GASTRIC BYPASS

While gastric bypass surgery stands as one of the oldest procedures in the realm of bariatric surgery, its enduring effectiveness positions it as the second most commonly employed method. However, the rising prevalence of sleeve gastrectomy is notable due to its efficiency, straightforward application, and consistently satisfactory outcomes. Sleeve gastrectomy has gained popularity for its effectiveness.

Gastric bypass surgeries are more effective in regulating blood sugar, particularly beneficial for patients with diabetes. Additionally, this method is frequently chosen in revisional surgeries, highlighting its enduring significance in bariatric procedures.

The most commonly performed gastric bypass surgeries are the classic Roux-n Y gastric bypass and mini gastric bypass surgeries, which are single anastomosis gastric bypass (OAGB).

In gastric bypass surgeries, it is mainly aimed to eat less and reduce nutrient absorption. On this basis, a small stomach pouch is first created. The small intestine end, which is cut from below in the Roux-n Y gastric bypass, is added to this gastric pouch.

The most commonly performed gastric bypass surgeries are:

1. Roux-en Y Gastric Bypass
2. Mini Gastric Bypass surgery (One Anastomosis Gastric Bypass)

In the mini gastric bypass, the small intestine counted from a certain distance to the created stomach pouch is pulled and directly joined. The primary objective is to provide satiety to patients through smaller food portions. Additionally, the goal is to enhance digestion and reduce the volume of ingested food. The most effective area in intestinal digestion is the first parts of the small intestine. Gastric bypass operations earned their name due to the bypassing of a significant portion of the stomach, duodenum, and the initial segment of the small intestine. The fact that absorption is reduced at the same time in bypass surgeries is stated to be more effective in people who consume excessive sugary foods.

It is these first jejunum parts that most stimulate insulin during the passage of oral food into the small intestine. When this area is bypassed, the need for insulin secreted from the pancreas will decrease. Thus, if the person has a sufficient level of insulin secreted from the pancreas, it is expected that the diabetes will improve after the surgery.The hospital stay and recovery processes of gastric bypass surgeries are similar to Sleeve Gastrectomy.

Although the weight loss rates of these patients are similar according to many publications, it is reported sometimes that after gastric sleeve surgery the weigh loss is faster however, according to another statistics, patients after bypass surgery lose weight faster.

The important thing is to determine the surgical technique specific to the patient and to apply the surgical approach with maximum safety.

It is reported sometimes that after gastric sleeve surgery the weigh loss is faster however, according to another statistics, patients after bypass surgery lose weight faster.

Long-term complications are relatively higher in bypass surgeries. These are diarrhea, intermittent abdominal cramps, vitamin losses, mineral deficiencies, eating problems such as dumping syndrome.