Laparoscopic Gastric Bypass

Written by: Dr. Felipe De la Cruz Vigo
Edited by: Top Doctors®

The gastric bypass is to reduce the ability of the stomach for the person to be satisfied with the intake of less food. This surgery can be performed by laparoscopy which is a minimally invasive technique with which we manage to reduce the risks. The gastric bypass is oriented for patients with morbid obesity .

What is gastric bypass by laparoscopy?

The gastric bypass is an operation that is done on the stomach to treat morbid obesity and we are also currently applying it to treat certain cases of type 2 diabetes. In essence it consists in decreasing the capacity of the stomach, dividing the stomach in two parts, so that the person with less food is equally satisfied and then making a bridge over the intestine so that the food, on the one hand absorbs less and also produce a series of hormonal alterations that on the one hand are going to have the beneficial effect on diabetes that we mentioned but, in people who are not diabetic it also has the effect on appetite and different aspects that will help you lose weight. Laparoscopy is a minimally invasive technique which reduces the aggression, risks and discomfort of surgery. It consists of passing tubes through the abdominal wall that serve to conduct the instruments and optics that help us to do the operation without making a large incision.

What advantages does this type of surgery have over other procedures to treat obesity?

The laparoscopic gastric bypass that is considered in the US, which is where more time has been practiced, the gold standard, the gold standard in operations for this type of problem, is a minimally invasive technique applied by laparoscopy. they diminish. It is still the best in long-term weight loss, which is what the other techniques tend to fail and, over time, cause more patients to gain weight. This is the technique that best conserves the lost weight in the long term, and then, in the immediate post-operative period it is more comfortable, there are fewer discomforts , many risks are diminished (such as, above all, risks of wound infections, risk of post-hernia ...), and in general the patient feels very comfortable in very few days.

What type of anesthesia will be used?

General anesthesia will be used and it is very important that the team in charge of taking care of the patient, to sleep him, is used to doing this type of operations. In this way the anesthetic risks become the risks of any simple operation.

How long does it take to be able to return to daily activity?

On the third day the patients are discharged from the hospital , after a week they can begin to do a sedentary job and after 15 days they can already join a work of effort and progressively doing a sport activity to which each one be used


*Translated with Google translator. We apologize for any imperfection

By Dr. Felipe De la Cruz Vigo

It is one of the foremost experts on obesity surgery, to which is dedicated since 1986 and laparoscopic since 1999. It is the Chief of General Surgery and Gastroenterology, Hospital 12 de Octubre in Madrid and currently chairs the Foundation Society for Surgery of morbid obesity and metabolic diseases (FUNSECO). He has received several awards and is a founding member of the Spanish Society of Obesity Surgery, besides being Professor of Surgery at the Complutense University of Madrid.

*Translated with Google translator. We apologize for any imperfection

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