Our Summary

The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) has been deeply involved in educating the medical community about new surgical methods for treating chronic diseases related to obesity. One such surgery is the mini gastric bypass, also known as the one anastomosis gastric bypass (MGB-OAGB). The IFSO formed a team to determine if this procedure is safe and effective, and if it should be considered a treatment option for obesity and metabolic diseases. Based on current clinical knowledge, expert opinion, and scientific evidence, the IFSO has issued a position statement endorsing the MGB-OAGB. This statement will be reviewed in two years.

FAQs

  1. What is the role of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) in obesity treatment?
  2. What is a mini gastric bypass or one anastomosis gastric bypass (MGB-OAGB)?
  3. What is the IFSO’s current position on MGB-OAGB as a treatment option for obesity and metabolic diseases?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastric bypass is to follow a healthy diet and exercise regularly after the surgery. It is important to make healthy lifestyle changes to maintain weight loss and promote overall well-being. Additionally, patients should attend regular follow-up appointments with their healthcare provider to monitor their progress and address any concerns. It’s also important to stay hydrated and take any prescribed vitamins and supplements as recommended by your healthcare provider.

Suitable For

Patients who are typically recommended for gastric bypass surgery include those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, hypertension, sleep apnea, or heart disease. Additionally, patients who have tried and failed to lose weight through diet and exercise may also be recommended for gastric bypass surgery. It is important for patients to undergo a thorough medical evaluation and consultation with a healthcare provider to determine if gastric bypass surgery is the right treatment option for them.

Timeline

Before Gastric Bypass:

  1. Patient consults with a healthcare provider to discuss weight loss options and determines if gastric bypass is a suitable choice.
  2. Patient undergoes pre-operative evaluations and tests to assess their overall health and readiness for surgery.
  3. Patient receives counseling and education on the risks and benefits of gastric bypass, as well as post-operative care and lifestyle changes.
  4. Patient follows a pre-operative diet and exercise regimen to prepare for surgery.

After Gastric Bypass:

  1. Patient undergoes the gastric bypass surgery, which involves creating a smaller stomach pouch and rerouting the digestive system.
  2. Patient is closely monitored in the hospital for any complications or side effects.
  3. Patient follows a strict post-operative diet plan, gradually reintroducing solid foods and adjusting portion sizes.
  4. Patient attends regular follow-up appointments with their healthcare provider to monitor weight loss progress, nutritional status, and overall health.
  5. Patient may experience significant weight loss and improvements in obesity-related health conditions, such as diabetes and high blood pressure.
  6. Patient continues to make lifestyle changes, such as incorporating regular exercise and healthy eating habits, to maintain long-term success after gastric bypass.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastric bypass surgery?
  2. How will this surgery affect my diet and eating habits in the long term?
  3. How much weight can I expect to lose after gastric bypass surgery?
  4. Will I need to take any specific medications or supplements after the surgery?
  5. What lifestyle changes will I need to make to ensure the success of the surgery?
  6. How long is the recovery period after gastric bypass surgery?
  7. Will I need to follow up with a nutritionist or dietitian after the surgery?
  8. How often will I need to see my doctor for follow-up appointments after the surgery?
  9. What are the long-term effects of gastric bypass surgery on my overall health?
  10. Are there any specific dietary restrictions I should be aware of after the surgery?

Reference

Authors: De Luca M, Tie T, Ooi G, Higa K, Himpens J, Carbajo MA, Mahawar K, Shikora S, Brown WA. Journal: Obes Surg. 2018 May;28(5):1188-1206. doi: 10.1007/s11695-018-3182-3. PMID: 29600339