Mini Gastric Bypass Surgery in Adana
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If you are having difficulty reaching your goals with diet, exercise and other methods, you can get information about surgical options such as gastric sleeve surgery and gastric balloon.
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What is Mini Gastric Bypass Surgery?

Mini Gastric Bypass (MGB) surgery is an effective surgical method used in the treatment of obesity. It is based on the principle of both reducing the stomach volume and bypassing a portion of the small intestine to achieve weight loss. This surgery is a simpler procedure than the classic Roux-en-Y gastric bypass, but it provides similar results.

In mini gastric bypass surgery, a large portion of the stomach is bypassed and a small, tube-shaped stomach pouch is created. Then, a forward portion of the small intestine is connected to this stomach pouch and the digestive system is partially bypassed. As a result of this procedure, patients feel full with less food and the absorption of nutrients is reduced. Both fewer calories are consumed and some of the calories consumed are excreted without being absorbed by the body.

Since a simpler technique is used, the operation time is short and the risk of complications is lower than some other bariatric surgical methods. Mini gastric bypass surgery is also very effective in treating obesity-related diseases such as type 2 diabetes, hypertension and sleep apnea. However, since vitamin and mineral deficiencies may occur in the post-operative period, lifelong supplementation may be required.

Mini gastric bypass is surgically simpler because it requires less intestinal connection than classic gastric bypass, but lifestyle changes, regular nutrition and doctor follow-up are still of great importance in the post-operative period.

Patients with a BMI over 35 and obesity-related health problems are suitable candidates for mini gastric bypass.

Mini Gastric Bypass Surgery

Who Can Get Mini Gastric Bypass?

Mini gastric bypass surgery can be applied to people who have serious weight problems and obesity-related health problems. However, the suitability of this surgery is determined by the patient's general health status and the presence of obesity-related complications.

Patients with a Body Mass Index (BMI) of 35 and Above

Patients with a BMI of over 35 and obesity-related health problems are suitable candidates for mini gastric bypass. Patients with a BMI of 40 and above may be recommended surgery if obesity seriously affects their quality of life and health.

Patients with Type 2 Diabetes

Patients with type 2 diabetes along with obesity that cannot be controlled with medication or insulin therapy can benefit greatly from mini gastric bypass surgery. The surgery makes it easier to control diabetes, and blood sugar levels improve in many patients.

Patients with Other Metabolic Syndrome Symptoms

People with obesity-related metabolic problems such as high blood pressure, sleep apnea, and high cholesterol may also be suitable candidates for this surgery. Mini gastric bypass is very effective in relieving the symptoms of such diseases.

Patients Who Cannot Lose Weight with Diet and Exercise

Mini gastric bypass can be an effective solution for people who have failed to lose weight with diet and exercise, who have not been able to maintain their weight loss, or who have regained it quickly. This surgery can have serious results, especially for patients who have tried many weight loss methods but have not been successful.

Patients Looking for a Less Risky Surgery

Mini gastric bypass is a procedure that carries fewer surgical risks than the traditional Roux-en-Y gastric bypass, so it may be appropriate for patients looking for a less invasive option and a quicker recovery time.

During surgery, a large portion of the stomach is first bypassed and the stomach is turned into a small tube-shaped pouch.

Mini Gastric Bypass Surgery

How is Mini Gastric Bypass Performed?

Mini gastric bypass surgery is an effective surgical method used in the treatment of obesity and is usually performed with laparoscopic (closed) surgery. Since this is an operation performed through small incisions in the abdominal area, the recovery period is faster than open surgery and the risk of complications is lower. The surgery is performed under general anesthesia and usually takes 1-2 hours. Here are the stages of mini gastric bypass surgery:

During the surgery, first a large part of the stomach is bypassed and the stomach is turned into a small tube-shaped pouch. This procedure significantly reduces the volume of the stomach, allowing the patient to feel full with much less food. The small stomach pouch created has a capacity of approximately 100-150 ml, which greatly restricts food intake.

In the second stage, a part of the small intestine is bypassed. In this procedure, the upper part of the small intestine is connected to the stomach pouch. Food normally passes from the stomach to the duodenum and from there to the small intestine, but with this surgery it is directed directly to a further section of the small intestine. This allows food to follow a shorter path in the digestive system, thus reducing calorie and nutrient absorption.

This two-stage procedure both restricts food intake and provides effective weight loss by reducing absorption. Since mini gastric bypass requires fewer intestinal connections than classic gastric bypass, it is a simpler and shorter surgical procedure. After the surgery, patients feel full by eating less, and the body eliminates some of the calories taken without absorbing them.

The post-operative period begins with a liquid diet and gradually transitions to solid foods. In addition, long-term vitamin and mineral supplements may be required, because nutrient absorption decreases because a part of the intestines is bypassed.

Mini Gastric Bypass Surgery
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What are the risks of Mini Gastric Bypass Surgery?

Although mini gastric bypass surgery is generally a safe method of bariatric surgery, as with any surgical procedure, it carries some risks and complications.

1. Infection

Surgical incisions or intestinal connections made during surgery may carry a risk of infection. Therefore, it may be necessary to pay attention to post-operative hygiene conditions and use antibiotics recommended by the doctor.

2. Bleeding

Bleeding may occur during or after surgery. Although rare, this can be a serious complication and may require additional surgery.

3. Intestinal Leakage

Leaks may occur at the stomach and intestine connection points created during surgery. These leaks can cause intra-abdominal infection (peritonitis) and may require emergency intervention.

4. Dumping Syndrome

Dumping syndrome, one of the most common complications after mini gastric bypass, can cause symptoms such as nausea, abdominal pain, dizziness and diarrhea as a result of food passing quickly from the stomach to the small intestine. This condition usually occurs with the consumption of high-sugar and fatty foods.

5. Nutrition and Vitamin-Mineral Deficiencies

Since a portion of the intestines is bypassed after surgery, vitamin and mineral absorption decreases. Vitamin B12, iron, calcium and vitamin D deficiencies are common. For this reason, patients may need to take vitamin and mineral supplements regularly throughout their lives.

6. Gallstone Formation

Rapid weight loss can lead to the formation of gallstones, which can cause gallbladder problems and may require gallbladder removal in some patients.

7. Intestinal Obstruction

Intestinal obstruction may occur after surgery, although it is rare. This creates difficulty in the passage of food and may require surgical intervention.

8. Weight Gain Back

Even if surgery is successful, weight regain may occur over time if lifestyle changes are not followed and healthy eating habits are not adopted.

Prof. Dr. Mehmet ÖZDOĞAN Answers Your Questions

Frequently Asked Questions

Frequently Asked Questions

The first 6 months after surgery will be the fastest time for weight loss. During this time, you can lose 30-50% of your excess weight. By the end of the first year, you are expected to lose 60-70% of your excess weight. However, weight loss depends on how well you follow your post-operative diet and how much you focus on physical activity. Surgery initiates weight loss, but healthy lifestyle changes are important for long-term success.
Immediately after surgery, you will start on a liquid diet for a few weeks. You will need to eat liquids and pureed foods for the first 2-4 weeks. Over time, you will transition to soft foods and after about 6-8 weeks you can return to solid foods. However, it is important to choose small portions and low-calorie, nutritious foods. You should also consume your meals slowly and carefully.
Mini gastric bypass surgery can be very effective for type 2 diabetes. Your diabetes may improve after surgery and your blood sugar levels may improve. Many patients can reduce or stop taking their diabetes medications after surgery. However, this depends on how long the diabetes has been present and your insulin reserves. It is an important aid in controlling diabetes, but complete recovery is not guaranteed for every patient.
After the surgery, you will need to take vitamin and mineral supplements for life. Since mini gastric bypass surgery reduces the absorption of nutrients, deficiencies in important nutrients such as vitamin B12, iron, calcium and vitamin D may occur. Therefore, you should take vitamin and mineral supplements regularly and have your blood values ​​checked.
After surgery, you can usually return to your daily activities within 2-4 weeks. If you have a desk job, you can return to work sooner, but if you have a physically demanding job, you may need to rest for 4-6 weeks. It is important to avoid strenuous physical activity in the first few weeks. Your doctor will give you more detailed information depending on your recovery process.
Prof. Dr. Mehmet Özdoğan | Adana Gastric Sleeve and Obesity Surgery
Prof. Dr. Mehmet Özdoğan | Adana Gastric Sleeve and Obesity Surgery
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