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  • Writer's pictureDR TAREK

Weight loss surgeries

Updated: May 17, 2022

Weight loss surgery is for people who have exhausted all other methods of weight loss and who are at risk of developing other health problems because of their weight.

These surgeries help in losing excess weight, but they do not guarantee total weight loss, or weight maintenance without a healthy diet and regular exercise.

It is not a magical solution to losing excess weight, but rather a powerful catalyst; And it is resorted to if all previous attempts to lose weight have failed.

Bariatric surgery helps to lose weight by:-

  • Reducing the amount of food that the patient can eat

  • Reduces absorption of food intake, such as bypass surgery

  • Both things are like mini bypass surgery

Vertical sleeve gastrectomy

Sleeve gastrectomy for the treatment of obesity began in early 2006 as a first stage, and after this stage a second operation, called the duodenum, is performed. But since then it has been found that this process gives good results that replace the next stage.

This operation is performed laparoscopically through 4 holes in the abdomen, then the stomach is stapled longitudinally, and the separate part of the stomach is removed outside the body. The operation takes about (one and a half hours) to two hours, after which the patient stays for one day and then is discharged from the hospital.

As a result of longitudinal gastric stapling, the body loses about 60% - 70% of its excess weight; This percentage increases or decreases according to the quality of food and exercise.

The advantages of this process include: Elimination of type 2 diabetes, feeling full most of the time, and it is more physiological than other processes; To not divert the course of eating and not to need to use additional vitamins or salts and minerals.

The disadvantages of this process are: - Leakage of stomach contents due to the long stapling distance. However, this percentage has recently decreased to less than 2% with the use of new staplers that are much safer than before.

Intestinal diversion:

Intestinal diversion is an old operation that began in the seventies of the last century and was, until recently, performed by opening the abdomen. With the beginning of the era of laparoscopic surgery, this operation was performed laparoscopically and this operation takes place within approximately 2-3 hours laparoscopically, after which the patient stays in the hospital for a period ranging from one to three days.

The results of this process appear quickly so that the body loses about 70%-80% of the excess weight within one year and then the weight is established on that unless the patient returns to eating sugars, the weight may return to increase as compensation for the lack of absorption after diversion of the intestine, as it is a process that only a few are good at from surgeons. As for its complications, it is represented in the leakage of the contents of the stomach at a rate of 1%-2% and the narrowing and ulceration of the connection of the mini-stomach with the intestine.

Mini Gastric Bypass Surgery:

Mini-bypass surgery is a quick and simple weight loss surgery that helps shed excess weight and is similar to other bypass surgeries where a portion of the stomach is stapled so that it is not used and a portion of the small intestine is bypassed.

The difference with mini bypass is that the stomach will not have a smaller pouch instead the stomach will be a long, narrow tube that is connected to the small intestine, and the greater part of the stomach will be closed and left unattached, as the smaller tube will reduce the amount of food you can hold in your stomach.

Part of the small intestine is also bypassed with this mini bypass surgery so that your body doesn't absorb all the fat and calories, which is why you'll need to supplement your body with vitamins or minerals that your body still needs but doesn't get after the procedure.

Risks and benefits

As with any major surgery there are risks involved, but the benefits of mini gastric bypass surgery outweigh the risks.

Mini bypass surgery has risks similar to other gastric surgery which include but are not limited to clots, bowel obstruction, leakage around the tubes that connect the stomach and small intestine, infection at the point of incisions and pneumonia, however none of these risks will differ with any type of surgery any surgery It has major risks.

How will the surgery be done?

Mini-bypass surgery is a very simple surgery that will reduce the amount of food the stomach can hold and the amount of fat and calories that are absorbed through the small intestine.

The idea behind mini bypass surgery is for your stomach to be smaller, and the tube to the small intestine won't allow food to pass quickly into the small intestine. Bypass it now.

This way your body won't absorb all the extra fat and calories as it did before.

Contact Dr. Tarek Shokry Abouollo clinic if you are curious to know more.

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