Bariatric surgery is performed when diet and exercise do not work or when there are serious health problems due to being overweight. Some procedures limit how much you can eat. Other procedures work by reducing the body’s ability to absorb nutrients. Some procedures do both. Dr. Nerijus Kaselis will advise you on the most suitable procedure.
LAPAROSCOPIC MINI BYPASS SURGERY
Laparoscopic one-anastomosis gastric or MINI bypass surgery is the newest obesity surgery in the world and is considered the future of bariatric procedures. This surgery is highly effective and incorporates the best elements of bypass and resection surgeries.
Fast and even weight loss, effective management of underlying conditions, and a low risk of complications are the main reasons for an increasing number of patients and doctors opting for Laparoscopic one-anastomosis gastric bypass surgery.
Price: 5500€ / 4700£ read more about whats include the package
Compulsory BMI
Expected weight loss
Surgery duration
Time spent at hospital
Sick Leave
Need for supplements
from 35 kg/m2
70-80% excess body weight
1 hour
3 nights
2 – 3 weeks
Recommended long term use
New procedure
Good weight loss results
Safe surgery
PURPOSE OF THE SURGERY
Laparoscopic one-anastomosis gastric bypass surgery is rapidly increasing in popularity worldwide. The privileges of modern medicine are increasingly valued by people in your region of the world, who try to shed excess weight. Most importantly, the surgery ensures long term results.
Of course, it is necessary to abide by doctor orders, maintain a healthy diet, and it is likely the previous weight will not be put back on. The stomach is elastic, therefore taking care of it properly can change your life. The bypass surgery, carried out by a bariatric surgeon will allow you to regain your health.
During surgery the top part of the stomach is sown, to create a small tube (30-50ml size). The tube becomes your new, smaller stomach and is completely separated from the rest of the stomach. Then this stomach is sown to the small intestine loop, skipping the first part of the intestine, called the duodenal and around 150-200cm of small intestine. The remaining part of the stomach and top of the small intestine remain in the body, but are not used to digest food anymore, this decreases the duration of the digestion process and the intakes of calories.
The result means, you will eat less, gain less weight and feel better.
It is calculated that after the procedure
a person loses up to 70-80% of their body weight
EXCESS WEIGHT ISSUES/PROBLEMS
Sometimes excess weight leads to certain ailments or impedes recovery. If your body mass index is above 35, usually the joints begin to suffer due to the extra pressure from the weight, snoring appears, salts form, stones may appear on the gall. Additionally, excess weight increases the risk of hypertension, heart attack or even cancer, a lot of overweight people are affected by heart or blood vessel related diseases. In some cases, the surgical method can be the only one which can help the patient improve their health and condition.
This procedure is recommended for people whose body mass index is 35 or above, have diabetes, increased blood pressure, arthrosis or other health problems. It must be noted that, obesity can be due to three certain factors: poor diet and low levels of physical activity or endocrine disorders.
Stomach reduction surgery is a way to develop healthier lifestyle habits. Post-surgery the stomach decreases in size, and smaller amounts of food intake create the feeling of fullness. This allows patients to avoid over-eating or feeling hungry – meals are not too big.
Relatively quickly post-surgery, the issues associated with excess weight disappear (diabetes, hypertension, snoring and etc.) Therefore, this is a great surgery to change your life: to feel physically and emotionally healthier and more attractive.
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WHO REQUIRES A STOMACH REDUCTION SURGERY?
Very quickly after the surgery, the patients illnesses and ailments due to excess body weight begin to decrease (diabetes, hypertension, snoring etc.) Therefore, this surgery is a great way to change your life: to feel physically and emotionally healthier and more attractive.
The surgery is recommended for people whose body mass index is above 35 (normal BMI is considered 18,5-24,9). Before the surgery the patients condition is evaluated.
In some cases, the patients condition does not allow for the surgery to go ahead, then other alternatives are considered. Stomach reduction surgery effects will pleasantly surprise you!
ADVANTAGES OF LAPAROSCOPIC ONE-ANASTOMOSIS GASTRIC BYPASS SURGERY
- Post-surgery does not focus solely on diet. The patient can eat usual meals: vegetables, bread, meat. The quanities will just be lower. This way the person received all necessary nutrients and naturally the weight will not increase.
- After eating the person feels full. This allows to avoid overeating. In addition, without overeating the person will avoid the feelings of drowziness or laziness which accompanies people after over indulging.
- Pavalgus pacientas greitai pajunta sotumo jausmą. Taip pavyks išvengti persivalgymų. Tuo pačiu nepersivalgius taip pat išvengsite ir apsunkimo, tingumo, kuris dažnai atsiranda suvalgius labai daug maisto.
- This surgery is recommended for patients with a higher BMI, also persons who are prone to higher sugar or greasy food intake. Dumping syndrome is directly linked with high sugar and greasy food consumption.
- Many patients experience a quck decrease in need for diabetes medicine, some manage to altogher stop the medicine.
WEIGHT LOSS SURGERY DRAWBACKS
- It is necessary to regularly consume vitamins for stomach recovery, but also to provide the body with necessary materials (calcium, folic acid, vitamin B12).
- Anemia (low hemoglobin) risk, this is caused by low levels of Iron. The highest risk is for fertile aged women.
- If post surgery, acid reflux issues arise, some patients may be advised to use antacids. This surgery should be avoided for patients which experienced severe reflux issues.
Surgery process
A laparoscopic one-anastomosis gastric bypass surgery is less complicated than traditional bypass surgeries. Most importantly, it has to be left to qualified professionals. Then there is no cause for doubt.
The surgeons at our hospital, not only carry out the surgeries but also detail the steps of it, to calm the patient. We provide a small introduction, which helps to understand, how the surgery will be done.
PRE-SURGERY
The first step is a consultation. The patients needs are identified along with other underlying medical issues. It is often advised to consult not only with the surgeon, but a dietician as well, who can provide dietary recommendations. Before the surgery the patient‘s blood is analysed, other factors regarding health are evaluated as well. A few weeks before the surgery it is recommended to avoid certain actions such as smoking or consuming alcohol. These can burden the surgery process.
Before the surgery the patients blood is analysed, other factors regarding health are evaluated as well. A few weeks before the surgery it is recommended to avoid certain actions such as smoking or consuming alcohol.
A few days before the surgery it is recommended to decrease the consumption of food. Sometimes a special liquid diet is assigned, for a week before the surgery. Of course each patient is unique, therfore the recommendations are not uniform.
Pre surgery the following factors are considered:
– chronic diseases
– current use of medication
– addictions
DURING SURGERY
During surgery a general anesthesia will be applied, therefore you will feel nothing. The duration of the surgery is usually 1 to 3 hours.
During surgery the top part of the stomach is sown, to create a small tube (30-50ml size). The tube becomes your new, smaller stomach and is completely separated from the rest of the stomach. Then this stomach is sown to the small intestine loop, skipping the first part of the intestine, called the duodenal and around 150-200cm of small intestine. The remaining part of the stomach and top of the small intestine remain in the body.
POST-SURGERY
After the surgery you will be transported to a rehabilitation ward, where your health will be closely monitored by qualified staff.
As soon as you wake up, it is recommended to drink large amounts of water, as it will soothe the stomach and decrease any discomfort.
You will need to spend several days at the hospital, during which time your condition will be carefully monitored, in order to provide recommendations.
Each patient receives an individual dietary plan, which MUST be abided.
It is also important to limit physical activity. When the patient fully recovers, physical activity must be included in the daily routine. That is the guarantor of good health. If it is difficult to undertake sports, one must try to walk as much as possible.
Good hygiene is a must.
The patient is advised about which vitamins to use, in order to reach a good condition as fast as possible.
Once out of the hospital the patient can drive, take care of themselves.
For at least 2-3 weeks after the surgery it is advised to rest as much as possible.
For a week after surgery liquid food will be advised, which allows the stomach to function properly, then you will move on to regular diet, as advised by the dietitian. Try to avoid snacks and to live without tobacco or alcohol intake.
Doctor’s staff
Nerijus Kaselis
LEADING SURGEON
Algirdas Palšis
SURGEON
Nerijus Ruškys
ANESTHESIOLOGIST – REANIMATOLIGIST
