Table of Contents
What is Gastric Bypass?
We are talking about Gastric bypass before and after pictures of skin. However, its a bariatric surgery technique included in mixed methods because it is restrictive and selectively malabsorptive.
It is restrictive because it considerably reduces the size of the stomach. And it is selectively malabsorptive because it alters the digestive cycle so that the intestine absorbs less Fat and sugar. Both characteristics add up so that this technique achieves satisfactory results in weight loss and in improving diabetes, hypertension, and other diseases associated with obesity.
Thus, the food skips the stomach and a segment of the small intestine that surrounds the pancreas (origin of diabetes), so the body absorbs fewer calories and sugars.
How is the postoperative period of bariatric surgery?
This bariatric surgery requires general anaesthesia, lasts about two hours, and the hospital stay is 2 or 3 days. The intervention is done laparoscopically; the surgeon makes five small incisions in the patient’s abdomen. They insert a camera and the surgical material necessary for the intervention through these incisions. It is a minimally invasive method, almost painless with fast recovery.
Once the patient has been discharged, they must follow a controlled and progressive diet that begins with Phase 1: Liquid food. In addition, you must carry a physical activity plan that will go from more minor to more until your final recovery.
TYPES OF GASTRIC BYPASS
The most mutual type of gastric bypass is Roux-en-Y, and it consists, as we have explained, of dividing the intestine and connecting it to the new gastric reservoir. In this way, we diverge the digestive cycle creating two circuits or pathways that have the shape of a Greek Y. As seen in the image; the food does not pass through the rest of the stomach.
It “bypasses” it as if it were a “highway or ring road”; it passes quickly to the intestine, without giving over the stomach and without stimulating the pancreas (where the origin of diabetes lies). The liver, bile duct, and pancreas secretions necessary for digestion pass through the other route when they join with the food below.
Finally, gastric bypass can be customized to the patient’s characteristics (degree of obesity, risk factors, etc.). This creates more or less restriction or malabsorption to achieve the desired effects: reduce weight, improve diabetes, lower cholesterol-triglyceride levels, etc.
WHAT TYPE OF PATIENTS IS SUITABLE FOR A GASTRIC BYPASS?
The profile of the patient who can undergo a gastric bypass is the same as for the rest of the candidates for bariatric surgery. Its characteristics are: between approximately 18 and 95 years of age and with a BMI greater than 40. If you have a BMI in the middle of 35 to 39, it will consider, if you suffer from obesity-related diseases: diabetes, hypertension, sleep apnea, etc…
However, gastric bypass a technique especially indicated for patients with a tendency to eat or snack between meals, considered “gluttons,” who have a compulsive relationship with food and cannot control their impulses towards it. It is also recommended in patients with little physical activity or reduced mobility to facilitate weight loss.
Why is Gastric Bypass done?
Gastric bypass surgery accomplished to help you lose excess weight and reduce the risk of life-threatening weight-related health problems, such as:
- Gastroesophageal reflux disease
- heart disease
- High blood pressure
- High cholesterol
- Obstructive sleep apnea
- Type 2 diabetes
Gastric bypass surgery is usually done only after you’ve tried to lose weight with better eating habits and exercise.
What happens in Gastric Bypass Before the procedure?
The preoperative tests are then perform once the hospitalization procedures are complete, and the patient is install in the room. The tests that the patient has to undergo are the following:
Will check x-ray of your lungs and your breathing.
The measurement of the Body Mass Index (BMI) is perform.
Consultation with our Internal Medicine, Anesthesia, and Psychiatry.
Stomach examination and review by endoscopy.
After the tests are finish, Doctors will evaluate the results and decide your eligibility for surgery.
The laparoscopic method will operate with four small incisions around your stomach. The duration of the process will vary depending on the type of surgery to be complete. Sleeve gastrectomy surgeries take approximately 1 hour, and revision and gastric bypass surgeries take 2 hours.
What happens in Gastric Bypass after the procedure?
The first effects that performing a gastric bypass has on the skin are fundamentally due to the poor absorption of nutrients after the intervention. Specifically, the poor metabolism of essential fatty acids and fat-soluble vitamins (A, B, E, and K) affects the skin to become dry, brittle, and flake, in addition to losing some capillary density due to hair loss.
As weight loses, other visible signs appear, such as stretch marks. But the most significant changes seen in when a lot of weight has already been lost. The skin begins to look flaccid and hang in those places where there was a greater concentration of Fat: abdomen, waist, thighs, inner arms, thighs, buttocks, etc. And this negatively affects personal self-esteem.
What happens to the skin after Gastric bypass?
This flaccidity of the skin, which shows with very marke folds and excess skin falling like a flap, could be partially avoid if carried out exercises from the first moment to strengthen the muscles and prevent weight loss; in addition, to Fat taking over the muscle mass.
Always remember that not all skins are the same and that age. The number of kilos that have been lost, and other factors. Such as previous motherhood or sedentary lifestyle, can determine the final result as far as the skin concern.
In this sense, it is always recommend to carry out exercises to maintain and strengthen the muscle tone of the entire body. Aerobic exercises, for example.
Despite everything, especially in cases of supermorbid obesity in which the patient can lose 60-90 kilos after a gastric bypass. The appearance of significant skin folds in different parts of the body can be inevitable, just like the fall of breasts in women who have previously had children.
And this can be a problem that goes even beyond the loss of self-esteem. These folds can cause important dermatological issues such as chafing, irritative dermatitis, dermatitis caused by fungi, etc.
A difficulty that is especially relevant when it comes to the abdominal flap. In these cases, it will be necessary to consult a plastic surgeon. Assess with him the likelihood of undergoing a tummy tuck or reconstructive surgery to remove excess skin. The scars are the tribute that must pay, although they will always be excellent and will be as hidden as possible from view.
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