Our Summary

This research paper examines the difference between two types of weight loss surgeries: a primary gastric bypass and a revisionary gastric bypass. The researchers looked at previous studies conducted up until December 2017 and focused on the outcomes of these surgeries, such as complications, weight loss, and whether the patient’s diabetes went into remission. They found that the revisionary gastric bypass surgery had a higher rate of complications and was less effective at helping patients lose weight compared to the primary gastric bypass surgery. However, both surgeries had the same effect on diabetes remission. In simpler terms, the study concludes that if you’ve had a gastric bypass before and are considering a second one, it may not be as effective for weight loss and could have more risks.

FAQs

  1. What two types of weight loss surgeries does this research paper compare?
  2. Is a primary gastric bypass or a revisionary gastric bypass more effective for weight loss?
  3. Do both primary and revisionary gastric bypass surgeries have the same effect on diabetes remission?

Doctor’s Tip

A doctor might tell a patient considering gastric bypass surgery to carefully weigh the risks and benefits of both primary and revisionary procedures, and to consider all available options before making a decision. They may also emphasize the importance of following a healthy diet and exercise plan post-surgery to maximize weight loss and overall health outcomes. Additionally, they may stress the need for regular follow-up appointments and monitoring to ensure the patient’s long-term success and well-being.

Suitable For

Patients who are typically recommended for gastric bypass surgery are 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, high blood pressure, or sleep apnea. Additionally, patients who have tried and failed to lose weight through diet and exercise may also be considered for gastric bypass surgery. It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if they are a good candidate for this type of surgery.

Timeline

Before Gastric Bypass:

  1. Patient consults with a healthcare provider to discuss weight loss options.
  2. Patient undergoes a series of medical evaluations to determine if they are a candidate for gastric bypass surgery.
  3. Patient attends pre-operative counseling sessions to learn about the procedure and make lifestyle changes.
  4. Patient follows a strict pre-operative diet to shrink the liver and reduce surgical risks.

During Gastric Bypass:

  1. Patient undergoes the surgical procedure to create a smaller stomach pouch and reroute the digestive system.
  2. Patient stays in the hospital for a few days for monitoring and recovery.
  3. Patient gradually transitions from a liquid to a solid diet under the guidance of a dietitian.
  4. Patient attends follow-up appointments to monitor weight loss progress and address any concerns.

After Gastric Bypass:

  1. Patient experiences rapid weight loss in the first few months following surgery.
  2. Patient adapts to eating smaller portions and making healthier food choices.
  3. Patient may experience side effects such as dumping syndrome, nutrient deficiencies, and changes in bowel habits.
  4. Patient attends regular follow-up appointments with their healthcare team to monitor progress and address any complications.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastric bypass surgery?
  2. How much weight can I expect to lose after the surgery?
  3. Will I need to make any changes to my diet or lifestyle after the surgery?
  4. What is the success rate of gastric bypass surgery in terms of long-term weight loss?
  5. Will I need to take any supplements or medications after the surgery?
  6. How long is the recovery period after gastric bypass surgery?
  7. Will I need to attend follow-up appointments after the surgery?
  8. What are the chances of my diabetes going into remission after gastric bypass surgery?
  9. Are there any specific dietary restrictions I should be aware of post-surgery?
  10. What can I do to ensure the best possible outcome from gastric bypass surgery?

Reference

Authors: Pędziwiatr M, Małczak P, Wierdak M, Rubinkiewicz M, Pisarska M, Major P, Wysocki M, Karcz WK, Budzyński A. Journal: Obes Surg. 2018 Jul;28(7):2083-2091. doi: 10.1007/s11695-018-3300-2. PMID: 29748735