Table of contents
- 1 Gastric Bypass definition:
- 2 Benefits of Gastric Bypass (or Mini Gastric Bypass) surgery in Poland:
- 3 Gastric Bypass candidates
- 4 Gastric Bypass Poland prices
- 5 Gastric Bypass procedure:
- 6 Before the Gastric Bypass surgery abroad:
- 7 Required medical tests:
- 8 Gastric Bypass surgery
- 9 How Gastric Bypass is done:
- 10 Gastric Bypass results:
- 11 After the Gastric Bypass surgery:
- 12 Recovery after Gastric Bypass
- 13 Gastric Bypass risks and complications
- 14 Diet after Gastric Bypass surgery
- 15 Pureed foods
- 16 Medications after gastric bypass
- 17 Gastric Bypass long-term results
- 18 Gastric Bypass abroad
Gastric Bypass definition:
Gastric Bypass is the most popular type of weight loss surgeries. The surgery is done on people who suffer from obesity. During your surgery, a surgeon disconnects your stomach into lower and upper parts. The upper part of the stomach will form a much smaller new stomach, which will be connected to the intestine. Gastric bypass surgery abroad helps people lose weight thanks to a significant reduction in the stomach size and rearrangement of the intestines.
Benefits of Gastric Bypass (or Mini Gastric Bypass) surgery in Poland:
- Helps to control blood sugar levels
- Remission of type 2 diabetes
- Resolves sleep apnea
- Improves high cholesterol
- Resolves blood pressure
- Improves hyperlipidemia
- Reduce the risks of having cardiovascular disease
Gastric Bypass candidates
A candidate for the gastric bypass surgery abroad is the person whose BMI equals or exceeds 40, who is psychologically stable and have realistic expectations. However, if your BMI is lower than 40, yet you suffer from obesity-related problems, you also may be qualified for gastric bypass surgery. During the consultation, the doctor may also ask you for a documented failure of nonsurgical weight-loss programs and absence of uncontrolled psychotic or depressive disorder.
Gastric Bypass Poland prices
The price of gastric bypass surgery in Poland starts from 5000 EUR, while in the UK for the same surgery you will pay 12800 EUR. To know whether your insurance covers such a surgery, you need to contact your health insurance company. Your gastric bypass surgery price in Poland always includes consultation, medical tests, surgery, and stay in the clinic.
Gastric Bypass procedure:
Before the Gastric Bypass surgery abroad:
You need to start eating slowly, without hurry and carefully watch the sizes of your portions, and not to drink anything with meals. Make a list of things you need to do at home and at work before the surgery and the list of things you need to buy to the hospital. Ask someone to take care of you a week after the surgery. You must stop smoking or drinking alcohol at least 2 weeks before the date of your surgery in Poland.
Required medical tests:
- abdominal ultrasound,
- Cardiac catheterization,
- blood count (CBC),
- blood urea nitrogen (BUN), cortisol, creatinine, electrolytes, prolactin and thyroid-stimulating hormone (TSH),
- Colonoscopy Echocardiogram Electrocardiogram (EKG)
- Flexible sigmoidoscopy,
- Chest X-ray,
- Pulmonary function tests
- Pelvic ultrasound,
- Pap smear,
Gastric Bypass surgery
Length of Gastric Bypass procedure: 1-2 hours
Type of anaesthesia: general anaesthesia
How Gastric Bypass is done:
The surgery can be performed either laparoscopically or as open surgery. During gastric bypass surgery, the surgeon will make a smaller stomach and will connect it to the last part of the small intestine. As a result, your stomach is smaller so you cannot eat as much food as you did before.
Stay in the clinic: 2-3 days
Minimal stay for Gastric Bypass in Poland: 2 weeks
Back to work: 2 weeks
Gastric Bypass results:
Gastric Bypass surgery abroad is not a quick fix. It is a long way, you need to understand that you have the greatest influence on the final results. You need to change your eating habits and follow all the instructions of your doctor. Weight loss after gastric bypass will take between 1 and 5 years. After gastric bypass surgery abroad (or mini gastric bypass aborad) a great number of patients lose from 60 to 80% of excess body weight.
After the Gastric Bypass surgery:
The amount of food you eat will be reduced and your body will not be able to absorb enough vitamins after the gastric bypass surgery. The doctor will prescribe you B12 vitamin and multivitamin. Also, you should drink at least 1.5-2 litres of water each day. You cannot eat anything high in sugar and fat or drink alcohol and carbonated drinks. Before the surgery, your doctor will instruct you with what you can and cannot do after the gastric bypass surgery.
Recovery after Gastric Bypass
The surgery is performed under general anaesthesia and after they wake up they usually have a drip in the arm to supply liquids to the body and also a urinary catheter to drain urine from the bladder. Usually, patients are required to stay one day in the hospital yet the stay may last longer in order to be sure that there are no complications due to the surgery. The tubes will be removed as soon as a patient can get out of bed without any help and also blood-thinning drugs and compression garments can be introduced to avoid blood clots. When they are discharged from the hospital, patients are required to follow the strict liquid diet and after some time getting accustomed to solid food so that the stomach may have a chance to heal properly.
Generally, three to five weeks following the surgery, a patient may come back to daily routines. Many of them may see considerable changes in their digestive system and movements of the bowel which is a common phenomenon. Nevertheless, they need to be aware of the side effects connected with the surgery discussed with the surgeon. Moreover, a patient is obliged to attend follow -up visits during which the healing process is analyzed. Also, as the gastric bypass makes food bypass the part of the intestine where minerals and vitamins are used up, patients may require to take supplements.
Gastric Bypass risks and complications
When it comes to the most noticeable side effects after gastric bypass they are as follow bowel obstruction, gastrointestinal tract haemorrhage and stomal stenosis. Nevertheless, the percentage of their occurrence is considerable low- about 10 %- and it is strictly related to the surgeon’s experience. In other words, surgeries performed by highly specialized and experienced surgeons are less probably cause side effects.
Diet after Gastric Bypass surgery
Those who underwent gastric bypass surgery (also known as a Roux-en-Y gastric bypass) are obliged to follow a strict diet in order to come back to health quickly and change eating habits into proper ones. You also need to discuss all the details with your surgeon or registered dietician about the diet after the gastric surgery where you will discuss what types of food is permitted and how much you can eat during each meal. If you follow the diet strictly, you will lose weight without any problems and safely.
What is the gastric bypass surgery and what is the purpose of a gastric diet?
- permitting your stomach to heal properly ( without the risk of it being stretched out by the amount of consumed food)
- having the habit of consuming a smaller amount of food so that your stomach has time to digest
- losing weight and avoiding further regain
- avoiding complications following the surgery
Diet after gastric sleeve – details
Diet after gastric bypass surgery varies as each case is different and varies across patients. Typically, gastric bypass diet is divided into several stages in order for a patient to get accustomed to solid foods. The amount of time required to reach another stage depends on the ability of your body to heal and accustomed to changes in eating habits. Generally, it is possible for you to consume regular food three months after the surgery.
During each stage you need to follow these recommendations:
- in order to avoid dehydration drink 64 ounces of fluid
- drink liquids between ( at least 30 minutes before or after ) meals not during them
- eat and drink slowly in order to avoid dumping syndrome which usually takes place when foods and liquids get
- into your small intestine quickly and in large amounts than usually contributing to nausea, vomiting, dizziness, sweating or diarrhoea.
- consume lean food with proteins each day
- avoid food and drinks high in fats and sugar
- do not drink alcohol
- avoid caffeine as it causes dehydration
- chew food properly, even into a pureed consistency before swallowing after you progress from liquids only
During the very first days after the surgery, you are only allowed to drink clear liquids. After this stage you can begin to drink other liquids, for example:
- Unsweetened juice
- Decaffeinated tea or coffee
- Milk (skim or 1 per cent)
- Sugar-free gelatin or popsicles
Usually, after a week of consuming liquids, you can begin to eat strained and pureed foods. This type of food should be a paste type or thick liquid with no solid pieces of food in it. It is recommended to eat three to six small meals per day and each meal should be of 4 to 6 tablespoons size. Also, it is recommended to eat slowly ( at least devote 30 minutes for each meal)
Selection of puree foods
- Lean ground meat, poultry or fish
- Cottage cheese
- Soft scrambled eggs
- Cooked cereal
- Soft fruits and cooked vegetables
- Strained cream soups
Blend solid foods with a liquid, such as:
- Skim milk
- Juice with no sugar added
- Soft foods
When you finally finish this step with pureed food and after the consultation with your surgeon, you can include soft foods into your diet. They should be small and easy to chew. It is recommended to eat from three to five meals a day and the size of each should be of one third to one-half cup of food. Make sure that each bite is chewed properly till the consistency of pureed food before swallowing.
Soft foods include:
- Ground lean meat or poultry
- Flaked fish
- Cottage cheese
- Cooked or dried cereal
- Canned or soft fresh fruit, without seeds or skin
- Cooked vegetables, without skin
Eight weeks after the surgery you can slowly include firmer foods. You can begin with three meals per day with each consisting of 1 to 1-⅕ cups of food. It is vital for you to stop eating before you feel that you are completely full.
The amount of solid food which you are able to take depends on the numbers of meals and amount of food at each of them, therefore, the best option for you would be consulting all the details with your dietician.
You should incorporate new types of food one at a time as some types of food may cause pain, nausea or vomiting after the gastric bypass procedure.
The problematic types of food may be:
- Carbonated drinks
- Raw vegetables
- Cooked fibrous vegetables, such as celery, broccoli, corn or cabbage
- Tough meats or meats with gristle
- Red meat
- Fried foods
- Highly seasoned or spicy foods
- Nuts and seeds
- However, after some period of time, you can start to include these foods into your diet, yet you should consult it with your dietician.
Medications after gastric bypass
Usually, most of the medications may be absorbed after the gastric bypass procedure yet some drugs like time-release medications, need close monitoring especially for those patients who underwent gastric bypass. The gastric bypass is a type of weight loss procedure which is responsible for lowering the food intake at one time and reducing the absorption of nutrients from food. In most cases after a gastric bypass which is also called Roux-en-Y gastric bypass, the upper part of the stomach is enclosed from the rest of the stomach which creates a pouch of the size of a walnut. The newly created pouch ( where the gastric bypass is placed) may only contain about 1 ounce of food rather than 3 pints which are the normal amount of food a regular stomach may hold. After that, the small intestine is intestine is divided and then sewn into the small remaining pouch. The remaining part of the stomach and the first 3 feet of the small intestine, in which the majority of nutrient absorption happens, are bypassed therefore food is transferred from the small stomach into the midsection of the small intestine.
Regardless of the alterations to the stomach and intestine, a vast number of pills after gastric bypass are absorbed in those who underwent gastric bypass procedure, including pain medications. In some cases, drug absorption may cause concern. When it comes to time-release medications which are also known as controlled-release medications, the issue affects the way the medicine is absorbed in the stomach and released into the body.
Along with controlled-release medications, instead of receiving various fills during the day, you will have only one or two pills each day which gradually releases medicine. The controlled-release medicine has a few various methods for leaking the drug they have. After the surgery, limited acidity or alteration in the enzyme concentration in the intestine may dramatically change the way the medication is released which in turn may keep the drug from reaching the bloodstream.
Some antidepressant drugs can be influenced by the gastric bypass procedure. After the surgery, some patients may require their dose of antidepressant medication to be modified or different types of antidepressants should be introduced.
Additionally, drugs responsible for heartbeat regulation and prevention from an irregular heartbeat, which are called anti-arrhythmic medications, should be closely monitored in those patients who underwent gastric bypass due to the fact that their absorption may alter after the surgery. This also applies to patients who have had an organ transplant like kidney, liver or hair transplant and are on immunosuppressive drugs to keep their bodies from rejecting the new organ. The number of medications received on a daily basis should be monitored closely. If you notice that medications you take do not work they way the should consult it with your doctor. You should take a list of all medications you take and the dosage so that you can examine it. All in all, in most of the cases, a change in medications is all that will be required.
Gastric Bypass long-term results
Long-term complications after gastric bypass are rare as about 15% experience them. Nevertheless, potential side effects may be obstruction, dumping syndrome that results in diarrhea, nausea or vomiting, the development of gallstones or hernias, low blood sugar also known as hypoglycemia, malnutrition more common when patients don’t take supplementary vitamins and minerals, iron or calcium deficiencies, stomach perforation, ulcers, vomiting, and staple-line failure in the pouch.
Additionally, weight loss may be really low yet it is connected with diet and exercise habits. In order to avoid gastric bypass side effects, it is vital to get accustomed to all the limitations before the surgery and follow the dietician and surgeon advice.
Gastric Bypass abroad
If you are considering gastric bypass for weight loss and you want to have gastric bypass done safely, you need definitely consider Poland as one of the destinations. With highly experienced surgeons and newly equipped hospital, your stay in Poland will be comfortable. If you would like to know more information about the procedure, and why gastric bypass may be a good solution for you, do not hesitate but contact – our customer advisor will be glad to help you with.