Gastric bypass surgery in Turkey is a highly effective surgical procedure designed to support long-term weight loss. The operation is performed under general anesthesia in a fully equipped operating room. Prior to surgery, patients are required to fast for approximately 10 hours, and blood-thinning medication is administered the day before the operation to reduce the risk of blood clots.
How Is Gastric Bypass Surgery Performed?
Gastric bypass is carried out using the laparoscopic (closed) technique, which minimizes trauma and accelerates recovery. During the procedure:
A laparoscope (a thin tube about 30 cm long with a high-resolution camera) is inserted through small incisions measuring 5–10 mm
Specialized surgical instruments, thinner than a ballpoint pen, are introduced into the abdominal cavity
Using these instruments and surgical staples, the surgeon creates a small gastric pouch approximately 3 cm wide and 3 cm long in the upper part of the stomach near the esophagus.
Intestinal Bypass & Reduced Absorption
To limit calorie absorption:
A segment of the small intestine located about 200 cm distal to the ligament of Treitz is connected (anastomosed) directly to the newly created gastric pouch
This means that up to 200 cm of the upper small intestine is bypassed, significantly reducing digestion and calorie absorption
This dual mechanism—restriction and malabsorption—makes gastric bypass one of the most effective bariatric procedures.
Leak Test & Surgical Safety
Before completing the operation, the anesthesiologist performs a leak test to ensure the strength and safety of the staple line between the stomach pouch and the intestine. This test is done by inflating the stomach with blue-colored liquid, air, or a combination of both to confirm there are no leaks.
Once the test confirms safety:
No part of the stomach is removed
The procedure is completed by closing the skin incisions with sutures
Medical Perspective
When performed by experienced bariatric surgeons, gastric bypass surgery is a safe and highly successful procedure that leads to significant and sustained weight loss, as well as improvement in obesity-related conditions.
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