An apple a day keeps the doctor away


Manipal Hospitals, Palam Vihar, Sector 6 Dwarka, New Delhi, Delhi 110075

Roux En Y Gastric Bypass

A type of bariatric surgery, the Roux-En-Y Gastric Bypass surgery helps in losing weight by reducing the stomach size. The surgery is recommended to overweight people who have a body mass index or BMI value above 40. Obese people with a BMI above 35 can also get this surgery done. It is one of the best medical treatments for obesity when a person does not get the results of weight loss by making dietary changes and doing exercises. If a person is obese and has health problems like hypertension, heartburn, uncontrolled diabetes, sleep apnea, reflux, and heart problems, this weight loss surgery may be helpful in fighting and controlling these diseases.

The surgery is done by the best bariatric surgeon in the hospitals. In this gastric bypass surgery, the surgeon makes multiple incisions of a small size to do the surgery. The instruments used for the surgery are small sized. A camera is used to get a better view of the internal area of the stomach. A new stomach is formed from the existing stomach shape and it is as small as an egg. The new stomach that is formed looks like a pouch. This pouch has a volume of 15-30 ml. The surgeon makes the pouch either by using the technique of stapling or by using the method of the gastric band. There is very less stretching ability in the pouch. The food is diverted to the small intestine. The stomach is joined to jejunum located in the center of the small intestine. The new stomach bypasses the remaining stomach area and the duodenum. This causes a feeling of fullness and a person takes less food. The bypass of an area of the intestine controls the food intake and it decreases the nutrients absorbed in the body. It also decreases the number of calories the body absorbs from the food we eat.

A person needs to be admitted to the hospital for the surgery for 2-4 days. While most patients are able to resume the normal daily activities and work at the office in four to six weeks time, people who undergo the laparoscopic surgery take a shorter time to recover from the surgery and returning to normal life. The surgeon calls the patient to come for a check-up after one week of the surgery.

There can be problems after the surgery is done. Some patients have slight stomach pain after the surgery, which is controlled by giving pain medicines. The medicine is given for the first seven days immediately after the surgery. Some people have tenderness and soreness in the incisions made in the stomach. There can be dumping syndrome, in which a person has diarrhea, nausea, and fainting. This is because of a quick emptying of the food in the area of the small intestine. It may lead to nutrition problems sometimes. There can be a deficiency of essential nutrients in the body. To fight this problem, the patient needs to make a diet plan by consulting a dietitian. The meal plan should include all the foods with essential nutrients. Vitamin supplements are given to fight nutrition deficiency.

The patient needs to take a special diet post surgery. Soft foods are recommended for the first month along with a liquid diet. The person must take food in a small amount. Avoid dehydration by taking plenty of water. Take small sips of water. Start taking solid foods gradually. It is important to chew the food properly so that it is easy to digest it. Stop eating once the body gives a sign of a feeling of fullness. People who don’t chew the food and continue eating food even after feeling full have the problem of vomiting, discomfort, and nausea. Eating large amounts of foods stretches the stomach and this causes failure in losing weight. Thus, avoid it. Dietary advice is given the top bariatric surgeon in India for this weight loss surgery.
Patients should avoid taking fruit juice, colas, and other high-calorie fluids as it may lead to weight gain. Some people also report having constipation. There can be an irregularity of bowel movements. Take steps to fight constipation. Do not apply pressure while passing stools as it causes strain.

The surgery can be done through the traditional open surgery method or by using the minimally invasive laparoscopic surgery technique. Patients who choose the open surgery need to be careful while lifting heavy objects. Do not try to lift heavy objects. Doing hard and strenuous exercises can be harmful so avoid it. It is important to take these precautions so that the stomach heals well.The results of the Roux-En-Y Gastric Bypass surgery show that a person can lose more than fifty percent of the extra weight after doing the surgery. However, it has been noticed that people also gain back twenty percent of the reduced weight after ten years of the surgery. To get good results from the surgery and to maintain the lost weight, the patients are advised to continue taking dietary precautions and be regular with their visit to the doctor for consultation and advice. One must do physical activities to control the weight on a long-term basis.