All You Need To Know About Laparoscopic Mini Gastric Bypass

1. All You Need To Know About Laparoscopic Mini Gastric Bypass

2. Dr. AparnaGovilBhasker is the best surgeon who provides Mini Gastric Bypass Surgery in Mumbai. Get an appointment to know about Mini Gastric Bypass Surgery Cost in Mumbai. • Laparoscopic mini gastric bypass or single anastomosis gastric bypass was first performed by Dr. Robert Rutledge of USA in the late 90s. In the last few years it has gained popularity across the world though it still constitutes a small percentage of all bariatric procedures. • Who should undergo a Laparoscopic minigastric bypass: • Patients with a BMI ≥ 37.5 kg/m2 even in the absence of any co-morbidities. • Patients with a BMI ≥ 32.5 kg/m2 in the presence of any two obesity related diseases such as type 2 diabetes, high blood pressure, dyslipidemia, obstructive sleep apnoea, heart disease, gout, joint pains, infertility, fatty liver etc. • Patients with a BMI≥ 27.5 kg/m2 with uncontrolled type 2 diabetes, despite taking the optimum medical treatment.

3. Who should not undergo Laparoscopic minigastric bypass: • General contra-indications for any surgery such as being medically unfit for anesthesia. • Patients who want to conceive a baby within one year after surgery. • Patients who smoke tobacco. • Patients with severe psychiatric illness. • Patients with inability to take nutritional supplements on a continuous basis. • How is a Laparoscopic minigastric bypass performed? • Laparoscopic mini gastric bypass in Mumbai is performed through laparoscopy or key holes. This entails 4 to 5 tiny puncture marks on the abdomen and the surgeon then uses special instruments and a camera to perform the surgery by looking at an external monitor. Laparoscopy has many advantages. It leads to less pain, early mobilization, faster recovery and early return to normal activities. Laparoscopy also provides much better vision to the surgeon. • What exactly is done during Laparoscopic minigastric bypass: • During the Laparoscopic mini gastric bypass surgery a long vertical pouch of stomach is created using staplers. Small intestine is then taken up at 150 to 200 cm from the duodeno-jejunal junction and joined with the stomach pouch in the form of a loop anastomosis. • How does a Laparoscopic minigastric bypass lead to weight loss? • There are multiple mechanisms by which the surgery leads to weight loss- • Restriction of food intake • Early satiety • Reduced hunger • Mal-absorption • Bile acid interactions • Alteration in gut flora etc.

4. How much weight loss is expected after Laparoscopic mini gastric bypass Weight loss is calculated as a percentage of excess weight lost. Excess weight= Total body weight – Ideal body weight After Laparoscopic mini gastric bypass, patients lose upto75 to 80 % of their excess weight over a period of 18 to 24 months. At the end of 5 years, most patients maintain about 50% of their excess weight loss. Post-operative care after Laparoscopic Roux en y gastric bypass Any bariatric surgery is a partnership between the patient and the bariatric team. This partnership lasts for life. A patient must be motivated to enter a weight loss program and must follow a good diet and exercise program post-surgery. It is compulsory to have nutritional supplements on a daily basis to avoid risk of deficiencies. Follow up is most crucial after any bariatric surgery. A mini gastric bypass is a more mal-absorptive operation as compared to a Roux en y gastric bypass and hence it is important to be very diligent with nutritional supplementation especially protein intake. Some patients may experience bile reflux after this operation.

5. How much weight loss is expected after Laparoscopic mini gastric bypass Weight loss is calculated as a percentage of excess weight lost. Excess weight= Total body weight – Ideal body weight After Laparoscopic mini gastric bypass, patients lose upto75 to 80 % of their excess weight over a period of 18 to 24 months. At the end of 5 years, most patients maintain about 50% of their excess weight loss. Post-operative care after Laparoscopic Roux en y gastric bypass Any bariatric surgery is a partnership between the patient and the bariatric team. This partnership lasts for life. A patient must be motivated to enter a weight loss program and must follow a good diet and exercise program post-surgery. It is compulsory to have nutritional supplements on a daily basis to avoid risk of deficiencies. Follow up is most crucial after any bariatric surgery. A mini gastric bypass is a more mal-absorptive operation as compared to a Roux en y gastric bypass and hence it is important to be very diligent with nutritional supplementation especially protein intake. Some patients may experience bile reflux after this operation.

6. Cost of laparoscopic mini gastric bypass in Mumbai Bariatric surgery has now become affordable and the cost of laparoscopic mini gastric bypass in India depends on many factors. The cost depends on the type of surgery, the type of room selected at the hospital and the duration of stay etc. Bariatric surgery is routinely not covered by insurance but some patients have received insurance claims from their companies after prolonged deliberations. Nowadays, there is also an option of taking a medical loan which enables the patients to divide the payment in smaller EMIs. https://www.bestbariatricsurgeon.org/bariatric-surgery-india/laparoscopic-mini-gastric-bypass-mumbai/