The gastric bypass operation consists of cutting out the so-called pouch from the stomach, which is a small reservoir (mini stomach) with a volume of several dozen millilitres, and then connecting this reservoir with the cut intestine by means of an anastomosis in such a way as to reduce the length of the intestine actively digesting and absorbing the ingested food.
During gastric bypass surgery, a second anastomosis is still performed between the loops of small intestine. From a technical and practical point of view, the patient after the operation has 3 different loops of intestine within the small intestine - the alimentary, the enzymatic and the common one, where the digestion of food takes place.
The new hormonal activity of the gastrointestinal tract as a result of the anatomical changes is also of no small importance for the patient. This is extremely important in view of the therapeutic impact of the bypass on type 2 diabetes.
Bariatric consultation with the surgeon
If you are considering surgical treatment of obesity, make an appointment with our surgeon. During the first appointment the physician will assess the degree of obesity, take medical history of co-morbidities and obesity complications.
You will receive information on possible treatment options and be pre-qualified for the selected surgery. You will also receive a diagnostics plan preparing you for the surgery.
We want to gather as much information as possible about your health condition so that further treatment is as safe and personalized as possible. We schedule a diagnostic appointment and a planned surgery date.
Diagnostics and preparation
We offer our patients a full diagnostic package which includes all necessary tests and specialist consultations required to perform the surgery. Typical diagnostic scheme:
The diagnostics is coordinated by an experienced specialist and your attending surgeon.
We begin treatment prior to the surgery, in the diagnostic phase. The nutritionist prepares a nutrition plan, which will help you prepare for the post-surgery changes, achieve initial weight loss and reduce liver steatosis. This specialist also provides you with nutrition education including the principles of proper nutrition to be followed before and after surgery. Simultaneously, the psychologist will equip you with the psychological means of coping with the transformation that awaits you.
Preoperative period (approx. 30 days)
You follow a nutrition plan. The attending physician, nutritionist and psychologist stay in permanent touch with you, providing you with support and advice.
Hospitalization and surgery
You will be admitted to the Surgical Ward after a period of a few weeks following the completion of diagnostics. The patients usually stay in our hospital for 4 days:
After the end of the surgical treatment we stay in permanent touch with our patients via phone or e-mail. In addition to this, we will also meet on the follow-up appointments.
The surgery yields very good outcomes and has the longest track record of all the bariatric procedures. That is the reason why it is the most effective and the best weapon in the fight against obesity.
It is especially recommended for patients with type 2 diabetes, due to its effect on hormone activity in the gastrointestinal tract and sensitizing peripheral tissues to insulin. After the surgery many patients have been successfully cured of this most dangerous consequence of obesity.
The specific shape of the new mini stomach introduced as a result of gastric bypass surgery, almost always treats gastroesophageal reflux, and certainly reduces the intensity of acid reflux.
In obese patients diagnosed with a diaphragmatic hiatal hernia, which often results in gastroesophageal reflux and heartburn, the hernia repair surgery should be performed along with gastric bypass surgery, which allows for curing the patient of two diseases – gastroesophageal reflux and obesity.
Thanks to the gastric bypass surgery the patients who prefer to eat sugary foods for every meal, will not absorb all the sugars they take in, and in some cases, they may not tolerate them well, which will effectively discourage them from eating sweets.
Active nicotinism, is definitely an unfavourable factor for any bariatric surgery. However, smoking carries an additional risk for those undergoing a gastric bypass surgery. Smokers are at the highest risk of developing ulceration of gastrointestinal anastomosis sometime after the gastric bypass surgery.
Due to the fact that, the surgeon is forced to operate in both the upper and lower abdominal regions during the gastric bypass surgery, a large number of intestinal adhesions, which are a common consequence of the lower abdominal surgery, certainly creates added difficulty at the time of surgery.
In patients with inflammatory bowel disease such as Crohn's disease, sleeve gastrectomy is the preferred method of operation, because it is does not use the intestine.
In young women planning to become pregnant in the future, gastric bypass surgery may be associated with an increased risk of foetal and maternal exposure to deficiencies in macronutrients and micronutrients during pregnancy.
Temporary contraindications to any bariatric surgery include active alcoholism, drug addiction, and mental illness outside remission period.
Pregnancy is also a period when we should be more concerned about the proper development of the foetus rather than weight gain.
Our approach to obesity treatment is as follows: the patients who ignore the nutritionist’s and psychologist’s recommendations or consider them irrelevant are not ready for the surgery.
My weight has “dropped” from 101kg to 63kg and is still stable. Thanks to the whole team, activity, healthy choices, lots of colours and smiles have all returned to my life.