Professor MD MD hc Guido Schumacher
Clinic for gastric and intestinal diseases in Braunschweig offer wide range of operations on stomach and abdomen including weight loss surgery. There are several experienced surgeons who have been performing stomach reducing operations for years among our staff. We specialize in complex surgery and could provide comprehensive service in cooperation with others clinics and departments of Braunschweig Clinic Group. Our philosophy is focusing on patient’s preferences and increasing their life quality. If you are interested in stomach bypass surgery in Germany, please contact us online and we give you further information.
Stomach bypass or gastric bypass surgery is a kind of bariatric surgery or weight loss surgery. Surgery is advised as weight loss measure only in cases when a patient has high degree of obesity, high rate of weight increasing and the other methods were unsuccessful.
There are two kinds of weight loss surgery:
Gastric bypass surgery is both restrictive as the stomach is reduced to the size of one cup and malabsorptive as creating bypass skipping the upper part of small intestine thus decreasing absorption of food.
There are different modes to perform stomach bypass surgery but all of them have the same principles and differ only in details.
First what do a surgeon performing stomach bypass operation is dividing your stomach into two unequal parts. A smaller part are stapled to create a small poach approximately one third of the normal volume. With reduced stomach people eat less food and feel full very quickly.
Next step is creating bypass. The surgeon connects small part of the stomach directly to jejunum which is a second part of small intestine. The upper part of small intestine called duodenum remains untapped. Shortening digestive path in this way restricts absorption of large amount of nutrients.
There are two approaches to gastric bypass surgery as open surgery and laparoscopic stomach bypass. Nowadays, the second is mostly applied as it causes less body damage and shortens recovery time.
Though laparoscopy for gastric bypass is considered one of the most difficult limited access surgeries, and still elective, in any case, it grows popular due to its advantages. While open stomach bypass needs 20-25 cm incision, laparoscopy involves only making 5-6 small cuts to introduce inside an optical device (laparoscope) and tools for carrying out operation. The laparoscope translates images to the monitor allowing a surgeon to view enlarged picture of what happens and operate by the tools.
Laparoscopic method decreases some complications caused by open surgery including risks associated with large wound as pain, bleeding and inflammations and has better cosmetic effect.
With laparoscopy, you may expect to return back to normal life in 2-3 weeks instead of 4-6.
Though stomach bypass became routine procedure for obesity treatment it has quite many complications and you should consult with a specialist if you are candidate for this type of operation.
Possible complications of stomach bypass surgery include:
Sometimes failed stomach bypass surgery can lead to repeated operation.
After stomach bypass you should be ready to change your whole life style. Some patients may lose 30-50 % of their weight and unexpectedly face absolutely different person instead of “old” them. You may found that you have nothing to wear as your size has been changed dramatically. At the same time you may do some kind of activities that were difficult for you before surgery. You reduce your medication use and experience less side effects of obesity as high pressure or asthma.
At the same time, you should be careful remembering that you have just a part of your digestive tract involved and eat healthier food and avoid alcohol consumption. Some patients develop condition of malnutrition and need additional supplement as vitamins and iron to avoid anemia and osteoporosis. In case of any disturbing symptoms you should immediately see your doctor.