*To control operative bleeding, removal of the spleen may be necessary.
According to the According to the ASMBS (American Society of Metabolic & Bariatric Surgery) 2004 Consensus Statement, the operative morbidity (complications) associated with Roux-en-Y Gastric Bypass in the hands of skilled surgeon is roughly 5% and the operative mortality (death) is roughly 0.5%. For Laparoscopic Adjustable Gastric Banding, the same consensus statement reported that, in the hands of a skilled surgeon, the operative morbidity is approximately 5% and operative mortality is approximately 0.1%.
Risks of the Gastric Bypass
Because the duodenum and other sections of the small intestine are bypassed, poor absorption of iron and calcium can cause low total body iron and a greater chance of having iron-deficiency anemia. Gastric bypass surgery cclients who experience chronic blood loss during excessive menstrual flow or bleeding hemorrhoids should be aware of the chance of iron-deficiency anemia. Women, already at risk for osteoporosis that can occur after menopause, should be aware of the possibility of increased bone calcium loss. By taking a multivitamin and calcium supplements, clients can maintain a healthy level of minerals and vitamins.
Bypassing the duodenum can cause metabolic bone disease in some clients, resulting in bone pain, loss of height, humped back, and fractures of the ribs and hipbones. Eating foods rich in nutrients and taking vitamins can help clients avoid this.
Chronic anemia due to vitamin B12 deficiency may occur. The problem can be managed with vitamin B12 pills or injections.
A condition known as dumping syndrome can occur from eating to much sugar or large amounts of food. While it isn’t considered a serious health risk, the results can be very unpleasant. Symptoms can include vomiting, nausea, weakness, sweating, faintness, and, on occasion, diarrhea. Some clients are unable to eat sugary foods after surgery. Some clients find this further helps their weight loss.
The bypassed portion of the stomach, duodenum, and parts of the small intestine cannot be seen easily using X-ray or endoscopy if there are problems such as ulcers, bleeding, or malignancy.
Gastric Bypass a permanent, nonreversible procedure, and the procedure could result in death.
Risks of the Adjustable Gastric Banding