All About Mini Gastric Bypass
Traditionally performed Gastric Bypass Surgery carries an 8% risk of complications. The risk of mortality (death) is very low and is about 0.6% according to most studies.
The Mini Gastric Bypass procedure has gained popularity recently. Mini Gastric Bypass was first developed in 1997 by Dr. Developed by Robert Rutledge. The Mini Gastric Bypass is much faster than other weight loss procedures, is technically easier and carries a much lower risk of complications (average 2.5%) compared to the traditional Gastric Bypass procedure.
The Mini Gastric Bypass procedure is restrictive and non-absorbable. This feature means that the procedure reduces the size of the stomach, restricting the amount of food that can be eaten. The procedure also bypasses the intestines to a certain extent, drastically reducing food absorption. Gastric Bypass and Mini Gastric Bypass are both nonabsorbable and restrictive procedures.
What is Mini Gastric Bypass?
The Mini Gastric Bypass is a well-established and effective new procedure that combines certain features of typical Gastric Bypass and sleeve gastrectomy procedures. Mini Gastric Bypass may be preferred as the primary weight loss procedure. It can also be used in patients who have had a previous tube procedure but have failed to lose weight. Mini Gastric Bypass was developed to shorten the operation time, simplify the procedure and reduce complications.
How is Mini Gastric Bypass Done?
Mini Gastric Bypass is a much faster operation than the traditional Laparoscopic Gastric Bypass operation. The duration of the operation is reduced by 45-50 minutes on average. The Mini Gastric Bypass procedure is performed by choosing laparoscopic anesthesia together with anesthesia. Small incisions (average 5 to 11 mm in length) are made for the placement of surgical instruments. Using these instruments, the upper part of the stomach is stapled to form a thin tube (approximately 30 ml to 55 ml in size) and fully separated from the rest of the stomach. It takes approximately 1-1.5 hours to perform the operation in the company of a qualified surgeon.
Advantages of Mini Gastric Bypass
> Since it is a laparoscopic procedure, it is a much less invasive procedure.
> The amount of food taken in, as well as the calories absorbed, are limited.
> It highly increases intestinal production of GLP1, which stimulates insulin release and is more potent for the treatment of diabetes.
> Being able to eat bread and meat after this procedure is a little easier.
> Potentially reversible.
Mini Gastric Bypass Disadvantages
> There may be a lack of vitamins and trace elements.
> The body may react to certain foods.
> There is a risk of dumping syndrome.
> May require lifelong multivitamins.
> Although rare, it can cause bile reflux.
Things to Do After Mini Gastric Bypass Procedure
After the Mini Gastric Bypass procedure, there will be some pain, especially at your incision sites. Typically, the incision sites are between 5 mm and 11 mm in length. This is where the surgeon places the port to access the stomach. Generally, patients will need to stay in the hospital for three nights. Sometimes patients may be kept for an additional day for observation.
Upon returning home, patients must adhere to a strict diet. A liquid diet (soft food) is generally required for the first 2 weeks after the procedure. You can drink water, pureed soft foods and soup.
The surgeon’s instructions should be followed carefully. Soft food is given after 2 weeks and normal food can be resumed after about 1 month. However, patients will be asked to follow a new diet with more protein, vegetables and fruits. Since the stomach shrinks, foods that can maximize the vitamin should be consumed instead of junk food.
It will be encouraged to stand up and move every day after the surgery. The first few days usually require walks around the house. After 1 week, it is desirable to take at least 20-minute walks twice a day. Gradually increasing exercise is encouraged each week after surgery. Again, in this process, the surgeon’s instructions should be followed meticulously. Fatigue may occur when losing weight quickly and adapting to a lower calorie diet.
Side Effects of Mini Gastric Bypass Procedure
Complications can occur similarly to the Gastric Bypass procedure. Side effects range from minor to significant in severity. Minor complications include hernias, ulcers, and minor incision infections at the surgical site.
Major complications typically occur within the first 3 weeks after surgery. Significant complications can include staple line leaks, pulmonary embolisms and strictures, among other risks. In such cases, the doctor should be consulted and the process should be managed by the doctor. Patients will be informed by the doctor about the risks, signs and symptoms of these complications prior to surgery.
Diet After Mini Gastric Bypass
After the Mini Gastric Bypass surgery is completed, a strict post-operative diet plan should be followed. Some foods can disrupt the healing process, put excessive pressure on the stomach and cause leaks. In general, the preferred nutritional advice after the procedure is:
Week 1: Clear Liquids
Only clear liquids should be consumed for 1 to 7 days after Mini Gastric Bypass surgery. The dietitian will decide how long this phase will last and will suggest dietary guidelines. Clear liquids recommended by a dietitian generally include water, skim milk, and nonfat broth.
Weeks 2 and 3: Purified Foods
This phase of the post-operative diet usually lasts up to 1 week. Due to the smaller stomach of the patient, he should eat several small meals throughout the day. Daily intake should be about 60-70 grams of protein and about 7-8 glasses of clear liquids. Caffeinated and carbonated drinks should not be consumed. Refined sugars and simple carbohydrates should also be avoided. As a general rule, it is recommended that patients not consume any liquids 30 minutes before and 60 minutes after a meal. Liquids should be drunk very slowly and straws should not be used as they may introduce unwanted air into the stomach. To prevent nutrient deficiencies, a multi-vitamin recommended by the doctor should be taken every day. Multivitamins can be in chewable or liquid form.
Weeks 4 and 5: Soft Foods
Soft foods are gradually added to the diet at this stage of the diet. This phase usually takes about 1 or 2 weeks. This part of the diet will include tender meats and cooked vegetables. The nutrient targets will remain the same as in the second phase. 60-70 grams of protein and 7-8 glasses of fluid daily are recommended. This phase focuses on high-quality lean protein sources.
Week 6: Solid Foods
To start with solid foods, it is necessary to pay attention to these tips:
> Ideally, don’t eat more than one different food per day so you can gauge your body’s response.
> Try to eat slowly. Chew each bite thoroughly for at least 15-16 seconds.
> Continue to drink at least 7-8 glasses of water a day.
> Try to consume protein first, then vegetables, and third, carbohydrates.
> Opt for dense foods that are truly nutritious. Avoid prepackaged and processed foods with lots of ingredients.
Caution: Dumping syndrome occurs when sweet or fatty foods are consumed too quickly or in large quantities. The stomach empties food into the small intestine before it is properly broken down. Dumping syndrome usually causes nausea, cramping, diarrhea, sweating, vomiting, or an increased heart rate. These symptoms typically go away after 1-2 hours.