Sausage bypass surgery; Its advantages and disadvantages

Sausage bypass surgery; Its advantages and disadvantages

Dr. Mohammad Reza Abdul Hosseini
Dr. Mohammad Reza Abdul Hosseini
تهران
Sausage bypass surgery has been introduced as one of the new methods in weight loss surgeries. Sausage bypass is a combined procedure that is performed by creating a small pouch in the upper part of the stomach and connecting it to the initial part of the small intestine. What is bypass surgery and how is it performed? Sausage bypass is an advanced technique in which the size of the stomach is significantly reduced. In this procedure, the surgeon removes a large part of the stomach and creates a smaller pouch on top of it. After that, this pouch is attached to the beginning of the small intestine. This structural change has two major effects: on the one hand, due to the limited volume of the stomach, a person consumes less food and feels full faster; On the other hand, reducing the length of the digestive tract leads to a reduction in the absorption of calories. - **Changing the volume of the stomach**: creating a smaller pouch reduces the amount of food. **Decreased absorption**: A major part of the small intestine is excluded from the digestive tract. These two factors make the patient eat less and minimize the absorption of calories. ### Advantages of sausage bypass surgery compared to other methods The advantages of this method compared to other bariatric surgery methods are evident, especially in patients with metabolic problems and underlying diseases such as type 2 diabetes. Among the main advantages of this method, the following can be mentioned: - **Rapid and lasting weight loss** - **Decreasing or eliminating type 2 diabetes** - **Improving heart problems and blood pressure** - **Decreasing the risk of sleep apnea**
Dr. Abdul Hosseini recommends the following points to prepare for this procedure: 1. **Consultation and initial tests**: complete checkup including blood and heart tests 2. **Nutrition before surgery**: liquid diet to reduce liver fat 3. **Psychological readiness and support of family and surrounding people**: The presence of family to support the patient is more important for the patient than we think. ### Sausage bypass surgery is suitable for whom? Suitable candidates for this surgery: - People with body mass index (BMI) above 40 - Patients with type 2 diabetes resistant to treatment - People who have not been able to lose weight with diet and exercise ### Possible complications and risks of bypass surgery Although sausage bypass surgery has many benefits, like any other surgery, it comes with certain risks. Some possible complications include: - **Surgical site infection** - **internal bleeding** - **intestinal obstruction** - **leakage from the junction of the stomach and intestine**
### Care after bypass surgery Care after surgery is seriously necessary to prevent complications. The basic recommendations are: - **Adherence to a liquid diet in the first weeks** - **avoidance of heavy activities** - **Consumption of food supplements according to the doctor's opinion**
A proper diet can help prevent digestive problems. For example, see the following suggested program: 1. **First week**: Only filtered liquids like water and tea 2. **Second week**: Soft soups and pureed foods 3. **second month**: consumption of soft foods such as eggs and potatoes 4. **Third month onwards**: Consuming solid foods with controlled amount *Make sure that the food plan and diet must be prescribed by a specialist.* ### Long-term results of sausage bypass surgery After this surgery, many patients not only reach their ideal weight, but their underlying or chronic diseases also improve. Here are some of the results: - **Average weight loss between 50 and 70%** - **70-80% reduction in type 2 diabetes** - **Increasing the overall quality of life and reducing joint pain, including knee pain, back pain, etc.** ### Frequently asked questions about Sausage bypass surgery **Are the results of bypass surgery permanent?** Yes, if the patient follows the nutritional tips and sports activities continuously and with the doctor's opinion. **Are there any special medications needed after surgery?** Taking vitamin and mineral supplements is necessary to compensate for the lack of absorption of minerals.

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