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Frequently asked questions
In a Roux-en-Y gastric bypass, the stomach is made smaller by creating a small pouch at the top of the stomach with surgical staples or a plastic band. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine.
Possible complications include pre-operative, intra-operative, post-operative and late complications.
Pre-operative complications include but are not limited to anxiety attacks, mood swings, allergic reactions to pre-operative medications and problems with anesthesia. Intra-operative complications can include but are not limited to bleeding, injuries to various intra-abdominal structures or organs, hypotension, hypertension, cardiac arrhythmia, cardiac arrest, aspiration and death.
Post-operative complications include bleeding, infections, leaks, lung collapse, pneumonia, thrombophlebitis, blood clots to the lungs, nausea, vomiting, watery stools, difficulties breathing without a respirator, back pain, numbness, difficulties passing urine, outlet obstruction and bowel obstruction.
Long term related complications include but are not limited to hair loss, depression, gastro-gastric fistula, bowel obstruction, ventral hernias, cholelithiasis, alopecia (hair thinning), anorexia with excessive weight loss, inadequate weight loss, fat soluble vitamin A, D, and E deficiencies, Calcium, Iron, B 12, and folic acid deficiencies, osteoporosis and anemia. The nutrient deficiencies can either be prevented or corrected. There are occasional problems with certain types of food intolerance, resulting in dumping, diarrhea and hypoglycemic attacks.
Sleeve gastrectomy is an innovative new weight loss surgery procedure that results in weight loss through restriction.
During surgery, a small portion of the stomach is stapled to make a tube or sleeve. The rest of the stomach (around 85 percent) is removed. This part of the surgery is not reversible. The procedure is usually performed laparoscopically, even in patients weighing more than 500 pounds.