Roux-En-Y Gastric Bypass was the first surgical weight loss procedure performed worldwide. It is a major operation and is associated with the fastest weight loss. As with any weight loss procedure, it does take commitment and major lifestyle changes. The window for maximum weight loss is around the 15-month mark. This varies from individual to individual.
With Roux-En-Y Gastric Bypass, a small pouch is created from the upper portion of the stomach. The small intestine is divided at its upper end and a portion is joined to the pouch. Food enters the pouch and travels directly to the small intestine, therefore bypassing the rest of the stomach – hence the name gastric bypass. Because food travels so quickly into the small intestine many hormones are released, which gives you the sensation of fullness. It has also been demonstrated that your metabolic rate increases, therefore increasing your weight loss.
Advantages of Roux-En-Y Gastric Bypass
- Profound effect on reducing appetite due to hormonal changes
- Associated with quick weight loss
- The metabolic changes may resolve health conditions including, but not limited to, diabetes, hypertension and sleep apnea
- This procedure can be done can be done with the assistance of a surgical robot, aiding in a quicker recovery time and less scarring. Ask your doctor for more information.
All surgery carries the risk of complications and weight reduction surgery is no exception. Preventative measures are put into place to lessen the possibility; however, the risk of surgery in the obese patient is significantly greater than for the general population. The following potential risks are in addition to the general risks of surgery:
- Because there is an element of malabsorption, one can experience vitamin and calcium deficiency. These deficiencies can be managed through proper diet and vitamin supplements.
- A condition known as the dumping syndrome can occur as the result of rapid emptying of stomach contents into the small intestine. This is sometimes triggered when too much sugar or large amounts of food are consumed.
- Leaks can occur at the joint between the stomach and the small intestine and at the joint between the small intestine and the joint itself.
- The stomach pouch can be stretched.
- The lower stomach pouch and segments of the small intestine cannot be easily visualized if problems such as ulcers, bleeding or malignancy should occur.
This does not take the place of informed consent with your surgeon.