Gastric Bypass
What is Gastric Bypass ?
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Why do you need Gastric Bypass ?
You might need this surgery if:
You have serious weight problems: This means your body mass index (BMI) is 40 or higher, or 35 with health issues like diabetes, high blood pressure, or sleep apnea. You might feel tired, have joint pain, or find daily tasks hard.
Other weight loss methods didn’t work:
If diet, exercise, or medicines haven’t helped after 6–12 months.
- Obesity-related diseases: Diabetes (70–80% remission After-surgery), hypertension (50–70% improvement).
- Procedure specifics:
- Creates a small stomach pouch (20–30 mL) and bypasses part of the small intestine, reducing calorie absorption.
- Compared to sleeve gastrectomy (covered in your bariatric surgery), it has higher malabsorption, leading to greater weight loss but increased nutritional risks.
- Associated treatments:
- Before surgery: Nutritional counseling, psychological evaluation, medical optimization (e.g., diabetes control).
- After surgery: Lifelong multivitamins, dietary changes (small, frequent meals), regular exercise.
- Timing:
- Performed in adults (average age 30–50 years); elective, scheduled after multidisciplinary evaluation.
The procedure aims to achieve significant weight loss, improve obesity related diseases, and enhance quality of life, with high success rates when paired with lifestyle changes.
Why Do Costs Vary in Philippines?
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Gastric Bypass Procedure
- Before procedure
- Assessment:
- Tests: Doctors check your blood for diabetes (HbA1c), liver, kidney, and nutrient levels (like vitamin D or iron). They might do an ultrasound to check for gallstones or an ECG to check your heart.
- Counseling: You’ll talk to someone to make sure you’re ready to change how you eat and live (needed for 80–90% of patients).
- Getting ready: You’ll follow a low-calorie diet for 2–4 weeks to make your liver smaller, not eat for 6–8 hours before surgery, and stop smoking. You’ll sign a form after learning about risks, like feeling sick after eating certain foods.
- Where it happens: The surgery is done at hospitals with special weight-loss or surgery teams
- Assessment:
- Procedure Technique:
- Gastric Bypass (Laparoscopic Roux-en-Y):
- What happens: The surgery takes 2–3 hours, Performed under general anesthesia, and you’ll be asleep so you don’t feel anything.
- Process:
- Incisions: 4–5 small incisions (0.5–1 cm) in your stomach.
- Stomach division: Small pouch (20–30 mL) created at top of stomach using stapling device; rest of stomach bypassed but not removed.
- Intestine rerouting: Small intestine divided; lower part (Roux limb) connected to pouch; upper part reattached further down (Y-connection) to allow digestive juices to mix.
- Closure: Incisions closed with sutures or Steri-Strips; no drains typically needed.
- Intraoperative Tools:
- Laparoscope: Camera for visualization.
- Endoscopic stapler: Divides stomach and intestine.
- Anastomosis tools: Creates connections between pouch and intestine.
- Gastric Bypass (Laparoscopic Roux-en-Y):
- After Procedure:
- Hospital stay: 2–4 days.
- Care: Start with liquids (day 1–2), progress to pureed foods (weeks 1–4); monitor for dehydration or leaks.
- Pain management: Mild to moderate pain for 1–3 days; managed with painkillers (e.g., paracetamol).
- Instructions: Avoid heavy lifting for 4–6 weeks; follow strict diet; attend nutritional counseling.
Recovery After Gastric Bypass
- Hospital Stay: 2–4 days.
- Post-Procedure Care:
- Pain: Mild to moderate for 1–3 days; resolves in 1–2 weeks.
- Activity: Avoid strenuous activity for 4–6 weeks; light walking encouraged (day 1–2) to prevent clots (links to your thrombectomy query).
- Diet: Liquids (weeks 1–2), pureed foods (weeks 3–4), soft foods (weeks 5–6), solids by 2–3 months; small portions (1–2 cups per meal).
- Weight loss: 60–80% excess weight loss in 1–2 years (e.g., 60–80 kg if 100 kg overweight); faster than sleeve gastrectomy.
- Comorbidities: Diabetes remission in 70–80%, hypertension improvement in 50–70% within 6–12 months.
- Follow-Up:
- Visits at 1 week (check wounds), 1 month, and every 3–6 months (monitor weight, nutrition).
- Blood tests: At 3–6 months to check for deficiencies (e.g., vitamin B12, iron); 80–90% maintain weight loss at 5 years with adherence.
Most resume normal activities in 2–4 weeks; full recovery takes 1–2 months, with lifelong dietary adjustments. Success rate: 60–80% excess weight loss; 80–90% comorbidity improvement; 10–20% weight regain at 5 years if non-compliant.
Risks and Complications
- Procedure Risks:
- Bleeding (1–2%): At staple line; may need transfusion or reoperation.
- Infection (1–3%): At incision site; treated with antibiotics.
- Anastomotic leak (1–2%): From pouch or intestine connection; may need emergency surgery (serious).
- Post-Procedure:
- Dumping syndrome (15–25%): Rapid food passage causing nausea, diarrhea, sweating; managed with dietary changes (e.g., avoid sugars).
- Nutritional deficiencies (30–40%): Vitamin B12, iron, calcium; higher risk than sleeve gastrectomy; managed with supplements.
- Gallstones (10–15%): Due to rapid weight loss; may need cholecystectomy.
- Bowel obstruction (1–3%): From internal hernias; may need surgery.
- Long-Term:
- Weight regain (10–20% at 5 years): If dietary/exercise adherence poor; needs counseling.
- Ulcers (2–5%): At pouch-intestine junction; managed with PPIs (e.g., omeprazole).
Report fever, severe abdominal pain, vomiting, or rapid heart rate promptly.
Frequently Asked Questions (FAQs)
What causes the need for gastric bypass?
Severe obesity (BMI ≥40 or ≥35 with comorbidities) causing health issues, after failed non-surgical weight loss.
Can I avoid gastric bypass?
Yes, if less severe: Diet, exercise, medications, or less invasive bariatric options (e.g., sleeve gastrectomy); gastric bypass chosen for higher weight loss and comorbidity resolution.
Is gastric bypass painful?
Mild to moderate pain for 1–3 days; managed with medication; resolves in 1–2 weeks.
How soon can I resume normal activities?
Light activities: 1–2 weeks; full recovery: 1–2 months; avoid strenuous activity for 4–6 weeks.
Is gastric bypass covered by insurance in India?
Often covered (medical necessity); confirm with your provider; Ayushman Bharat often subsidizes.
Signs of complications?
Fever, severe abdominal pain, vomiting, or rapid heart rate.
How effective is gastric bypass?
60–80% excess weight loss in 1–2 years; 80–90% comorbidity improvement; 10–20% regain at 5 years.
Lifestyle changes post-surgery?
Follow strict diet (small, frequent meals), take multivitamins, exercise regularly, avoid alcohol/sugars, and attend follow-ups.
Conclusion
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Looking for Best Hospitals for Gastric Bypass
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.