Stomach Bypass Surgery

Who Can Have Stomach Bypass Surgery?
• Those between the ages of 18-65 can also undergo surgery under the age of 18 and over the age of 65, in special cases and if the board decides.

• Those with a body mass index over 35,

• Those with a body mass index between 30-35 and additionally weight-related concomitant diseases (hypertension, cholesterol, diabetes, sleep apnea, heart failure, metabolic syndrome, etc.)

• Those who have tried other treatment methods and failed to lose weight,

• Those who are in a position to handle surgery and anaesthesia,

They can have gastric bypass surgery.

Who Cannot Have Stomach Bypass Surgery?
• Those with serious and untreated psychiatric diseases,

• Those who have substance or alcohol addiction,

Patients with serious hormonal disorders,

Patients who cannot make the necessary diet and lifestyle changes after surgery,

• Those who have a disease that will prevent anaesthesia,

Cancer patients,

• Those who recently planned pregnancy within 1 year,

They cannot perform gastric bypass and obesity and metabolic surgery operations.

What are the Advantages of Stomach Bypass Surgery?
If we count the advantages of gastric bypass (gastric bypass) surgery among the surgeries that cause malabsorption in obesity and metabolic surgery;

• Weight loss effect is more than tube stomach.

• The rate of recovery from comorbid diseases is higher than the gastric sleeve.

• It is reversible, albeit difficult and risky.

• It causes both eating restriction and absorption disorder.

What are the Disadvantages of Stomach Bypass Surgery?
• The hospital stay is longer.

• Since stomach bypass causes malabsorption in obesity and metabolic surgery operations, at least two vitamins and mineral supplements are required for life. If vitamins are not used, severe vitamin deficiency syndrome may occur.

• Gastric Bypass It is a more complicated and longer operation, so complication rates are higher.

• More close monitoring is required.

• Dumping syndrome can be seen.

• The stomach remains in the abdomen, which cannot be visualized by endoscopy.

• After gastric bypass surgery, problems such as intestinal obstruction and ulcer can be seen.

CHECKLIST OF INSPECTION
Hemogram

HbA1c

Fasting blood sugar

Electrolyte (Na, K, Cl)

Urea

Uric acid

Creatinine

Calcium

Total Protein

Albumin

T.bilirubin

D. bilirubin

SUBORDINATE

LOWER

Lipid profile (TG, cholesterol, HDL, LDL)

Fasting insulin

Iron

Ferritin

Vitamin B12

Folate

Vitamin D

Phosphorus

Alkaline Phosphatase

Intact PTH

Tsh

Free T4

GGT