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Chairman’s Vision is to provide best and Specialized Medical Education at par with national & International Standards.
Hind Hospital is Lucknow Metro based 400 bedded Super Speciality Hospital with well equipped ICU, PICU, NICU Blood Bank, & Major surgical Departments. Vision for Hospital is to provide best Health Services to poor people at minimum cost. |
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Gastro Suregary |
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Gastro surgery (sometimes called stomach stapling) is a medical procedure in which the patient's stomach pouch is drastically reduced in size with medical staples and reattached to the midsection of the intestines. The rest of the stomach pouch is also attached to the upper intestines to aid in digestion. Following gastric bypass surgery, the patient can only consume 1 to 2 ounces of food at one sitting. The result is significant weight loss and a reduced craving for food. |
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| Gastric bypass, Roux en-Y (proximal) |
Graphic of a gastric bypass using a Roux-en-Y anastomosis.This variant is the most commonly employed gastric bypass technique, and is by far the most commonly performed bariatric procedure in the United States.It is the operation which is least likely to result in nutritional difficulties. |
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The small bowel is divided about 45 cm (18 in) below the lower stomach outlet, and is re-arranged into a Y-configuration, to enable outflow of food from the small upper stomach pouch, via a "Roux limb". In the proximal version, the Y-intersection is formed near the upper (proximal) end of the small bowel. The Roux limb is constructed with a length of 80 to 150 cm (30 to 60 inches), preserving most. |
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Gastric bypass, Roux en-Y (distal) |
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The normal small bowel is 600 to 1000 cm (20 to 33 feet) in length. As the Y-connection is moved farther down the Gastrointestinal tract, the amount of bowel capable of fully absorbing nutrients is progressively reduced, in pursuit of greater effectiveness of the operation. The Y-connection is formed much closer to the lower (distal) end of the small bowel, usually 100 to 150 cm (40 to 60 inches) from the lower end of the bowel, causing reduced absorption (mal-absorption) of food, primarily of fats and starches, but also of various minerals, and the fat-soluble vitamins. The unabsorbed fats and starches pass into the large intestine, where bacterial actions may act on them to produce irritants and malodorous gases. These increasing nutritional effects are traded for a relatively modest increase in total weight loss. |
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Loop Gastric bypass ("Mini-gastric bypass") |
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The first use of the gastric bypass, in 1967, used a loop of small bowel for re-construction, rather than a Y-construction as is prevalent today. Although simpler to create, this approach allowed bile and pancreatic enzymes from the small bowel to enter the esophagus, sometimes causing severe inflammation and ulceration of either the stomach or the lower esophagus. If a leak into the abdomen occurs, this corrosive fluid can cause severe consequences. Numerous studies show the loop reconstruction (Billroth II gastrojejunostomy) works more safely when placed low on the stomach, but can be a disaster when placed adjacent to the esophagus. Thus even today thousands of "loops" are used for general surgical procedures such as ulcer surgery, stomach cancer and injury to the stomach, but bariatric surgeons abandoned use of the construction in the 1970s, when it was recognized that its risk is not justified for weight management. |
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To make an appointment or find a physician, please contact us at :- |
HIND INSTITUTE OF MEDICAL SCIENCES, LUCKNOW |
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© 2010-2011 HIND INSTITUTE OF MEDICAL SCIENCES, LUCKNOW All Rights Reserved. |
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Near Canal, Safedabad, Barabanki Road, Lucknow Metro U.P. India
Mob. No. 09415022105
Ph.: 05248-227787, 226685 , 221399
E-mail : admin@himsup.com, mail@himsup.com
Website : www.himsup.com |
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