Gastric bypass is surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat. The food you eat will no longer go into some parts of your stomach and small intestine that absorb food. Because of this, your body will not get all of the calories from the food you eat. You will have general anesthesia before this surgery.
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This is the largest long-term study of bariatric surgery to date. Bariatric surgeons can use various operations to help people lose weight by making changes to their digestive system. This study did a head-to-head comparison of 1-, 3-, and 5-year results from the three most commonly performed weight-loss operations: gastric bypass, sleeve gastrectomy, and adjustable gastric banding. Because of the large sample size, the researchers could examine subgroups of people to assess whether certain characteristics improved or worsened their chance of weight loss success. They found that men, African-Americans, Hispanics, people age 65 and older, and people with diabetes or lower BMIs less than 50 tended to lose less weight than did other people in the study. But these differences between patient groups were small—less than 3 percent differences in weight lost at 1, 3, and 5 years across groups—which was much less than the differences between the procedures. For instance, the difference between weight lost with gastric bypass and sleeve gastrectomy was 6 percent at 1 year and 7 percent at 5 years.
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Gastric bypass surgery refers to a surgical process in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. Surgeons have developed several different ways to reconnect the intestine, thus leading to several different gastric bypass procedures GBP. Any GBP leads to a marked reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food. The operation is prescribed to treat morbid obesity defined as a body mass index greater than 40 , type 2 diabetes , hypertension , sleep apnea , and other comorbid conditions.