Monday, August 25, 2014

By Linda Ruiz


Gastric bypass surgery is a procedure that is done on human or animal stomachs to subdivide it into 2 sections. The portions comprise of two pouches, the upper and lower. The upper division is normally very small compared to the lower one. Gastric bypass surgery in Mexico is comprised of several variations. The variations come about due to different methods through which the stomach portions are relinked to the intestines.

The result of all gastric bypass surgical procedures is a reduced stomach capacity. Another result is a change in the physiological and physical reaction of stomachs to food. Patients are advised to go for this procedure because of various reasons. Some of the reasons are morbid obesity and suffering from type 2 diabetes, sleep apnea, and hypertension. Morbid obesity which has led to body mass index rising beyond 40 is the only one for which this prescription can be made.

The procedure has several variations including Roux en Y distal and proximal and MGB. Among the three variations, Roux en Y proximal is practiced more. In the United States, this is the most commonly practiced bariatric surgery too. The intestines are sub-divided at about 45 centimeters under the lower outlet of stomach. The process is given the name because the intestine is made into a Y arrangement afterwards.

The Y arrangement is made using about 80 cm to 150 cm of intestines while leaving about 85 percent for absorption of food. Patients who have had this procedure feel a sudden onset of stomachs feeling full. This feeling is followed shortly by an incresing satiety or in-difference to food. The entire process results in reduced ability of intestines to absorb food primarily fats and starches.

This surgical procedure leads to a reduced stomach volume by over 90 percent. Since a normal stomach can stretch to accommodate more food, the pouches are constructed from tissues of the belly that are least vulnerable to expansion. The pouches retain their original volume although the connection between the belly and the intestine may enlarge over time.

Stomachs are bound to increase in volume slightly over time, but by the time that happens weight will already have been lost to desirable levels. Also, only reasonable stretching occurs to support reasonable body mass. Ingesting a small amount of food causes the walls of the belly to stretch immediately. The brain receives signals notifying it that the belly is full with food hence the feeling of fullness. No matter how little the food eaten is, the signals are still sent to the brain and the feeling of a filled stomach is felt.

Subsequent food must be eaten slowly and cautiously because rushing can cause one to vomit or feel a lot of discomfort. To benefit totally from the surgery, patients are advised to eat 5 to 6 small meals in a day. One should avoid eating other meals such as cookies and confectionary between meals because that can easily render the treatment useless.

Meals should comprise of one quarter to one half of a cup. Progress is made slowly to one cup within a year. Some people experience slight obesity again after violating the rules.




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