Among bariatric surgery procedures, Mini Gastric Bypass is the easiest and most economical surgical procedure that can be performed in the shortest time. Mini Gastric Bypass surgery provides as much weight loss as the other bypass surgeries. It can control certain conditions such as Type 2 diabetes, the leading sign of metabolic syndrome, hyperlipidemia and hypertension. The most basic logic in this surgical procedure is that it reduces the volume of the stomach. However, it also involves the bypass of the portion of the small intestine that provides absorption at the exit of the stomach. The bypass procedure is performed by establishing an anastomotic connection between intestine and the stomach. Bypassing this portion of the small intestine, which provides absorption, supports rapid weight loss, and the treatment of hyper tension, cholesterol, and diabetes. It has favorable effects on elderly patients. Mini Gastric Bypass is a surgical procedure performed completely with closed methods. It involves incisions shorter than 1 centimeter. The laparoscope and other instruments required for surgery are placed into the abdomen through these incisions. These are specially manufactured instruments produced in dimensions allowing for their insertion through these incisions. A small tube is formed at the entrance of the stomach, and is separated from the rest of the stomach. The portion of the stomach to be used after surgery is this part. No organ is cut and removed during surgery. The newly formed stomach is connected to the small intestine to ensure the foods to pass to the intestine by bypassing its upper portion. This constitutes the second part of the operation.
Who are candidates for Mini Gastric Bypass surgery?
For Mini Gastric Bypass surgery, you should have a body mass index of 35 and over. This surgical procedure takes 30 to -60 minutes. You can be discharged 24 hours after surgery.
How can weight lose be achieved with Mini Gastric Bypass?
With Mini Gastric Bypass, it is possible to lose weight in three different ways. These are reduction of the gastric volume, restriction of absorption, and hormonal regulation. With the first way, i.e. the reduction of the gastric volume, the food servings will also be reduced. In the second way, i.e. the restriction of absorption, the upper portion of the small intestine (about 200 cm in length) is excluded from the process of food passage. Bearing bile and other fluids responsible for digestion and absorption is the task of this excluded (bypassed) portion. Thanks to this absorption restriction, you lose weight to a great extent, and maintain the achieved weight for a long time. In the third way, i.e. hormonal regulation, the fact that the stomach remains passive inside has an effect on weight loss. Because the foods eaten cannot pass to this part, it will not be stimulated and consequently lose its effectiveness. As a result, this will reduce the release of ghrelin, the ‘hunger hormone’.
How are the stomach and the small intestine connected to each other?
The stomach and the small intestine are connected to each other with special staples. These staples are specially produces tools suitable for closed method. They connect the stomach to the intestine in such a way as to create an opening between them for food passage. This newly created opening is called anastomosis.
When can I be discharged after mini gastric bypass surgery?
You can stand up 4 hours after the Mini Gastric Bypass surgery, and can begin to take nourishment orally after the first postoperative 24 hours. If the results of your follow-ups and examinations do not indicate any problem, you can be discharged after given dietary instructions 3 days after surgery.
How should I take nourishment after the mini- gastric bypass surgery?
After the Mini Gastric Bypass, you will need to follow your personal diet program prepared by your dietitian. In general, small amounts of water, apple juice or fruit juices can be given the next day after surgery. Liquid or semi-liquid foods, fat-free milk and yoghurt, soups prepared with yoghurt, fruit purees prepared with yoghurt, fruit purees prepared with yoghurt, mashed legumes, saucepan-cooked dishes, cornflakes prepared with skimmed milk, and fat-free cheeses can be consumed for approximately a month after surgery. In addition, chocolate, honey, cake, dessert, sherbet, ice cream, soda, alcoholic beverage and all sugary foods should be avoided because they cause vomiting.