Gastric bypass surgery

Starting from $1800

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About the Procedure

Gastric Bypass Surgery - Complete and Simple Guide

What is gastric bypass surgery?

Imagine your digestive system is like a long road, and gastric bypass surgery is like creating a "shortcut" that bypasses most of the stomach and part of the intestines!

How it works?

Shrink the stomach - From football size to walnut size
Reroute food - Bypasses most of stomach and first intestines
Less absorption - Body absorbs fewer calories

Result: Eat very little + absorb less = major weight loss!

Simple analogy: Like redirecting a big river into a small stream - same water but less flow

Who needs gastric bypass surgery?

Basic cases:

✅ BMI over 40 - Severe obesity
✅ BMI 35-40 with diseases - Diabetes, blood pressure, heart
✅ BMI 30+ with serious problems - Exceptional cases
✅ Failed other methods - Diet, exercise, medications, simpler surgeries

Psychological and physical requirements:

Ready for radical change - Completely new lifestyle
Commitment to supplements - For life
Regular follow-up - Routine checkups
Mental health - Prepared for challenges

When is it the first choice?

Very severe obesity - Weight 150+ kg
Difficult diabetes - Not controlled with medications
Heart problems - Due to excess weight
Severe sleep apnea - During sleep

Comparison with other bariatric surgeries

Surgery	Gastric Bypass	Sleeve Gastrectomy	Gastric Plication	Gastric Balloon
Weight loss	65-80%	60-70%	30-55%	10-25%
Complexity	Very high	Medium	Simple	Very simple
Duration	3-4 hours	1-2 hours	1 hour	30 minutes
Reversibility	Very difficult	Impossible	Possible	Simple
Risks	High	Medium	Low	Very low
Supplements	For life	2-3 years	Not required	Not required
Diabetes	90% cure	70% improvement	40% improvement	20% improvement

Types of gastric bypass

1. Classic bypass (Roux-en-Y)

How it's done?

Cut stomach to small part (30 ml)
Connect small part directly to intestines
Make second connection between intestine pieces (Y shape)

Advantages:

Less acid reflux - Safest option
Proven results - 30 years experience
Excellent diabetes improvement - Usually complete cure

Suitable for:

Most cases
Those with acid reflux
Older patients

2. Mini bypass

How it's done?

Cut stomach to smaller part
Only one connection to intestines
Simpler than classic

Advantages:

Faster surgery - Less time in operation
Greater weight loss - Sometimes better than classic
Newer technique - Development of old method

Disadvantages:

Bile reflux - Sometimes bothersome
Less experience - Relatively new technique

Pre-surgery preparation - Journey of change

Comprehensive examination (month before surgery):

Heart examination - Echo, ECG, stress test
Lung examination - X-ray, pulmonary function
Liver and kidney examination - Comprehensive tests
Stomach examination - Endoscopy for reassurance
Psychological evaluation - Readiness for change

Two weeks before surgery:

❌ Stop smoking - Completely
❌ Stop blood thinners - Aspirin, anticoagulants
❌ Avoid alcohol - Affects liver
✅ Start vitamins - Prepare the body

Week before surgery:

Liquid diet - To reduce liver size
Prepare home - Suitable foods after surgery
Arrange vacation - At least one month
Psychological support - From family and friends

How is the surgery done? (3-4 hours)

Preparation (45 minutes):

General anesthesia - Deep, safe sleep
Proper positioning - For optimal access
Inflate abdomen with CO2 gas - Expand space
Comprehensive sterilization - Prevent infection

Cutting phase (60-90 minutes):

Make 5-6 incisions - Laparoscopic (5-12 mm)
Cut stomach - Create small pouch (30 ml)
Separate intestines - At designated location
Check blood circulation - Ensure blood supply

Connection phase (60-90 minutes):

Connect stomach to intestines - First connection
Connect intestines together - Second connection (if classic)
Check for leaks - With blue dye
Ensure perfection - Comprehensive check

Completion (30 minutes):

Remove instruments - With extreme care
Close incisions - With cosmetic sutures
Gradual awakening - From anesthesia

Expected results - Transformation journey

First month:

Lose 8-15 kg - Amazing quick results
Full with two spoons - Radical eating change
Immediate improvement - In blood pressure and breathing
More energy - Despite eating little

3-6 months:

Lose 25-40 kg - Halfway to goal
Diabetes disappears - In most cases
Joint improvement - Less pain, easier movement
New sizes - Much smaller clothes

6-12 months:

Lose 40-60 kg - Amazing results
Disease cure - Diabetes, blood pressure, cholesterol
Sports activity - Ability to exercise
New confidence - Major psychological change

1-2 years:

Lose 50-80 kg - Complete final result
Weight stability - Reach goal
Excellent health - Like a new person
Normal life - Without weight restrictions

Post-surgery diet - Roadmap

First two weeks - Clear liquids:

Water - Small sips every 15 minutes
Fat-free broth - Chicken or vegetable
Light tea - No sugar or honey
Diluted juice - 1 part juice + 3 parts water

Daily goal: 1.5-2 liters fluids

Week 3-4 - Thick liquids:

Protein shake - Protein powder + water
Liquid yogurt - Fat-free, no pieces
Pureed soup - Completely smooth vegetables
Skim milk - Small amounts

Daily goal: 60-80 grams protein

Week 5-8 - Pureed food:

Pureed chicken - Well-cooked and finely ground
Soft fish - Boiled and mashed
Cooked vegetables - Mashed carrots, zucchini
Scrambled eggs - Soft and moist

Meal size: 2-4 tablespoons

Month 3+ - Regular food:

Very small pieces - Rice grain size
Chew 25-30 times - Per bite
Stop when full - Immediately
Frequent meals - 6 small meals daily

Golden rules for success

Eating rules:

Protein first - In every meal
Very small amounts - Child's fist size
Excellent chewing - Until liquid
Eat very slowly - 30-45 minutes per meal
Stop immediately - At first fullness signal

Drinking rules:

No drinking with meals - Never, stretches stomach
Wait 30 minutes - After eating before drinking
Small sips - No large glasses
2 liters daily - Distributed throughout day
Avoid carbonated drinks - Completely

Nutritional supplements (for life):

Multivitamin - Daily in morning
Vitamin B12 - Monthly injections or daily pills
Iron - Especially for women
Calcium + Vitamin D - For bone health
Regular tests - Every 6 months

Risks and complications

Surgery risks (less than 5%):

Leak from connections - Most dangerous, needs immediate surgery
Intestinal obstruction - Due to adhesions
Internal infection - In abdomen
Anesthesia problems - Rare with good preparation

Long-term complications (10-20%):

Vitamin deficiency - Without taking supplements
Anemia - Iron or B12 deficiency
Osteoporosis - Calcium and vitamin D deficiency
Gallstones - With rapid weight loss

Dumping syndrome (30%):

Symptoms:

Dizziness and sweating after eating
Palpitations and trembling
Diar

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