MINI GASTRIC BY-PASS

Mini gastric bypass, which has gained popularity among the methods used in obesity surgery in recent years, differs in practice from full gastric bypass in some steps. The main difference between full gastric bypass and mini gastric bypass is less intestinal diversion during surgery and in addition, shorter overall operation time. A long gastric pouch is created in a procedure that combines some of the features of sleeve gastrectomy surgery with a standard gastric bypass. This stomach pouch is then combined with the small intestine piece. Mini gastric bypass, which is one of the most frequently performed surgeries in bariatric surgery, is used in the treatment of diseases such as high blood pressure and high cholesterol due to excess weight. Moreover, this surgery can be applied to patients who have undergone sleeve gastrectomy or gastric banding operations but have not experienced any weight loss.

WHAT IS MINI GASTRIC BY-PASS?

Mini gastric bypass is an effective method in the treatment of obesity. This method, with the goal of the patient to lose weight in a controlled manner, is also helpful in preventing diseases due to excess weight. During the procedure, the stomach is divided into upper and lower sacs, and the small intestine is partially rerouted. This helps to encourage weight loss by helping to limit the number of calories the patient can consume in a single meal and the amount of calories that can be absorbed by the body during digestion.

WHO IS ELIGIBLE FOR MINI GASTRIC BY-PASS?

Patients with a body mass index of 35 and above and metabolic syndrome are suitable for mini gastric bypass surgery.

WHAT ARE THE ADVANTAGES OF MINI GASTRIC BY-PASS SURGERY?

The surgery is performed by laparoscopic method. Thanks to this method, the wounds heal easily and the patient can return to his routine life in a shorter period of time.

ADVANTAGES OF MINI GASTRIC BY-PASS COMPARED TO GASTRIC BY-PASS SURGERY

Mini gastric by-pass application is an operation in which similar steps are taken with the standard gastric bypass. However, the working time of mini gastric bypass surgery is shorter and the intestines are less rerouted with this surgery.

BEFORE AND AFTER THE SURGERY

It is extremely important for the patient to go through certain preparations before mini gastric bypass surgery in order to achieve long-term success. These stages are as follows:

• Pre-operative period: The doctor makes a preliminary interview with the patient and requests the necessary examinations. With these examinations, the physical and mental state of the person is analyzed in detail in terms of suitability for surgery. Then the patient is directed to the dietitian and the dietitian determines the diet programs to be applied in the pre/post-operative periods. The dietitian also makes detailed body analysis and takes body measurements. After these procedures, the patient's surgery date is determined.
• Preparatory period for surgery: It is important for the patient to follow the list given by the dietitian with great precision during this period. In addition, daily light exercise or walking should be done until the day of surgery. In this routine, a preparation is important for the surgery to be successful. It is also necessary for patients who smoke to quit at least 10 days in advance. It is important that the patient informs the doctor about the drugs he regularly uses.
• Early period after the operation: The patient may experience a feeling of tension or pain due to swelling in the abdomen after the operation. However, this situation will gradually decrease in the following hours. After 6 hours of surgery, the patient should walk without exerting himself too much. These walking routines can also be set to be every 2 hours. It is ensured that the patient performs lung exercises by taking deep breaths 3-5 times an hour. On the second day of the surgery, liquid food is given to the patient. After the uneventful process, the patient is discharged on the 3rd day.
• Post-surgical period: During this period, the patient is likely to experience dumping syndrome. This syndrome occurs as a result of the rapid passage of oral food into the small intestine, and the patient may experience diarrhea, fatigue and drowsiness. In order to minimize the possibility of this situation, the patient should follow the specially determined nutrition list for 1 month.
• Recovery period: After the operation, the patient may experience pain in the incision area. The pain will decrease over time.

COMPLICATIONS

Mini gastric bypass includes major and minor complications. Hernias, ulcers and minor incision infections at the surgical site are minor complications. Major complications typically occur within the first 3 weeks after surgery. Significant complications include staple line leaks, pulmonary embolisms and strictures, among other risks. In these situations, the doctor who performed the surgery should be contacted.

NUTRITION AFTER THE SURGERY

In order for the person to get effective results in the long term after the surgery, it is important to apply certain changes in nutrition in form of implementing stages. These stages are usually as follows:

EXERCISE AFTER THE SURGERY

Immobility of the person after the operation may have negative consequences. Therefore, exercise and walking should not be neglected. This routine can be set up as follows: