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Lap Gastric Bypass Treatment in Dhakuria

Lap Gastric Bypass

Lap Gastric Bypass Surgery in Dhakuria

Laparoscopic Gastric Bypass Surgery is a minimally invasive surgical procedure employed to address patients diagnosed with obesity. The procedure reduces the size of the stomach and alters the level of hormones that control hunger, leading to weight loss.

  • Pre-procedure: Before the surgery, your vital signs are checked, and a cannula is inserted in your hand or arm to administer drugs. Electrodes will be placed to check your heart rate.

  • Procedure: Anaesthesia is administered, and 5 to 6 incisions are made on the abdomen. The abdomen is inflated with carbon dioxide to separate the abdominal wall from the organs and to provide easy access for the laparoscope, a long, flexible tube with a camera. A small gastric pouch is created in the stomach using staples. The small intestine is then separated into two sections (the jejunum), and the lower portion of the small bowel is attached to the newly created gastric pouch, allowing the food to pass directly through the second portion of the small intestine, where digestion continues. The upper portion of the intestine is connected to the remaining part of the stomach. The bile and pancreatic fluids allow food digestion to complete.

  • Post-procedure: The incisions are closed with dissolvable stitches or sutures, and you are transferred to the recovery room for further observation.

 

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FAQ's

Specialists consider several factors to determine eligibility for Laparoscopic Gastric Bypass, which include:

  • Patients with a body mass index (BMI) greater than or equal to 40 

  • Patients with a BMI greater than or equal to 35 with at least one co-morbidity, such as diabetes mellitus (DM), hypertension (HTN), or severely limiting musculoskeletal (MSK) issues.

Additionally, specialists ensure that the patient has made unsuccessful attempts at weight loss through dieting, is mentally prepared for the surgery, has no history of alcohol or substance abuse, and is committed to adopting long-term lifestyle changes.

Laparoscopic Gastric Bypass Surgery can help in managing several conditions, some of which include:

  • High blood sugar or hyperglycemia
  • High levels of cholesterol
  • Hypertension
  • Heart diseases
  • Obstructive sleep apnoea
  • Osteoarthritis
  • Diabetes
  • Gastro-oesophageal reflux

Laparoscopic Gastric Bypass Surgery offers several advantages compared to Open-gastric Bypass Surgery, which include:

  • Quick recovery
  • Short hospital stays
  • Minimal complications, such as hernias or infection
  • Reduced pain
  • Smaller scars and incisions
  • Less post-operative pain
  • Improved health conditions associated with obesity

At Manipal Hospitals in Dhakuria, West Bengal, specialists in the Department of Surgical Gastroenterology employ state-of-the-art techniques to treat patients with obesity by utilising minimally invasive procedures. This enables us to ensure comprehensive care for our patients and provide optimal outcomes during surgery.

During your consultation, our specialist will perform a complete physical examination, such as measuring your BMI level and discussing any co-morbidities you have. Our medical team will then assist you in taking screening and diagnostic tests, including blood tests and an ultrasound of the gallbladder, to rule out any peri-operative complications and see if you are healthy enough to undergo the procedure. You will be instructed with certain guidelines to prepare, and our specialist will teach you about possible compromises you may have to make in your lifestyle. Moreover, our psychologists will make sure you are mentally prepared for the surgery, and our dieticians will help you with a nutrition plan tailored to your lifestyle.

General instructions you should adhere to in preparing for Laparoscopic Gastric Bypass Surgery include:

  • Avoid smoking or chewing tobacco to prevent any complications during and after the surgery

  • Informing our specialist if you are or might be pregnant and current medications, including supplements or vitamin tablets

  • Refrain from taking anticoagulants and non-steroidal anti-inflammatory drugs, such as ibuprofen, for a week before the surgery

  • Leaving all your jewellery and other accessories such as make-up, contact lenses, and nails. Moreover, you will be advised to avoid lotions or deodorants. 

  • Preparing yourself for your arrival and arranging your transportation before and after the surgery

  • Packing all your clothing and comfort items for your stay at the hospital

  • Addressing any concerns or worries you have with our specialists or medical team

After shifting you to the recovery room, our medical team will monitor your vital signs and wait until your anaesthesia effects wear off. Depending on your condition, our specialists may recommend 3 to 4 days of hospitalisation to address any post-operative complications. During your stay at the hospital, you will be encouraged to sit and walk a little after the procedure. Moreover, you will have a catheter and tubes connected to the nose and a larger part of the stomach that was bypassed to help drain fluids. You will also need surgical stockings to prevent blood clots on your legs. Any pain or discomfort will be addressed by giving pain medications. Lastly, our specialists will advise on dietary instructions and restrict you from eating solid food for 1 to 3 days.

Possible complications that can arise during or after undergoing Laparoscopic Gastric Bypass Surgery include:

  • Venous thromboembolism
  • Surgical site infection
  • Anastomotic leakage
  • Intestinal obstruction
  • Gastrojejunostomy (GJ) stenosis or narrowing
  • Dumping syndrome, characterised by the rapid passage of food from the stomach to the small intestine
  • Ulcers or fistulas near the surgical connection
  • Gall stones
  • Incisional hernia
  • Deficiency in nutrition

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