Roux-en-Y (ROO-en-why) Gastric Bypass Surgery

Roux-en-Y surgery is the most popular of form of bariatric surgery in the Unites States. The surgery decreases the volume capabilities of the stomach by creating a smaller stomach pouch. This pouch is created at the top of the stomach using staples of bands. The pouch is then connected below much of the small intestine, including the duodenum, preventing the small intestine from absorbing fats and other nutrients from food. These results are both less food consumed because "feeling full" occurs more rapidly and fewer calories being absorbed by avoiding a large part of the small intestines. Weight loss occurs rapidly and typically continues for a year or so. As with all medical procedures, there are risks and benefits. The following are things to consider before considering Roux-en Y Gastric Bypass surgery.


Benefits:


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Type 2 diabetes cases are resolved in almost 90% of cases.

More than 60% of the patient's excess weight is lost.

A study released in 2001 , showed that the laparoscopic version of the procedure produced comparable weight loss over 12 to 54 months.

Risks:

A decrease in the absorption of nutrients can result in deficiencies particularly in women. Iron deficiencies and B-12 resulting in Anemia and calcium loss resulting in osteoporosis are the most common.

The portion of the stomach that is constrained and the associated areas are hard to view on x-rays or through endoscopy.

Metabolic Bone Disease may result form a lack of absorption The surgery is permanent and irreversible .

There are other considerations suggested by the Mayo Clinic before having a Roux-en Y Gastric Bypass surgery.

  • Have a thorough psychiatric/psychological examination. To ensure there are not any underlying factors such a depression contributing to your weight problem.
  • Do not undertake the surgery if you regularly consume alcohol.
  • The recommended ages are 18-65, though many doctors recommend more constrictive guidelines.
  • The obesity has been a long-term problem with at least 5 years history and non-responsiveness to other alternatives.




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