Gastric Bypass Surgery

 Indeed, Laparoscopic gastric bypass is the gold standard for weight loss surgery; it is well known as Roux- en- Y Gastric Bypass. It has withstood the test of time in achieving substantial weight loss and maintaining the same.

In this Gastric Bypass surgery, we create a gastric pouch having a volume of 30-40 cc and connect it to the small intestine so that the residual part of the stomach and approximately 100-150cms of the small intestine is bypassed. This gastric bypass surgery in Bangalore works in four ways. Firstly, we restrict food intake by creating a 30 to 40cc stomach pouch.

Secondly, there is a reduction in the levels of the hunger hormone Ghrelin. Thirdly, as food passes from the pouch directly to the small intestine, the hormone GLP1 is thrice the amount normally secreted, which has a significant role in the remission of Diabetes.

Fourthly, as food does not enter the second part of the duodenum, a hormone called Factor X is not secreted, which also contributes to diabetes remission along with weight loss. This is why this surgery is also known and has been popularized as a Metabolic Surgery or Diabetes surgery.

The best Bariatric Surgeon is one who knows whom to operate on and whom not to operate on (medical weight loss), whose focus is only on Bariatric and Metabolic Surgeries does a large number of surgeries every month, personally follows up with the operated patients, has excellent and sustained results in terms of weight loss and diabetes remission.

Gastric bypass surgery in Bangalore has more benefits the sleeve surgery in terms of maintenance of weight loss and remission of Type 2 Diabetes. The laparoscopic gastric bypass surgery addresses the whole metabolic syndrome and is considered a metabolic surgery. Metabolic syndrome means the person has Type 2 diabetes, hypertension, and Dyslipidaemia. So, in short, gastric bypass surgery in Bangalore not only helps in weight loss but helps in the remission of type 2 diabetes, dyslipidemia, and in some cases, hypertension also.

This gastric bypass surgery in India can be reversed if the patient desires, as while performing the gastric bypass surgery, we do not remove any part of the stomach or the intestine from the body.

However, gastric bypass surgery has a steep learning curve and requires a high level of skills and expertise. As the BMI increase, the challenge for the operating surgeon increases. The best bariatric surgeon can perform most bariatric surgery procedures and is not restricted to one procedure. As we all know, the abdomen is Pandora’s box and can surprise you. Hence having good skills and knowledge of all procedures is paramount.

Laparoscopic gastric bypass surgery can be combined with laparoscopic cholecystectomy if the patient is detected to have gallbladder stones along with obesity, and this is quite common. There is another school of thought wherein prophylactic laparoscopic cholecystectomy is done along with gastric bypass. Similarly, hysterectomy (uterus removal) and ovarian cystectomy can also be combined with gastric bypass surgery.

The remission of Type 2 diabetes is very high after gastric bypass surgery. In most cases, euglycemia is achieved the very next day after the surgery (in those with an excellent residual pancreatic function).

In patients with associated reflux problems or a hiatus hernia, laparoscopic gastric bypass surgery and weight loss are the solutions for it.