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During the procedure, an abdominal surgeon creates a new, reduced gastric pouch by surgically separating it from the main stomach to create a bypass for the food entering the gastric system.\u003C\u002Fp>\u003Cp>Due to the bypass, food enters the newly formed small pouch of a 30 - 50 ml capacity and skips the main stomach and part of the small intestine (about 1.5 - 2 meters). Therefore, the gastric and pancreatic juices start the food digestion process later, and some nutrients are not absorbed.\u003C\u002Fp>\u003Cp>Although food moves through the intestines in its usual course, it first enters the smaller-capacity stomach. Decreasing the stomach volume reduces the production of the hunger hormone ghrelin, and the patient starts feeling full more quickly. Besides, fewer nutrients are absorbed when food bypasses part of the small intestine. All of this helps to form new, healthier eating habits. This way, during the first two years after surgery, most patients lose about 60-70% of their excess weight.\u003C\u002Fp>\u003Ch3>Who can get laparoscopic gastric bypass surgery?\u003C\u002Fh3>\u003Cp>This surgery is usually performed on patients with a body mass index (BMI) higher than 35 kg\u002Fm2.\u003C\u002Fp>\u003Cp>The procedure is recommended when conservative treatment methods, such as increasing physical activity, dietary regulation, etc., are not achieving the expected outcomes.\u003C\u002Fp>\u003Cp>The operation can significantly improve the quality of life and health condition. Obese people have a higher risk of obesity-related illnesses, including reflux, cardiovascular disease, stroke, type 2 diabetes, high cholesterol levels, sleep apnea, and more.\u003C\u002Fp>\u003Cp>Please note that laparoscopic gastric bypass surgery, although minimally invasive, is still a surgical procedure. Therefore, preparing for it includes an assessment of the general physical condition and possible risk factors that could negatively influence the results.\u003C\u002Fp>\u003Ch3>How to prepare for the operation?\u003C\u002Fh3>\u003Cp>The preoperative examination of the patient depends on the individual patient's health condition. Before surgery, various tests are performed, including a general blood test, a biochemical blood test (potassium, sodium, creatinine, glycemia, CRB, albumin), liver function test, fractionated cholesterol test, glycosylated hemoglobin, blood coagulation readings (SPA, DATL, INR), micronutrients (calcium, iron), and vitamin tests (folic acid, vitamin B12, 25-OH vitamin D).\u003C\u002Fp>\u003Cp>Besides, all patients are prescribed an electrocardiogram. Other non-invasive heart tests are carried out for those with indications based on individual risk factors, medical history, and physical examination data. Consulting an endocrinologist is recommended. Also, gastroscopy and Helicobacter pylori bacteria testing is required, with eradication and treatment of ulcers and polyps in case of a positive test.\u003C\u002Fp>\u003Cp>A nutritionist prescribes a specially designed diet when preparing for laparoscopic gastric bypass surgery. The patient must follow these instructions carefully. Depending on dietary requirements, the patient might need to reduce the number of calories or include more protein and fiber-rich foods (legumes, lean meat, fish, etc.).\u003C\u002Fp>\u003Cp>We also recommend abstaining from alcohol, tobacco, and caffeine for approximately four weeks before the operation.\u003C\u002Fp>\u003Ch3>How is surgery performed?\u003C\u002Fh3>\u003Cp>Surgery is performed under general anesthesia, so the patient does not feel pain or discomfort. New generation technology is used: a modern laparoscope with an integrated high-definition video camera and other specialized instruments.\u003C\u002Fp>\u003Cp>Usually, 5-6 small incisions up to 5-20 mm are made to insert a special camera and surgical instruments into the abdominal cavity. A small upper part of the stomach is surgically separated and sutured to disconnect it from the rest of the stomach. The surgeon attaches a segment of the small intestine to this newly formed stomach to create a bypass. Thanks to this, the food enters only the smaller stomach, bypassing the lower part and some of the small intestine.\u003C\u002Fp>",{"youtube_url":409,"id":410,"type":411},"https:\u002F\u002Fwww.youtube.com\u002Fembed\u002FLJzbHPTwrS4","lfgsic23","video",{"type":406,"text":413},"\u003Cp>\u003C\u002Fp>\u003Ch3>Postoperative period and healing\u003C\u002Fh3>\u003Cp>After surgery, the patient will have an appointment with a nutritionist to arrange the patient's diet. The operation results and healing process depend on how carefully these instructions are followed.\u003C\u002Fp>\u003Cp>It is a minimally invasive operation, and the skin incisions will heal within a couple of weeks. During this period, you can gradually return to your regular routine. However, note that your stomach will be healing for approximately 6-8 weeks after the surgery, so it is essential to follow the diet and rest regimen prescribed by the doctor.\u003C\u002Fp>\u003Cp>\u003Cstrong>Scarring\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>Laparoscopic gastric bypass surgery uses laparoscope technology, ensuring the operation is minimally invasive. The procedure does not damage the surrounding tissues. Because of this, the scars left after surgery are tiny, fade quickly, and become practically invisible.\u003C\u002Fp>\u003Cp> \u003C\u002Fp>",[415],{"featured_image":416,"role":422,"slug":423,"category_term":424,"uri":425,"id":426,"title":427,"url":425,"permalink":428,"api_url":429},{"id":417,"url":418,"permalink":419,"api_url":420,"alt":50,"width":421,"height":421,"alt_en":50},"assets::dsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fdsc02949---2022-11-29---zilvinas-dambrauskas---fi-clinica---web---v01.jpg",2000,"Prof. dr. Abdominal, Bariatric Surgeon","zilvinas-dambrauskas",{"title":50,"slug":50},"\u002Fdoctors\u002Fabdominal-surgery\u002Fzilvinas-dambrauskas","62b553f7-a9d4-405b-895c-233fdb00dd13","Žilvinas Dambrauskas","https:\u002F\u002Fficlinica.com\u002Fdoctors\u002Fabdominal-surgery\u002Fzilvinas-dambrauskas","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fdoctors\u002Fentries\u002F62b553f7-a9d4-405b-895c-233fdb00dd13",[431,436,440,444,448,452,456,460,464,468,472,476],{"title":432,"content":433,"id":434,"type":435},"What is the price of this surgery?","The surgery price is almost 5500 Euro on average.","jng6LmrQ","item",{"title":437,"content":438,"id":439,"type":435},"How long does laparoscopic gastric bypass surgery take?","The average duration is about 2-3 hours, including the preparation (preparing the patient, injecting anesthesia, and other related procedures).","lQ3ICxnc",{"title":441,"content":442,"id":443,"type":435},"Is the surgery necessary in all cases?","In some instances, conservative weight control measures, such as dietary regulation and physical activity, are sufficient. When they bring the desired effects, the operation can be avoided.","X3XfKNl7",{"title":445,"content":446,"id":447,"type":435},"How long does the result last after surgery?","Gastric bypass surgery provides a long-lasting result. If you carefully follow all recommendations, the weight will decrease significantly, and you will not need to repeat the procedure. It is crucial to remember that the results depend on the patient's lifestyle, diet, and physical activity.\n\nLong-term studies show that patients have the lowest risk of weight regain for 5-10 years (and more) after this surgery.","UwdG1d9j",{"title":449,"content":450,"id":451,"type":435},"What nutritional best practices should I follow after surgery?","The main principles should be:\n\n• Eat slowly and in small portions. Drink your liquids 20-30 minutes after a meal.\n• Eat in small pieces, and chew thoroughly.\n• Avoid foods high in fat, carbohydrates, and sugar.\n• Drink enough water, but between meals - not during meals.\n• We recommend regularly taking multivitamins with higher amounts of A, B, and E group vitamins, folic acid, vitamin D, and calcium.","Tbn1N1bW",{"title":453,"content":454,"id":455,"type":435},"What are the possible complications of this surgery?","It is a surgical procedure performed under general anesthesia with a relatively low risk of complications. Incidences of postoperative complications and mortality after laparoscopic gastric bypass\nare around 5% and 0.2%, respectively. The most common early postoperative complications are postoperative bleeding (2-3%) and suture leakage (up to 1%). Intestinal obstruction is the most common late complication in 1-2% of patients.","xT16SKTK",{"title":457,"content":458,"id":459,"type":435},"Are there visible scars after surgery?","With appropriate care, the scars left after the incision are minimal. Eventually, they fade and become practically invisible.","k0ANcxjS",{"title":461,"content":462,"id":463,"type":435},"Can I engage in active physical activity after surgery?","We recommend avoiding active physical activity in the first months after gastric bypass surgery. You may return to usual physical activities and sports only after complete recovery, approximately two months after the operation.","iVIT1F1R",{"title":465,"content":466,"id":467,"type":435},"Is the surgery painful?","The operation is performed under general anesthesia, so you will not feel any pain.","ldyiob4l",{"title":469,"content":470,"id":471,"type":435},"How will I feel after surgery?","When you wake up after the operation and for the first few days, you may feel the pain of varying intensity, nausea, vomiting, or general fatigue. These are normal, but if the discomfort becomes severe, take the painkillers prescribed by your doctor.","ldyiocg0",{"title":473,"content":474,"id":475,"type":435},"How long does the healing take?","Although you can gradually return to normal activities after 2-3 weeks, healing takes about 6-8 weeks on average.","ldyiozgr",{"title":477,"content":478,"id":479,"type":435},"How long will I stay in the clinic after surgery?","Most often, patients are discharged home 2-3 days after the operation.","ldyip7tu","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fcp\u002Fcollections\u002Fservices\u002Fentries\u002F7beb520f-962c-4ac8-864c-f391886950c6",false,{"id":483,"url":484,"permalink":485,"api_url":486,"alt":50,"width":388,"height":389,"alt_en":50},"assets::bariatrija.jpg","\u002Fassets\u002Fbariatrija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fassets\u002Fbariatrija.jpg","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fassets\u002Fassets\u002Fbariatrija.jpg",{"id":296,"url":297,"permalink":298,"api_url":299,"alt":50,"width":244,"height":245,"alt_en":50},{"value":489,"label":490,"key":489},"primary","Primary","7beb520f-962c-4ac8-864c-f391886950c6",true,[494,498],{"title":495,"answer":496,"id":497,"type":435},"Duration of the surgery","2-3 hours","IrR45gkQ",{"title":499,"answer":500,"id":501,"type":435},"Anaesthesia","General anaesthesia","Fij2EqiU","2023-03-20T12:15:29.000000Z","en",125,"b2bf895e-5bcc-4200-ae93-122791f3d7fb","https:\u002F\u002Fficlinica.com\u002Fservices\u002Fbariatrics\u002Flaparoscopic-gastric-bypass-surgery","From 5500 €","Two nights in the clinic, meals, blood tests, anesthesia, postoperative care, personal hygiene products, medication, consultation with a nutritionist.",[],"laparoscopic-gastric-bypass-surgery","published","Laparoscopic gastric bypass surgery","\u002Fservices\u002Fbariatrics\u002Flaparoscopic-gastric-bypass-surgery",{"lt":515,"lt-LT":515,"en":513,"en-US":513},"\u002Fpaslaugos\u002Fbariatrija\u002Flaparoskopine-skrandzio-apylankos-operacija",[517],{"uri":300,"id":294,"title":292,"url":300,"permalink":518,"api_url":519},"https:\u002F\u002Fficlinica.com\u002Fservices\u002Fbariatrics","https:\u002F\u002Fapi-web.ficlinica.lt\u002Fapi\u002Fcollections\u002Fservices\u002Fentries\u002Fef55df5b-3887-4fd7-989c-141ea5713c94",[],[522,526,529,532],{"id":523,"title":524,"price":525,"pre_price":50,"is_from":481},"e0e5e88f-072e-416c-9401-1d8fe938db57","Consultation","70",{"id":527,"title":512,"price":528,"pre_price":50,"is_from":492},"89025e7c-f4f6-4156-b4be-41867c03e9ed","5500",{"id":530,"title":531,"price":528,"pre_price":50,"is_from":492},"6595471b-ad46-4d5c-9690-faecb815bbf0","Laparoscopic gastric plication",{"id":533,"title":534,"price":528,"pre_price":50,"is_from":492},"5f33398c-9475-4984-86f9-b2be3c9a72be","Laparoscopic sleeve gastrectomy","What is laparoscopic gastric bypass surgery?Laparoscopic gastric bypass surgery aims to help patients suffering ...",1790344917611]