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Bariatric Surgery | Gastric Bypass Surgery | Gastric Banding | Obesity | After Surgery

All about Roux-en-y Gastric Bypass Surgery Part 2

The change in the anatomy may lead to complications such as malnutrition, anemia and osteoporosis, which usually are prevented fortunately with the prescription of vitamin, minerals and nutritional supplementation, since the digestive system may not get enough Vitamin B12, calcium, and Iron from your new diet.

After a roux-en-y gastric bypass, patients may experience a dumping syndrome, responsible from the development of an aversion to sweets, causing diarrhea, flushing, lightheadedness, heart palpitations and other symptoms, particularly after eating any type of sweet dessert. If you are adhering to your doctor's advice, double check if any of the food you are eating is listed on the avoidance list.

The Dumping syndrome usually last a few weeks after surgery and up to a few months in some patients, however, some people may become extremely sensitive to sweets permanently, because the mechanism of the dumping syndrome has not been entirely understood to find a cure or relief. Roux-en-y gastric bypass has the common side effects and complications of other bariatric procedures.

Mortality risk due to this procedure is about 0.5%, with pulmonary embolism and anastomotic leak, as the 2 most common causes of death after a gastric roux-en-y gastric bypass. Pulmonary embolism is the result of a blood clot that breaks off and becomes lodged in the lungs, while an anastomotic leak occurs when intestinal fluids and acids leak into the abdomen, causing sudden death.

Regarding results from the procedure, the reported long-term weight loss varies from person to person, although is estimated that after 6 months people reduce 50% of their weight, 70% in the first year and 80% during the second. The average patient undergoing roux-en-y gastric bypass is female.

Therefore, it is a normal condition to gain some extra weight after 2 years, but not necessarily a statistic. People can regain over 30 ponds in the long term, or not regain any weight once they reach their goal. Related to complications after the surgery, the most common are bowel obstruction, ulcers, prolonged nausea, bleeding, and esophageal strictures.

Roux-en-y gastric bypass surgery usually has a success rate on achieving excess weight loss greater than 75%, but having a higher frequency of wound problems, including infections and wound hernias, than can be reduced using techniques of laparoscopic approach.

After learning more about roux-en-y gastric bypass and falling into any of the guidelines from the National Institutes of Health (NIH), you still will need to abide with these additional requirements to be considered for the procedure:

  • Age between 18 and 65 years
  • Suffer from Obesity for at least 5 years.
  • No previous medical history of alcohol abuse.
  • No antecedents of untreated depression or major psychiatric disorders.

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