What is RYGB or ROUX-EN-Y Gastric Bypass?
It creates a small stomach pouch and redirects food faster to the small intestine. This cuts food intake and absorption therby leading to weight loss
- 25-35% Weight loss
- For BMIs above 40
- Laparoscopic Surgery
- Rare bleeds, infection post-op
GASTRIC BYPASS PROGRAM INCLUDES:
Surgeon & Anaesthesia Fees
Private Room Hospital Stay
Specialists Consults ~ 50 Visits
Fully Body Lab & Imaging ~ 50 Tests
Pre & Post Procedure Medication
Colon Hydrotherapy
Psychologist & Support Groups
FREE Life Long Support
GASTRIC BYPASS
– HOW DOES IT WORK?
Laparoscopic Roux-en-Y Gastric Bypass is a procedure where small cuts are made in the belly while the person is asleep.
- Minimally invasive 1-3 hours Surgery
- Upto 3 days Hospital Stay
- 1st few months rapid weight loss
- For BMIs Above 40
- 70% Total Body weight loss
Gastric Bypass Works By:
- Food Restriction: The stomach is divided into a larger & smaller pouch about the size of an egg. As a result, patients feel full faster, eat less, and food intake is reduced.
- Reduced Food Absorption: The small pouch stomach above is connected directly to the intestines, shortening the digestion process and reducing the absorption of fats from food consumed.
How to get started
Step 1
Pre Procedure
Specialist Consultation for ideal procedure, tests & other preps weeks before
- Body Mass Index (BMI) of 40 or higher, indicating severe obesity (class III)
- BMI of 35 or higher, accompanied by obesity-related health conditions such as diabetes, high blood pressure, sleep apnea, heart disease, cholesterol etc
- Previous unsuccessful attempts at weight loss through diet, exercise, and other non-surgical methods
- Past medical and surgical history may also affect eligibility, so it is important to come in for a consult beforehand
MEDICAL – Obesity-related illnesses such as heart disease, stroke, type 2 diabetes, cholesterol, infertility, sleep apneas, asthma and cancer; are reduced. It also helps in long-term control of type 2 diabetes, and less dependence on medication — or the elimination of medication altogether.
PHYSIOLOGICAL – You may also enjoy the elimination of back and joint pain, decreased depression, improved breathing and increased energy
PSYCHOLOGICAL – Dramatic improvements in your overall health and quality of life with improved self-image, increased self-confidence and the satisfaction that comes from enjoying a wider range of activities with friends and loved ones.
Results may vary dependent on lifestyle changes as well, we recommend an amalgamated approach for best results and sustainability
WEEKS BEFORE
- Consultations & Pre-Op preparations with Doctor, Surgeon, Nutritionist, Psychotherapist, Trainers
- Lab Tests - Blood analysis
- Imaging Tests - Ultrasound, OGD
- Detox - Gut cleanse
Step 2
Procedure Day
Once you're fully ready mentally & physically, we go to the Operation Theatre
- You will be welcomed to your hospital room by the team, followed by
- Filling out medical documents &
- Getting ready for the procedure
- You'll be given anesthesia so no pain
- The Minimally invasive surgery leaves you no stitches or scars with quick recovery
- The stomach will be reduced by 70%
- Food Restriction: The stomach is divided into a larger & smaller pouch about the size of an egg. As a result, patients feel full faster, eat less, and food intake is reduced.
- Reduced Food Absorption: The small pouch stomach above is connected directly to the intestines, shortening the digestion process and reducing the absorption of fats from food consumed.
- Inpatient stay for 2 days where will monitor & manage any symptoms like pain etc
- After review by the team of Multidisciplinary specialists, you will be discharged with all the guidelines
Step 3
Post Procedure
Full-recovery may vary from person to person, but here’s what you need to know
2-3 days’ hospital stay, full recovery to normalcy may take a few weeks
Recovery may vary from person to person, but here’s what you need to know:
Hospital Stay: 2-3 days after the surgery to ensure proper healing, rehabilitation, and monitoring of progress. Patients who have undergone laparoscopic procedures may return to work within 1 week after surgery. However, it is not advisable to engage in intense physical work.
Diet
Progressive transition from liquids in the first few days to softer foods, until back to normal solid food in the weeks ahead, done under nutritional guidance
Shortly after surgery, you'll begin reintroducing foods into your diet in phases in consult with your nutritionist who will teach you how and what to eat with your reduced stomach size. You'll start consuming a clear liquid diet within 24 hours of your surgery, then advance to a full liquid diet, a soft food diet, and your regular diet in the weeks ahead. You will also have to reduce certain foods, such as simple sugars, including honey, white sugar, or syrups, to avoid dumping syndrome. You will need to chew slowly and fully, and not to drink 30 minutes before or after you eat. While it may seem demanding, ignoring dietary recommendations may cause constipation, dehydration, diarrhea, or in extreme very rare cases, gastric acid leakage.
Supplements
You will have follow-up visits with your bariatric surgery team to help you develop good eating and exercise habits that will change your lifestyle. Your initial weight-loss may occur quickly, so it's important to get all of the nutrition and vitamins you need as you recover. To prevent nutritional problems after surgery, your doctor may advise on supplements like Vitamin B12 and iron.
Post-surgery it is important to keep in touch with your team and follow their instructions to avoid any major symptoms or complications. Lifestyle modification is incorporated for sustainability and lifelong results.
Tell your doctor right away if you have any of the below:- Fever
- Your wound becomes painful or hot to the touch or leaks fluid
- Coughing or trouble breathing
- Vomiting and diarrhea
- Pain in the abdomen, chest, shoulder, or legs
- Any other problems or symptoms
GASTRIC BYPASS VS GASTRIC SLEEVE
What to Eat in the First 6 Weeks After Gastric Bypass Surgery?
1st Week After Gastric Bypass Surgery:
During the initial week of post-gastric bypass surgery, a liquid-based diet is recommended. Options include meat broth, chicken broth, diluted apple and vegetable juices, sugar-free compote, skimmed milk, and diluted salted yoghurt drinks made from nonfat or half-fat yoghurt. Incorporating Qnt or whey protein powder is advised to ensure adequate protein intake, along with sugar-free herbal tea for hydration.
2nd Week After Gastric Bypass Surgery:
Expanding on the liquid diet, the second week introduces blended soups without grains. Unseasoned soup, fish soup, noodle soup in chicken broth, tomato soup without tomato paste, yoghurt soup, and lentil soup become viable options. This phase focuses on maintaining a smooth transition from liquid to more textured foods.
3rd Week After Gastric Bypass Surgery:
As the third week approaches, soft and crushed foods become permissible. Foods rich in protein and calcium are prioritized in the Soft Juicy/Puree diet, offering a broader range of options. Choices include soft-boiled eggs, lean curd, non-fat yoghurt, fruit puree, vegetable puree, spinach puree, tuna puree, and mashed potatoes with cheese. Additionally, diabetic custard and thick fruit yoghurt are recommended alternatives.
4th and 5th Week After Gastric Bypass Surgery:
The fourth and fifth weeks introduce consistencies that can be crushed with a fork. Options expand to include vegetable puree with mushrooms, soup with meat, yogurt soup, seasoned meatballs in a pot meal, and cheese omelets. These weeks mark a gradual progression toward more textured and solid foods, supporting the recovery process.
6 Week After Gastric Bypass Surgery
By the sixth week, a transition from protein-rich calories to a low-calorie diet is initiated. While any solid food can be consumed in the long term, a gradual approach is recommended. Cooking dishes in meat or chicken broth remains beneficial for protein intake. Ensuring a sufficient daily protein intake is emphasized during this phase, contributing to the overall success of the recovery journey.
FAQs
After undergoing gastric bypass surgery, it's important to be mindful of food choices to ensure a smooth recovery. Certain foods should be avoided, and here are some alternatives: Fresh bread: Opt for toast or crackers, which are easier to digest and less likely to cause discomfort. Rice pilaf: Instead of traditional rice pilaf, consider consuming rice soup, which provides a softer texture and aids in digestion. Pure meats: Choose slow-cooked meats, prepared in small, crushed pieces. This makes them more manageable for the altered digestive system post-surgery. Fiber-rich fruits (celery, sweet corn, raw fruits): Opt for peeled and slow-cooked alternatives such as broccoli, peeled tomatoes, and cauliflower. This helps reduce the fiber content, making them gentler on the stomach. Citrus fruits (oranges, grapefruit): Peel and remove the membranes from citrus fruits, or opt for diluted fruit juice to minimize acidity and potential discomfort.
After gastric bypass surgery, changes in bowel habits may occur as a result of consuming smaller portions compared to pre-surgery diets. Initially, individuals may experience a need to use the toilet every 2-3 days. To prevent constipation, incorporating high-fiber foods such as whole wheat breakfast cereals, foods made from shelled wheat products, baked dried beans, and whole wheat crackers is recommended. Fruits and vegetables play a crucial role in preventing constipation, and it's essential to ensure the intake of at least 8-10 cups of liquids between meals for overall digestive well-being.
Excessive consumption of simple carbohydrate foods post-surgery can lead to dumping syndrome, characterized by complaints arising from rapid stomach emptying. To prevent this syndrome, it is essential to limit certain foods in the nutrition program and focus on achieving adequate and balanced nutrition in the weight loss program. Opting for diabetic desserts is recommended, and special attention should be given to avoiding sugary foods such as ice cream, chocolate with milk, fruit yoghurts, fruit syrups, instant juices, sugar-added muesli, sweet buns, cakes, frosted candies, jellybeans, cookies, cakes, lemonade, teas with sugar, instant coffees, sugar cubes, honey, marmalade, and sugary gums. Making mindful choices ensures a healthier and more successful post-surgery dietary approach.
Gastric bypass surgery, like many abdominal surgeries, carries certain inherent risks. Common complications include bleeding, infection, postoperative ileus (intestinal obstruction), hernia, and general anaesthesia-related issues. However, the most serious risk involves the potential for leakage at the connection between the stomach and small intestine, which may necessitate a second operation. Additionally, obesity increases the likelihood of other surgical risks such as blood clot formation (embolism) and cardiac problems affecting the feet and lungs. Approximately 10-15% of patients undergoing this surgery may experience some of these complications. While more serious complications are rare, the majority of common issues are both acceptable and treatable with proper medical attention.
Gastric bypass is a weight loss surgery that involves creating a small stomach pouch and rerouting the digestive system. It helps in weight loss by limiting food intake and altering nutrient absorption
Weight loss varies, but patients can often lose up to 70% of excess weight within 1.5 to 2 years after surgery.
Gastric bypass is generally considered irreversible due to the anatomical changes made during surgery.
Yes, but it's advisable to wait 18 months to 2 years after surgery to allow for weight stabilization and nutritional balance.