Roux-en-Y Gastric Bypass
(restrictive with some malabsorption)
This procedure is considered the “gold standard” of bariatric surgery and recognized by the National Institutes of Health (NIH) for the treatment of severe obesity. This procedure is usually done laparoscopically.
With this procedure, the stomach is divided. We form a new, smaller stomach — sometimes called a pouch — for food. The rest of the stomach is still there. It also still produces digestive juices that will go into the intestines. Part of the small intestine is brought up and connected to the new pouch. That means that a small part of the small intestine is also bypassed. The small pouch creates a feeling of fullness with a much smaller amount of food.
Roux-en-Y Gastric Bypass is one of the most frequently performed weight loss procedures in the U.S. Additionally, 96 percent of certain health conditions or co-morbidities (sleep apnea, high blood pressure, diabetes and depression) are typically improved or resolved following this surgery.
Advantages of the Roux-en-Y Gastric Bypass:
- Rapid weight loss
- Health conditions improve
- No implant required
- Dumping Syndrome – There is also something called the “dumping syndrome” that can occur with this surgery. It can happen if you eat the wrong foods, usually foods high in sugar or fat. We think the dumping syndrome is an advantage because it reminds you that your body does not tolerate these types of foods.
Disadvantages/risks of Roux-en-Y Gastric Bypass may include:
- Stomach cutting, stapling, and intestinal rerouting required
- Vitamin deficiencies
- Unable to perform a full endoscopic exam
- Marginal ulcers