Gastric Bypass Surgery in Tunisia

Before undergoing gastric bypass:

• Pre-operative evaluations: Blood tests, cardiac, and pulmonary assessments are required.
• Dietary adjustments: A special pre-operative diet helps reduce liver size for safer surgery.
• Understand risks and benefits: Learn about potential complications and the long-term benefits of the surgery.

Gastric bypass surgery is recommended for individuals who:

• Have a Body Mass Index (BMI) of 40 or above.
• Have a BMI of 35+ with obesity-related conditions like type 2 diabetes or hypertension.
• Have not succeeded with non-surgical weight loss methods.

• Significant and lasting weight loss: Patients can lose up to 70% of their excess weight.
• Improved health conditions: Reduces symptoms of diabetes, high blood pressure, and sleep apnea.
• Enhanced quality of life: Increased energy, mobility, and improved self-esteem.

The procedure involves:

1. General anesthesia: Ensures patient comfort throughout the surgery.
2. Stomach pouch creation: A small pouch is formed at the top of the stomach using sutures.
3. Intestinal rerouting: The pouch is connected directly to the small intestine, bypassing a large part of the stomach and duodenum.
4. Closure: Incisions are closed with sutures or staples.

After the procedure:

• Hospital stay: Patients typically remain in the clinic for 2 to 3 days.
• Pain management: Mild discomfort is controlled with prescribed medications.
• Recovery: Most patients return to light activities within 2 weeks.
• Follow-up: Regular medical check-ups ensure proper healing and progress.

Gastric bypass offers long-term results, with maximum weight loss achieved within 12 to 18 months. Maintaining results depends on adopting a balanced diet and active lifestyle.

• Follow a balanced diet as advised by your nutritionist.
• Stay hydrated by drinking plenty of water.
• Engage in regular physical activity to maintain weight loss.
• Attend all follow-up appointments for medical monitoring.
• Avoid smoking and limit alcohol consumption.

The dietary plan progresses through several phases:

1. Liquid phase: For the first few days post-surgery.
2. Pureed foods: Introduced in the following weeks.
3. Soft foods: Slowly reintroduced to support healing.
4. Solid foods: Gradual return to small, nutrient-dense meals.

Significant weight loss is noticeable within the first few months. Final results typically stabilize after 12 to 18 months, depending on adherence to dietary and lifestyle guidelines.