Mini Gastric Bypass

Mini gastric bypass – what is it?

Mini gastric bypass is a surgery that combines some elements of the gastric sleeve and Roux-en-Y gastric bypass procedures. During the operation, the upper part of the stomach is formed into a sleeve-shaped tube and then connected to the loop of the small intestine. Mini gastric bypass causes speedy and permanent weight loss by preventing You from eating too much and reducing the absorption of calories from food, especially from fatty meals.

Mini gastric bypass procedure is performed using the minimally invasive laparoscopic method (keyhole surgery). Thanks to this, You avoid having a large scar on the abdomen. Laparoscopic operations are distinguished by a fast recovery rate and a low chance of unwanted events. During the mini gastric bypass procedure, You remain under general anesthesia, so You do not feel any pain, nor do You remember the course of the surgery after waking up.

Preparing for the Mini Gastric Bypass Surgery Abroad

Patients preparing for bariatric surgery in recent weeks should be on a liquid diet that will relieve the relief of the stomach and liver. This results in more effective weight loss after the procedure, less likely for complications during the procedure. Multivitamin preparations and other supplements are important, which are prescribed depending on the results of the tests and the doctor’s recommendations after the qualifying visit. The patient should appear at the hospital in the morning of supper with a complete set of examinations, pyjamas, variable footwear.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety. All consultations and tests can be done at KCM Clinic.

• Surgical consultation in a Bariatric Clinic.
• Internist-cardiological consultation with ECG and cardiac echocardiography
• Exercise test on a treadmill
• Spirometry
• Chest x-ray in 2 projections
• Abdominal ultrasound
• Gastroscopy with HP test
• Laboratory tests: morphology, lipogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium

Dietary Requirements

Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

Why should you follow a diet?

The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this completely reduces the effect of the diet.

Food guidelines before surgery abroad:

• The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a litre of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that remain in your stomach. Vegetables and fruits are acceptable as snacks.
• We encourage patients to discontinue consuming caffeine-containing drinks, such as coffee and energy drinks, for at least 7 before surgery.
• Diet 7 days before surgery should only consist of liquids.
• On the day of the operation, do not eat or drink – only still water is allowed.

Removing part of the stomach and performing a mini gastric bypass requires a change in eating habits because the proper functioning of the digestive tract is disturbed. The diet after the OAGB procedure requires the introduction of a liquid or semi-liquid nutrition, in meals with small volumes, divided into 5-6 daily for 6 weeks after the procedure. These can be fruit and vegetable purées, puddings, jellies, jelly, yoghurt without fruit particles, cream soups. After some time, it is necessary to enrich the food with protein and other necessary ingredients. The menu for several weeks after the OAGB procedure should contain easily digestible products. You must eliminate food that is in the stomach for a long time and is hard to digest.

Recovery Time and Basic Rules

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

The most important change in life after surgery is the diet and the amount of food that the patient consumes. It will also help prevent postoperative complications.

A very strict diet after surgery may seem exaggerated. But remember, not following this diet can cause complications such as diarrhoea, dehydration, constipation, intestinal obstruction or very severe gastric acid leakage.

Here are some basic rules:

• Consume foods at a moderate temperature.
• Chew each bite thoroughly.
• Consume small portions (150 g), meals every 2-4 hours.
• Liquids 15 x daily 100-150 ml each.
• Drink 15 min. before a meal and 30 min. after a meal.
• Use supplements – vitamins, minerals.
• Take your medications and vitamins as recommended.
• The use of prophylaxis reduces the risk of embolic complications.
• Avoid foods that are too sweet, spicy, sour, fatty, hot or cold.
• Stop eating as soon as you feel full, even if it means leaving the food on your plate.
• Avoid dishes made of asparagus, spinach, cauliflower and broccoli, green beans, leeks and cabbage.
• Avoid eating small products, they can be swallowed whole and there is a risk of getting stuck in the stomach: mushrooms, broad beans, cherries, nuts, pasta.
• Cross out high-calorie products and replace them with various low-calorie products to provide your body with numerous vitamins and minerals.

Laparoscopic surgery makes it possible for patients to recover faster. The patient will be able to drink and get up from the bed, a few hours after the procedure, as well as move independently. For safety, a hospital stay of several days is necessary.