Mini Gastric Bypass

The gastric mini-bypass involves disconnecting part of the stomach to form an elongated gastric capsule. It is directly connected to the further part of small intestine, and the remaining upper stomach is permanently separated. However, the lower part of the stomach below the staple line remains unchanged. Thanks to this, the stomach still produces digestive juices that are important in the process of digestion and absorption of food. After the operation, the amount of food consumed is reduced, which results in a reduction in weight.

Patients preparing for bariatric surgery in recent weeks should be on a liquid diet that will relieve the relief of the stomach and liver. This results in more effective weight loss after the procedure, less likely for complications during the procedure. Multivitamin preparations and other supplements are important, which are prescribed depending on the results of the tests and the doctor’s recommendations after the qualifying visit. The patient should appear at the hospital in the morning of supper with a complete set of examinations, pyjamas, variable footwear.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety. All consultations and tests can be done at KCM Clinic.

• Surgical consultation in a Bariatric Clinic.
• Internist-cardiological consultation with ECG and cardiac echocardiography
• Exercise test on a treadmill
• Spirometria
• Chest x-ray in 2 projections
• Abdominal ultrasound
• Gastroscopy with HP test
• Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium

Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

Why should you follow a diet?

The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this completely reduces the effect of the diet.

Food guidelines before surgery:

• The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a liter of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that remain in your stomach. Vegetables and fruits are acceptable as snacks.
• We encourage patients to discontinue consuming caffeine-containing drinks, such as coffee and energy drinks, for at least 7 before surgery.
• Diet 7 days before surgery should only consist of liquids.
• On the day of the operation, do not eat or drink – only still water is allowed.

Removing part of the stomach and performing Bypass requires a change in eating habits, because the proper functioning of the digestive tract is disturbed. The diet after the OAGB procedure requires the introduction of liquid or semi-liquid nutrition, in meals with small volumes, divided into 5-6 daily for 6 weeks after the procedure. These can be fruit and vegetable purees, puddings, jellies, jelly, yogurt without fruit particles, cream soups. After some time it is necessary to enrich the food with protein and other necessary ingredients. The menu for several weeks after the OAGB procedure should contain easily digestible products. You must eliminate food that is in the stomach for a long time and is hard to digest.

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

The most important change in life after surgery is the diet and the amount of food that the patient consumes. It will also help prevent postoperative complications.

A very strict diet after surgery may seem exaggerated. But remember, not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very severe gastric acid leakage.

Here are some basic rules:

• Consume foods at a moderate temperature.
• Chew each bite thoroughly.
• Consume small portions (150 g), meals every 2-4 hours.
• Liquids 15 x daily 100-150 ml each.
• Drink 15 min. before meal and 30 min. after meal.
• Use supplements – vitamins, minerals.
• Take your medications and vitamins as recommended.
• The use of prophylaxis reduces the risk of embolic complications.
• Avoid foods that are too sweet, spicy, sour, fatty, hot or cold.
• Stop eating as soon as you feel full, even if it means leaving the food on your plate.
• Avoid dishes made of asparagus, spinach, cauliflower and broccoli, green beans, leeks and cabbage.
• Avoid eating small products, they can be swallowed whole and there is a risk of getting stuck in the stomach: mushrooms, broad beans, cherries, nuts, pasta.
• Cross out high-calorie products and replace them with various low-calorie products to provide your body with a large amount of vitamins and minerals.

Laparoscopic surgery makes it possible for patients to recover faster. The patient will be able to drink and get up from the bed a few hours after the procedure, as well as move independently. For safety, a hospital stay of several days is necessary.