Tips gastric bypass surgery

Have you ever thought about what is the most popular obesity surgery among the people in the world? The world’s first bypass surgery was done in 1967, about 53 years ago in the US, and at Iowa University. Initially, this surgery only with no mal-absorption of food caused an individual’s thinness. But this approach changed over the years to convert to current modern surgery forms. Nowadays, this surgery by reducing gastric volume on the one hand and decreasing food absorption, on the other hand, can cause 75% loss of patient’s weight in 18 months. It was recognized as the most popular type of obesity surgery in 2015.

How much do you know about the procedure of this surgery?
For staring, it’s not bad to have a look at the causes of extreme obesity:
• Genetics: Genetic factors include 30% of the obesity causes
• Secondary factors: such as hypothyroidism and hypothalamic disorders
• nutrition disorders or bad nutrition habits: Get High-Calorie Foods and Low-Mobility
• Nervous obesity that is rooted in stress and internal stress of individuals
• side effects of Drug such as continuous use of contraceptive pills and corticosteroids

But what are the types of bypass surgery?

In this surgery, the stomach is divided into two parts one is small and another is large parts. The smaller portion is about 30-50 cc and the large portion contains the remainder of the stomach and food enters only the small portion.

Mini bypass:

It is used for people with a BMI greater than 40 and for people with type 2 diabetes. In this approach, the small intestine is not been cut and the small stomach is attached to the 150 to 200 cm of the small intestine. This method has fewer side effects than the classic method, but bile reflux is more likely in this approach. Mini-bypass surgery requires two nights’ hospitalization and one week rest at home.

Classic Bypass:

In the classic method, two surgeries are performed simultaneously on the patient. In the first surgery, the stomach is divided into two parts. Neither of these two parts is separated but is divided into two parts by sewing, and the smaller portion of the stomach forms 5 to 10 percent of the total volume of the stomach. That is, your stomach volume had as much as space to eat, now it drops by 5 to 10 percent, and the greater part of the stomach continues secretion of the necessary enzymes. In the second surgery, the intestine is attached to a small portion of the stomach to absorb and digest of foods in this part of the stomach enter into the intestine and in addition, lower volume of food enters from stomach to the intestine, bile and pancreas also enter to the intestine by changing their path (direction) without entering the new stomach.

This surgery is performed under complete anesthesia for 2 to 3 hours and after surgery, the patient is required to stay in the hospital for 3 to 5 nights and return to work between 2 and 3 weeks, which depending on the patient’s general health status, it is different./ Gastric bypass in iran

The process of surgery in Iran

You intend to come to Iran as an international patient for surgery. Congratulations on choosing Iran as a destination for health tourism. You will have the opportunity to get the best medical services in Iran at a reasonable price without the wait and waste of time, in addition to enjoy the historical and tourist attractions of Iran. Travel back to your country with a good memory of your traveling and treatment by Iranian noble hospitability.

The process of accepting international patients in Iran is as follows:
• Choosing a hospital or health tourism facilitator company such as Amitis Relaxation Wave Company to submit medical (documents) records and doing an initial consultation
• Perform initial consultation, determine all travel and treatment costs, determining your acceptation date
• sending of essential documents such as passports for buying tickets, hotel reservations, and initial hospital acceptation
• Hospital acceptation, initial visit, doing necessary tests, and surgical appointment
• Doing surgery
• Receiving necessary hospital care services until the release
• release from the hospital and receive a summary of the folder, bills, documents required to receive surgery cost in your own country (if the surgery is covered by insurance in your country)
• receiving necessary care at the hotel by the nursing team
• Final visit by a physician (doctor)
• Attractive sightseeing tours according to your request
• Patient follow-up until complete recovery

Preoperative Cares:

You are a health tourist who has chosen Iran for your treatment. Before entering Iran you need to start doing some works in your country before surgery:
• Complete physical and mental examination
• Determination of BMI to confirm the necessity of surgery (People with BMI above 35 are considered as candidates for gastric bypass surgery)
• Changing your style of eating
• do daily sports and lose some weight
• Drink plenty of water and avoid drinking high-calorie drinks
• Contraindication to aspirin, ibuprofen, warfarin and some other drugs that prevent blood clotting; days before surgery
• give up smoking and drinking a few months before surgery
• give up taking contraceptive pills at least one month before surgery
• refusing drinking green tea at least one week before surgery

But what is the approximate cost of bypass surgery in Iran?

Note that due to the annual changes in public and private tariffs, it is not possible to determine prices accurately and the prices are approximately and just for your information. In addition, the prices stated below are for your treatment only and other travel expenses such as tickets and hotels are not mentioned in this section.
This surgery in Iran costs between 1450 $ and 1800 $. A comparison of the prices of bypass surgery in other countries shows that this surgery is 33,000 $ in the US, 5,000$ in India, 18,000-7300 $ in Turkey, 11500$ in Mexico, 16500 $in Thailand, 9900$ in Malaysia, 16800 $ in Thailand, and 13,700 $ in Singapore.

Bypass surgery and insurance payments

If you have all the bypass surgery conditions (listed in the bypass candidate part) and this surgery in your country includes treatments under the insurance then don’t worry about the costs. Our hospitals will deliver you all the necessary documents after your release to bring them back to your home country and paid costs will be returned to you.

Benefits of gastric bypass:

• Possibility of relapse and return of overweight is less than other methods of obesity surgery
• The rate of weight loss in the first 18 months after surgery is higher than other procedures
• In the case of having type 2 diabetes, this surgery can help reduce or eliminate this type of diabetes.
• Observe the significant effects of weight loss in a year after surgery such as increased metabolism, increased testosterone secretion, increased satisfaction, energy, and confidence.

 

Bypass and its possible complications (beside effects)

Consult your doctor about medical complications. Other side effects may include the below cases:
• Stomach reflex
• Nausea and vomiting
• Lack of Vitamin A due to loss of part of the stomach volume
• Bloating and diarrhea
• Gallstone
• Postponing pregnancy until 2 years after surgery

Gastric bypass and pregnancy

As you know, overweight is always associated with many risks in pregnancy. If you had overweight and tried to get pregnant, you may have experienced abortion, gestational diabetes, preeclampsia, and other complications. Perhaps one of your encouraging factors to lose weight is to be pregnant. Then read the following if you choose bypass surgery in accordance with your doctor’s advice for weight loss and pregnancy.
Note (be careful) that in some weight-loss surgeries, such as gastric banding, which is not associated with gastric volume removal, your doctor will remove the gastric ring during pregnancy and you can use the gastric ring again after delivery.

• Do not get pregnant until 18 months after surgery. However, this time can vary between 12 and 18 months depending on your overweight and weight loss.
• Considering the need for anti-pain and anti-bleeding drugs after delivery and the possibility of complications such as a gastric ulcer in your surgical stomach, it is strongly recommended to limit the use of these drugs after delivery.
• Don’t forget to take multivitamins. Your stomach is losing a lot of weight than before and considering post-operative diets, your stomach is not able to get any high volume food. In addition to reducing gastric volume and consequently reducing food volume, changes in the anatomy of the digestive tract (gastrointestinal tract) will impair the absorption of vitamins such as iron and calcium. So the need for regular use of multivitamins during pregnancy is very clear.