Bariatric surgeries are becoming increasingly practised nowadays due to the high rates of obesity cases. People are more aware of the dangers that threatens their health.
Obesity can be a source of great many diseases and one of the most lethal ones in the country.
When it comes to overweight and obesity, Egypt took the lead in 2017 by being the top county in the world that has so many cases. Therefore, to treat such a calamity, people are having different medical procedures.
What is Gastric Bypass in Egypt ?
Gastric bypass a medical procedure, from the family of bariatric surgeries, that consists in altering the size of the stomach, by making it into a small pouch at the upper section which will be connected to the small intestine.
The stomach becomes then a tiny pouch linked directly to the intestines. It is a very delicate intervention.
This surgery is done in order to lose weight and treat excessive obesity. The gastric bypass is one of those procedures that act upon the physiological aspect of the body. It consists in changing the way that the stomach and thin intestines act on food digestion.
Its primary objective is weight loss. This is achieved by restricting the amount food eaten by the patient, and therefore the quantity of nutrients the body absorbs.
What are the types of the Gastric Bypass procedure ?
Roux-en-Y Gastric Bypass (RYGB ):
Roux-en-Y Gastric Bypass (RYGB) is one of the most commonly performed weight loss surgeries worldwide.
It involves creating a small stomach pouch by stapling the upper part of the stomach and then connecting it directly to the small intestine, bypassing a large portion of the stomach and the first part of the small intestine, the duodenum.
This rerouting of the digestive tract reduces the amount of food the stomach can hold and limits the absorption of calories and nutrients, leading to weight loss. Additionally, the bypassed portion of the stomach and intestine continues to produce digestive juices, which then mix with food further down the intestine.
This procedure not only restricts food intake but also causes malabsorption, contributing to weight loss. RYGB is considered highly effective in producing significant and sustainable weight loss in patients with severe obesity, often resulting in improvements or remission of obesity-related conditions such as type 2 diabetes, high blood pressure, and sleep apnea.
Benefits of Roux-en-Y Gastric Bypass (RYGB) :
- Significant weight loss
- Improvement or resolution of obesity-related conditions like type 2 diabetes and hypertension
- Long-term sustainability of weight loss
- Reduced hunger and appetite due to changes in gut hormones
- Rapid initial weight loss compared to other procedures
Mini Gastric Bypass (MGB) :
Mini Gastric Bypass (MGB), also known as the one-anastomosis gastric bypass, is a simplified version of the traditional RYGB.
It involves creating a small gastric pouch similar to RYGB, but instead of making two connections to the small intestine, there is only one connection, resulting in a shorter bypassed segment of the intestine.
This procedure offers the advantages of RYGB with potentially fewer complications and a simpler surgical technique.
MGB typically results in significant weight loss and improvement in obesity-related comorbidities. However, there is ongoing debate within the medical community regarding the long-term efficacy and safety of MGB compared to RYGB, as well as concerns about potential bile reflux and nutritional deficiencies.
Benefits of Mini Gastric Bypass (MGB) :
- Similar weight loss outcomes to RYGB with potentially fewer complications
- Simpler surgical technique
- Improvement or resolution of obesity-related conditions
- Reduced risk of dumping syndrome compared to RYGB
Sleeve Gastrectomy with Duodenal Switch (SG-DS) :
Sleeve Gastrectomy with Duodenal Switch (SG-DS) is a two-stage procedure that combines the restrictive and malabsorptive components of weight loss surgery.
The first stage involves performing a sleeve gastrectomy, where a large portion of the stomach is removed, reducing its size and capacity.
This restrictive aspect limits the amount of food that can be consumed, leading to weight loss.
In the second stage, a duodenal switch is performed, where the remaining portion of the stomach is connected to the lower part of the small intestine, bypassing the duodenum and a portion of the jejunum. This rerouting of the digestive tract reduces the absorption of calories and nutrients, further enhancing weight loss.
SG-DS is particularly effective for patients with a high body mass index (BMI) or those with obesity-related conditions such as type 2 diabetes. However, it is a more complex procedure associated with higher risks of complications and nutritional deficiencies compared to other weight loss surgeries.
Benefits of Sleeve Gastrectomy with Duodenal Switch (SG-DS) :
- Significant and sustainable weight loss
- Improvement or resolution of obesity-related conditions, especially type 2 diabetes
- Reduced hunger and appetite due to changes in gut hormones
- Potential improvement in gastrointestinal conditions like acid reflux
- Lower risk of dumping syndrome compared to RYGB
Single Anastomosis Duodenal Switch (SADS) :
Single Anastomosis Duodenal Switch (SADS), also known as single anastomosis gastric bypass or SAGB, is a modification of the traditional duodenal switch procedure.
It involves creating a long, narrow stomach pouch and bypassing a significant portion of the small intestine to limit calorie absorption. Unlike the traditional duodenal switch, which involves two separate connections to the small intestine, SADS creates only one connection, simplifying the surgical technique.
This procedure combines the benefits of gastric restriction and intestinal malabsorption, resulting in significant weight loss and improvement in obesity-related comorbidities. SADS is often recommended for patients with a high BMI or those with obesity-related conditions such as type 2 diabetes.
However, it carries risks of complications such as malnutrition, vitamin deficiencies, and bile reflux.
Benefits of Single Anastomosis Duodenal Switch (SADS) :
- Significant weight loss with reduced food intake and calorie absorption
- Improvement or resolution of obesity-related conditions, particularly type 2 diabetes
- Simplified surgical technique compared to traditional duodenal switch
- Potential reduction in hunger and appetite
- Lower risk of dumping syndrome compared to RYGB
Biliopancreatic Diversion with Duodenal Switch (BPD-DS) :
Biliopancreatic Diversion with Duodenal Switch (BPD-DS) is a complex weight loss procedure that combines restrictive and malabsorptive mechanisms to achieve significant weight loss. It involves two main components: a sleeve gastrectomy to reduce the size of the stomach and a duodenal switch to reroute food away from the majority of the small intestine.
During the sleeve gastrectomy, a large portion of the stomach is removed, limiting the amount of food that can be consumed.
The duodenal switch component involves rerouting food from the stomach pouch directly to the lower part of the small intestine, bypassing the duodenum and a significant portion of the jejunum.
This bypassed section of the intestine reduces the absorption of calories and nutrients, leading to further weight loss. BPD-DS is particularly effective for patients with severe obesity or those with obesity-related conditions such as type 2 diabetes. However, it carries a higher risk of complications and nutritional deficiencies compared to other weight loss surgeries.
Benefits of Biliopancreatic Diversion with Duodenal Switch (BPD-DS) :
- Significant and sustainable weight loss
- Improvement or resolution of obesity-related conditions, especially type 2 diabetes
- Reduced hunger and appetite due to changes in gut hormones
- Potential improvement in gastrointestinal conditions like acid reflux
- Lower risk of dumping syndrome compared to RYGB
Loop Gastric Bypass (LGBP) :
Loop Gastric Bypass (LGBP), also known as loop gastric bypass or single-anastomosis gastric bypass, is a variation of traditional gastric bypass surgery.
It involves creating a small stomach pouch and connecting it directly to the small intestine, bypassing a portion of the stomach and the duodenum.
However, unlike the standard Roux-en-Y gastric bypass, where the small intestine is divided into two parts and reconnected in a Y shape, LGBP creates a single loop of intestine for the digestive contents to pass through. This simplifies the surgical technique and potentially reduces the risk of complications. LGBP combines the benefits of gastric restriction and intestinal bypass, leading to significant weight loss and improvement in obesity-related comorbidities. However, long-term data on the efficacy and safety of LGBP compared to other gastric bypass procedures are limited, and further research is needed to determine its outcomes.
Benefits of Loop Gastric Bypass (LGBP) :
- Significant weight loss with reduced food intake and calorie absorption
- Improvement or resolution of obesity-related conditions
- Simplified surgical technique compared to traditional gastric bypass
- Potential reduction in hunger and appetite
- Lower risk of dumping syndrome compared to RYGB
Jejunoileal Bypass (JIB) :
Jejunoileal Bypass (JIB) was one of the earliest forms of weight loss surgery developed in the 1960s. It involved bypassing a large portion of the small intestine, including the jejunum and ileum, and connecting the stomach directly to the distal portion of the ileum.
By bypassing most of the small intestine, JIB severely restricted the absorption of calories and nutrients, leading to significant weight loss.
However, JIB fell out of favor due to its high risk of complications, including malnutrition, vitamin deficiencies, and metabolic abnormalities. The procedure is no longer performed due to its associated risks and the development of safer and more effective weight loss surgeries.
Benefits of Jejunoileal Bypass (JIB):
- Significant weight loss due to severe malabsorption
- Rapid reduction in obesity-related conditions
- Potential improvement in conditions like type 2 diabetes and hypertension
- Not commonly performed due to high risk of complications
Banded Gastric Bypass (BGBP) :
Banded Gastric Bypass (BGBP) is a variation of the traditional Roux-en-Y gastric bypass that involves placing a restrictive band around the gastric pouch to further limit food intake.
In addition to creating a small stomach pouch and rerouting the digestive tract, a non-adjustable or adjustable band is placed around the outlet of the stomach pouch to create a smaller opening, slowing down the passage of food into the intestine.
This additional restriction enhances weight loss by further reducing food intake and promoting early satiety.
BGBP combines the benefits of gastric restriction and intestinal bypass, leading to significant weight loss and improvement in obesity-related comorbidities. However, it carries risks of complications such as band slippage, erosion, and obstruction, and careful patient selection is essential to optimize outcomes.
Benefits of Banded Gastric Bypass (BGBP) :
- Significant weight loss with enhanced restriction
- Improvement or resolution of obesity-related conditions
- Reduced hunger and appetite due to changes in gut hormones
- Potential for adjustability in some cases
- Lower risk of dumping syndrome compared to RYGB
Distal Gastric Bypass (DGB) :
Distal Gastric Bypass (DGB) is a variation of the traditional Roux-en-Y gastric bypass that involves creating a longer biliopancreatic limb and a shorter alimentary limb. In a standard RYGB, the lengths of both limbs are typically similar.
However, in DGB, the biliopancreatic limb, which carries digestive juices from the liver and pancreas, is lengthened, while the alimentary limb, which carries food from the stomach to the small intestine, is shortened.
This configuration aims to increase malabsorption while maintaining adequate digestive function, potentially enhancing weight loss outcomes. DGB combines the benefits of gastric restriction and intestinal malabsorption, leading to significant weight loss and improvement in obesity-related comorbidities.
However, it is a technically challenging procedure that requires careful surgical planning and may be associated with a higher risk of complications compared to standard RYGB.
Benefits of Distal Gastric Bypass (DGB) :
- Significant weight loss with enhanced malabsorption
- Improvement or resolution of obesity-related conditions
- Potential reduction in hunger and appetite
- May be associated with fewer nutritional deficiencies compared to other malabsorptive procedures
- Long-term outcomes require further study
How to prepare for a Gastric Bypass procedure ?
Preoperative Evaluation and Counseling :
Before undergoing gastric bypass surgery, patients undergo a comprehensive preoperative evaluation and counseling process.
This involves meeting with various members of the healthcare team, including surgeons, dietitians, nurses, and psychologists, to discuss the procedure, potential risks and benefits, and postoperative expectations.
During these consultations, patients are educated about the different types of gastric bypass procedures, the surgical technique, expected weight loss outcomes, and potential complications. The healthcare team assesses each patient's individual medical history, current medications, and lifestyle factors to determine their suitability for surgery.
Additionally, patients are encouraged to ask questions and voice any concerns they may have about the procedure or their postoperative care. Preoperative counseling aims to ensure that patients are well-informed and mentally prepared for the surgical journey ahead.
Dietary and Lifestyle Changes :
Prior to gastric bypass surgery, patients are typically required to make significant dietary and lifestyle changes to optimize their surgical outcomes and reduce the risk of complications. This may include following a preoperative diet plan designed to reduce liver size and improve surgical access to the stomach.
The preoperative diet often consists of high-protein, low-calorie foods and liquids to promote weight loss and decrease liver fat. Patients may also be advised to abstain from smoking and limit alcohol consumption to reduce the risk of surgical complications and promote healing. Additionally, incorporating regular physical activity into daily routines can help improve overall fitness and prepare the body for surgery. Adhering to these preoperative dietary and lifestyle changes is crucial for maximizing the safety and success of gastric bypass surgery.
Medical Clearance and Testing:
Before undergoing gastric bypass surgery, patients must undergo a series of medical tests and evaluations to assess their overall health and identify any underlying medical conditions that may affect surgical outcomes.
This typically includes blood tests to check for conditions such as diabetes, anemia, and nutritional deficiencies, as well as imaging studies such as chest X-rays and electrocardiograms (ECGs) to evaluate heart and lung function.
Depending on individual medical histories and risk factors, additional tests or consultations with specialists may be required, such as cardiology evaluations for patients with heart disease or sleep studies for those with sleep apnea. Medical clearance ensures that patients are in optimal health for surgery and helps identify and manage any potential risks or complications.
Psychological Evaluation :
A psychological evaluation is an essential component of the preoperative preparation for gastric bypass surgery.
During this evaluation, patients meet with a psychologist or mental health professional to assess their emotional and psychological readiness for the procedure. The psychologist evaluates factors such as motivation, coping skills, support systems, and the presence of any psychiatric conditions that may impact postoperative outcomes.
Additionally, the psychological evaluation helps identify any potential barriers to successful weight loss or adherence to postoperative lifestyle changes. Patients may also receive counseling and support to address any underlying emotional issues related to obesity, body image, or food addiction.
Psychological evaluation ensures that patients have realistic expectations and are mentally prepared to navigate the challenges of the surgical and recovery process.
Education and Support Programs :
In addition to individual counseling and evaluations, patients undergoing gastric bypass surgery often participate in education and support programs to help them prepare for the procedure and adjust to life after surgery.
These programs may include group meetings, seminars, and educational materials covering topics such as nutrition, exercise, behavior modification, and emotional wellness. Patients learn about dietary guidelines, portion control, meal planning, and strategies for managing cravings and emotional eating.
They also receive information about potential complications, warning signs to watch for, and resources for seeking support and guidance throughout their weight loss journey. Education and support programs empower patients to take an active role in their health and recovery and provide valuable tools and resources for long-term success following gastric bypass surgery.
How is the Gastric Bypass in Egypt done ?
Before the surgery, a period of treatment is given to the patient to prepare the body. The physician requires some medical checkups, lab exams to identify the best course of action. After that, he or she will give the patient a diet and some physical exercises in order to be ready for the procedure.
The procedure is done under general anaesthesia.
This first step in the surgery is the pouch creation. The surgeon makes an incision on the abdomen in order to uncover the abdominal cavity. Soon after, the stomach is blown to be visible enough in order to start the manipulation by dividing the stomach into two portions.
The first one is located in the upper section, a small sized one, which will now be the new stomach. This will be the space that receives the food. The second portion is the remaining part of the original stomach. A large one, that is totally closed after the divide.
The second step consists in cutting the jejunum into two sections and will form two types of limbs. The first one, called the biliopancreatic limb. This part will stay connected to the large portion or the stomach.
The second one, the Roux limb, is the longer part of the two. Then, the surgeon will attach the roux limb to the new gastric pouch.
Once this is done, the physician will proceed into sewing the biliopancreatic limb into the roux limb, at a specified location, using staples and sutures if needed.
After that, the connection is tested to ensure the viability and the safety of the operation.
During the surgery, the surgeon must be very precise in the dimensions and sizes to give the best possible result and avoid further postoperative complications.
What to expect after a Gastric Bypass in Egypt ?
After the Gastric Bypass, the patient’s diet will mostly be liquids and soft types of food. At least for the first few weeks. This way, the stomach can recover smoothly and in time. After a few months, the patient will return to eating normally.
Notice that the amount of food eaten will be greatly reduced and the feeling of hunger quickly overcome.
The estimated amount of weight to be lost is about 50 % to 60 % of the excess fat. This result can be obtained in the timespan of two years or more, depending on how the patient is following the new diet.
The price of the gastric bypass in Egypt ?
The price gastric bypass Egypt is advantageous, you will be able to be operated on by the best surgeons and enjoy a high quality medical stay.
Ask for a free quote to obtain gastric bypass cost Egypt.