Mini gastric bypass There are operations that are performed with a completely closed technique, which reduces the volume of the stomach and keeps a part of the small intestines separate from the absorption functions. Mini gastric bypass are methods that can be applied very easily. Mini gastric bypass operation is the fastest and easiest application among bariatric surgery operations.
The recovery process after the operation is also a very comfortable method. Mini Gastric Bypass operation is a much shorter and less costly procedure. Mini gastric bypass is a very frequently preferred application as it has successful results and is a fast and very easy method.
Mini Gastric Bypass Application
The processes of mini gastric bypass surgery are as follows. 5 or 6 incisions with a diameter of 1 cm are made in the abdomen. Tools called trocars are inserted into the abdomen through these incisions. A camera and necessary surgical instruments are placed in the abdomen from the entrances formed by trocars. In this context, the camera and surgical instruments used during the procedure should be thin and long, capable of passing through the trocar device inserted into the abdomen.
At the entrance of the stomach, a small stomach tube is formed and this part is separated from the rest of the stomach. After the procedure, the main stomach to be used consists of this new stomach piece formed in the form of a small tube. The other large part of the stomach will remain in the abdomen and will continue to produce its secretions.
A connection is created between the small stomach and the small intestine, which occurs during the surgery, and the two-meter section of the small intestine located in the initial area is bypassed, and a connection with the stomach is made in a region close to the middle region of the small intestine.
To Whom Is Mini Gastric Bypass Surgery Applied?
All patients who comply with bariatric surgery and are in good health are candidates for mini gastric bypass. However, in elderly patients, attention should be paid to the absorption-reducing distance and it should be kept much shorter.
People with severe abdominal obesity or advanced metabolic syndrome are very suitable candidates for mini gastric bypass because of their wonderful metabolic effects.
They are suitable candidates for mini gastric bypass due to its pressure reducing effect for obese patients with reflux disease.
Who Cannot Have Mini Gastric Bypass Surgery?
– People who are generally inconvenient to have mini gastric bypass,
– during pregnancy
- Known cancer disease
– In active intra-abdominal infections
– Liver cirrhosis in Child C disease
– In unstable psychopathological conditions
– In active drug addiction
– In patients at risk of anesthesia
- Insufficient pre-existing endocrine problem
– Smoking
– Low economic situation, at the level of not being able to meet the nutrition after the surgery
– In cases of anemia and nutritional deficiencies
Preparation for Mini Gastric Bypass Surgery
As in all bariatric surgery operations, correct patient selection, preparation stages and training are very important to success. All patients should be examined in terms of suitability for surgery and should be checked in detail by cardiology and chest diseases. Laboratory tests should also be performed before the surgery, especially including the levels of certain vitamins and minerals. All deficiencies that need to be corrected in this regard should be corrected before the operation. Finally, all patients must stop the consumption of alcohol, carbonated drinks and cigarettes before the operation.
After Mini Gastric Bypass and Patient Follow-up
Great weight loss occurs in the first years after mini gastric bypass surgery, and % 70 or more of the excess weight is given. Weight loss slows down afterward, but continues in the second or third years.
The weight loss rate, which is more than 8-10 years, is at the level of % 75-70. Many publications also show that mini gastric bypass is superior when compared to sleeve gastrectomy surgery.
In obese patients, there are generally vitamin and mineral deficiencies before the operation, as well as in the follow-up of the surgical patient;
In the 1st year, on the 3/6/9/12th months, a full biochemistry examination is made.
In the 2nd year, an examination is requested every 6 months. An annual examination is then requested.
Vitamin B1, B12, D are monitored and supplemented if necessary.
Hb level, calcium ratio, PTH monitoring and supplementation are also done.
Liver function tests
Monitoring of protein and albumin levels
Early ultrasound for cholecystitis
Endoscopy is also highly recommended.
Quality of Life After Mini Gastric Bypass
Obese individuals have a significantly lower quality of life. This includes purely physical, social or situational. With obesity surgery, these values are corrected more significantly than other treatment methods. Quality of life is also directly related to the amount of weight lost and is multifaceted such as improvements in mental status, reduction of depression symptoms, and increase in self-confidence.
Mini gastric bypass is a much simpler and more reliable technique when compared to other surgical methods. Along with the postoperative periods, it also provides very significant improvements in the quality of life.
Last Update September 30, 2022 Editor Information:[email protected]
