Introduction to the Procedure

Complex gastric bypass, often referred to as a more involved form of gastric bypass surgery, is a surgical procedure designed to aid in significant weight loss for individuals struggling with severe obesity. This procedure involves altering both the stomach and the digestive system to reduce food intake and limit the absorption of nutrients. Compared to simpler weight loss surgeries, complex gastric bypass may be required for patients with higher BMI levels or specific health complications, making it a more comprehensive approach to tackling obesity and its related medical conditions.

Stages of the Procedure

The complex gastric bypass procedure is usually conducted laparoscopically but may require open surgery depending on the complexity of the case. The key stages include:

• Anesthesia: The patient is put under general anesthesia to ensure they remain unconscious and free of pain during the procedure.
• Stomach Reduction: A small pouch is created from the upper part of the stomach, reducing its capacity significantly. This step restricts the amount of food that can be consumed.
• Intestinal Bypass: A portion of the small intestine is rerouted to connect to the newly created stomach pouch. This bypass reduces the amount of food that is absorbed in the digestive tract.
• Closing the Incisions: Depending on whether the procedure is laparoscopic or open, the surgeon will close the incisions with sutures or surgical glue. For complex cases, the surgery may take longer and require more intricate steps to ensure proper rerouting.

The procedure usually lasts between 2 to 4 hours and may involve a hospital stay of a few days.

People Eligible for the Procedure

Complex gastric bypass is typically recommended for individuals who have severe obesity or specific health conditions that make traditional weight loss methods ineffective. Eligible candidates often include:

• Individuals with a BMI of 50 or higher, classified as super-obesity.
• Patients with a BMI between 40 and 49.9 who have significant obesity-related complications such as type 2 diabetes, severe sleep apnea, or heart disease.
• Patients who have previously undergone a less invasive bariatric procedure but did not achieve sufficient weight loss or experienced complications.
• Individuals prepared to make lifelong changes to their diet and lifestyle.

A comprehensive evaluation by a bariatric surgeon, along with nutritional and psychological assessments, is required to determine the patient’s suitability for this complex procedure.

Preparation Before the Procedure

Proper preparation is crucial for the success of complex gastric bypass surgery. Key preparatory steps include:

• Medical Tests: Blood tests, imaging studies, and other assessments are performed to ensure the patient is in good health for surgery.
• Pre-Surgery Diet: Patients are typically placed on a low-calorie, high-protein diet several weeks before surgery to reduce liver size and make the procedure easier to perform.
• Lifestyle Adjustments: Smoking cessation and a reduction in alcohol intake are often required before surgery to minimize complications during and after the procedure. Starting a light exercise routine is also encouraged.
• Mental Preparation: Since complex gastric bypass requires significant lifestyle changes, many clinics provide counseling or psychological support to help patients prepare for life after surgery.
• Surgical Instructions: Patients must follow specific guidelines, including fasting for 12 hours before the operation, adjusting medication schedules, and adhering to any additional instructions from their surgeon.

Instructions After the Procedure

Post-operative care is critical to ensure a smooth recovery and effective weight loss following complex gastric bypass surgery:

• Dietary Changes: The first few weeks post-surgery will involve a liquid diet, gradually transitioning to pureed and soft foods. Eventually, the patient can introduce small portions of solid foods. Meals must be nutrient-dense, and overeating should be avoided to prevent complications.
• Hydration: Patients need to drink water in small amounts throughout the day to avoid dehydration, but they must avoid drinking large amounts at once.
• Exercise and Activity: Light activity, such as walking, is recommended immediately after surgery to promote circulation. More strenuous activities should be avoided until cleared by the surgeon, typically after 6-8 weeks.
• Follow-Up Appointments: Regular follow-up visits are essential to monitor weight loss progress, check for nutritional deficiencies, and adjust medications if necessary.
• Supplements: Due to the reduced absorption of nutrients, patients may need lifelong vitamin and mineral supplements to avoid deficiencies.

The Result

Patients who undergo complex gastric bypass surgery typically experience significant weight loss, with most losing 60-80% of their excess body weight within the first 18-24 months. The procedure is highly effective in improving or even resolving many obesity-related conditions, including type 2 diabetes, high blood pressure, and sleep apnea. However, the success of the procedure depends on the patient’s commitment to maintaining a healthy diet and engaging in regular physical activity. The procedure can also lead to improvements in mobility, self-confidence, and overall quality of life.

Why the Procedure at Royal Clinic in Turkey

Royal Clinic in Turkey offers a range of advantages for those considering complex gastric bypass surgery:

• Experienced Surgeons: Royal Clinic’s team of highly skilled bariatric surgeons has extensive experience in performing complex gastric bypass surgeries, ensuring the highest standards of patient care and safety.
• State-of-the-Art Facilities: The clinic is equipped with the latest medical technologies, allowing for precise surgical techniques and exceptional care throughout the treatment process.
• Affordability: Turkey is a renowned destination for medical tourism due to its combination of high-quality care and affordable pricing. Patients can expect significant savings compared to the cost of surgery in many Western countries.
• Comprehensive Care: From initial consultations and pre-surgery evaluations to post-operative care and nutritional counseling, Royal Clinic offers a holistic approach to bariatric surgery, ensuring long-term success for patients.
• International Patient Services: Royal Clinic provides comprehensive medical tourism packages, including assistance with travel arrangements, accommodation, and language support, making the process smooth and stress-free for international patients.

Choosing Royal Clinic in Turkey for complex gastric bypass surgery guarantees exceptional medical care, advanced facilities, and full support throughout the patient’s weight loss journey.