July 31, 2010      


Gastro Intestinal Laparoscopic Surgery



Gastro Intestinal Laparoscopic Surgery is a Gastric Bypass Procedure (GBP). It is classified as a Bariatric surgery, which is a broad category of surgeries that cure morbid obesity. Morbid obesity is unmanageable weight gain due to excess eating that leads to other serious diseases (comorbidities).

THE PROCEDURE

The most common of GBP procedures is known as the Roux-en-Y gastric bypass. This involves making two halves of the stomach with the aid of surgical staples or a plastic band. The two halves are:

  1. A small upper part
  2. A much bigger, lower part



Thereafter the surgery reorganizes the small intestine to accommodate both parts.

THE OUTCOME

Gastric bypass surgery aims to reduce the stomach area and hence a reduction in food consumption. In simple words, one feels full much faster and hence one eats lesser. Obviously this leads to a cut in calories and hence the desired weight loss.

POST-SURGICAL CARE AND RECOVERY

The post-surgical stay in hospital is for around 4 to 6 days in a conventional process and around 2 to 3 days in case of a laparoscopic process. In the first few days a patient may have to be at bed rest for sometime to avoid what is called a dumping syndrome. This is a syndrome that is caused due to food moving too fast in the stomach and intestines, thus causing queasiness, faintness, perspiration and even diarrhea. To avoid this, a patient is advised to avoid high-calorie stuff like sweets etc. as well. It usually takes around 3 to 5 weeks to get back to normal life.

EFFECTIVENESS

Both the conventional as well as the laparoscopic procedures ensure significant weight loss for up to 12 months. Moreover, it also shows a marked reduction in co-morbid conditions such as hyperlipidemia, hypertension, obstructive sleep apnea, diabetes mellitus type 2, gastroesophageal reflux disease, venous thromboembolic disease, low back pain and joint pain. Most importantly a comparative study of non-surgical and surgical cases, has reported an 89% reduction in mortality through 5 years after surgery. It also improves one’s health and lifestyle.

COMPLICATIONS

Some of the common risks are:

Infection in the incision
Leak from the stomach, causing peritonitis
Blood clot in the lung
Gallbladder stones or a nutritional deficiency (anemia or osteoporosis)
Death in less than 3 in 200 cases
   

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