• 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.
INDICATION
Obese class II, i.e. BMI of 35 and higher. Age between 18 and 65 years.
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.
Contraindications
Gastric bypass 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
SIDE EFFECTS
- Nausea
- Vomiting
- Pain
- Cramps
- Diarrhea
RISKS AND COMPLICATIONS
As with any major surgery, gastric bypass poses potential health risks or unforeseen, unknown or adverse reactions, both in the short-term and long-term.
Risks associated with the gastric bypass surgery can include:
- Excessive bleeding
- The need to convert to an open procedure
- Perforation
- Injury to another organ
- Infection
- Adverse reactions to anaesthesia
- Blood clots
- Lung or breathing problems
- Leaks from staple line
Longer-term risks and complications of gastric bypass surgery can include:
- Gastrointestinal obstruction
- Hernias
- Gastroesophageal reflux
- Billiary reflux
- Stomach kinking
- Strictures
- Low blood sugar (hypoglycemia)
- Malnutrition
- Vomiting
- Vitamin deficiency and their consequences
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.
Very rarely, complications of gastric bypass can be fatal. 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 +420 602 166 757 immediately if you have any concern regarding possible complications.
PROPER SUPPLEMENTATION IS ESSENTIAL AFTER GASTRIC BYPASS
It is highly recommended to patients after bariatric surgery to arrange a blood test four times a year to early discover any vitamin deficiency.
Both groups, i.e. sleeve or bypass patients, please take particular attention to Thiamine (vitamin B1) as such deficiency could occur in up to 49% of patients as a result of bypass of the jejunum, where it is primarily absorbed, or in the presence of impaired nutritional intake from persistent, severe vomiting.
The early symptoms of Thiamine deficiency are nausea and constipation, but it could worsen up and lead to neurological and psychiatric complications known as Wernicke-Korsakoff syndrome. Proper supplementation is therefore essential to stay on the safe side.
Dr Michael Vrany, national leading bariatric surgeon
Dr Vrany is a cofounder of laparoscopic and bariatric surgery in the Czech Republic and he is, most likely, the most experienced and qualified professional in the Czech Republic.
He started gastric band surgeries in 1996, gastric sleeve resection and gastric bypass surgeries in 1998.
He is recognized as the national leading expert in colorectal operations, pancreatic procedures, thyroid surgeries, spleen and liver operations, nephrectomies, prostatectomies, and suprarenal procedures.
Medical Travel Shield Insurance Included in the Package Price
Standard trip or travel medical insurance policies DO NOT provide coverage if you are traveling for the purpose of obtaining medical treatment. These types of insurances will be of no help if a medical complication arises and would cancel any travel medical insurance policy.
Therefore our package prices include the Medical Travel Shield - the insurance which includes excellent travel insurance benefits plus a number of tailored benefits for patients travelling abroad to obtain medical treatment.
Before travel
The policy covers non-refundable treatment deposits, if a patient has to cancel or delay their trip
Up to £5,000 per insured person for irrecoverable payments for travel, accommodation and non-refundable deposits for cancellation of treatment for reasons specified in the Certificate of Insurance, including death, illness, jury service and major damage to the home.
During travel
If the patient's recovery period is longer than expected, the policy covers contributions towards accommodation and flights, plus a daily allowance.
Up to £1,500 per insured person towards accommodation costs, daily allowance and return flight home, if a patient has to stay at their destination for a longer time than the normal recovery period.
If the patient needs treatment for post-operative complications between discharge and return home, the policy covers contributions towards the cost of consultation fees and medication.
Up to £500 for additional medical expenses after discharge from hospital.
After travel
If the patient needs to return within 12 months to correct unsuccessful surgery, the policy covers contributions towards the return trip.
Offers the benefit of cover up to £2,000 if within 12 months of the original treatment, it is medically necessary for the patient to have a corrective procedure. The insurance will cover for return flights for the patient and a companion and a daily allowance.
Patient and Companion benefits | ||
| Benefits and Services | Sum insured per person | Excess |
|---|---|---|
| 5.1 Medical and Additional Expenses | £2,000,000 | £100 |
| 5.2 Cancellation and Curtailment | £5,000 | £100 |
| 5.3 Journey Continuation | £250 | £100 |
| 5.4 Travel Delay per 12 hours up to 48 hours | £25 | Nil |
| 5.5 Personal Liability | £1,000,000 | £250 |
| 5.6 Personal Accident | £20,000 | Nil |
| 5.7 Hospital Benefit per 24 hours to max £1,500 | £50 | Nil |
| 5.8 Accompanied Personal Baggage, clothing or effects and Money limited to £250 for Money, £300 for any one article or pair or set of articles | £1,000 | £100 |
| 5.9 Loss of Passport | £250 | £100 |
| 5.10 Travel and accommodation expenses over and above the Normal Recovery Period 75% of accommodation expenses 75% of 1x economy single fare Overall maximum of £1,500 | £50 allowance per day | Nil |
| 5.11 Additional Return Trip within 12 months of the original Treatment 1x economy return air fare Overall maximum of £2,000 | £50 allowance per day | £250 |
Patient only benefits | ||
| Benefits and Services | Sum insured per person | Excess |
| 5.12 Medical expenses for further medical consultation after discharge from the hospital (but prior to return to the UK) | £500 | £100 |
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 procedure will be the same or even higher.
Our cosmetic and bariatric surgeons are senior consultants - they are fully accredited in plastic/general surgery, and are on the specialist register of surgeons. They use the latest techniques. Our aim is your comfort - no pain, no sickness. You stay few nights after the surgery at the clinic with full medical care (in many clinics you usually have to leave the hospital very early, 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: return air tickets, from any European airport with direct flights to Prague, Medical Travel Shield Insurance, with the cover of corrective return trip, accommodation in a luxurious 4-star apartment (with kitchenette, TV and free Wi-Fi), all necessary transportation among airport - clinic - apartment, representative waiting for you at the airport and take care of you completely during your stay.
The number of happy clients is virtually 100%, and rate of all complications is 0.3% i.e. extremely low.
To apply for bariatric surgery,
please fill in a questionnaire
to assess your case
| Gastric Bypass, RYGB | |
| BASIC PRICE WITHOUT - air tickets BUT WITH + insurance + accommodation + transportation included |
PACKAGE PRICE WITH + air tickets AND WITH + insurance + accommodation + transportation included |
| £6,150 | £6,350 |
| + with 1 companion: + £650 |
|
| TYPE | OT |
|---|---|
| CLINIC | JBC |
| ANAESTHESIA | GA |
| HOSPITALIZATION | 4 nights |
| TOTAL OF STAY | 7 nights |