Gastric bypass surgery is kind of surgery, your stomach distributed to small upper vesicle and large portion lower remainder vesicle and small intestine reset to so that it could connect to both parts we mentioned above. The high skilled surgeons accomplish this surgery according several methods that intestine could connect to stomach, therefore gastric bypass (GBP) is the modern method for accomplish this request. Of course gastric bypass is accomplished by several ways. When gastric bypass was finished, you could not feel hunger toward food
Of course when you have awesome obesity so that your BMI reaches to 40, therefore some diseases including hypertension, sleep apnea,2 type diabetes and being two diseases are the most important consequences related to obesity. All of surgical therapies are express by bariatric surgery, and it could heal deadly obesity, gastric bypass includes all of operations about obesity, therefore gastric bypass is exclusive term for reduce volume of stomach and causes all of methods express at one term and one category.
When you face with obesity, you have undergo gastric bypass than your weight diminish, when the patient feels unpleased from own obesity, therefore prefers experience gastric bypass surgery, of course nutritional endeavors, therefore accompany diseases bluster patient’s life or serious wreckage that is relates to quality and conditions life.
The national institutes of health (NIH) protected from next results for who persons they should experience gastric bypass surgery, body mass index (BMI) is high up at these persons, therefore should undergo this surgery. Kilogram is criterion for express weight (body mass index) and meter is uses for measure height. BMI is tolerates between 18.5 to 24.9 at normal persons and when BMI high up 30 kilograms therefore they have overweight property, but when BMI is less than 18.5 kilograms, persons are undernourished.
All of doctors and surgeons stressed on healthcare related to bariatric surgical patients, these healthcare including nourishment, sport workout, all of psychological and behavioral requirements about accompany diseases. Gastric bypass is the best tool for changing lifestyle and nourishment quirks and therefore efficient and long term for overweight problem and nourishment role is changing at light of gastric bypass surgery.
Incredible changes occur at bariatric surgery, especially laparoscopy being out of date some of consequences of NIH panel. The American society for bariatric surgery (ASBS) protect all of financial expenses for consensus conference that held in 2004, at that conference the newest changes brings to consequences of NIH panel and those survey was updated. Surgical and non-surgical arrangements and all of physicians and scientists, deduction these items:
- only way for therapy obesity is bariatric surgery
- maybe say that gastric bypass is the best solution among four methods for therapy obesity
- laparoscopy surgery has same effective and that is safe for open surgeries
- all of gastric bypass surgery should pervasive assessment and healthcare protect should observe after gastric bypass surgery
The main properties
The gastric bypass surgery operation compromised of these following items:
- To be small incision about 15-30 Ml/1-2 tbsp pocket size what is made on upper part of stomach, after the surgery was finished, remainder of stomach tolerates 400Ml and it could be changes according different conditions. This property caused you could less eat food and your stomach volume changed to small size. Your stomach could be segregate to many part like rooms in house or small part spaces at offices which they connect together by wall and surgical stiches are used for making this space or finally the surgeon could sew small parts of stomach by surgical stiches and therefore your stomach divide to many parts and therefore size of small parts are reducing and healing of cut what made is quickly, fistulae is utilize at this surgical procedure and at final sage naturalize surgical operation.
- The surgeon could empty of liquid of stomach by GI tract device. Therefore could be say that gastric bypass includes many different variations at surgical operation, length of intestine make to small length, so that you have less will to eating less and your nourishment changes to less amount of food. Small bowel that is called alimentary limb come to remainder of stomach that pocket is made at final stage of surgery.
Gastric bypass, Roux en-Y (RYGB, proximal)
This method is popular at gastric bypass surgery, and that is very usual method what is doing throughout USA at comparing other bariatric surgeries. Small intestine is segregate to 45 cm (18 inch) and that is under stomach opening and the surgeon could re-arrange it to y shape at surgery, roux limb drainage food flow from small upper stomach pocket. The y conjunction is made next to upper end of small intestine (proximal) at proximal method of gastric bypass. When the small intestine was segregate to 80-150 cm, therefore the roux limb is made, this part causes less food enters to your stomach, therefore the patient when eat food, feel full when will have eat food and go back from food table. To being full fell or disinterest to food appears when the patient feels to eat food.
Gastric bypass, Roux en-Y (RYGB, distal)
Normal size for small intestine is 6-10 m (20-33 ft) at length. When the y shape moving to gastrointestinal tract, after that you fell full when you eat food, suck up food nourishment diminish gradually, therefore surgery operation to become efficient. Y shape pocket located near to small intestine, that is lower to it (distal), about 100-150 cm (39-59 inches) form at lower of area of small intestine, therefore amount of suck up nourishment food diminish, fats and starches at first suck up, after that different minerals and fat solvent at water vitamins suck up. Large intestine accepts un-sucked starches and fats, bacterial actions probably influence them irritation and bad smelling gases. When these actions are occurring, lead to the humble increase at your weight.
“Mini-gastric bypass” (MGB)
American Robert Rutledge for first time developed mini gastric bypass, this kind deviation made a change on standard Billroth 2 procedure. At mini gastric bypass, narrow long tube stomach is creating in direction its right border with less bending. Small gut try to make loop and raises and fasten this tube and it is 180 cm far away begin to intestine.
According many studies and assessments, it is obvious remake loop is effective method when it located low on stomach, when it is near to esophagus, it predict a catastrophe will be happen. Today for therapy gastric problem including stomach cancer hurt of stomach, and ulcers, the surgeon try to use many loops at surgery operation. Remake loop is commonly at gastric bypass and after that bile reflux diminish, so that it is happen unusual.
Maybe said that MGB is another solution for Roux en-Y procedure and plainness of it leads to doing that, to being less risks and intricate caused many patients will undergo that and keeping weight loss is another reason for that. According assessments, many Asian people like reduce own weight by MGB method and this percent reaches to 15.4% among them.
Endoscopic duodenal-jejunal bypass
The researchers had been researched about this method since mid-2000. At this method, duodenal- jejunal bypass liner insert between at beginning of duodenum, it is first part of the small intestine toward to stomach and mid jejunum, the secondary part of the small intestine. Therefore, the food what broke and absorb to the body, not enter to the small intestine, this method, is much resembled to biliopancreatic portion of Rouxen-Y gastric bypass (RYGB) surgery. But you should pay attention to some side effects including, gastrointestinal bleeding, abdominal grieve, and device movement, but all of these effects resolved when the device took away from patient’s body. We could say that this medical trial enhances weight loss and consequences related to glucose homeostasis.
Consequences and health advantages at gastric bypass surgery operation
The most important subject for gastric bypass surgery is weight loss at patient’s body and 65-80% of extra weight is losing. Other side effects such two diseases at patient’s body are:
- At the most of 70% patients hyperlipidemia not reported
- At the most of 70% patients hypertension rehabs and therefore healthcare for rest of the patient diminishes
- Weight loss accompany obstructive sleep apnea enhances significantly and perhaps could say that bariatric surgery to be the best solution for relief sleep apnea. Of course at the most patients have less snoring.
- ۹۰% of patients reported not have 2 type diabetes, these patients announce own sugar blood reaches to normal level and no need to healthcare, even this event occurs at surgery days and experience gastric bypass. At most advanced phases, it is could hinder 2 type diabetes with early diabetes patients by much more 30 times for them. Walter Pories and Jose F. Caro found these conditions at first time.
- At the most patients reported Gastroesophageal reflux disease
- Indications including puffing leg for venous thromboembolic disease moderates.
- Nearly at the most patients joint grieve and lower back grieve rehabbed and enhanced.
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