Gastric bypass surgery in Kuwait with Dr. Muhammad Al-Jarallah, consultant of surgery, endoscopy, bariatric surgeries, and sleeve gastrectomy in Kuwait, which is the best option after gastric sleeve surgery

Gastric bypass surgery in Kuwait is the best option for weight loss, which can be performed after sleeve gastrectomy and Dr. Muhammad Al-Jarallah, consultant of surgery and laparoscopic surgery

And the gastric bypass operation, he is the most famous doctor to perform the gastric bypass operation in Kuwait due to his extensive and distinguished experience in obesity operations

The gastric bypass operation in Kuwait, which is called the golden operation for obesity and is still the first operation in America and Europe. The most important information about gastric bypass after sleeve gastrectomy in Kuwait

Gastric bypass surgery in Kuwait
It is done through laparoscopy or conventional surgery. 1- General anesthesia. 2- Inflating the abdominal cavity with a needle, as in any usual laparoscopic surgery, so that the abdominal wall rises and becomes like a ceiling for the abdominal cavity, while keeping the intestines and stomach below. 3- Through four holes (or one hole)

We insert the endoscope, which is connected to a wire connected to a TV screen that shows the intestines, stomach, and others. 4- Insert the tweezers, then a cautery device and cut the blood vessels. 5- Using the stapler, we convert the stomach into two separate parts: the small upper part, the size of which is 15-30 ml (which is connected to the esophagus, which may expand by itself after several months to reach 50-100 ml) and the large lower part, which is connected to the duodenum. 6- The intestines are cut at a distance of approximately 50 cm from the duodenum. 7- The lower opening of the intestine connects to the small upper part of the stomach.

8- Then we start measuring the length of the intestine from when it connects to the upper part of the stomach down to the bottom until we reach a point in the small intestine that is 120 cm, 150 cm, or 200 cm away (according to the degree of weight gain), and then the bowel opening (coming from the duodenum) is connected. Into the intestine at this point (i.e. after 120 or 150 cm).
Thus, the path of food is from the mouth to the esophagus, to the upper small part of the stomach, then to the intestines, and then descends into the intestines for a distance of 120, 150, or 200 cm.

Then it meets the important digestive juices coming from the large empty stomach and the duodenum (the pancreas and gallbladder are poured into it).

Which helps the absorption of food and therefore the food is placed on 120 or 150 or 200 cm from the intestine

Only a little bit of it was absorbed, meaning that complete absorption begins after crossing a distance of 120 or 150 cm.

Summary of gastric bypass surgery in Kuwait:-
1- The amount of food is small due to the small stomach that receives it, and this is the most effective way to lose weight. 2- The absorption of food decreases by 10-20% as a result of not mixing it with digestive juices from the stomach, pancreas and gallbladder except after it has passed a part of the intestine (120, 150 or 200 cm). 3- When the small stomach is full and part of the food begins to descend into the intestines, substances are secreted and send signals to the brain, which gives a sense of satiety and to stop eating.

Possible complications:-
First: In summary: A- Complications that may occur with any surgery: – Such as inflammation of the respiratory system or poor respiratory functions, decreased heart function and irregular heartbeat, decline in kidney and liver function, loss of appetite or psychological problems after the operation. – Allergy to drugs used with anesthesia and others, reflux and inflammation of the esophagus, nausea or vomiting. B – Surgical complications: – such as perforation of the stomach or leakage from one of the connections or bleeding from it, wounding and removing the spleen

Obstruction of the connection between the upper stomach and the intestine, torsion of the intestine as a result of adhesions or internal hernia between its parts, which are relatively few.

Second: In the medium and long term:
A- The phenomenon of dumping (Dumping syndrome) food usually passes from the stomach to the intestine through the pyloric opening that regulates its exit from the stomach gradually, but after the operation, the food is emptied from the small stomach into the intestine directly through the connection quickly, and dumping or dumping occurs when the Eating a large or high-sugar or fatty meal, which leads to nausea, cramps, increased heart rate, sweating, general weakness or depression, and sometimes diarrhea.

It may happen to 70% of cases, but to varying degrees, despite being an annoying complication

However, it is not dangerous and the patient can easily avoid it by organizing his meals

(Eating several small meals) and not eating sweets a lot, and paying attention to eating fiber and carbohydrates, and avoiding drinking liquids with or after eating

The fact is that some consider it a way to force the regulation of eating and maintain weight loss. B – Deficiency in the absorption of some minerals such as iron and calcium

(absorbed from the duodenum) as a result of food not passing through the duodenum, which may lead to iron anemia or calcium deficiency

These minerals can be avoided with proper nutrition and taken with vitamin tablets. T- Lack of absorption of some vitamins such as B12 or D, which are compensated by pills or injections. D – the expansion of the size of the small stomach, which affects the rate of weight loss.

C- An ulcer on the edge of the intestine that connects to the stomach as a result of its exposure to stomach acids.
H- Constipation may occur due to lack of food or a decrease in the amount of fiber. Therefore, fiber must be gradually increased and large amounts of fluids should be taken, and sometimes some laxatives. G- Diarrhea may be due to intolerance to milk sometimes, but it is usually due to normal reasons that have nothing to do with the operation. D- Gallstones (may occur with all cases of underweight). D – limited and temporary loss of hair (may occur with all cases of weight loss, including dieting). R – Internal hernia and intestinal obstruction, and the possibility of its occurrence is very low, and we close the internal hernia with an operation from the same holes. G – depression may occur after two or three months and last for several weeks and usually ends without treatment.