Gastric Bypass Surgery
About Gastric Bypass Surgery
Indeed, Laparoscopic gastric bypass in is the gold standard for weight loss surgery, it is well known as Roux- en- Y Gastric Bypass. It has withstood the test of time in achieving substantial weight loss and maintaining the same.
In this Gastric Bypass surgery, we create a gastric pouch having a volume of 30-40 cc and connect it to the small intestine so that the residual part of the stomach and approximately 100-150cms of the small intestine is bypassed. This gastric bypass surgery in Bangalore works in four ways. Firstly, by creating a 30 to 40cc stomach pouch, we restrict the intake of food.
Secondly, there is a reduction in the levels of the hunger hormone Ghrelin. Thirdly, as food passes from the pouch directly to the small intestine, the secretion of the hormone GLP1 is thrice the amount that is normally secreted, which has a major role in the remission of Diabetes.
Fourthly, as food does not enter the second part of the duodenum, a hormone called the Factor X is not secreted which also contributes to diabetes remission along with weight loss. This is the reason why this surgery is also known and has been popularized as a Metabolic Surgery or Diabetes surgery.
Best Bariatric Surgeon is one who knows whom to operate and whom not to operate (medical weight loss), whose focus is only on Bariatric and Metabolic Surgeries, does a large number of surgeries every month, personally follows up the operated patients, has good and sustained results in terms of weight loss and diabetes remission.
The gastric bypass surgery in Bangalore has more benefits over the sleeve surgery in terms of maintenance of weight loss and remission of Type 2 Diabetes. In fact, the laparoscopic gastric bypass surgery addresses the whole metabolic syndrome and is considered a metabolic surgery. Metabolic syndrome means the person has Type 2 diabetes, hypertension and Dyslipidaemia. So, in short, gastric bypass surgery in Bangalore not only helps in weight loss but also helps in remission of type 2 diabetes, dyslipidemia and in some cases hypertension also.
This gastric bypass surgery in India can be totally reversed if at all the patient desires so, as while performing the gastric bypass surgery, we do not remove any part of the stomach or the intestine out of the body.
However, gastric bypass surgery has a steep learning curve and requires a high level of skills and expertise. As the BMI increase, the challenge for the operating surgeon increases. The best bariatric surgeon is one who can perform most of the bariatric surgery procedures and is not restricted to one single procedure. As we all know the abdomen is a Pandora’s box and can surprise you. Hence having good skills and knowledge of all procedures is paramount.
Laparoscopic gastric bypass surgery can be combined with laparoscopic cholecystectomy if the patient is detected to have gallbladder stones along with obesity and this is quite common. In fact, there is another school of thought, wherein prophylactic laparoscopic cholecystectomy is done along with the gastric bypass. Similarly, hysterectomy (uterus removal) and ovarian cystectomy can also be combined with the gastric bypass surgery.
Remission of Type 2 diabetes is very high after the gastric bypass surgery. In fact, in the majority of the cases, euglycemia is achieved the very next day after the surgery (in those having a good residual pancreatic function).
In patients having associated reflux problems or a hiatus hernia, laparoscopic gastric bypass surgery is the single solution for it as well as weight loss.