• Gastric Bypass Abroad
Gastric Bypass with Prague Beauty
Gastric bypass (or Roux-en-y) is the most
effective obesity treatment operation but with the highest risk of
complications. However, the aggregate risk of the most serious complications
(gastrointestinal leak and deep venous thrombosis) is less than one per
cent.
Obesity Treatment Diagram - Gastric Bypass
Gastric Bypass - INDICATION
The heavy obese, ie with BMI from 40 to over 60. Age between 18 and 65 years.
Gastric Bypass - TECHNIQUE
The operation is performed laparoscopically under general
anaesthetic. A small incision (less than 1/2 inch, 1 cm) is made near the belly
button. Carbon dioxide (a gas that occurs naturally in the body) is introduced
into the abdomen to create a work space for the surgeon. Then a small
laparoscopic camera is placed through the incision into the abdomen. The camera
sends a picture of the stomach and abdominal cavity to a video monitor. It gives
the surgeon a good view of the key structures in the abdominal cavity. A few
additional, small incisions are made in the abdomen. The surgeon watches the
video monitor and works through these small incisions using instruments with
long handles to complete the procedure.
The gastric bypass procedure consists in essence of:
- Creation of a small thumb-sized pouch from the upper stomach, accompanied by bypass of the remaining stomach. This restricts the volume of food which can be eaten. The stomach may simply be partitioned, or it may be totally divided into two parts.
- Re-construction of the GI tract to enable drainage of both segments of the stomach. The technique of this reconstruction produces several variants of the operation, which differ in the lengths of small bowel used, the degree to which food absorption is affected, and the likelihood of adverse nutritional effects.
- Operation is not reversible. It is a major surgery and you would expect to be off work for around four to six weeks afterwards.
Gastric Bypass - CONTRAINDICATIONS
Gastric banding is usually not recommended for people with any of the following:
- If the surgery or treatment represents an unreasonable risk to the patient
- Inflammatory diseases of the gastrointestinal tract such as ulcers, oesophagitis or Crohn’s disease
- Gastric or eosophageal varices
- Hiatus hernia
- Severe cardiopulmonary diseases or other conditions which may make them poor surgical candidates in general
- Dependency on alcohol or drugs
- People with severe learning or cognitive disabilities or emotionally unstable people
Gastric Bypass - SIDE EFFECTS
- Nausea
- Vomiting
- Pain
- Cramps
- Diarrhea
Gastric Bypass - RISKS AND COMPLICATIONS
As with all medical procedures, there is a risk of unforeseen, unknown or adverse reactions to anaesthesia, the medications used and type of procedure involved.
- Gastrointestinal obstruction
- Perforation
- Internal bleeding
- Infection
- Injury to other organ
- The need to convert to an open procedure
- A leak from the suture line used to plicate the stomach and bowel
- Deep venous trombosis and pulmonary embolism
- Anastomotic stricture
- Anastomotic ulcer
Dumping syndrome:
When the Gastric Bypass patient eats a sugary food, the sugar passes rapidly into the bowel, where it gives rise to a physiological reaction called dumping syndrome. The body will flood the intestines in an attempt to dilute the sugars. An affected person may feel their heart beating rapidly and forcefully, break into a cold sweat, get a feeling of butterflies in the stomach, and may have a "sky is falling" type of anxiety. He/she usually has to lie down, and could be very uncomfortable for about 30 to 45 minutes. Diarrhea may then follow.
Nutritional deficiencies:
Inadequate absorption of calcium, iron, zinc, Vitamin B1, Vitamin B12, Vitam A, and proteins. Calcium supplements, iron supplements, protein supplements, multi-vitamins and B12 (cyanocobalamin) supplements are all very important to the post-operative bypass patient.
Occasionally, a female patient develops severe anemia, even with supplements, and must be treated with parenteral iron. The signs of iron deficiency are the following: brittle nails, an inflamed tongue, constipation, depression, headaches, fatigue, and mouth lesions.
Achlorhydria is a condition where there is not enough acid in stomach. Patients can develop an overgrowth of bacteria as a result of the low acidity levels in the stomach.
Alcohol metabolism:
Patients who have undergone gastric bypass surgery will have a lower tolerance than people who have not gone through the surgery. It will also take a gastric bypass patient longer to return to a sober level after drinking alcohol than a person who has consumed alcohol that has not had the surgery.
Pica:
It is a compulsive tendency to eat substances other than normal food. Some examples would be people eating paper, clay, plaster, ashes, or ice. The patient is eating these substances mainly due to the iron deficiencies that occurred after gastric bypass surgery.
Fewer than 10 out of 1000 people die after a Roux-en-Y gastric bypass. There is a quoted 0.5% risk of dying during, or as a result of the Gastric Bypass operation, mainly due to the risk of developing blood clots, haemorrhage or leaks, so we take great care in minimising this risk with pre-op preparation for surgery and expert care.
Please contact your physician or our Hot Line immediately if you have any concern regarding possible complications.
Why go for Gastric Bypass Abroad with Prague Beauty?
With Gastric Bypass abroad you will save up to 50% of UK prices, and the quality of the bariatric operation will be the same or even higher.
Our bariatric surgeons are senior consultants - they are fully accredited in bariatric surgery, and are on the specialist register of surgeons. They use the latest techniques. We provide excellent post-operative care. Our aim is your comfort. Typically you stay two nights after the surgery at the clinic with full medical care (in most clinics you usually have to leave the hospital after one night, even with drains etc.) and full board.
Personalised care. Our care is tailored according to your needs.
You can also take your partner / friend with you.
We will arrange everything for you so that you do not have to worry about anything. All is included in the price (a representative waiting for you at the airport and taking care of you during your whole stay in Prague, accommodation at our beautiful private apartment (an equivalent of a four star hotel), with an English Sky TV in every room, wireless internet and English landline from which you can make phone calls free of charge to any UK/EU landline, breakfasts, all transportation among apartment - clinic - airport, and many more).
The number of happy clients is virtually 100%, and rate of all complications is 0.3% i.e. extremely low.