery period after Gastric Bypass
surgery?
You
would need to stay in the hospital for about three to
four days. Typically, it'll be about a week to ten days
before you can go back to work, and about a month to
six weeks before you can start exercising again.
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How
much weight and how fast can I expect to lose weight
with Gastric Bypass Surgery?
Weight
loss after gastric bypass surgery is often dramatic.
On average, patients lose 70- 80% of their extra weight.
Right after surgery, most patients lose weight quickly
and continue to lose for 18 to 24 months after the procedure.
Although most patients regain 5 to 10 percent of the
weight they lost, many maintain a long-term weight loss
of about 100 pounds.
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What
health conditions show improvement with Gastric bypass
Surgery?
Well,
over 70 to 80% of patients with hypertension will be
off medications and well over 90% of patients with type
II non-insulin dependent diabetes mellitus are expected
to be off medication. Drastically improved, if not completely
resolved includes sleep apnea, asthma, joint pain, arthritis,
reflux, fatigue, shortness of breath and an overall
increased sense of well-being.
There
is expected to be a significant reduction in risks of
heart disease, pulmonary disease and cancers. Morbid
obesity can reduce the lifespan as much as 20% in a
given patient, depending on their age and co morbid
problems. There is also a significantly improved quality
of life and self-esteem in patients who have undergone
gastric bypass procedure for weight loss.
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What diet and lifestyle do I have to follow
after the surgery?
You won't be allowed to eat for one to three days after
the surgery so that your stomach can heal. Then, you'll
follow a specific progression of your diet for about
12 weeks. The progression begins with liquids only,
proceeds to pureed and soft foods, and finally to regular
foods.
With
your stomach pouch reduced to the size of a walnut,
you'll need to eat very small meals during the day.
The amount you can eat gradually increases, but you
won't be able to return to your old eating habits.
After
few weeks, it would be relatively easy for you to enjoy
a small meal. Eat only three meals a day. Establish
regular mealtimes. Your diet should consist of solid
food, mostly meat, including poultry and fish, and vegetables,
in very small quantities. Take very small bites, chew
all your food well, and eat slowly. A meal should take
at least thirty minutes to an hour to consume. DO NOT
drink liquids 30 minutes prior to a meal to 30 minutes
after a meal, and no drinking during the meal. Drinking
during the meal will cause a sensation of pressure in
the chest that is uncomfortable and can cause the food
to backup.
Take
the time to relax just before, during, and after mealtime.
Between meals, it is advisable to drink five or six
glasses of water, coffee, or tea without sugar or non-carbonated
diet drinks to maintain your fluid intake. Do not drink
liquids that are high in calories. Remember, if you
take in extra calories between meals, weight loss will
be slower and you will not achieve the weight you desire.
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Exercise after Gastric Bypass Surgery
Exercise
is important in the recovery from any operation. Walking
is one of the most effective forms of exercise for this
purpose. A regular exercise program is highly recommended.
Begin with very short walks several times a day and
gradually increase the distance. Walking also improves
muscle tone while you are losing weight. Do not, at
first, engage in strenuous exercise. For example, do
not lift more than ten pounds at a time. About six weeks
after surgery, you should be able to tolerate all but
the most strenuous exercises.
Do
not sit or stand in one place for a long period of time.
Light housekeeping chores may be performed when you
feel you are able. Driving a car is usually permitted
one week after surgery. Sexual activities may be resumed
unless otherwise specified.
Most
people are able to return to light work after ten days
and to heavy labor after six weeks. The time of your
return to work will depend upon the physical demands
of your job and the rate of your recovery.
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How do I begin to undergo the Gastric Bypass
Surgery?
Having bariatric surgery is a life-changing procedure
and is one that should be considered carefully. The
following steps can help you prepare you for surgery
and the changes that you will go through.
- Educate
yourself about bariatric surgery. Learn everything
you can about bariatric surgery.
- Make
lists of the following:
- A
complete diet history of all diet attempts.
- Medications
(both prescription and over-the-counter) and the
dosages you take.
- Foods
you like and those you can not tolerate.
- Medical
records, especially any recent cardiac stress testing,
to minimize repeat tests.
- Start
making important changes in your eating and exercise
habits. Doing this can help prepare you for the
life changes that you will need to make after surgery.
These are some of the necessary dietary and behavioral
changes that you need to start:
- Drink
at least 64 ounces of water daily.
- Switch
from caffeine to decaffeinated beverages
- Keep
a detailed written food diary.
- Eat
at least three meals per day and avoid snacking
in between. Don't worry about the calories for now,
focus on the behavior.
- Begin
a walking program if able.
- Stop
smoking. Smoking slows the healing process and may
cause respiratory problems after surgery. If you
need help, ask your doctor.
- Write
down your feelings every day to remind yourself
of your commitment to begin a new and healthier
lifestyle and the alternatives if you don't.
- Attend
support groups. Having an environment that is filled
with support and encouragement is necessary for
any patient that undergoes bariatric surgery.
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Please
guide me step by step to have Lap Band surgery done
in India
Having bariatric surgery is a life-changing procedure
and is one that should be considered carefully. The
following steps can help you prepare you for surgery
and the changes that you will go through.
- Please
fill the enquiry form and weight loss surgery eligibility
form for our surgeon to asses if you are a good
candidate for the surgery.
- Your
case manager will get in touch with you with the
details and our expert surgeon’s opinion shortly
after we receive the filled forms.
- You
would need to undergo few pre operative screening
tests. It is advisable to get the tests done in
your country.
- About
two weeks before your LAP-BAND surgery, the surgeon
will have you begin a special diet. The pre-op diet
is important because it is designed to get your
body ready for surgery and make recovery easier.
You will need to lose fat around your stomach and
liver, as well as shrink the liver itself. The diet
helps reduce potential bleeding that can accompany
surgery by reducing fatty triglycerides from around
the liver and spleen. A primary part of the pre-op
diet is a protein supplement. Myocel, a protein
powder, is designed to lower the fat content of
the liver, maximize recovery, and promote weight
loss. Myocel can be mixed in with skim milk, water,
fruit juice, or fat-free yogurt. Foods that will
need to be decreased in your diet include high-sugar
foods, high carbohydrate foods (including bread),
fats (such as butter), fatty meats, fried foods,
whole milk products, and alcohol. Your diet will
be limited, but foods that may be included are yogurt,
fruit, cereal, eggs, oatmeal for breakfast and lean
meat or fish with green vegetables for dinner. Pre-op
diets may vary between surgeons and patients, but
you should always follow the recommendations of
your doctor. You would be asked to quit smoking
a few days before the surgery.
- You
can choose to combine the procedure with a spa treatment
or Ayurveda rejuvenation package or side trip in
India before the surgery.
- The
case manager would make a detailed itinerary for
you, with the quote.
- Please
make a deposit to secure the booking for you.
- The
case manager keep in touch with you regularly with
the pre op diet plan and surgeon’s instructions.
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