Banded Gastric Bypass surgeryand its advantages| Prof. Mahmoud Zakaria Elganzoury| The greatest obesity surgeon in Egypt
Banded Gastric Bypass

Banded Gastric Bypass surgeryand its advantages| Prof. Mahmoud Zakaria Elganzoury| The greatest obesity surgeon in Egypt

Banded Gastric Bypass

Gastric bypass surgery is the gold standard in obesity surgeries, and it is one of the strongest, best, and most successful obesity surgeries in the treatment of obesity and its complications. 

Despite the successes of gastric bypass surgery, it was found that there was a percentage of patients who did not adhere to follow-up as well as modification of the dietary regimen after the operation, experienced weight regains after years of the operation, and some of them needed to have a redo bariatric surgery.

What is laparoscopic banded gastric bypass surgery?

In a banded gastric bypass, a ring (band) is placed around the new stomach pouch to reduce the expansion of the new stomach pouch and prevent the expansion of the connection between the stomach and the intestine. This ring(band) also prevents the patient from eating an amount of food larger than the size of the stomach, as they would feel pain in the stomach and desire to vomit, more than a person who has had a regular bypass operation.

Studies that have been conducted refer to the comparison between the results of a banded gastric bypass and a regular one without the ring (band). The results of the banded gastric bypass operation are better in the rate of losing excess weight and not regaining weight after 5 and 6 years of the operation.

 

Steps in the banded gastric bypass surgery

  • In this operation, a pouch is made at the top of the stomach and is separated from the rest of the stomach, with the small intestine connected to the stomach pouch by modern staplers. The same as those used in Europe and the USA
  • We put a ring around the new stomach pouch. We use the latest silicone band (Minimizer ring) which is used in the largest bariatric surgery centers in the world.
  • The ring (band) can be placed around the new stomach in both classical (R-Y) gastric bypass surgery and mini gastric bypass surgery.

After gastric bypass surgery

After the operation, there is a feeling of fullness after just eating a small amount of food, thus limiting food intake, in addition to the fast arrival of food to the intestine, which leads to a decrease of absorption of some calories with an increase in the secretion of some hormones that aid in weight loss. The amount of food consumption decreases significantly after the operation without suffering from hunger. In addition, bypassing part of the intestine leads to the body absorbing fewer calories, which doubles the effectiveness of the operation in reducing weight.

The operation is performed laparoscopically (we use the latest high-resolution laparoscopy in Egypt) through 4 or 5 small incisions (the size of the opening is from half to 1 cm) under general anesthesia.

The operation takes from 45 to 60 minutes.

  • After the operation, the patient feels full after having a small amount of food, which reduces the amount of the patient’s daily calorie intake.
  • Like all bypass surgeries, food absorption is reduced by 30%, which helps the patient achieve the ideal weight and to maintain the ideal weight afterward.
  • The hormone stimulating feelings of hunger (Ghrelin) decreases after the operation, which gives the patient a feeling of satiety, although the amount of food consumed is small.