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Laparoscopic
Bypass
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VIDEO OF THE SURGERY PERFORMED BY DR. JOYA
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OF HOW
DR. JOYA DOES THE PROCEDURE
The
Laparoscopic Gastric Bypass
The Gastric Bypass is considered by the American Society of Bariatric
Surgeons and the National Institutes of Health to be the gold standard
of weight loss surgery — and the single most successful procedure
for excess weight loss and long-term weight control. A combination restrictive/malabsorptive
operation, it is the operation of choice for most Bariatric surgeons in
the United States. Studies show the Gastric Bypass has some patients more
than 15 years post-surgery and maintaining about 75% of their excess weight
loss. Now, with modern refinement of the operation, there are many patients
losing 85% to 100% of their excess weight and keeping that weight off.
At the San Javier Hospital
in Puerto Vallarta, we specialize in the Laparoscopic Gastric Bypass.
With well over hundreds of surgeries done, Dr. Joya is one of Mexico's leading
Bypass surgeons.
With Laparoscopic surgery, the camera and surgical instruments are inserted
into the abdomen through five or six small incisions. This gives the surgeon
better visualization of the anatomy and better access to key anatomical
parts. Proudly, we are one of the few Bariatric centers in the world using
the Vista 3-Dimensional Visualization System — cutting-edge Laparoscopic
camera technology enabling the surgeon to operate more precisely, efficiently,
and safely. Normally with Laparoscopic surgery, the surgeon looks at the
image inside the abdomen on a flat two-dimensional TV screen. With the
Vista 3-D System, the surgeon sees inside the abdomen as if they were
looking with their own two eyes — in three dimensions.
Compared with traditional 'open'
incisions, Laparoscopic surgery with small incisions offers a better surgical
outcome. A recent study shows that patients with Laparoscopic weight loss
surgery experience less pain after surgery resulting in easier breathing
and higher overall oxygen levels - and with better healing. There are
also fewer wound complications such as infection or hernia with patients
returning to normal pre-surgery activity levels more quickly.
Many people have heard of the
old intestinal bypass or jejuno-ileal bypass and should be aware that
this operation is obsolete because it caused serious problems including
diarrhea. The Gastric Bypass is not the same as this old operation and
ordinarily will not cause diarrhea. Nor does it cause the serious problems
that the old intestinal bypass did cause.
Diets for Gastric Bypass Patients Designed By Dr. Joya
The preop Diet designed by Dr. Joya for all patients with a 40+ BMI (for
two weeks pre-op):
DIET: Breakfast, Lunch, and
Dinner should be low calorie protein shakes or Non fat yogurt.
Dr. Joya highly recommends a company by the name of REVIVAL SOY
http://www.revivalsoy.com
or go to a health store and look for a low calorie protein shake
with high energy. The rest of the day or if you are still
hungry at meal time you can have clear liquids. You should
drink about 8 glasses of water or more a day. And Jell-O the
low calorie kind is a clear liquid. Other clear liquids are
beef and chicken broth, apple and grape juice, nonfat milk, and
cranberry juice.
FOR GASTRIC SLEEVE AND RNY BYPASS PATIENTS EXCLUSIVELY:
Dr. Joya also wants you to do Balloon exercises :
Just blow up 30 balloons for nonsmokers and 40 balloons for smokers
each day during the two week preop diet period. (the small party
balloons that are hard to blow up). Discard each one after you
inflate it.
The diet will reduce the risk of complications during your surgery
and will reduce the size of your liver. The balloons will
strengthen your lungs for surgery. Both are very important to do
preop. Please let me know if you have any other questions regarding
your preop diet or exercise.
NOTE:
IF YOU ARE A SMOKER: YOU MUST ALSO DO THE FOLLOWING:
Quit Smoking Immediately and Do the above
mentioned Balloon exercises.
The POSTOP diet Dr. Joya recommends following Gastric Bypass is
a common sense diet without weighing or measuring foods. You should eat
three small meals a day without drinking with meals as the pouch will
not hold liquid and solid at the same time. All liquids should be calorie
free. Essentially your diet should be protein, meaning meat, fish, egg
or fat free cheese as well as fresh fruit, green vegetables and salads.
Fat and sugar should be avoided and starch should be mainly in the form
of fruit or vegetables.
It is possible following the
Gastric Bypass to develop a lactose intolerance. This means milk or milk
products such as cheese may cause diarrhea. This is not very common, but
can easily be managed by avoiding these foods or using Lactaid. Following
a Gastric Bypass certain nutrients are not absorbed as well. In particular,
these may be fat soluble vitamins, such as vitamin A, D and K, iron, calcium
and vitamin B12. Because of this you should take a multivitamin with minerals
as well as extra iron, and calcium in the form of Tums following this
surgery. These should be taken permanently.
Risks:
You should be aware that any surgery may have complications, and this
is major surgery. Specific complications will be discussed further with
you, in person, but it is possible that death may result and the risk
of death is approximately 1 in 300. You should therefore carefully weigh
the benefits versus the risks. You should consider whether you have any
alternative way to lose weight. Also, you should consider whether you
are a viable candidate for the Band Surgery. Usually, if you are 100 lbs
or more overweight, it is impossible to lose weight and keep it off by
any means. If you do not have surgery you will probably continue to gain
weight and develop other complications of obesity, which may seriously
affect your health and may shorten your life. The decision to undergo
the surgery should not be taken lightly as it is intended to be permanent
and for life. The changes which it can produce in your life are generally
very positive, but you should fully consider all the implications.
Contraindications
Dr. Joya
feels that the
Bypass is not right for you if:
• You have an
inflammatory disease or condition of the gastrointestinal tract,
such as ulcers, severe oesophagitis or Crohn's disease.
• You have severe heart or lung disease that makes you a poor
candidate for surgery.
• You have some other disease that makes you a poor candidate for
surgery.
• You have a problem that could cause bleeding in the oesophagus or
stomach. That might include oesophageal or gastric varices (a
dilated vein). It might also be something such as congenital or
acquired intestinal telangiectasia (dilation of a small blood
vessel).
• You have portal hypertension.
• Your oesophagus, stomach or intestine is not normal (congenital or
acquired). For instance you might have a narrowed opening.
You have experienced an intra-operative gastric injury, such as a
gastric perforation at or near the location of the intended band
placement.
• You have cirrhosis.
• You have chronic Pancreatitis.
• You are pregnant. (If you become pregnant after the Lap-Band®
System has been placed, the band may need to be deflated. The same
is true if you need more nutrition for any other reason, such as
becoming seriously ill. In rare cases, removal may be needed.)
• You are addicted to alcohol or drugs.
• You are under 15 years of age.
• You have an infection anywhere in your body or one that could
contaminate the surgical area.
• You are on chronic, long-term steroid treatment.
· You cannot or do not want to follow the dietary rules that come
with this procedure.
· You might be allergic to materials in the device.
• You cannot tolerate pain from an implanted device.
•You or someone in your family has an autoimmune connective tissue
disease. That might be a disease such as systemic lupus
erythematosus or scleroderma. The same is true if you have symptoms
of one of these diseases.
• Dr. Joya believes that patients with a "sweet tooth" will not do
well with the Lap-Band® System and feels that the Bypass surgery or
the Gastric Sleeve may
be the better option for you. If you eat a lot of sweet foods, Dr.
Joya would prefer to do the Bypass operation. The same is true if
you often drink milkshakes or other high-calorie liquids.
CLICK HERE TO SEE
HOW DR. JOYA DOES THE PROCEDURE
Please
contact
us for pricing and more information with regards to this
surgery.
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