Mini Gastric Bypass
Steps Involved in IVF:
Procedure Description
Mini Gastric Bypass (MGB) is a type of bariatric surgery designed to facilitate weight loss by reducing the size of the stomach and altering digestion. Unlike the more complex Roux-en-Y gastric bypass, MGB is less invasive, involving a single anastomosis (connection), making it a shorter and simpler procedure. The surgery works on two main principles: restriction and malabsorption. By reducing the size of the stomach, the patient feels full faster, and by bypassing a portion of the small intestine, the absorption of calories and nutrients is limited.
The procedure begins by using laparoscopic techniques, where small incisions are made in the abdomen to allow the surgeon to insert specialized instruments and a camera. The stomach is then divided to create a narrow tube or "sleeve," which significantly reduces the stomach’s capacity. The surgeon then bypasses a section of the small intestine and attaches the newly created tube to the lower part of the intestine, thus rerouting the digestive system.
This alteration in the digestive process leads to decreased food intake and a reduction in calorie absorption, contributing to significant weight loss. Additionally, MGB has shown to have metabolic benefits that can improve or even resolve obesity-related conditions such as type 2 diabetes, high blood pressure, and sleep apnea.
Procedure Duration
The Mini Gastric Bypass procedure typically takes between 60 to 90 minutes, making it a relatively quick surgical option compared to other bariatric procedures. Its minimally invasive approach through laparoscopy allows for a shorter operating time and a more straightforward process. Generally, patients are placed under general anesthesia for the duration of the surgery, and surgeons may perform the procedure using advanced laparoscopic tools for precise adjustments.
The initial recovery phase requires patients to stay in the hospital for 1-3 days, during which they are closely monitored for any complications. Patients can expect a moderate degree of discomfort or pain, which can be managed effectively through prescribed medication. Early ambulation is encouraged to reduce the risk of blood clots and facilitate a smoother recovery.
Full recovery and a return to normal activities can vary from person to person, but generally, it takes around 2-4 weeks. Patients are advised to follow a strict dietary plan, starting with liquid diets and slowly progressing to solid foods over a few weeks. Adhering to these dietary guidelines is crucial for healing and preventing any strain on the newly created stomach pouch and intestinal connection. Regular follow-up appointments with the medical team are necessary to track progress and ensure there are no post-operative complications.
Benefits
- Significant Weight Loss: Mini Gastric Bypass has been proven to achieve rapid and significant weight loss, with patients losing around 60-80% of their excess body weight within the first 1-2 years post-surgery.
- Resolution of Comorbidities: This procedure can improve or resolve obesity-related conditions such as type 2 diabetes, hypertension, and obstructive sleep apnea.
- Shorter Surgery Time: MGB is generally quicker than other bariatric procedures, reducing the risks associated with prolonged anesthesia.
- Minimally Invasive: The laparoscopic approach ensures smaller incisions, resulting in less scarring, reduced pain, and quicker recovery.
- Reversibility and Adjustability: The procedure is technically reversible and can be modified in certain situations if necessary.
Potential Destinations
- Mexico: Mexico has become one of the top destinations for Mini Gastric Bypass surgery due to its affordable costs and well-established healthcare infrastructure. Cities like Tijuana and Cancun are known for their medical facilities with experienced bariatric surgeons who cater to international patients.
- India: Renowned for offering a blend of highly skilled surgeons and cost-effective medical care, India is a popular choice for medical tourists. The country has many state-of-the-art hospitals equipped with modern technology, and cities like Mumbai, Chennai, and New Delhi have developed a reputation for quality bariatric procedures.
- Turkey: Turkey’s robust medical tourism industry, particularly in Istanbul and Antalya, makes it a key destination for Mini Gastric Bypass. The country offers experienced medical professionals, modern healthcare facilities, and competitive pricing, making it a favored destination for patients from Europe and the Middle East.
- Thailand: Thailand is known for its world-class medical services and a wealth of internationally accredited hospitals. Bangkok and Phuket have top-tier bariatric centers where medical tourists can receive high-quality Mini Gastric Bypass surgery combined with the opportunity to recover in a serene environment.
- Spain: Spain is emerging as a European hub for bariatric surgeries due to its advanced medical facilities, skilled practitioners, and emphasis on personalized care. Cities like Barcelona and Madrid provide high standards of treatment, and the warm climate offers an ideal recovery environment for international patients.
Risks & Considerations
- Nutritional Deficiencies: Because MGB alters the digestive tract, patients may experience deficiencies in vitamins and minerals such as calcium, iron, and B12, requiring lifelong supplementation.
- Dumping Syndrome: Patients may encounter "dumping syndrome," where the stomach empties its contents into the small intestine too quickly, leading to symptoms like nausea, diarrhea, and abdominal cramping, particularly after consuming sugary foods.
- Risk of Ulcers: The connection between the stomach and intestines can be prone to ulcer formation, which may require medication or additional treatment.
- Possible Weight Regain: Although MGB is highly effective for weight loss, some patients may experience weight regain if they do not adhere to the necessary lifestyle changes, such as maintaining a balanced diet and regular physical activity.
- Surgical Complications: Like any surgery, MGB carries risks such as infection, bleeding, and adverse reactions to anesthesia. Specific risks include leakage from the surgical connections and narrowing of the stomach-intestine junction (stenosis).
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for Mini Gastric Bypass surgery, it is vital to consider the surgeon's experience and specialization in bariatric procedures. Look for a surgeon with a track record of successful outcomes in MGB, as well as board certification in bariatric or gastrointestinal surgery. Additionally, verifying patient reviews and testimonials can provide insight into the surgeon's skills and the overall patient experience.
The choice of hospital should center around accreditation, available technology, and overall standards of care. An internationally accredited hospital ensures that it meets global healthcare standards. Facilities equipped with modern laparoscopic tools and a multidisciplinary team that includes nutritionists, psychologists, and physical therapists can offer comprehensive care before, during, and after the procedure.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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