Roux-en-Y Gastric Bypass
Roux-en-Y gastric bypass surgery is one of the most common and successful weight-loss procedures in the United States. Our surgeons create a small stomach pouch that is attached to the small intestine, bypassing the lower stomach and reducing calorie and nutrient absorption.
The small stomach pouch initially will only hold one to two ounces of food at a time. Once the pouch is full, it takes about 10 minutes or longer for food to pass through to the small intestine. It will take, on average, 30 to 45 minutes to eat a meal consisting of two ounces of meat and one-fourth cup each of a starch, vegetable and fruit.
The time it takes to chew foods thoroughly and the limited space in the stomach pouch reduces the amount of food you can consume at a time. This will cut down on the amount of calories you consume at a given meal, which in turn will help with weight loss.
After surgery, the stomach and the first portion of your intestines (called the duodenum) are bypassed. This prevents you from normally absorbing certain elements from your food like iron, calcium and vitamin B12. Because of this malabsorption, lifetime supplementation with these nutrients is needed. Also, due to the smaller than normal amounts of food that you can consume, a multivitamin rich in thiamine (vitamin B1) is required for life.
Benefits of the Roux-en-Y Gastric Bypass
Most patients lose 70 percent of their excess weight. Gastric bypass surgery has a low complication rate and is performed laparoscopically, which minimizes pain and recovery time. Most patients usually stay one night in the hospital after surgery.
By bypassing the stomach, certain hormones that help regulate your blood sugar increase, and so it’s an extremely beneficial procedure for diabetics. This is the reason gastric bypass patients lose weight faster than patients who only have restrictive surgery.
Who Is a Candidate for This Procedure?
Patients who are more than 100 pounds above their ideal body weight or have a body mass index (BMI) above 40 and have tried to lose weight without success are good candidates for the Roux-en-Y Gastric Bypass procedure. Patients also may qualify for this procedure if their BMI is 30 or higher and they have serious weight-related health problems.
Gastric Bypass FAQs
You are qualified to have the surgery if you are morbidly obese (morbid obesity is defined as a body weight over 100 pounds above your ideal body weight, or a body mass index (BMI) above 40) and have tried to loose weight without success.
The most common complaint after surgery is nausea or vomiting. This is usually related to the patient’s eating habits (eating too fast, over eating, or not chewing thoroughly enough) and resolve without treatment. Other less common medical conditions, like ulcers (occurring in 2-5% of patients) or intestinal obstruction (occurring in 2-4% of patients) may also cause nausea or vomiting, and both of these conditions are serious. If you have nausea or vomiting after surgery, you will need to promptly notify our office so we can best assess why you may be ill.
Gastric bypass surgery works to help you loose weight via several methods:
- Restriction: Since the new stomach pouch after surgery is small (usually 1-2oz) and the opening from the new stomach pouch to the intestines is small (only 10-15mm), the amount of food that you can eat is limited. Therefore you are only able to consume a small amount of food at one time (3-4oz), and will feel full.
- Malabsorbtion: After surgery approximately 5-8 feet of your normal digestive track is bypassed. The digestion of food starts only after this bypassed section of your intestine, when the food you eat mixes with the gastric juices from your old stomach at what is called the “Y” junction. You do not absorb calories in the bypassed section of your gastrointestinal tract as before; therefore you absorb less of the calories that you eat on a daily basis.
- Dumping Effect: Due to bypass of stomach and first portion of intestine, food with high sugar & fat make patients sick & have diarrhea. Patient should avoid these types of foods that are high in calories & fat.
- Appetite: By bypassing the stomach and intestines there is a reduction in a certain hormone (called the Ghrlein Hormone), and additional hormonal changes that help to (curb hunger). This is the reason why gastric bypass patients lose weight, faster than patients who only have restrictive surgery.
After surgery, the bypassed portion of your stomach still works much like it did before your surgery. When you taste, smell or chew foods, the bypassed stomach still secretes digestive juices that move down to mix with the food you eat at the end of the “Y” Junction.
After surgery, the stomach and first portion of your intestines (called the duodenum) are bypassed. This prevents you from normally absorbing certain elements from your food like iron, calcium, and vitamin B12. Because of this malabsorption, lifetime supplementation with these nutrients is needed. Also, due to the smaller than normal amounts of food that you can consume, a multivitamin rich in thiamine (vitamin B1) is required for life.
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You can reduce excess body weight by at least half with this laparoscopic weight loss surgery, which uses small incisions that minimize pain and recovery time.
