The gastric sleeve is a common weight loss procedure that results in a large amount of weight loss. There are three main types of bariatric surgery. Remission of T2DM was achieved by 28 (93%) in the gastric bypass group and 14 (47%) in the sleeve gastrectomy group (P = .02). The close relationship between type 2 diabetes mellitus (T2DM) and obesity is well documented. Gastric sleeve surgery is one of the hottest weight loss procedures with high success rates and outcomes like you wouldn’t believe. Last updated: January 3, 2022. Why? Effect of Roux-en-Y Gastric Bypass or Gastric Sleeve ... Gastric Bypass Versus Sleeve Gastrectomy in Type 2 Diabetes: Effects on Hepatic Steatosis and Fibrosis : A Randomized Controlled Trial Ann Intern Med . Bariatric Multivitamins! Many morbidly obese individuals also have type 2 diabetes. Gastric Sleeve Blood levels of ghrelin are highest before meals when hungry, returning to lower levels after mealtimes. Click Here to See Your BMI. Successful gastric sleeve surgery will also yield improvements in or the resolution of obesity-related health conditions such as diabetes, high blood pressure, high cholesterol, fatty liver disease, gastroesophageal reflux, and even joint pain. Meal replacement shakes and protein drinks suitable for bariatric patients. Remember me on this computer. Can Type 1 Diabetics Have Gastric Sleeve | DiabetesTalk.Net Enter the email address you signed up with and we'll email you a reset link. Within five years, less than 5 percent of gastric bypass patients and less than 12 percent of sleeve gastrectomy patients regain weight to within 5 percent of where they started. This … Gastric Sleeve Surgery - 14 Ways Gastric Sleeve Surgery brings profound changes to life! The average patient maintains a substantial weight loss, which of course is what’s responsible in large part to the improvement in their diabetes. The procedure is simple. Email. Followers 26. After gastric sleeve surgery, the stomach or "pouch" can only hold about 4 ounces or 120 milliliters of food. Hummus. Studies indicate that the gastric sleeve procedure has comparable effect on type 2 diabetes, but to what extent and how is not fully elucidated. BACKGROUND: Sleeve gastrectomy is a new bariatric surgery, and many reports have showed that patients who have undergone sleeve gastrectomy have experienced rapid resolution of type 2 diabetes. The mechanisms accounting for the beneficial effects of sleeve gastrectomy on glucose homeostasis are not well understood and remain speculative. or reset password. Revision: Gastric Sleeve to Gastric Is the Gastric Sleeve a Treatment for Diabetes? Gastric Sleeve By MINI-Me, May 21, 2010 in General Weight Loss Surgery Discussions. Sign in to follow this . Participants assigned to gastric bypass had lost more weight, achieved a lower waist circumference, and had lower glucose, HbA1c, and blood lipid levels than the sleeve gastrectomy group. Both Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are effective at improving hepatic steatosis in type 2 diabetes patients, according to a new analysis of a randomized, controlled trial. With the gastric sleeve, the majority of the stomach is eliminated, creating a small pouch to hold food. Gastric Bypass Sleeve Gastrectomy Dumping Syndrome About half of gastric bypass patients will have dumping syndrome. Learn about Gastric Sleeve Surgery done in our Las Cruces New Mexico surgery center. Password. The aim of this study was to assess the long-term results of SG in morbidly obese patients with type 2 diabetes. Having gastric sleeve surgery can also lower your chances of heart disease and stroke. A BMI between 30 and 39.9 with a serious obesity-related health problem like diabetes, high blood pressure, sleep apnea, high cholesterol, joint problems, and many others. The use of gastric bypass as the preferred bariatric procedure for patients with obesity and type 2 diabetes could improve diabetes care and reduce related societal costs. Gastric sleeve increases gastric emptying allowing food particles to reach the distal bowel to stimulate more L cells leading to increased GLP-1 secretion. The sleeve gastrectomy, commonly called the gastric sleeve, is a surgical technique that involves the removal of about 75-80% of the stomach. The Gastric Sleeve Surgery (or Vertical Sleeve Gastrectomy) is a bariatric procedure that removes 75-80% of the stomach. During surgery, your surgeon will make between 1 and 5 small incisions in your abdomen (which minimizes scars ), insert various laparoscopic instruments, and remove about 80% of your stomach. What is gastric sleeve surgery? 98% WORTH IT. How does gastric sleeve surgery work? Does Gastric Sleeve Surgery "cure" diabetes? This review compared T2D remission and weight loss in patients with T2D after GBP or SG. Gastric Bypass Surgery (Mayo Foundation for Medical Education and Research); Gastric Bypass Surgery: Who Is It For? Gastric sleeve surgery restricts your food intake, which leads to weight loss. I am on a insulin pump. Gastric sleeve surgery is a form of bariatric surgery, also called weight loss surgery. My primary care doctor suggested the surgery to me, but I was scared. Weight loss Surgery options for diabetes have been shown to improve Type 2 Diabetes in nearly 90 % of patients. These areadjustable gastric bands (lap band), partial or sleeve gastrectomy(gastric sleeve) and gastric bypass (Roux-en-Y or biliopancreaticdiversion). Gastric bypass was found to be superior to sleeve gastrectomy for remission of type 2 diabetes at 1 year after surgery, and the two procedures had a similar beneficial effect on β-cell function. Bypass procedures, the Roux-en-Y gastric bypass (RYGBP) and the biliopancreatic diversion (BPD), are more effective treatments for diabetes than other procedures and are followed by normalization of concentrations of plasma glucose, insulin, and HbA 1c in 80–100% of morbidly obese patients. You may lose from 50 to 90 pounds. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery. Log in with Facebook Log in with Google. Gastric sleeve weight loss surgery in Mexico is a scientifically proven and highly effective way to shed excess pounds and treat obesity. But a new study finds that Sleeve Gastrectomy (SG) can have similar – even better – outcomes for initial diabetes remission, with 83.5% of SG patients experiencing a remission in 5 years compared … Studies indicate that the gastric sleeve procedure has comparable effect on type 2 diabetes, but to what extent and how is not fully elucidated. $99 for entire year supply of "1 per Day!" Background. Diabetes and Obesity. Type 2 diabetes can go into remission after bariatric surgery. An increasing number of insurers are covering some costs and in other cases all associated expenses of the procedure. You may benefit from the surgery even if you have Type 2 diabetes that’s well-controlled with medications. The effect of bariatric surgery on glycemia is profound in patients with diabetes and might vary between different bariatric surgical procedures. Gastric Sleeve surgery is increasingly becoming an important option for people who would like to undergo weight loss surgery. Long-term studies are needed to further understand the durability of gastric sleeve surgery in the treatment of type 2 diabetes. Lifestyle changes will often improve diabetes; however … Overall improved quality of life. or. The latest research in bariatric surgery, and specifically stapled weight loss surgeries such as the gastric sleeve and gastric bypass, has begun to uncover the details of these exceptional diabetes remission rates. During surgery, your surgeon will make between 1 and 5 small incisions in your abdomen (which minimizes scars ), insert various laparoscopic instruments, and remove about 80% of your stomach. Historically, bariatric surgery (including gastric sleeve) was only reserved for morbidly obese patients whose health risks pose a grave and severe threat. Over the last decade, numerous studies have concluded that bariatric surgery can lead to improvement or total remission of type 2 diabetes. This was despite the trial’s previously reported primary findings demonstrating significantly greater remission of type 2 diabetes with gastric bypass than with gastrectomy. With all the success that occurs post-surgery, you may wonder if there are any second thoughts after gastric sleeve surgery. Sometimes when after sleeve gastrectomy in the long-run follow-up weight loss is insufficient, revision is needed. Fat-free cottage cheese. These improvements are comparable with those seen after other weight loss surgeries. Sleeve gastrectomy patients experienced resolution rates for type 2 diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea that were similar to resolution rates for other restrictive procedures such as adjustable gastric banding. The VSG results speak for themselves; however, losing weight is not a magic pill for self-love! The average operating time for a gastric sleeve procedure is 45-60 minutes, with an average hospital stay of 2-3 days. A soft balloon is placed in the stomach. Abstract. The average cost of the procedure is $15,000 and more. Bariatric surgery can have beneficial effects for arthritis,sleep apnoea, type 2 diabetes, high blood pressure and highcholesterol. Is there anyone that has had this procedure done that has type 1 diabetes? Bariatric surgery yields significant weight loss and improves metabolic outcomes with remission of diabetes in large proportions of patients with obesity and type 2 diabetes mellitus (T2DM) [].Nearly 200,000 patients with T2DM underwent bariatric surgery in 2018, the majority of whom received Roux-en-Y (RYGB) or sleeve gastrectomy (SG) [1, 2]. The latest research in bariatric surgery, and specifically stapled weight loss surgeries such as the gastric sleeve and gastric bypass, has begun to uncover the details of these exceptional diabetes remission rates. Type 2 diabetes; Gastroesophageal reflux disease (GERD) Infertility . This retrospective, … Gastric bypassand gastric sleeve are two bariatric surgeries that are performed if a person’s BMI is over 40 or above 35 and if a person suffers from serious health conditions such as hypertension, diabetes mellitus, infertility and other. The VSG results speak for themselves; however, losing weight is not a magic pill for self-love! Candidates for gastric sleeve surgery typically need to have a body mass index (BMI) over 40. Gastric sleeve surgery doesn’t require regular band fills as the Lap Band does. 5 hours ago As a general guideline, the Academy of Nutrition and Dietetics suggests 1,200 to 1,500 calories per day for women for weight loss and 1,500 to 1,800 calories per day for men for weight loss. Some also seek the surgery for treatment of type 2 … Approximately 90 percent of all instances of diabetes may be directly linked to obesity or excessive weight. •. For marginal ulcers, the incidence is 4%, with a mean time to diagnosis from surgery between 22 and 36 months. Cross-sectional imaging at the third lumbar (L3) vertebra level is an effective method for estimating whole-body composition (4,5), and the psoas cross-sectional area (CSA) has been suggested as a good estimate of whole-body muscle mass and has served as a prognostic biomarker (5,6).Alternatively, the estimated FFM index (eFFMI), derived from … Gastric sleeve is proven to help patients with lasting weight loss and to help obesity-related diseases such as type II diabetes, hypertension, sleep apnea, joint problems, depression, and others. You may feel happy. Gastric stapling surgery, also called gastric banding surgery, is a type of bariatric surgery (weight loss surgery) procedure performed to limit the amount of food a person can eat. Does Gastric Sleeve Surgery "cure" diabetes? However, it’s quite common for bariatric clinics to recommend a diet of around 900-1,200 calories after the 6 … Gastric sleeve surgery is a non-reversible laparoscopic procedure. Weight loss after gastric sleeve can help you restore your health and fitness, while dramatically improving your aesthetic appearance and personality at the same time. Weight-loss surgery is also called bariatric surgery. Sleeve gastrectomy is a relatively new bariatric procedure, during which the surgeon creates a small, sleeve-shaped stomach with the capacity of about 3-4 ounces. Unlike the gastric bypass, gastric sleeve does not involve re-routing of the intestines or malabsroption of … Gastric sleeve surgery is a type of weight-loss surgery. Improvement of diabetes after gastric bypass surgery occurs within days to weeks after surgery, even before much weight is lost. Choose High-Quality Foods. Therefore, each meal should include low-fat, protein-rich foods such as yogurt, meat, fish, protein shakes or beans. By the time you reach the solid food stage, you should be able to eat healthy foods from all food groups, including 5 servings of fruits and vegetables every day. Gastric bypass surgery often improves the symptoms of type 2 diabetes, even before patients start to lose weight. Roux-en-Y Gastric Bypass surgery (RYGB) ameliorates type 2 diabetes within days after surgery. This includes losing weight, making smarter food choices and being more physically active. These can include physical or mental complications. Two studies in the New England Journal of Medicine found that bariatric surgery reduces the long-term mortality associated with obesity. Gastric pouch size has no effect on extent of post-operative weight loss or diabetes resolution. Pureed lean meats like chicken, turkey, fish (blend and add broth to the mixture) Pureed lentils. The doctor removes a large part of the stomach and also changes the way food moves to the intestines. Pros: It’s the most effective surgery for people with … Height: 5 feet 5 inches. Only your stomach capacity is reduced. So patients can save money by cutting the cost of medication and treatment of the diseases associated with obesity. This is because gastric bypass is a two-step procedure, while gastric sleeve only involves one step. For years, my team and I have seen patients with Type II diabetes improve and even resolve this condition after gastric sleeve in our Mexico hospital. Traditional use of Echinacea root for sepsis, gangrene, “blood poisoning,” and the bites of venomous snakes and insects 9 places this herb high on the list for the botanical treatment of infected wounds. With all the success that occurs post-surgery, you may wonder if there are any second thoughts after gastric sleeve surgery. Some complications can happen because of this smaller stomach size. Bariatric surgery is a surgical treatment designed to induce weight loss for patients who desperately need it. … ... Stay hydrated and if you have diabetes and be sure to check your sugar levels regularly. A total of 13,490 patients including 1,362 Roux-en-Y gastric bypass (RYGB), 693 sleeve gastrectomy (SG), and 11,435 matched nonsurgical patients with T2DM and obesity who received their care at the Cleveland Clinic (1998–2017) were analyzed, with follow-up through December 2018. You should know that you can lose more or less than 60%. I've been type 1 for 20 years. 156. (Mayo Foundation for Medical Education and Research) Also in Spanish Weight-Loss (Bariatric) Surgery (National Institute of Diabetes and Digestive and Kidney Diseases) A report from the Cleveland Clinic involving 10 morbidly obese patients with type 1 diabetes who had bariatric surgery (primarily gastric bypass) showed a reduction in the mean BMI from 41.6 to 30.5 and a decrease in mean A1c from 10% to 8.9% after a 3-year follow up [21]. In addition to weight loss, sleeve gastrectomy may improve or resolve conditions related to being overweight, including: The gastric sleeve procedure, also called vertical sleeve gastrectomy, is done laparoscopically (using small incisions) and takes 1 to 2 hours. × Close Log In. This surgery also known as sleeve gastrectomy or vertical sleeve gastrectomy (VSG). Based on 160 recent ratings. Gastric sleeve vs. gastric bypass surgery. Meal replacement shakes and protein drinks suitable for bariatric patients. However, you do have to ensure you are doing the right things to create lasting weight loss. For patients with type 2 diabetes mellitus (T2D) and obesity comorbidities, Roux-en-Y gastric bypass (RYGB) was associated with more weight loss, superior diabetes control, and lower risk for major adverse cardiovascular events (MACE) and nephropathy compared with sleeve gastrectomy (SG), according to findings of a study published in Diabetes Care. More and more studies are coming out every day to prove what we’ve known all along: vertical sleeve gastrectomy is perhaps the best tool in the fight against the devastating effects of Type II diabetes. Gastric sleeve, also called a sleeve gastrectomy or a vertical sleeve gastrectomy, is a surgical weight-loss procedure. Meal plans for gastric sleeve patients around week 3 can include: All full liquids allowed in weeks 1 and 2. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. Once placed, it is filled with saline to help limit the amount of food you eat. Bariatric surgery is effective in the management of type 2 diabetes (T2D) and obesity; however, it is not clear whether Roux-en-Y gastric bypass (GBP) or sleeve gastrectomy (SG) is the most effective procedure. It is larger than the stomach pouch created during Roux-en-Y gastric bypass and is about the size of a banana. Up to 44% of all patients diagnosed with diabetes are obese [17] [15]. Gastric Sleeve Surgery Reviews. Most importantly, this surgery results in changes to the metabolism and hormones produced in the intestines that affect the body’s ability to achieve and maintain a healthy weight. Conversely, gastric fundus size in a sleeve gastrectomy can greatly alter the metabolic outcome especially in the long term. Long-term studies are needed to further understand the durability of gastric sleeve surgery in the treatment of type 2 diabetes. * * American Society for Metabolic and Bariatric Surgery. Studies have shown that after the gastric sleeve resection procedure people show improvement in diabetes, high blood pressure, high cholesterol and sleep apnea within one to two years. The impact of bariatric surgery on diabetes is two-fold. What's more, a study in the Annals of Surgery showed that 83 percent of 240 people who underwent gastric bypass were cured of their diabetes. Can J Surg Cite this article as: Gu J, Vergis A. Diabetes improvement and 2013;56:E158-64. 56-58 Identified risk factors include diabetes, smoking, and gastric pouch length. Bariatric surgery, especially Roux-en-Y gastric bypass, can result in the resolution of type 2 diabetes in nearly 30% at up to 5 years after surgery [4]. Excess weight does not mean total weight. This is much less than a stomach can normally hold. Gastric Sleeve Surgery is a weight loss procedure in which a large part of the stomach is surgically removed, reducing the stomach size by up to 85%, with the remaining portion of the stomach looking like a banana or a sleeve. Gastric sleeve surgery is different to a gastric bypass as a bypass involves creating a small pouch at the top of the stomach which is then connected to the small intestine, redirecting past (bypassing) the rest of the stomach. Gastric sleeve surgery (or sleeve gastrectomy) involves removing a portion of your stomach so you get fuller faster, according to NIDDK. If you are obese and have type 2 diabetes, weight loss (bariatric) surgery can have a profoundly positive effect on your health. A study recently published in the journal JAMA Surgery revealed that patients undergoing sleeve gastronomy surgery for weight loss may in the long-term regain weight and develop obesity-related comorbidities such as diabetes. But it does require maintenance. Fat-free cottage cheese. This is different than the gastric band procedure.A gastric band "cinches" the stomach to divide it into two pouches. Echinacea can be dosed high and often in acute conditions, without concern for toxicity. It is now the most commonly performed bariatric procedure in United States and worldwide. Gastric sleeve surgery is best for people who have a BMI (body mass index) of at least 40. All human SG or GBP studies published in English … Decreasing excess body weight not only improves obesity-related conditions but … The procedure for Gastric Sleeve surgery is laparoscopic, rather than open, meaning it is less invasive, scarring will be minimal, and recovery will be quicker. The Legacy Weight and Diabetes Institute offers the ORBERA gastric balloon. Of an estimated 225,000 bariatric surgeries performed per annum, 15- 30% have diabetes [15]. Surgery: LAP-BAND. I’m guessing you’ve heard it before: To lose weight, you … Heart disease and stroke 2. The foods or beverages pass too quickly through the stomach pouch. In fact, diabetic patients who have sleeve surgery (sleeve gastrectomy) have remission rates that can be as high as 60 percent. Meal plans for gastric sleeve patients around week 3 can include: All full liquids allowed in weeks 1 and 2. The study will compare advanced medical therapy alone or advanced medical therapy combined with either Roux-en-Y gastric bypass or gastric sleeve surgery. The gastric sleeve is a minimally invasive surgery that makes the stomach smaller so patients feel full with less food and are able to successfully lose weight after surgery. Glycemic Control after Sleeve Gastrectomy and Roux-En-Y Gastric Bypass in Obese Subjects with Type 2 Diabetes Mellitus . High blood pressure 3. Vitamin and mineral deficiencies are also less common than gastric bypass; It has a similar effect on weight loss and relief from co-morbidities such as blood pressure, diabetes, sleep apnea, and five years later, compared to gastric bypass. Ghrelin / ˈ É¡ r ɛ l ɪ n / (or lenomorelin, INN) is a hormone produced by enteroendocrine cells of the gastrointestinal tract, especially the stomach, and is often called a "hunger hormone" because it increases food intake. After six months, the balloon is removed, but the support for lifestyle change will continue for an another six months. In fact, the gastric sleeve (like most other forms of bariatric surgery) has been shown to prevent or decrease risk for most of the top causes for death in the US including heart disease, cancer, respiratory diseases, stroke, and diabetes; leading to a significant reduction in the risk for early death. Once it’s done, it’s done. Gastric sleeve surgery can help manage type 2 diabetes by putting you in a good position to lose a significant amount of weight. Gastric Sleeve I sought bariatric surgery because of my diabetes and my high blood pressure issues. The amount of weight you lose depends on your change in lifestyle habits. To calculate your expected weight after surgery, use our calculator. On average, gastric sleeve patients will lose about 60% of their excess weight. A gastric sleeve is permanent. * * American Society for Metabolic and Bariatric Surgery. Your diabetic medications have likely been reduced as part of your discharge plan. Two studies in the New England Journal of Medicine found that bariatric surgery reduces the long-term mortality associated with obesity. I seem stuck at around 50 lbs lost which is better than nothing but I'm really furstraed. Gastric Sleeve Surgery. Some studies have indicate that the remission rate of type 2 diabetes is higher after gastric bypass than after sleeve gastrectomy. Can J Surg Cite this article as: Gu J, Vergis A. Diabetes improvement and 2013;56:E158-64. For patients with type 2 diabetes (T2D) and obesity comorbidities, Roux-en-Y gastric bypass (RYGB) was associated with more weight loss, superior diabetes control, and lower risk for major adverse cardiovascular events (MACE) and nephropathy compared with sleeve gastrectomy (SG), according to a study published in Diabetes Care.. The sleeve gastrectomy, commonly called the gastric sleeve, is a surgical technique that involves the removal of about 75-80% of the stomach. It is sometimes recommended for people who are very obese, or who have health problems caused by obesity. Posted November 30, 2012. Sleeve gastrectomy is technically an easier operation. What we do often see is that people with diabetes and gastric sleeve surgery will reduce their medication and their blood sugar levels will improve – partly to do with the weight loss, but also partly to do with the small portions you can eat … Conversely, gastric fundus size in a sleeve gastrectomy can greatly alter the metabolic outcome especially in the long term. The remission rate of type 2 diabetes one to two years after bariatric surgery is approximately 70%. medwireNews: Gastric bypass and sleeve gastrectomy both result in “almost complete clearance of liver fat” within a year after the intervention, show secondary outcomes of a randomized trial.. Lifestyle intervention is the first-line therapy for type 2 diabetes. There are no tune-ups with a gastric sleeve. In one of the two studies, the researchers found that long-term total mortality after gastric bypass surgery was … ... such as diabetes, heart disease, or high blood pressure. The research deals with how our bodies produce and react to various bacteria in this case, gut bacteria. Only about 15-20 percent of the stomach remains. Sleeve gastrectomy patients experienced resolution rates for type 2 diabetes, high blood pressure, high cholesterol, and obstructive sleep apnea that were similar to resolution rates for other restrictive procedures such as adjustable gastric banding. With David Arterburn MD. Pureed lean meats like chicken, turkey, fish (blend and add broth to the mixture) Pureed lentils. As is common when people with Type 2 diabetes lose a great deal of weight, most (76 percent) of the patients after sleeve gastrectomy took fewer diabetes medications, such as insulin, she said. that is, when diabetes is first diagnosed or down the road, when complications have already begun to arise. Had the sleeve in December last year. type 2 diabetes and gastric sleeve surgery feet. Continued diabetes remission after sleeve gastrectomy decreases as follow-up time increases. A gastric band can be removed if there is a problem. 1. There is plenty of data showing that traditional gastric bypass surgery can help those with type 2 diabetes lose weight and go into remission. Gastric pouch size has no effect on extent of post-operative weight loss or diabetes resolution. As Gastric Sleeve surgery does not affect the digestive system, recovery times are slightly faster than in other procedures. Message from Dr. Patel: Dr. Patel is honored to share this Gastric Sleeve Surgery success story of Sheila Willis who struggled with obesity and diabetes for many years. While this might sound restrictive, it is ultimately for the health and safety of our patients. Outcomes are comparable to those after gastric bypass. A majority of the … Not only does surgery help a person lose weight; it may also affect hormones that control how the body responds to insulin and blood sugar. 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A reset link: //www.mayoclinic.org/tests-procedures/endoscopic-sleeve-gastroplasty/about/pac-20393958 '' > gastric sleeve surgery `` cure '' diabetes vertical gastrectomy!: //surgery.ucla.edu/bariatrics-patient-stories '' > gastric < /a > gastric sleeve only involves step. Las Cruces New Mexico surgery center in lifestyle habits various bacteria in this case, bacteria... Health and safety of our patients enter the email address you signed up with and 'll. You are doing the right things to create lasting weight loss: E158-64 some studies concluded! Last decade, numerous studies have concluded that bariatric surgery for morbid obesity is increasing resolve early! Conditions, without concern for toxicity I am a little scared is well documented in conditions... Know that you can trust, from real people like you 1 after! More physically active therefore, each meal should include low-fat, protein-rich foods such as yogurt, meat fish. Distal bowel to stimulate more L cells leading to increased GLP-1 secretion during Roux-en-Y gastric bypass surgery procedure!