Mini gastric bypass can be explained as one of the surgical methods used in the treatment of obesity. The main purpose of this method is to enable the patient to lose weight in a controlled manner. Therefore, on the one hand, it enables the patient to lose excess weight, on the other hand, prevents possible diseases that may develop due to excess weight. In this treatment method, which is preferred especially in the case of type 2 diabetes, the recovery process of the patients is not very difficult. In case of attention to some issues, a comfortable recovery period can be experienced after the surgical operation.
We can say that this method, which enables the patient to consume less food during the day, is a powerful alternative to sleeve gastrectomy. We will touch on how the nutrition should be after the operation, possible complications, risks and all the questions about the subject. But first, let’s clarify who can benefit from this surgery.
It was published by ROBERT RUTLEDGE in 2001 with 1272 cases. The aim was developed as an alternative to other gastric bypasses. Over time, it became the most performed surgery in the world. The reason is that it is more effective and has fewer complications.
Of course, we cannot say that anyone with obesity problems is a suitable candidate for mini gastric bypass surgery. In fact, in general, we can state that the criteria are not very different from the criteria considered in other obesity surgery applications. We can give the following examples of the criteria considered in determining whether the patient is a suitable candidate:
- Age of the patient
- Body mass index
- Current metabolic diseases
- Whether the patient has a hiatal hernia
- General condition of the small intestine organ
Surgery can be decided by considering all these and other factors such as other ailments of the patient. Of course, the most important of all these factors is the age and height-weight ratio of the patient. We can say that a very wide age group is a suitable candidate for this operation. Especially in people with a body mass index of 35 and above, extremely successful results can be obtained with surgery. At the same time, patients diagnosed with morbid obesity can benefit from this operation if they meet the criteria. It should be preferred especially in patients with reflux and hiatal hernia, in diabetics and patients with sugar (chocolate) addiction.
How is Mini Gastric Bypass Surgery Performed?
This operation must be performed by an experienced doctor. During the operation, an incision is applied to the line in the middle of the stomach. The incision made with a 1.2 cm spark plug ensures that 200 cc of tissue remains in the stomach. With the help of this incision, the stomach is divided into two. In a sense, we can say that there is an inert stomach tissue on one side. The idle stomach section continues to perform its hormone secretion function. After the incision is applied, it is connected to the lower part of the stomach approximately 250 cm from the beginning of the intestine. Meanwhile, the length of the small intestine should be calculated as 6 meters. Since there is only one anastomosis in the operation, we can say that this operation is preferred more frequently by doctors.
This operation is a much easier surgery compared to the RYGB technique. Of course, weight gain may occur again after surgery. For this reason, the entire intestine should be counted and evaluated as 6 meters in order to prevent the patient from gaining weight again. Thus, weight gain can be prevented with the implementation of the right diet.
Of course, the surgery is performed under general anesthesia. It is extremely normal for the patient to complain of mild pain after the operation. Pain sensation disappears in a short time. The important thing is to be careful at the feeding point after the operation and to apply the recommended diet strictly. In this way, it will be possible to experience a smooth recovery period.
Nutrition is easier in MGB because the reason is malabsorption, the patient inevitably loses weight. If these patients have difficulty in losing weight, first of all, the surgery should be looked at, and the doctor’s experience is very important. Intestinal anastomosis location and left stomach volume are very important.
How Much Are Mini Gastric Bypass Prices?
One of the frequently wondered factors is the prices of mini gastric bypass operations. However, it would not be correct to mention any number or even a price range in terms of price. The reason for this is that prices vary depending on various factors.
First of all, let us state that depending on various factors such as the experience of the doctor, the budget that the patient should allocate for this surgery may vary. In addition, the anesthetic drugs used, the materials used, the hospital where the surgery is performed can affect the prices, and as a result, different figures may emerge. The patient must talk to the doctor before getting price information. In addition, some tests may be requested and the general condition of the patient is evaluated. Afterwards, a clear price information is sent.
However, in general, we can say that the prices of this operation do not correspond to the high figures as expected. Patients can benefit from the operation with a very reasonable budget. In this way, it can get rid of both overweight and various diseases and complaints caused by weight.
What are the Possible Complications of Mini Gastric Bypass?
In this operation, a part of the stomach is made passive. However, a part of the stomach is not evacuated from the body as in many bariatric surgeries. In other words, it is not possible to remove organs or tissues from the body during surgery. As with all surgeries, we should state that there are various risks in this operation. We can list the risks as follows:
- Anesthesia related risks
- Bile reflux
- Stomach ulcer
- Dumping syndrome
Some measures are taken to prevent these complications. For example, despite dumping syndrome, consumption of carbohydrate foods should be avoided. If an experienced doctor is preferred, the risks of surgery will also be minimized.
How Should Nutrition Be After Mini Gastric Bypass?
Like any diet program, a personalized nutrition program should be created after mini gastric bypass surgery. The application of the nutrition program determined by the doctor and dietician performing the surgery is important in terms of both experiencing a smooth recovery period, keeping the immunity strong by providing sufficient food groups in terms of vitamins and minerals, and preventing the patient from gaining weight again.
We can say that nutrition after mini gastric bypass surgery is not gradual or slow to switch to solid foods as much as the program applied after sleeve gastrectomy. However, since there are stitches in the connection line between stomach and intestine, a gradual nutrition program should be applied in order to protect the stitches at this connection point.
A program in which a clear liquid diet for a few days and a transition such as a dark liquid diet and soft foods is preferred will facilitate the adaptation process of the person. Depending on the patient’s condition, a transition to the normal food period should be made in periods of several days.
After the surgery, the person should keep muscle loss at a minimal level while losing weight. Otherwise, sagging may occur while losing weight. To prevent this, protein powder supplements are needed. Due to the decrease in absorption in the intestines, the person should also take a multivitamin supplement in order to prevent the loss of vitamin and mineral.
The weight loss process of the person should be under the follow-up of a dietician, as in every diet process, and the main goal should be to gain a healthy eating habit with the nutrition program that takes into account the lifestyle.
What Should Be Considered After Mini Gastric Bypass?
The patient is informed in detail about the issues to be considered after the mini gastric bypass operation applied. It is extremely important not to interrupt routine check-ups and to take the doctor’s warnings seriously. In particular, it is expected that the prepared nutrition program is meticulously followed.
It is also important to exercise regularly after the surgery. It would be much better to start light exercises instead of starting heavy sports suddenly. One of the frequently wondered issues is postoperative weight loss. Most of the weight loss occurs within the first year. We can say that approximately 70% of the excess weight is lost. However, this rate may differ from person to person. You can write all your questions about this operation in the comments section.