Miniature Gastric Bypass
Obesity has become an increasingly prevalent health problem worldwide. While traditional gastric bypass surgery is an effective treatment for obesity, the procedure can be technically challenging and risky. Therefore, in recent years, mini-gastric bypass surgery has gained popularity as a less invasive and less risky alternative.
Mini-gastric bypass surgery achieves weight loss by reducing the size of the stomach and shortening the intestines, thereby reducing the absorption of food. Compared to classic gastric bypass surgery, mini-gastric bypass surgery has a shorter operation time, less bleeding, and a lower risk of complications. Additionally, mini-gastric bypass surgery offers patients a higher chance of achieving long-term weight loss results.
Other obesity treatment methods, such as gastric sleeve and lap band surgery, exist, but mini-gastric bypass surgery provides faster and more long-term weight loss results compared to other methods. Furthermore, this method can also achieve effective results in treating obesity-related diseases such as metabolic syndrome, hypertension, and diabetes.
However, like any surgical procedure, mini-gastric bypass surgery carries some risks. Therefore, patients considering this method are recommended to consult with a specialist physician and weigh the risks and benefits.
What Precisely Is Mini Gastric Bypass Surgery?How Is It Done?
Mini gastric bypass surgery is a surgical procedure used in the treatment of obesity. This surgery aims to reduce the size of the stomach and prevent nutrient absorption from the intestines. In this way, the digestion and absorption of the food a person eats decrease, and therefore fewer calories are consumed.
In the first stage of the surgery, 5–6 incisions of 1 cm are made in the abdomen, and instruments called trocars are inserted into the abdomen. Through these instruments, the necessary camera and other surgical instruments are placed inside the abdomen. In the second stage of the surgery, a small stomach tube is created at the entrance of the stomach, and this part is completely separated from the rest of the stomach. In this way, the main stomach that the person will use becomes this new stomach part created in the form of a small tube. The large, separated stomach part remains inside the abdomen and continues to produce its secretions.
In the third stage of the surgery, a connection is created between the small stomach tube and the small intestine. This connection is made between the stomach and the small intestine near the middle of the small intestine. The approximately two-meter section at the beginning of the small intestine is bypassed, thereby reducing the absorption process. Thus, the digestion and absorption of the food consumed decrease, resulting in the consumption of fewer calories.
Mini gastric bypass surgery is a less invasive method compared to other obesity surgical procedures and carries a lower risk of complications. However, like any surgical procedure, there are risks, and they should be discussed in detail with a doctor before the surgery.
Who Is Eligible For Mini Gastric Bypass Surgery?
Mini Gastric Bypass (MGB) is a frequently used method in the field of obesity surgery. However, not all obese individuals are suitable candidates for MGB surgery. Eligible candidates for MGB surgery are determined according to certain criteria.
Firstly, the patient’s age and body mass index (BMI) must be determined. Individuals from young adolescents to older adults can be suitable candidates for this operation. However, individuals with a BMI of 35 or higher are eligible for MGB surgery.
The patient’s health status is also an important criterion for MGB surgery. The presence of metabolic diseases is particularly important. Conditions such as advanced metabolic syndrome and type 2 diabetes are thoroughly examined before the MGB procedure. The severity of these diseases and their control are crucial for the success of the operation.
In conclusion, determining suitable candidates for MGB surgery requires a detailed examination of the patient’s health status. Factors such as age, BMI, and the presence of metabolic diseases are evaluated to ensure the success of the operation and achieve the desired weight loss.
Who Should Not Have A Mini Gastric Bypass?
Obesity surgeries are an important option for individuals who are unable to lose weight despite lifestyle changes. However, like any surgical procedure, mini gastric bypass surgery has some contraindications. These factors can make the surgery risky and lead to complications.
The first contraindication is an unacceptable level of anesthesia risk. This condition may be more common in overweight patients with cardiovascular problems. The second contraindication is pregnancy. Mini gastric bypass surgery during pregnancy is dangerous and endangers both the mother’s and the baby’s health.
Diagnosed cancer, active intra-abdominal infection, and liver cirrhosis are other factors that make mini gastric bypass surgery impossible.In addition, unstable psychopathological conditions and active drug addiction are also among the factors that prevent surgery.
There are also some relative contraindications. A mini gastric bypass surgery can be performed in these cases, but additional precautions may be required.Insufficient treatment of existing endocrine problems, smoking, low socio-economic status, anemia, and nutrient deficiencies are also relative contraindications.
In conclusion, when applied correctly, mini gastric bypass surgery is a very safe and effective procedure. However, certain criteria must be met for the surgery to be performed. It is recommended that patients undergo a detailed evaluation before the surgery and make certain dietary and lifestyle changes before and after the surgery.
What Are The Benefits Of Having A Mini Gastric Bypass Surgery?
Because of its growing popularity, mini gastric bypass surgery has become a source of hope for many obese patients in recent years.The main reason for the success of this surgery is the significant weight loss achieved by reducing the size of the stomach and preventing nutrient absorption from the intestines.
Within the first 10–15 months after Mini Gastric Bypass surgery, patients experience significant weight loss. In fact, most patients lose 75% of their excess weight within the first year after surgery. In the second year, this percentage can even increase to 80% or 90%.
One of the biggest advantages of this surgery is that it reduces the patient’s appetite and limits nutrient absorption. Therefore, it also accelerates the treatment process for Type 2 diabetes patients. Furthermore, mini gastric bypass surgery eliminates obesity-related problems as well as obesity itself.For example, problems such as low self-confidence, fear of socializing, and walking difficulties due to excessive pressure on the waist/knee area can be eliminated with this surgery.
In terms of weight loss, mini gastric bypass surgery is thought to be more effective than sleeve gastrectomy.Mini gastric bypass surgery, like any other surgery, is risky and should only be performed by a specialist.Lifestyle changes such as diet and exercise are also necessary after surgery.
What Are The Drawbacks Of Mini Gastric Bypass Surgery?
Mini Gastric Bypass (MGB) surgery has become increasingly popular in recent years. This surgery is a metabolic surgical procedure performed to achieve weight loss by reducing the size of the stomach and preventing nutrient absorption from the intestines. However, MGB surgery has some disadvantages.
Firstly, compared to other obesity and metabolic surgeries, MGB surgery requires a longer hospital stay. Therefore, patients may need to undergo a longer recovery period. Additionally, MGB surgery requires at least two vitamin and mineral supplements for life due to absorption problems. These vitamins and minerals are vital for the body, and if not used, can lead to serious vitamin deficiency syndromes.
As MGB surgery is a more complicated and longer procedure, the complication rates are also higher than for other surgical procedures. Therefore, patients need tighter follow-up after surgery. In addition, dumping syndrome can occur after MGB surgery. This syndrome is a condition that occurs when food rapidly enters the digestion process and quickly empties into the intestines. This condition can cause severe symptoms in patients, such as severe stomach pain, diarrhea, sweating, and dizziness.
After MGB surgery, an area in the stomach that cannot be viewed by endoscopy may remain. In this case, endoscopic examinations may be more challenging. Additionally, problems such as bowel obstruction and ulcers can occur in the intestines after MGB surgery.
In summary, MGB surgery is a popular option in obesity and metabolic surgical procedures. However, there are some disadvantages after surgery. These disadvantages include longer hospital stays, the need for lifelong vitamin and mineral supplements, higher complication rates, the need for tighter follow-up, dumping syndrome, difficulty in endoscopic examinations of the stomach, and problems such as bowel obstruction and ulcers.
What Is The Procedure For Following Up After Mini Gastric Bypass Surgery?
The follow-up process after Mini Gastric Bypass surgery is critical, and patients must continue it in order to maintain their health.The follow-up process after surgery can vary depending on the patient’s health status before surgery, how the surgery was performed, the patient’s age and weight, and the risk of complications in the postoperative period.
The follow-up process after surgery requires regular check-ups to monitor the patient’s health status and evaluate the success rate of the surgery. Check-ups are usually performed immediately after surgery and then at 1 week, 1 month, 3 months, 6 months, and 1 year later. After that, lifelong follow-up checks are recommended once a year.
During the follow-up process, it is important for patients to provide information to their doctors about topics such as weight loss, eating habits, nutrition, vitamin and mineral levels, complications, and side effects. Doctors can evaluate the success rate of the surgery by monitoring patients’ weight loss, body mass index, metabolic status, and other factors.
During the follow-up process, it is also important for patients to regulate their eating habits and adopt a healthy diet. In the postoperative period, patients need to eat smaller portions and eat frequently but in small amounts. In addition, vitamin and mineral supplements may also need to be used. These supplements can help patients provide the vitamins and minerals their bodies need and prevent deficiencies that may occur after surgery.
Monitoring the patient’s health status during the follow-up process is also important. In the postoperative period, patients are at risk of various complications. These complications may include problems such as stomach and intestinal obstruction, wound infection, bleeding, nutrient absorption problems, and dumping syndrome. Doctors regularly monitor patients to detect and treat these complications.
Following Mini Gastric Bypass surgery, the following tests should be performed.These tests can be explained as follows:
- Hemogram: It is a test that measures the number and size of blood cells. In this test, parameters such as hemoglobin (Hb), hematocrit (Hct), red blood cell count, white blood cell count, and platelet count are measured.
- HbA1c: It is a test performed to control blood sugar. HbA1c measures the average blood sugar level over the past three months.
- Fasting blood sugar: It is a test that measures blood sugar levels. Blood sugar levels are usually low after mini gastric bypass surgery.
- Electrolytes (Na, K, and Cl): This is a test performed to balance the fluids in the body. Sodium, potassium, and chloride levels in the body are measured in this test.
- Urea: It is a test performed to evaluate kidney function. The level of urea in the body is measured in this test.
- Uric acid: It is a test that measures the level of a substance that causes gout.
- Creatinine is a test performed to evaluate kidney function. The level of creatinine in the body is measured in this test.
- Calcium: It is a test that measures the level of a mineral that is important for bone health and other bodily functions.
- Total protein: It is a test that measures the level of protein in the body.
- Albumin: It is a test performed to evaluate liver function. The level of albumin in the body is measured in this test.
- bilirubin: It is a test performed to evaluate liver function. The total bilirubin level in the body is measured in this test.
- bilirubin: It is a test performed to evaluate liver function. The direct bilirubin level in the body is measured in this test.
- AST: It is a test performed to evaluate liver function. The level of aspartate aminotransferase in the body is measured in this test.
- ALT: It is a test performed to evaluate liver function. The level of alanine aminotransferase in the body is measured in this test.
What Is The Difference Between A Mini Gastric Bypass And A Gastric Bypass?
Mini Gastric Bypass and Gastric Bypass are surgical methods used for obesity treatment.Both methods aim to achieve weight loss by reducing the volume of the stomach and decreasing nutrient absorption.
The main difference is that the mini gastric bypass is less invasive. In this method, a part of the stomach is formed into a tube, and the small intestine is rerouted to connect with this tube. This reduces the stomach volume and also decreases nutrient absorption from the intestines.
In contrast, gastric bypass is a more traditional method in which a portion of the stomach is cut to create a smaller stomach pouch that is then connected to the small intestine.This also reduces the stomach volume and decreases nutrient absorption from the intestines.
Due to its less invasive nature, the mini gastric bypass allows for a faster recovery time and shorter hospital stay. It also carries a lower risk of complications compared to gastric bypass.
However, both methods have risks, and the surgical team should make the decision based on the patient’s obesity status and other health issues.
What Happens After Mini Gastric Bypass Surgery In Terms Of Nutrition?
Mini gastric bypass surgery is a commonly used surgical method in the treatment of obesity. This surgery achieves weight loss by reducing the size of the stomach and decreasing nutrient absorption from the intestines. However, a proper nutrition plan and vitamin support are crucial after the surgery.
Patients are advised to begin eating slowly and gradually following Mini Gastric Bypass surgery.For the first few days after surgery, only clear fluids are consumed. Then, patients move on to dark fluids and a full puree diet. After these stages, patients can transition to soft foods and eventually normal eating. However, protein-rich and low-fat foods should be preferred in the diet.
Protein powders are a vital source of nutrition for preventing muscle loss following Mini Gastric Bypass surgery.In addition, supplements such as multivitamins, iron, and vitamin C are recommended to prevent vitamin and mineral deficiencies in patients. However, patients should stop consuming protein powder after transitioning to normal eating and continue vitamin support throughout their lifetime.
Minigastric bypass surgery has a significant impact on the digestive system. Therefore, it is crucial to be careful about postoperative nutrition and vitamin support. With an appropriate nutrition plan and vitamin supplements prepared by a professional doctor or dietitian, patients can lose weight and maintain a healthy life after surgery.
Week 1: Clear Liquids
Clear liquids are consumed during the first week after Mini Gastric Bypass surgery, and at this stage, the digestive system has slowed down, limiting the capacity to digest food. Therefore, all foods are replaced with clear liquids.
Clear liquids are important for meeting the body’s fluid needs and have very limited calorie intake, which helps with weight loss. Recommended liquids include water, mineral water, unsweetened herbal teas, lean meat broth, and skimmed milk. Following mini gastric bypass surgery, these liquids should be consumed slowly and in small sips.
The dietitian determines the duration of the clear liquid diet during the first week after surgery and makes recommendations based on individual needs. At this stage, the dietitian should select the recommended liquids while considering their calorie and nutrient content. This will help ensure adequate fluid intake and proper nutrition during the postoperative recovery process.
Weeks 2 And 3: Purified Foods
The second and third weeks of the post-surgery diet involve gradually adding purified foods. During this stage, patients should eat several small meals throughout the day and consume approximately 60–70 grams of protein at each meal. Clear liquids still play an important role, and patients should consume approximately 7-8 cups of fluids.
Consumption of caffeinated and carbonated beverages is still not recommended at this stage. Refined sugars and simple carbohydrates should also be avoided, and instead, fiber-rich foods should be preferred. As a general rule, it is recommended not to consume any fluids from 30 minutes before to 60 minutes after a meal. This helps limit the consumption of liquids that can upset the stomach and reduce the feeling of fullness.
Fluids should be consumed slowly, and a straw should not be used as it can cause unwanted air to enter the stomach. Additionally, a daily multivitamin recommended by the doctor should be taken to prevent nutrient deficiencies. Multivitamins can be chewable or in liquid form.
The foods added during this stage include soup, egg whites, boiled vegetables, mashed fruits, and watery foods. These gradually added foods are easy to digest and help provide the body with the necessary nutrients. It is important to follow the portion sizes recommended by the dietitian. This stage is a preparation phase for gradually transitioning to a normal diet routine.
Weeks 4 And 5: Soft Foods
The fourth and fifth weeks of the post-surgery diet involve gradually adding soft foods. During this stage, patients can include soft meats, cooked vegetables, and cooked fruits in their diet. Nutrient goals remain the same as in previous stages, with a recommended daily intake of 60–70 grams of protein and 7-8 cups of fluids.
This stage focuses on high-quality, lean protein sources. Good options include soft meats such as chicken, fish, and turkey, as well as dairy products like yogurt, cottage cheese, and milk. Additionally, protein powders can be used during this stage. Foods can be pureed or broken down into very small pieces.
Cooked vegetables, particularly those rich in fiber, continue to play an important role during this stage. Peelable fruits are also a good option, as they are rich in fiber and easy to digest. Meals should be consumed slowly and in small portions. Additionally, foods should be thoroughly chewed and swallowed slowly.
Fluid intake is also important, with a minimum of 7-8 cups of clear fluids recommended each day. Carbonated and caffeinated drinks are still not recommended. Additionally, sugary beverages should be avoided, and water should be preferred.
The diet during this stage progresses towards a wider range of foods by adding more variety. However, it is important to follow portion control and healthy eating principles. It is important to adhere to meal plans recommended by a dietitian and meet fluid and nutrient goals.
Week 6: Solid Foods
Patients usually begin eating solid foods after the Mini Gastric Bypass surgery in week 6.However, it is still important to be cautious and follow the recommended dietary guidelines at this stage. To begin with, rather than consuming multiple different foods in a day, it is recommended to choose ideally one type of food to measure the body’s response.It is also important to develop a habit of eating slowly. Chewing each bite thoroughly for at least 15 to 16 seconds is important for the body’s digestion. Additionally, it is recommended to continue drinking at least 8–10 glasses of water per day and try to consume protein first, followed by vegetables, and finally carbohydrates.
When it comes to solid foods, it is important to choose dense, healthy foods that carry real nutritional value. Foods with low nutritional value, such as processed and packaged foods, should be avoided. Patients should continue to take the multivitamin supplements recommended by their doctors regularly. This helps to prevent nutrient deficiencies and maintain overall body health.