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LAPAROSCOPIC GASTRIC BYPASS
LAPAROSCOPIC GASTRIC BYPASS
1. Most commonly performed weight reduction operation in the United States.
2. Most reliable operation for long-term weight loss.
3. Long-term weight loss averages 60 to 75 percent of excess body weight.
4. Works by both restriction and malabsorbtion.
5. Total hospital stay averages 2 to 3 days.
6. Significant malnutrition following laparoscopic bypass is unusual.
7. Generally covered by United States insurance companies.
8. Substantial improvement in many health problems related to morbid obesity
such as:
Type 2
diabetes mellitus,
Sleep apnea,
Hypertension,
High
cholesterol,
High
triglycersides,
Heartburn
from gastro-esophageal reflux disease, and
Urinary
stress incontinence
LAPAROSCOPIC GASTRIC BYPASS
1. Not reversible.
2. 0.5 to 1 percent chance of dying from operation.
3. 5 to 10 percent chance of significant perioperative complications.
4. 10 percent long-term chance of stricture of gastrojejunostomy.
5. Long-term risk of protein deficiency, vitamin deficiency, and marginal ulceration of the gastro-jejunostomy.
6. 2 percent long-term risk of intestinal obstruction.
7. Operation is not adjustable.
Possible Complications During Surgery or Within 30 Days of Surgery:
Death, Hole in stomach, Hole in intestines
Leak from bowel, Bleeding & transfusions, Tear in spleen
Chest infection, Pneumonia, Peritonitis
Infertility, Kidney failure, Liver failure
Irregular heart rhythms, Heart attack, Heart failure
Blood clots in legs, Blood clots in lungs, Breathing failure
Stroke, Injuries to arms & legs, Paralysis
Wound infections, Conversion to open operation, Skin scarring
Abdominal wall hernias, Allergic reactions to medications, Abscess formation
Re-admission to the hospital, Additional operations, Dehydration
Difficulty swallowing, Low blood pressure, Dizziness
Abdominal scar tissue. Adhesions
Self-Donation of Blood:
Most individuals can donate blood for themselves approximately a week before surgery. This has to be done at Hackensack University Medical Center. It can not be done at another blood bank at a different location. Your surgeon’s office can help you make these arrangements.
Possible Long Term Complications After Surgery:
Difficulty swallowing, Strictures of the intestines, Gallstones
Common bile duct stones, Inflammation of the Pancreatitis, Kidney stones
Stomach ulcers, Bleeding ulcers, Constipation
Internal hernias, Bowel obstructions, Abdominal pain
Strangulation of bowel, Malnutrition, Hair thinning
Vitamin deficiencies, Regaining some or all of the lost weight
Development of unsightly and redundant skin folds due to weight loss
Vitamin & Mineral Deficiencies after Laparoscopic Gastric Bypass:
After Laparoscopic Gastric Bypass ALL Patients Need Vitamin for THE REST OF THEIR LIVES!!
Common Vitamin Deficiencies include:
Vitamin B12 Vitamin B1 (Thiamine) Vitamin K
Vitamin D Iron Calcium
Phosphate Magnesium